Pampu ya insulin - momwe imagwirira ntchito, kuchuluka kwake ndi momwe mungapezere kwaulere

Pampu ya insulin ndi chida chomwe chimalimbikitsa kuti insulini ipite patsogolo. Ndikofunikira kukhalabe ndi kagayidwe kachakudya mthupi la odwala matenda ashuga.

Chithandizo chotere chimachepetsa chiopsezo cha hypoglycemia. Mitundu yamakono yamapampu imakupatsani mwayi wowunika kuchuluka kwa shuga m'magazi ndipo, ngati kuli kotheka, lowetsani insulini inayake.

Ntchito za pampu

Pampu ya insulin imakulolani kuti muimitse kayendedwe ka timadzi timeneti nthawi iliyonse, zomwe sizingatheke pogwiritsa ntchito cholembera. Chida chotere chimagwira ntchito zotsatirazi:

1. Imatha kuyendetsa insulini molingana ndi nthawi, koma malinga ndi zosowa - izi zimakupatsani mwayi wosankha mtundu wina wa mankhwala, kuti thanzi la wodwalayo lithe bwino.
2. Nthawi zonse amayesa kuchuluka kwa shuga, ngati kuli kotheka, amapereka chizindikiro chomveka.
3. Amawerengera kuchuluka kwa chakudya chambiri, muyezo wa chakum'mawa pa chakudya.

Pampu ya insulini imakhala ndi zinthu izi:

• Nyumba yokhala ndi zowonetsera, mabatani, mabatire,
• Chosungira cha mankhwala osokoneza bongo
• Kulowetsedwa.

Zizindikiro zogwiritsidwa ntchito

Kusunthira kwa pampu ya insulin nthawi zambiri kumachitika mu zotsatirazi:

1. Mukazindikira matenda a shuga m'mwana,
2. Popempha wodwalayo,
3. Ndi kusinthasintha pafupipafupi kwa shuga wamagazi,
4. Mukakonzekera kapena pakati, pakubala kapena pakubala,
5. Masewera azidzidzimutsa m'mawa,
6. Pokhapokha ngati simungathe kubwezeretsa chipukuta misozi,
7. Ndi pafupipafupi matenda a hypoglycemia,
8. Ndi osiyanasiyana mankhwala.

Contraindication

Mapampu amakono a insulin ndi zida zosavuta komanso zamagetsi zomwe zimapangidwira aliyense. Zitha kuikidwa momwe mungafunire. Ngakhale izi, kugwiritsa ntchito pampu kwa odwala matenda ashuga kumafunikabe kuwunikira komanso kuchitapo kanthu kwa anthu pakuchita izi.

Chifukwa cha chiwopsezo chowonjezereka cha matenda ashuga a ketoacidosis, munthu amene amagwiritsa ntchito insulin pump amatha kumva vuto la hyperglycemia nthawi iliyonse.

Vutoli limafotokozedwa ndi kusakhalapo kwathunthu kwa insulin m'magazi. Ngati, pazifukwa zina, chipangizocho sichingadutse kuchuluka kwa mankhwalawo, munthuyo amawonjezera kwambiri shuga. Kwa zovuta zazikulu, kuchepa kwa maola 3-4 ndikokwanira.

Nthawi zambiri, mapampu oterewa a matenda ashuga amatsutsana mwa anthu omwe ali ndi:

• Matenda amisala - amatha kutsogola kugwiritsa ntchito pampu ya matenda ashuga, omwe angayambitse kuwonongeka kwakukulu,
• Masomphenya osawoneka bwino - odwala otere sangathe kuyesa zilembo zowonetsera, chifukwa sangathe kuchitapo kanthu panthawi yake,
• Kusafuna kugwiritsa ntchito pampu - mankhwala a insulin pogwiritsa ntchito pampu yapadera, munthu ayenera kudziwa momwe angagwiritsire ntchito chipangizocho,
• Kuwonetsedwa kwa thupi lawo siligwirizana pakhungu pamimba,
• Njira zotupa
• Kulephera kuthana ndi magazi maola 4 aliwonse.

Ndi zoletsedwa kugwiritsa ntchito pampu kwa odwala matenda ashuga omwe iwowo safuna kugwiritsa ntchito zida ngati izi. Sakhala ndi kudziletsa koyenera, sawerengera kuchuluka kwa mikate yomwe amadya. Anthu otere samatsogolera moyo wokangalika, amanyalanyaza kufunika kowerengera mosalekeza mlingo wa insulin.

Ndikofunika kuti nthawi yoyamba chithandizo choterechi chidayendetsedwa ndi adokotala.

Migwirizano yamagwiritsidwe

Kuti tiwonjezere kuchita bwino ndikuwonetsetsa kuti chitetezo cha anthu odwala matenda ashuga chikuwoneka bwino, malamulo ena ogwiritsira ntchito ayenera kuyang'aniridwa. Iyi ndi njira yokhayo yomwe chithandizo sichingakuvulazeni.

Malangizo otsatirawa ogwiritsira ntchito pampu ya insulin uyenera kuonedwa:

• Kawiri pa tsiku, yang'anani makulidwe ndikugwiritsa ntchito kwa chipangizocho,
• Malo otsekemera amatha kusinthidwa m'mawa wokha musanadye, ndizoletsedwa kuchita izi asanagone,
• Pampu imatha kusungidwa pamalo otetezeka,
• Mukavala pampu nyengo yotentha, gwiritsirani khungu pansi pa chipangizocho ndi zida zapadera za anti-allergenic,
• Sinthani singano mutayimirira komanso malinga ndi malangizo.

Matenda a shuga omwe amadalira insulin ndi matenda oopsa. Chifukwa cha izi, munthu ayenera kulandira kawirikawiri mlingo wa insulin kuti amve bwino. Mothandizidwa ndi pampu, amatha kudzipatula pakufunika kwakwe koyamba, komanso amachepetsa chiopsezo cha mavuto.

Ubwino ndi zoyipa

Kugwiritsa ntchito pampu ya matenda ashuga kuli ndi zabwino komanso zovuta zambiri. Ndikofunikira kusankha nawo musanaganize zogwiritsa ntchito chipangizochi.

Ubwino wosakayikika wa chithandizo chotere ndi monga:

• Chipangacho chimasankha nthawi komanso kuchuluka kwa jakisoni wa insulin - izi zimathandiza kupewa mankhwala osokoneza bongo kapena kuyambitsidwa kwa mankhwala ochepa, kuti munthu amve bwino.
• Zogwiritsidwa ntchito pamapampu, ndi ultrashort kapena insulin yochepa yokha yomwe imagwiritsidwa ntchito. Chifukwa cha izi, chiopsezo cha hypoglycemia ndi chochepa kwambiri, ndipo achire amatha kusintha bwino. Chifukwa chake kapamba amayamba kuchira, ndipo iye mwiniyo amatulutsa chinthu china.
• Chifukwa chakuti insulini pampu imaperekedwa m'thupi mwa madontho ang'onoang'ono, makonzedwe opitiliza ndi olondola kwambiri amatsimikizika. Ngati ndi kotheka, chipangizocho chimatha kusintha payokha payokha. Izi ndizofunikira kuti pakhale shuga wina m'magazi. Izi ndizofunikira kwambiri kwa anthu omwe ali ndi matenda omwe angayambitse matenda a shuga.

Mukagwiritsidwa ntchito moyenera, mapampu a insulini amathandizira kukwaniritsa zotsatira zabwino kwambiri. Pankhaniyi, sangathe kuvulaza, koma zingangokulitsa thanzi la munthu.

Kukwaniritsa kufunikira kwake kwa insulin, munthu tsopano safunikira kungokhala osagwirizana ndikumapereka mlingo wa insulin. Komabe, ngati agwiritsidwa ntchito molakwika, pampu ya matenda ashuga imatha kukhala yovulaza.

