Kodi pampu ya insulin imatha