Chida chotere chili ndi zovuta zotsatirazi:

1. Masiku atatu aliwonse amafunika kusintha malo omwe kulowetsedwa. Kupanda kutero, mumayendetsa ngozi ya kutupa kwa khungu ndi kupweteka kwambiri.
2. Maola anayi aliwonse munthu ayenera kuyang'anira kuchuluka kwa shuga m'magazi. Panthawi ina iliyonse yopatuka, ndikofunikira kukhazikitsa Mlingo wowonjezera.
3. Mukamagwiritsa ntchito pampu ya matenda ashuga, muyenera kuphunzira momwe mungagwiritsire ntchito. Ichi ndi chipangizo choyenera, chomwe chili ndi zinthu zambiri zogwiritsidwa ntchito. Mukaphwanya chilichonse mwa izo, mumakhala pachiwopsezo cha zovuta.
4. Anthu ena samalimbikitsidwa kugwiritsa ntchito mapampu a insulini, chifukwa chipangizocho sichingathe kupereka mankhwalawa okwanira.

Momwe mungasankhire pampu ya insulin?

Kusankha pampu ya insulin ndikovuta. Masiku ano, pali zida zambiri zofananira zomwe zimasiyana muukadaulo. Nthawi zambiri, kusankha kumachitika ndi adokotala. Ndi iye yekha amene athe kudziwa magawo onse ndikusankhirani njira yoyenera kwambiri.

Musanavomereze izi kapena pampu ya insulin, katswiri ayenera kuyankha mafunso otsatirawa:

• Kodi kuchuluka kwa thankiyo ndi chiyani? Ndikofunikira kwambiri kuti athe kulandira insulin yambiri, yomwe ingakhale yokwanira masiku atatu. Ndi munthawi imeneyi kuti ndikulimbikitsidwa kuti mulowetse kulowetsedwa komwe kumayikidwa.
• Kodi chida chovala bwino masiku onse chimakhala bwanji?
• Kodi chipangizocho chili ndi chowerengera chopangidwa? Njira iyi ndiyofunikira pakuwerengera ma coefficients, omwe mtsogolomo athandizira kusintha bwino kwamankhwala.
• Kodi chipangizocho chili ndi ma alarm? Zipangizo zambiri zimatsekeka ndipo zimaleka kupereka kuchuluka kwa insulin mthupi, chifukwa chake hyperglycemia imayamba mwa anthu. Ngati pampu ili ndi alamu, kuti ngati pali vuto lililonse, iyamba kufinya.
• Kodi chipangizocho chili ndi chitetezo chinyezi? Zipangizo zotere zimakhala ndi kulimba kwambiri.
• Mlingo wa insulin ndi chiyani, kodi ndizotheka kusintha kuchuluka ndi kuchuluka kwa mankhwalawa?
• Ndi njira ziti zomwe zimathandizira kulumikizana ndi chidacho?
• Kodi ndikosavuta kuwerenga zambiri kuchokera pakompyuta ya pompo ya insulin?

Kodi pampu ya insulin ndi chiyani?

Pampu ya insulin imagwiritsidwa ntchito ngati njira ina yopangira syringes ndi zolembera. Kuwona kwa dosing kwa pampu kumakhala kwakukulu kwambiri kuposa momwe mumagwiritsira ntchito ma syringes. Mlingo wocheperako wa insulin womwe ungagwiritsidwe ntchito kwa ola limodzi ndi magawo a 0,025-0.05, kotero ana ndi odwala matenda ashuga omwe ali ndi chidwi chambiri ndi insulini amatha kugwiritsa ntchito chipangizocho.

Katemera wachilengedwe wa insulini amagawika kukhala yoyambira, yomwe imasunga kuchuluka kwa timadzi timadzi, mosasamala kanthu za zakudya, komanso bolus, yomwe imatulutsidwa poyankha kukula kwa shuga. Ngati ma syringe amagwiritsidwa ntchito panjira ya matenda a shuga, insulin yayitali imagwiritsidwa ntchito kukwaniritsa zofunikira za thupi za mahomoni, komanso yochepa musanadye.

Pampu imadzaza ndi insulin yochepa kapena yochepa kwambiri, kuti muthe kutengera kubisalira kwakumbuyo, imayilowetsa pansi pa khungu nthawi zambiri, koma m'malo ochepa. Njira iyi yoyendetsera imakupatsani mwayi wowongolera shuga kuposa kugwiritsa ntchito insulin yayitali. Kuwongolera kubwezeretsedwa kwa matenda a shuga kumadziwika osati kokha ndi odwala omwe ali ndi matenda amtundu wa 1, komanso ndi mbiri yayitali ya mtundu 2.

Makamaka zotsatira zabwino zimawonetsedwa ndi mapampu a insulin popewa neuropathy, ambiri odwala matenda ashuga amatha, matendawo amayenda pang'onopang'ono.

Mfundo zoyendetsera chipangizocho

Pampu ndi yaying'ono, pafupifupi 5x9 cm, chipangizo chachipatala chomwe chimatha kubayira insulin pansi pa khungu mosalekeza. Ili ndi chophimba chaching'ono komanso mabatani angapo owongolera. Selo yokhala ndi insulin imayikidwa mu chipangizocho, imalumikizidwa ndi kulowetsedwa: machubu oonda opindika ndi cannula - pulasitiki yaying'ono kapena singano yachitsulo. Cannula imakhala pansi pa khungu la wodwala aliyense amene ali ndi matenda ashuga, motero amatha kupaka insulin pansi pa khungu mumadontho ang'onoang'ono mosalekeza.

Mkati mwa pampu ya insulin mumakhala piston yomwe imakankhira kuseri kwa mahomoni ndi pafupipafupi ndikudyetsa mankhwalawo mu chubu, kenaka kudzera mu cannula mumafuta ochulukirapo.

Kutengera mtundu wake, pampu ya insulin ikhoza kukhala ndi:

• njira yowunika shuga
• automulin insulin shutdown ntchito ya hypoglycemia,
• Zizindikiro zochenjeza zomwe zimayambika chifukwa cha kusintha kwamphamvu kwa glucose kapena kumene sikupita pamlingo wamba,
• kuteteza madzi
• mphamvu yakutali
• kuthekera kosunga ndikusamutsa chidziwitso pakompyuta chokhudza mlingo ndi nthawi ya jakisoni wambiri, shuga.

Kodi phindu la pampu ya matenda ashuga ndiotani?

Ubwino waukulu wa pampu ndikutha kugwiritsa ntchito kokha insulin. Imalowa m'magazi mwachangu ndikuchita mosasunthika, motero imapambana kwambiri chifukwa cha insulin yayitali, momwe mayamwidwe ake amatengera zinthu zambiri.

Ubwino wosakayikira wa mankhwala a insulin insulin ungaphatikizeponso:

1. Kuchepetsa punctures khungu, lomwe limachepetsa chiopsezo cha lipodystrophy. Mukamagwiritsa ntchito ma syringe, pafupifupi jakisoni 5 amapangidwa patsiku. Ndi pampu ya insulin, kuchuluka kwa ma punctures kumachepetsedwa kamodzi pakapita masiku atatu.
2. Mlingo wolondola. Ma syringe amakulolani kuti mupeze insulin molondola ndi mayunitsi a 0,5, pampu imamwetsa mankhwalawa mu kuwonjezeka kwa 0,1.
3. Kuwongolera kuwerengera. Munthu wodwala matenda ashuga kamodzi amalowetsa kuchuluka kwa insulini pa 1 XE kukumbukira zinthu, kutengera nthawi ya tsiku komanso kuchuluka kwa shuga. Kenako, musanadye chilichonse, ndikokwanira kulowa kuchuluka kokha kwa chakudya, ndipo chida chanzeru chimawerengera insulin.
4. Chipangizocho chimagwira ntchito mosayang'aniridwa ndi ena.
5. Kugwiritsa ntchito pampu ya insulin, ndikosavuta kukhala ndi shuga wamagulu ena mukamasewera masewera, maphikidwe a nthawi yayitali, komanso odwala matenda ashuga ali ndi mwayi wokana kutsatira chakudyachi molimba popanda kuvulaza thanzi lawo.
6. Kugwiritsa ntchito zida zomwe zitha kuchenjeza za kuchuluka kwambiri kapena shuga wochepa kwambiri kumachepetsa chiopsezo cha matenda a shuga.

Yemwe akuwonetsedwa ndikutsutsana ndi pampu ya insulin

Wodwala aliyense wodwala matenda a shuga omwe amadalira insulin, mosasamala mtundu wa matenda, amatha kukhala ndi insulin. Palibe zotsutsana kwa ana kapena kwa amayi apakati komanso oyamwitsa. Zomwe zimachitika ndikutha kudziwa bwino malamulo oyendetsera chipangizocho.

Ndikulimbikitsidwa kuti pampu iyikiridwe odwala omwe ali ndi chiphuphu chosakwanira cha matenda a shuga, kuchuluka kwambiri m'magazi a shuga, hypoglycemia yausiku, komanso shuga yayikulu. Komanso, chipangizocho chikutha kugwiritsidwa ntchito bwino ndi odwala omwe ali ndi insulin.

Chofunikira kwa wodwala yemwe ali ndi matenda ashuga ndimatha kudziwa magawo onse a mankhwala a insulini: kuwerengetsa zam'thupi, kukonzekera katundu, kuwerengetsa kwa mlingo. Musanagwiritse ntchito pampu paokha, wodwala matenda ashuga ayenera kudziwa bwino ntchito zake zonse, azitha kuzipatsanso pawokha komanso kuyambitsa mtundu wa kusintha kwa mankhwalawo. Pampu ya insulin simaperekedwa kwa odwala omwe ali ndi matenda amisala. Cholepheretsa kugwiritsa ntchito chipangizochi chitha kukhala chosawoneka bwino cha wodwala matenda ashuga amene salola kugwiritsa ntchito chidziwitso.

Kuti phulusa la insulin lisatulutse zotsatira zoyipa, wodwalayo nthawi zonse azikhala ndi zida zothandizira:

• cholembera chodzaza ndi jakisoni wa insulin ngati chipangirocho chalephera,
• dongosolo kulowetsedwa kosintha
• insulin tank
• mabatire a pampu,
• magazi shuga mita
• chakudya champhamvu kwambirimwachitsanzo, mapiritsi a shuga.

Kodi pampu ya insulin imagwira ntchito bwanji

Kukhazikitsa koyamba kwa pampu ya insulin kumachitika moyang'aniridwa ndi dokotala, nthawi zambiri kuchipatala. Wodwala matenda a shuga amadziwa bwino momwe chida chimagwirira ntchito.

Momwe mungakonzekere ntchito pampu:

1. Tsegulani ma phukusi ndi chosungiramo insulin.
2. Ikani mankhwalawa mankhwala momwemo, nthawi zambiri Novorapid, Humalog kapena Apidra.
3. Lumikizani posungira ndi kulowetsedwa kogwiritsa ntchito cholumikizira kumapeto kwa chubu.
4. Yambitsaninso pampu.
5. Ikani thanki mu chipinda chapadera.
6. Yambitsani ntchito yolimbikitsa pa chipangizocho, dikirani mpaka chubuyo itadzazidwa ndi insulin ndipo dontho lithe kumapeto kwa cannula.
7. Gwiritsani cannula pamalo a jakisoni wa insulin, nthawi zambiri pamimba, koma ndizothekanso m'chiuno, matako, mapewa. Singano ili ndi tepi yomatira, yomwe imakonza zolimba pakhungu.

Simuyenera kuchotsa cannula kuti musambe. Imachotsedwa mu chubu ndikutseka ndi kapu yapadera yamadzi.

Zotheka

Akasinja amakhala ndi 1.8-3.15 ml ya insulin. Ndizotayidwa, sizingagwiritsidwenso ntchito. Mtengo wa thanki imodzi umachokera ku ma ruble 130 mpaka 250. Makina a kulowetsedwa amasinthidwa masiku atatu aliwonse, mtengo wamalo ndi 250-950 rubles.

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russia Academy of Medical Science idatha kupanga mankhwala omwe amachiritsiratu matenda ashuga. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga mpaka Meyi 18 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!

Chifukwa chake, kugwiritsa ntchito pampu ya insulin tsopano ndikokwera mtengo kwambiri: zotsika mtengo komanso zosavuta ndiz 4,000 pamwezi. Mtengo wautumiki ukhoza kufikira rubles 12,000. Zinthu zowunikira mosalekeza zamagulu a shuga ndizokwera mtengo kwambiri: sensa, yopangidwira masiku 6 ovala, imakhala pafupifupi ma ruble 4000.

Kuphatikiza pazowonjezera, pali zida zogulitsa zomwe zimapangitsa moyo kukhala wosavuta ndi pampu: tatifupi zophatikiza ndi zovala, zokutira mapampu, zida zokhazikitsira cannulas, matumba ozizira a insulin, komanso zomata zoseketsa zapampu za ana.

Matenda a insulini a shuga: mfundo ya chida

Chotsatsira ichi chimalumikizidwa ndi thupi laumunthu ndipo chimachotsedwa pokhapokha ngati mwachitsanzo, kusamba, kwakanthawi kochepa kuti chisiyike pakukhazikitsa pulogalamuyo. Kubweretsa kwa mahomoni kumachitika pogwiritsa ntchito mphamvu yakutali.

Catheter imalumikizidwa ndi chigamba pamimba, ndipo gawo palokha lokhala ndi mphamvu limamangidwa lamba. Mitundu yatsopano yamapampu ilibe machubu, imakhala ndi magetsi opanda zingwe ndi chophimba.

Pampu ya insulin ya matenda a shuga imakupatsani mwayi woti mulowe mankhwalawa muzinthu zochepa kwambiri, zomwe ndizofunikira kwa ana odwala. Zowonadi, kwa iwo, ngakhale cholakwika chochepa mu kipimo chitha kuyambitsa thupi.

Chipangizochi ndichothandiza kwambiri kwa odwala omwe ali ndi kudumphadumpha mu mahomoni masana. Simufunikanso kuchita jakisoni kangapo patsiku. Palibe kudziunjikira kwa insulin yambiri. Chifukwa cha chakugawa ichi, wodwalayo amayamba kusangalala ndi moyo, ndikudziwa bwino kuti mahormone adzaperekedwa nthawi.

Njira zoyendetsera

Mankhwalawa ali ndi mitundu iwiri yoyitanitsira mankhwala:

1. Kupitiliza kuperekera kwa insulin mu Mlingo wocheperako.

2. Wodwala wopangidwira timadzi tating'onoting'ono.

Njira yoyamba imagwiritsa ntchito mankhwala omwe akhala akuchita kwa nthawi yayitali. Yachiwiri imayambitsidwa kwa odwala asanadye chakudya. Kwenikweni, imalowa m'malo mwa mahomoni osakhalitsa ngati gawo la mankhwala a insulin.

The catheter m'malo mwa wodwala masiku atatu aliwonse.

Kusankha kwa Brand

Ku Russia, ndizotheka kugula ndipo, ngati kuli kotheka, kukonza mapampu a opanga awiri: Medtronic ndi Roche.

Makhalidwe oyerekeza azithunzizi:

Chosavuta kwambiri pakadali pano ndi pampu yopanda zingwe ya Israeli ya Omnipod. Mwapadera, siziperekedwa ku Russia, chifukwa chake ziyenera kugulidwa kunja kapena m'malo ogulitsira pa intaneti.

Kukhazikitsa kwa chipangizo

Pampu ya insulini ya matenda ashuga, yomwe chithunzi chake chimatha kupezeka m'zachipatala, chimafuna kukhazikitsidwa kwinanso. Kuti mugwiritse ntchito chipangizocho, ndikofunikira kutsatira zotsatirazi:

1. Tsegulani thanki yopanda kanthu.
2. Tulutsa pistoni.
3. Ikani singano mu ampoule ndi insulin.
4. Lowetsani mpweya kuchokera mumtsuko kuti mupewe kukachitika mwadzidzidzi mkati mwa timadzi tambiri ta peptide.
5. Lowetsani insulin m'malo osungira pogwiritsa ntchito piston, ndiye kuti singano imayenera kuchotsedwa.
6. Finyani mpweya pambale.
7. Chotsani piston.
8. Phatikiza posungira ndi kulowetsedwa kwa chubu.
9. Zindikirani gawo lomwe lasonkhanitsidwa pampu ndikudzaza chubu (thamangitsani insulin ndi thovu zam'mlengalenga). Pankhaniyi, pampu iyenera kulekanitsidwa ndi munthu kuti apewe mwangozi kuchuluka kwa mahomoni a chibadwa cha peptide.
10. Lumikizanani ndi tsamba la jakisoni.

Mtengo wa mapampu a insulin

Kodi pampu ya insulini imawononga ndalama zingati:

• Medtronic MMT-715 - 85 000 ma ruble.
• MMT-522 ndi MMT-722 - pafupifupi ma ruble 110,000.
• Veo MMT-554 ndi Veo MMT-754 - pafupifupi ma ruble 180,000.
• Accu-Chek yokhala ndi mawonekedwe akutali - ma ruble 100 000.
• Omnipod - gulu lowongolera pafupifupi 27,000 malinga ndi ma ruble, makina ogwiritsa ntchito pamwezi - rubles 18,000.

Ubwino wa chipangizocho

Pampu ya insulin ya shuga ndi chida cha m'badwo watsopano chomwe chili ndi zotsatirazi:

1. Chipindacho chimakweza bwino wodwalayo, ndikumumasulira pakufunika kuti apange jakisoni mochepera.

2. Kuwerengedwa kwa kuwerengera kwa mankhwala omwe amafunikira mosiyanasiyana kumachitika popanda mankhwala a matenda ashuga.

3. Ngati mukusowa magawo ogwiritsira ntchito a chipangizocho, palibe chifukwa chopita kwa dokotala - wodwalayo atha kusintha zomwe akufuna.

4. Kuchepetsa kwakukulu kwa chiwerengero cha punctures za khungu.

5. Kukhalapo kwa kuyang'anira glucose kosalekeza: ngati shuga amachoka pamlingo, pampu imapatsa wodwala chizindikiro.

Zida zoyipa

Tsopano tiyeni tisunthire ku mphindi za chida ichi. Tsoka ilo, ali ndipo akuwonetsedwa motere:

1. Mtengo wokwera wa chipangizocho.

2. Wopatsayo atha kugwira ntchito mwadongosolo.

Ndipo kugwiritsa ntchito pampu ya insulin nkoletsedwa m'magulu a anthu awa:

1. Anthu omwe ali ndi mawonekedwe ochepa kwambiri, popeza wodwalayo ayenera kuyang'anira kayendedwe ka chipangizocho powerenga zambiri zomwe zikuwonetsedwa kuchokera pawonetsero.

2. Anthu omwe ali ndi vuto lalikulu pamaganizidwe.

3. Anthu omwe sangathe kudziyang'anira pawokha kuchuluka kwa shuga m'magazi kanayi pa tsiku.

Maganizo a anthu

Ndemanga ya insulin pampu imasiyana. Wina wasangalala ndi kuyambika kwaposachedwa chonchi, akunena kuti mothandizidwa ndi chipangizochi mutha kuyiwala za kupezako ndikuyamba kukhala ndi moyo wabwinobwino. Anthu ambiri amasangalala kuti jakisoni itha kuchitika pamalo odzala anthu, ndipo pankhani yaukhondo, njirayi ndiyotetezeka. Komanso, odwala amadziwa kuti chifukwa cha chipangizo chotere, mlingo wa insulin womwe umagwiritsidwa ntchito umachepetsedwa pang'ono. Chofunikira chomwe odwala amalabadira ndichakuti zotsatira za jakisoni wa insulin zikuchepa: palibe mabampu kapena mikwingwirima yomwe imawoneka.

Koma pampu ya insulin ya odwala matenda ashuga ili ndi malingaliro olakwika. Mwachitsanzo, pali anthu omwe amakhulupirira kuti palibe kusiyana kwakukulu pakati pa chotulutsira chotere ndi cholembera. Monga, chipangizocho chimapachikidwa nthawi zonse, koma chida chachipatala choyenera chimayenera kuchotsedwa chisanagwiritsidwe ntchito. Komanso, ena sasangalala ndi kukula kwa chida chatsopanocho, akuti, sichaching'onoting'ono, mutha kuchiwona pansi pazovala. Ndipo ndikutenga singano yokhazikika ndikuchotsa gawo lonse ndikuyenera kusamba kawiri patsiku.

Zambiri, mayankho ambiri olakwika amakhudzidwa ndi mtengo wapamwamba wa pampu komanso mtengo wokwanira wokonza. Chipangizochi chidzakhala chokwanira kwa anthu olemera okha, koma nzika wamba ya Russia yomwe imalandira ndalama zokwana ma ruble 10,000, chipangizochi sichipezeka. Kupatula apo, pafupi kukonza kwake pamwezi kokha kumatha kutenga ma ruble 5,000.

Mitundu yotchuka, mtengo wa chipangizo ndi malamulo osankhidwa

Pampu ya insulin ya shuga, chithunzi chake chomwe chikuwonetsedwa bwino m'nkhaniyi, chili ndi mtengo wosiyana. Kutengera ndi wopanga, mawonekedwe a chipangizocho, komanso mtundu wa ntchito, mtengo wa chipangizocho umachokera ku ruble 25-120,000. Mitundu yotchuka kwambiri: Medtronic, Dana Diabecare, Omnipod.

Musanasankhe pampu inayake, muyenera kuyang'ana pazinthu zotsatirazi:

1. Kuchuluka kwa thanki. Ndikofunikira kudziwa ngati chipangizocho chili ndi insulin yokwanira kuti ithe masiku atatu.

2. Kuwala ndi kusiyana kwa chophimba. Ngati munthu saona zilembo ndi manambala kuchokera kuchikuta, amatha kumasulira molakwika chidziwitsocho kuchokera ku chipangizocho, kenako wodwalayo ali ndi mavuto.

3. Wowerengera-wowerengera. Kuti zikhale zosavuta komanso zosavuta, pampu ya insulini ya matenda ashuga iyenera kukhala ndi gawo ili.

4. Chizindikiro chotsutsa. Wodwala ayenera kumva bwino kapena kumva kugwedezeka.

5. Kusagwira madzi. Ichi ndi chowonjezera chomwe sichikupezeka mumitundu yonse yamapampu, kotero ngati mukufuna kuchita njira zamadzi ndi chipangizocho, ndiye kuti muyenera kufunsa za gawo ili la chipangizocho.

6. Kuyesetsa. Chimodzi mwa mfundo zazikuluzikulu, chifukwa ngati munthu sakhala womasuka kuvala dispenser m'moyo watsiku ndi tsiku, ndiye bwanji mugula? Kupatula apo, pali njira ina - cholembera. Chifukwa chake, musanagule chida, muyenera kuyesa kaye, yesani.

Tsopano mukudziwa mpope wa matenda a shuga, mumadziwa bwino magwiridwe ake, zopindulitsa ndi chipangizocho. Tidazindikira kuti iyi ndi njira yabwino kwambiri yopangira cholembera, koma odwala ena sakonda chipangizochi. Chifukwa chake, musanagule chida chodula choterocho, muyenera kuyerekeza zabwino ndi mavuto, werengani ndemanga za anthu, yesani pa chipangizocho ndikusankha: kodi nkoyenera kugula chosungira chatsopano kapena mutha kuchita popanda icho.

Medtronic MiniMed Paradigm 522 ndi 722 (Medtronic MiniMed Paradigm)

Pampu ya insulin Medtronic MiniMed Paradigm ndikupanga kwa bungwe laku America lotchedwa Medtronic. Dongosololi limaperekera insulin yobereka, imayang'anira kuchuluka kwa shuga m'magazi pogwiritsa ntchito chipangizo chopanda waya cha MiniLink komanso sensor ya Enlight glucose. Cholinga cha pampu ndikusunga shuga yamagazi pamlingo wokonzedweratu.

Dongosolo limakhala ndi "Bolus Helper" ntchito - ndi pulogalamu yowerengera insulini yofunika kudya ndi kuwongolera kuchuluka kwa shuga m'magazi. Kusintha kwapaungu Zizindikiro mu nthawi yeniyeni, mtengo womwe ulipo umawonetsedwa pazowunikira ndikusungidwa kukumbukira kwazida. Zambiri kuchokera pachidacho zimatha kusinthidwa kupita ku kompyuta kuti zikawunikenso komanso kuwongolera matenda a shuga.

Pampu Medtronic MiniMed Paradigm Chimawoneka ngati kachipangizo kakang'ono ngati kukula kwa pager. Mapeto ake pali chidebe chosungira ndi insulin. Catheter wa cannula amaphatikizidwa ndi chosungira. Pogwiritsa ntchito mota yapadera ya piston, pampu imalowetsa insulin ndi pulogalamu yokonzedweratu mukuwonjezera kwa zigawo za 0,05.

Dongosolo Medtronic MiniMed Paradigm yosavuta kugwiritsa ntchito. Chifukwa cha kukula kwake kocheperako, amatha kuvala mosavuta pansi pazovala. Pompo mutha kugwira ntchito ndi mtundu wa MMT-503 kutali kuti mugwiritse ntchito mosavuta.

Zosankha zambiri za basal ndi bolus zimakulolani kuti muthe kusintha kwa insulin kutengera zosowa za thupi. Mutha kukhazikitsa kutulutsa kwa mauthenga pazochita zofunika: kufunika kwa jakisoni wa bolus, muyeso wa shuga wamagazi. Chophimba chikuwonetsa kuchuluka kwa shuga m'magazi panthawi yomwe chida chimatenga miyezo.

Yang'anani! Kuti muwone mopitilira muyeso wama glucose ndi pampu ya instamin MiniMed Paradigm, mufunika kugula dongosolo lina lowunika magawo a shuga m'magazi (MiniLink Transmitter (MMT-7703)).

Mu zida Pampu ya insulini imaphatikizapo:

• insulin pump (MMT-722) - 1 pc.
• chidutswa chonyamula mpope pa lamba (MMT-640) - 1 pc.
• Batri ya AAA Energizer - 4 ma PC.
• chikopa pampu (MMT-644BL) - 1 pc.
• buku la ogwiritsa (malangizo), mu Chirasha (МambalaТ-658RU) - 1 pc.
• zida zoteteza Ntchito Yogwira Ntchito (MMT-641) - 1 pc.
• thumba la mayendedwe - 1 pc.
• Chida cholumikizira mwachangu-Serter catheter - 1 pc.
• Catheter Yofulumira - Yokhala ndi chubu kutalika 60 cm ndi cannula kutalika kwa 6 mm (MMT-399) - 1 pc.
• Catheter Yofulumira - Yokhala ndi chubu kutalika kwa 110 masentimita ndi cannula kutalika kwa 9 mm (MMT-396) - 1 pc.
• Zosungirako za Paradigm kuti zisonkhanitse ndikupereka insulin (MMT-332A), 3 ml - 2 ma PC.
• chidutswa cha kulowetsedwa kwa chubu - 2 ma PC.

Kusanthula ndemanga zamapampu pa intaneti Medtronic MiniMed Paradigm, tapeza zabwino zambiri. Anthu ena akhala akuigwiritsa ntchito kwa zaka zoposa 2.5.

Odwala ena sakonda kuvala chipangizocho nthawi zonse, zomwe zimapangitsa kuti zikhale zovuta. Palinso madandaulo a zoperewera. Choyipa chachikulu ndi mtengo wapamwamba wa pampu ndi zothetsera zake.

Ngati pali pampu, insulin ya mtundu womwewo iyenera kugwiritsidwa ntchito.

Tsitsani malangizo a Medtronic MiniMed Paradigm

Zofunikira

• Njira yoyambira
  • Mlingo woyambira kuchokera pa 0.05 mpaka 35.0 mayunitsi / h
  • Mpaka 48 Mlingo woyambira patsiku
  • 3 makonda oyambira oyambira
  • Kukhazikitsa muyeso woyambira waung'ono mu ma unit / h kapena mu%
• Bolus
  • Bolus kuchokera ku 0,1 mpaka 25 mayunitsi
  • Chakudya chopatsa mphamvu kuchokera ku 0,1 mpaka 5.0 mayunitsi / XE
  • Mitundu itatu ya bolus: standard, wave wave ndi wave kawiri
  • Ntchito ya Bolus Wizard
• Kuyang'anira shuga wopindulitsa *:
  • Maola atatu ndi maora 24
  • Chizindikiro Chapamwamba kapena Chochepetsa cha Glucose
  • Kusintha kwa mivi
• Zikumbutso
  • Chikumbutso Choyesera Magazi
  • Zikumbutso zokwanira 8
  • Kusintha kapena kusuntha
• Maanki:
  • MMT-522: 1.8 ml
  • MMT-722: 3 ml ndi 1,8 ml
• Makulidwe:
  • MMT-522: 5.1 x 7.6 x 2.0 cm
  • MMT-722: 5.1 x 9.4 x 2.0 cm
• Kulemera:
  • MMT-522: 100 magalamu (okhala ndi batri)
  • MMT-722: magalamu 108 (ali ndi batri)
• Mphamvu yamagetsi: batire yapamwamba ya AAA (pinky) 1.5 V AAA, kukula E92, mtundu LR03 (mtundu wa Energizer walimbikitsa)
• Colours: Transparent (zitsanzo MMT-522WWL kapena MMT-722WWL), imvi (zitsanzo MMT-522WWS kapena
  MMT-722WWS), mitundu ya buluu (Mitundu ya MMT-522WWB kapena MMT-722WWB), rasipiberi (MMT-522WWP kapena MMT-722WWP)
• Chitsimikizo: zaka 4

Chonde, mukamaitanitsa, sonyezani mtundu ndi mawonekedwe a insulin pampu yomwe ili mu gawo la Zindikirani.

Kodi pampu ya insulini: Ubwino wa chipangizocho ndikugwiritsa ntchito mtundu 1 wa shuga

Jakisoni wa insulin wa tsiku ndi tsiku wa mtundu woyamba wa matenda a shuga amawonjezera kwambiri moyo wa odwala. Kufunika kosalembera cholembera ndikukumbukira za kuvomerezedwa kwa mahomoni ndi ntchito yovuta yomwe zimapangitsa wodwalayo kukhalapo.

Pampu ya insulin ndi chipulumutso kwa odwala matenda ashuga. Kugwiritsa ntchito chida chowoneka kumakupangitsani kuti muiwale za jakisoni: gawo la chinthu chomwe chimayendetsa shuga m'magazi limalowa m'thupi panthawi yoyenera komanso muyezo woyenera.

Musanagule, muyenera kudziwa zambiri za chipangizochi chamakono, limodzi ndi adotolo kuti musankhe mtundu woyenera komanso zowonjezera (mita yopanda waya, kayendetsedwe kazina ka pampu, kawerengedwe ka mankhwala a bolus, zinthu zina).

Zambiri

Mtundu wa shuga wodalira insulin ukapezeka, odwala amadwala akamaphunzira za kufunika kwa jakisoni wa insulin tsiku lililonse. Kudumpha mlingo wotsatira kungayambitse chikomokere. Mapensulo a insulin ndi kusapeza bwino ndi anzawo a odwala matenda ashuga ngati odwala sakudziwa za kukhalapo kwa chipangizo chokha kapena sanasankhe kugula.

Odwala ambiri ndi abale awo ali ndi chidwi chofuna kugwiritsa ntchito pampu ya insulini, chomwe chili, kaya pali cholakwika chilichonse. Ndikofunikira kudziwa ngati kuli koyenera kugwiritsa ntchito ndalama zambiri kugula chida. Akatswiri a matenda ashuga amalangiza kuti aphunzire zambiri za chipangizo chatsopano chomwe chimapangitsa moyo kukhala wosavuta ndi mtundu wa endocrine pathology 1.

Zopopera:

• gawo lalikulu, lokhala ndi makina owongolera ndi makina ogwiritsa ntchito popanga zidziwitso + mabatire,
• chidebe chaching'ono chodzaza ndi insulin. M'mitundu yosiyanasiyana, kuchuluka kwa kamera ndikosiyana,
• seti yosinthika: cannulas for subcutaneous management of the yosungirako mahomoni ndi machubu olumikiza.

Momwe chipangizachi chimagwirira ntchito

Kusiyanitsa kwakukulu kuchokera ku zolembera za syringe ndikusankha pulogalamu yamakina a insulin. Mutha kukonzanso mitundu ingapo yamankhwala, kutengera kusintha kwa zakudya, zolimbitsa thupi kapena shuga.

Wodwalayo amangika kachipangizo kakang'ono m'mimba.

Ena sazindikira kuti munthu amalandira magawo a mahomoni tsiku lonse kuti akhale ndi shuga wokwanira komanso kupewa hyperglycemia.

Mothandizidwa ndi pampu ya insulin, insulini yochepa kwambiri imatha kupezekanso kuti ipangitsenso ntchito zapamba. Pafupipafupi kayendetsedwe ka owongolera ndi kuchuluka kwa zinthu zimasankhidwa kwa wodwala winawake.

Chofunikira - chidebe chodzaza ndi insulin. Pogwiritsa ntchito tubules, chosungira chimalumikizidwa ndi singano ya pulasitiki yomwe imalowa m'matumbo a mafuta pansi pa khungu pamimba.

Chinthu chinanso - pistoni, pakanthawi kena kosindikizira pansi pa thankiyo, kuchuluka kofunikira kwa mahomoni kumalowa m'thupi.

Batani lapadera limagwiritsidwa ntchito kupatsira bolus - mlingo wa insulin musanadye.

Mitundu ina imakhala ndi sensor, pazenera pomwe chidziwitso pakumaso kwa glucose pakalipano chikuwonetsedwa. Chida chothandiza ndi glucometer yopanda zingwe komanso chowerengera momwe mungawerengere kuchuluka kwa mahomoni asanadye.

Malangizo a mtundu uliwonse akuwonetsa momwe angagwiritsire ntchito pampu ya insulin, posintha zosowa, zomwe gulu la odwala lomwe chipangizocho chalinganizidwa. Onetsetsani kuti mukuganizira zolakwika.

Kuti mugwiritse ntchito, madokotala ndi odwala amalangizidwa kuti azigwiritsa ntchito kutali. Kugwiritsa ntchito kachipangizako kumakupatsani mwayi woyimitsa kuyambitsa kwa insulin kwakanthawi popanda kuchotsa chida. Ntchitoyi ndiyofunikira makamaka kwa odwala matenda ashuga nthawi yachisanu, pomwe sizikhala nthawi zonse komanso kulikonse komwe mungatenge zida zamagetsi pazovala zanu.

Chidule cha Model

Opanga angapo azida zamankhwala ndi zamagetsi ali ndi zaka zambiri zodziwika komanso mbiri yabwino pamsika wa zida zamankhwala. Mukamasankha chida, muyenera kusanthula magawo ambiri. Ndikofunikira kulandira upangiri kuchokera kwa endocrinologist, kuti mumve malingaliro a dokotala ndi odwala omwe ali ndi chipangizo chamakono.

Ndikofunika kugula chipangizo chamtengo wapatali ndi zina zowonjezera osati kudzera pa intaneti, koma m'malo ogulitsira a Medtekhnika. Pankhaniyi, mutha kulandira upangiri waluso kwa wogwira ntchito wophunzirira zamankhwala.

Mtundu wotchuka:

• Accu-Chek wa ku Roche. Mtengo - kuchokera ma ruble 60,000. Mwanjira yosavuta, m'malo mwa chosungira, pali ma insulin. Pali mitundu yamitundu yambiri yopanda madzi ndi mitundu yokhala ndi zowonjezera zowongolera komanso zokumbutsa njira zosiyanasiyana mthupi motsutsana ndi matenda ashuga. Ndiosavuta kugula zinthu: pali maofesi oimira m'malo osiyanasiyana.
• Accu-Chek Mzimu Combo. Kukula kogwira kumakhala ndi zopindulitsa zambiri: mita yowerengeka ndi chowerengera cha bolus, chiwonetsero chautoto, mlingo woyambira wa zigawo za055 pa ola limodzi, kuphulika kwa magawo 20. Mitundu yosiyanasiyana ya ogwiritsa ntchito, zokumbutsa zokha komanso zosintha. Mtengo wa chipangizocho ndi ma ruble 97,000.
• Medtronic. Zinthu zapamwamba kuchokera ku USA. Pali zosankha zotsika mtengo kuchokera ku ruble 80,000 ndipo pamtunda, mitundu - kuchokera 508 (yosavuta) mpaka 722 (chitukuko chatsopano). Chiyero chochepa kwambiri cha kayendetsedwe ka maholide ndi magawo a 0,05 / ola. Pali mitundu ingapo yomwe imauza wodwalayo za kusintha kwa glucose. Kukula kwatsopano kwa Paradigm kumawonetsa kusintha kwa shuga mumphindi zisanu zilizonse. Mtengo wazida zamakono - kuchokera ku ruble 120,000.

Mitundu:

• kulowetsedwa
• ndi kudziwikiratu kwazomwe zili ndi shuga
• osavomerezeka ndi madzi
• ndimapulogalamu a insulin.

Pakatikati mwa kugwiritsa ntchito:

• zosakhalitsa (zosankha),
• chamuyaya.

Mukamasankha pampu ya insulin, muyenera kulabadira magawo angapo:

• Calculator chowerengera
• Bolus ndi basal mlingo yobereka
• kuchuluka kwa magawo oyambira
• kudziwitsa zolakwika pakugwiritsa ntchito chipangizocho,
• kulunzanitsa kwa chipangizochi ndi PC,
• makatani otsekeka batani chokha kuti mupewe kukakamiza mwangozi
• kukumbukira okwanira kuti kufananize zambiri zokhudzana ndi insulin yovulala kwakanthawi,
• mbiri zamtundu wa insulin wa masiku osiyanasiyana (poganizira kuchuluka kwa chakudya chamagulu, masabata ndi maholide),
• mphamvu yakutali.

Mlingo wa insulin

Wodwala aliyense ali ndi zomwe angathe kuchita ndi matenda ashuga. Ndikofunikira kusankha mulingo wokwanira wa insulin tsiku lonse.

Zipangizo zamakono zili ndi njira ziwiri zogwiritsira ntchito: bolus ndi doal basal:

• Insulin bolus ndende kutumikiridwa patatsala masiku ochepa chakudya. Kuti muwerenge zowunika poganizira zolimbitsa thupi, kuchuluka kwa XE, kuchuluka kwa shuga, wodwalayo amapeza othandizira pazosankha zamagetsi.
• Mlingo woyambira. Gawo la mahomoni limasungidwa mosalekeza mu minofu ya adipose malinga ndi chiwembu chosankhidwa payekha, kuti akhalebe ndi shuga wokwanira pakati pa chakudya komanso kugona. Gawo lofunikira kwambiri pakusintha makulidwe a insulin ndi mayunitsi 0,1.

Pulogalamu ya insulin ya ana

Pogula chida chokha, makolo ayenera kumveketsa mfundo zingapo:

• kuchuluka kwa ma insulin: kwa ana muyenera kusankha mtundu wokhala ndi chizindikiro cha 0,025 kapena 0,05 zamagetsi-ola limodzi,
• Chofunikira ndi kuchuluka kwa tank. Achinyamata amafunika zambiri,
• Kugwiritsa ntchito mosavuta komanso kosavuta
• kumveka bwino pakusintha kwa kuchuluka kwa shuga,
• kuyang'anira mosalekeza chizindikiro cha shuga,
• basi makonzedwe a bolus mlingo pamaso chakudya chotsatira.

Ndemanga Zahudwala

Atapeza chida chokhacho cholocha insulin, moyo unakhala bwino, monga momwe odwala matenda ashuga ambiri amaganizira.

Kukhalapo kwa mita yopangidwa yomwe imafikitsa waukulu komanso waukulu wa bolus ku Calculator imachulukitsa kuchuluka kwa chipangizocho.

Ndikofunika kugula njira yakutali kuti muziwongolera chida chokha palokha, ngati sizotheka kupeza chida kuchokera pansi pa sweti kapena suti.

Moyo watsopano unayamba ndi pampu ya insulin - lingaliro ili limathandizidwa ndi odwala onse omwe adasiya jakisoni wa insulin kuti agwiritse ntchito zida zamakono.

Ngakhale mtengo wake uli wokwera mtengo kwambiri, komanso kugwira ntchito pamwezi (kugula zodyetsa), odwala matenda ashuga amawona kuti ndizoyenera kupeza.

Pali nthawi yochulukirapo yochitira zinthu zosangalatsa, mutha kupita mu masewera mosavomerezeka, simuyenera kuda nkhawa kuti muwerenge kuchuluka kwake, kuda nkhawa usiku ndikumadumphira shuga.

Kupezeka kwa chowerengera kumakupatsani mwayi wosankha mlingo wotsatira ngati wodwalayo adaphunzitsa kapena adadya chinthu choletsedwa nthawi yapita. Kuphatikizika kopanda kukayika ndikuthekera kwakukonza mitundu yosiyanasiyana ya dosing masabata ndi maholide, pakakhala zovuta kukana ma tidbits.

Ndikofunikira kupangitsa njira ya matenda ashuga kukhala yosamalika, komanso moyo wa wodwala umakhala wopuma. Pampu ya insulin imachita izi.

Ndikofunikira kutsatira malamulo ogwiritsira ntchito, sinthani zothetsera nthawi, kukumbukira zochitika zolimbitsa thupi ndi zakudya.

Kugwiritsa ntchito moyenera chipangizo chodziwikiratu kumachepetsa mwayi wovuta chifukwa cha hyperglycemia.

Kanema - malangizo a kukhazikitsa insulini pampu ya matenda ashuga:

Mfundo yogwira ntchito

Pampu ya insulini imakhala ndi magawo angapo: kompyuta yokhala ndi insulin pump ndi control system, katoni yosungira mankhwalawa, singano zapadera zamapampu a insulin (cannula), catheter, sensor yoyeza misala 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.

Ultrashort-insulin analogue amathandizira kudzera pampu. Ngati ndi kotheka, insulin yamunthu yovomerezeka imagwiritsidwa ntchito. Insulin imaperekedwa mu Mlingo wocheperako - kuchokera pa 0,025 mpaka 0,100 magawo nthawi (kutengera mtundu wa chipangizocho).

Mitundu ya Mapampu a Insulin

Opanga amapereka mapampu ndi njira zingapo zowonjezera. Kupezeka kwawo kumakhudza magwiridwe antchito ndi mtengo wa chipangizocho.

"Accu Check Combo Mzimu." Wopanga - Swiss kampani Roche. Makhalidwe: Njira zinayi za mabasi, mapulogalamu 5 a basal, pafupipafupi - nthawi 20 pa ola limodzi. Ubwino: gawo laling'ono la basal, kuyang'anira kwakutali shuga, kutsutsana kwathunthu ndi madzi, kupezeka kwa kayendedwe kakutali. Zoyipa: sizingatheke kuyika deta kuchokera pa mita ina.

Dana Diabecare IIS. Mtunduwo umapangidwa kuti athandizire ana kupopa pampu. Ndi njira yopepuka kwambiri komanso yophatikizika kwambiri. Zowonjezera: 24 basal profiles for 12 hours, LCD. Zothandiza: moyo wa batri wautali (mpaka milungu 12), kukana kwamadzi kokwanira. Zowonongeka: Zowonjezera zitha kugulidwa kokha kuzipatala zapadera.

Omnipod UST 400. Mbadwo waposachedwa wopanda mafoni 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. Zowonetsa: Freestyl yomanga m'magazi a glucose, mapulogalamu okwana 7 oyambira, mawonekedwe owongolera utoto, zosankha zazomwe wodwala angadziwe.

Zomera: palibe zothetsera zofunika.

Omnipod UST 200. Mtundu wowonjezera wa bajeti womwe ulinso ndi zofananira. Amasiyanitsidwa ndi kusapezeka kwa zosankha zina komanso kuchuluka kwa makutu (ochulukirapo ndi 10 g). Zothandiza: cannula yowonekera. Zoyipa: Dongosolo la wodwala silikuwonetsedwa pazenera.

Medtronic Paradigm MMT-715. Pompo imawonetsa kuchuluka kwa shuga pamwazi (munthawi yeniyeni). Izi ndizotheka chifukwa cha sensor yapadera yomwe imalumikizidwa ndi thupi. Zinthu zake: Zakudya za chilankhulo cha ku Russia, kukonza glycemia, komanso kuwerengera insulin. Ubwino: dosing yotulutsa yobereka, yaying'ono. Zoyipa: Mtengo wokwanira wa zothetsera.

Medtronic Paradigm MMT-754 - mtundu wapamwamba kwambiri poyerekeza ndi woyamba. Muli ndi pulogalamu yowunikira shuga. Makhalidwe: gawo la bolus - mayunitsi 0,1, basal insulin - mayunitsi 0,025, kukumbukira - masiku 25, loko. Ubwino: chizindikiro chochenjeza pamene glucose ili yotsika. Zovuta: kusapeza bwino panthawi yolimbitsa thupi komanso kugona.

Zisonyezo za pampu insulin mankhwala

Akatswiri amatchula zizindikiro zingapo zoika mankhwala a insulin.

• 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.

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, chipangizocho chimakonzedwa m'njira yoti zitsimikizidwe kuti zimalandira 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.

Njira zosankhira

Mukamasankha pampu ya insulin, yang'anani 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 chipangizocho chili ndi makina owerengera. 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.

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

Cholinga chotsiriza ndicho kuyanjana ndi zida zina. Mapampu ena amagwira ntchito molumikizana ndi zida zamagazi zamagazi ndi ma glucose metres.

Mapampu amakono a insulin amadziwika ndi kuchuluka kofanana ndi zabwino komanso zoyipa. Komabe, kupanga zida zachipatala kumangosintha, zilema zimachotsedwa. Komabe, chipangizo chimodzi cha matenda ashuga sichitha kupulumutsidwa. Ndikofunika kutsatira zakudya, kutsogola moyo wathanzi, kutsatira malangizo a madokotala.

Kodi ndingathe kuipeza yaulere

Kupereka odwala matenda ashuga ndi mapampu a insulin ku Russia ndi gawo la pulogalamu yapamwamba yosamalira odwala. Kuti mudziwe zaulere, muyenera kulankhulana ndi dokotala. Amalemba zikalata malinga ndi malinga ndi Unduna wa Zaumoyo 930n wokhala 12.29.14pambuyo pake amatumizidwa ku dipatimenti ya Zaumoyo kuti akawaganizire ndi kusankha pakugawa ndalama. Pakadutsa masiku 10 chikalata chovomerezeka cha VMP chimaperekedwa, pambuyo pake wodwala yemwe ali ndi matenda ashuga ayenera kungoyembekezera nthawi yake ndikuyitanitsa kuchipatala.

Ngati endocrinologist wanu akukana kuthandiza, muthane ndi Unduna wa Zaumoyo mwachindunji kuti mupeze malangizo.

Ndizovuta kwambiri kuti nditengere zotsukira za pampu yaulere. Samaphatikizidwa pamndandanda wazofunikira kwambiri ndipo sapereka ndalama kuchokera ku bajeti. Kuzisamalira zimasinthidwa kupita kumadera, kotero kuti kulandira zinthu kumadalira kwathunthu aboma. Monga lamulo, ana ndi olumala amabwera mosavuta. Nthawi zambiri, odwala matenda ashuga amayamba kupereka zowonjezera kuchokera chaka chamawa atayika pampu ya insulin. Nthawi iliyonse, kuperekedwa kwaulere kumatha kutha, choncho muyenera kukhala okonzeka kulipira ndalama zambiri nokha.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yothanirana ndi shuga? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>

Chipangizo

Pampu ya anthu odwala matenda ashuga ali ndi magawo angapo:

1. Pampu Ndi kompyuta momwe mumakhala zida zowongolera ndi pampu yomwe imapereka insulin.
2. Katiriji Muli chosungira insulin.
3. Kulowetsedwa. Amakhala ndi cannula (singano yopyapyala) yomwe timadzi tating'onoting'ono timene timalumikiza ndi khungu (catheter) lomwe limayikidwa pansi pa khungu. Ayenera kusinthidwa masiku atatu aliwonse.
4. Sensor yoyezera kuchuluka kwa shuga. Pazida zomwe zili ndi ntchito yowunikira.
5. Mabatire M'mapampu osiyanasiyana ndiosiyana.

Ubwino ndi kuipa

Pampu ya matenda ashuga ili ndi mwayi waukulu chifukwa imayambitsa kuchuluka kwa mahomoni pawokha. Pakufunika, chipangizocho chili ndi zowonjezera zamagalimoto (ma dosages) zofunikira pakuyamwa kwa chakudya. Pompo limatsimikizira kupitiliza ndi kulondola kwa insulin yoyendetsedwa m'madontho akutsikira. Momwe ma hormone amafunikira kapena kuchepa, chipangizocho chimayeza msanga kuchuluka kwa chakudya, chomwe chimathandiza ngakhale glycemia.

Zotsatira zake, ndikugwiritsa ntchito moyenera chipangizocho, kuchuluka kwa shuga m'magazi kumakhala kowonekeratu, motero wosuta amakhala ndi mwayi wochepera nthawi ndi mphamvu polimbana ndi matenda a shuga. Tiyenera kukumbukira kuti chipangizochi, ngakhale chamakono, koma sichilowa m'malo mwa kapamba, chifukwa chake insulin yokhala ndi insulin ili ndi zovuta zake:

• ndikofunikira kusintha malo oyika dongosolo lino masiku onse atatu,
• shuga wamagazi amafunika nthawi 4 / tsiku,
• muyenera kuphunzira momwe mungagwiritsire ntchito chida.

Accu Chek Combo

Zida za insulin za kampani yaku Swiss Roche ndizodziwika kwambiri pakati pa othandizirana, chifukwa zowonjezera pa iwo zitha kugulidwa mosavuta mdera la Russian Federation. Mwa ena mwa mitundu yabwino kwambiri ya Accu Chek Combo ndi awa:

• dzina dzina: Mzimu,
• mawonekedwe: pafupipafupi makonzedwe 20 pa ola limodzi, mapulogalamu 5 oyambira, masankho 4
• pluses: kupezeka kwa kayendedwe kakang'ono, kuwongolera kwathunthu kwa shuga, gawo laling'ono la oyambira, kukana kwamadzi kwathunthu,
• Zosavomerezeka: Palibe cholowa chilichonse kuchokera pamtundu wina.

Pampu yoyamba yopanda zingwe padziko lapansi yopanda zingwe ya m'badwo waposachedwa idatulutsidwa ndi Omnipod (Israel). Chifukwa cha dongosolo lino, matenda ashuga asavuta kulipira. Kusiyana kwakukulu kuchokera ku m'badwo wam'mbuyo wazida za insulin ndikuti timadzi timene timayendetsedwa popanda machubu. AML imakhala yolumikizidwa kumtunda kwa thupi komwe kumayambitsa insulin. Hormoni imaperekedwa kudzera mu cannula yomwe idapangidwa mu chipangizocho. Zida zamakina atsopano a Omnipod:

• dzina lachitsanzo: UST 400,
• maonekedwe: gluceter Freestyl, yomanga khungu, pulogalamu isanu ndi iwiri ya mapulogalamu oyambira, zosankha zazomwe munthu wodwala sangathe,
• pluses: palibe zothetsera zofunika
• Zida: ku Russia ndizovuta kugula.

China, koma zochulukirapo za zitsanzo ndi zofanana. Amasiyana pakachulukidwe kakumva (zochulukirapo 10 g) ndi kusowa kwa zosankha zina.

• dzina lachitsanzo: UST-200
• mawonekedwe: bowo limodzi lokha kudzazitsa, kuchotsa kwa bolus, chikumbutso,
• pluses: cannula yowonekera, yosawoneka kudzera mwa AML,
• Cons: pazenera sizikuwonetsa zambiri zazomwe munthu akudwala.

Ubwino wa pampu kwa mwana ndikuti umatha kuyeza microdoses molondola komanso, moyenera, umalowetsa thupi. Chida cha insulin chimakwanira mosavuta mchikwama cha impromptu kuti chisalepheretse mayendedwe a mwana. Kuphatikiza apo, kugwiritsa ntchito chipangizochi kukuphunzitsani mwana kuyambira adakali aang'ono kudziletsa komanso kudziletsa. Mitundu yabwino kwambiri ya ana:

• Dzina La Model: Medtronic Paradigm PRT 522
• mawonekedwe: kukhalapo kwa gawo loyang'anira pafupipafupi, pulogalamu yowerengera yokha ya mlingo,
• pluses: miyeso yaying'ono, chosungira cha 1.8.
• Kufunika: mumafuna mabatire okwera mtengo.

Mtundu wotsatira ndiye mtengo wabwino kwambiri wa ndalama. Zabwino pakugwiritsa ntchito pampu ya ana, popeza kachitidwe kali ndizophatikizika kwambiri komanso zopepuka:

• dzina lachitsanzo: Dana Diabecare IIS
• mawonekedwe: Kuwonetsa kwa LCD, mafayilo 24 oyambira maola 12,
• pluses: chosavomerezeka ndi madzi, moyo wa batri wautali - mpaka milungu 12,
• Kupezeka kwa zinthu zonse m'masitolo apadera.

Mtengo wa pampu ya insulin

Mutha kugula chida cha insulini cha matenda ashuga m'masitolo apadera ku Moscow kapena St. Anthu okhala m'makona akutali aku Russia atha kugula njirayi kudzera m'masitolo apamtaneti. Pankhaniyi, mtengo wa pampu ukhoza kutsika, ngakhale mutaganizira mtengo wotumiza. Mtengo wokwanira wa zida za jakisoni wopitiliza: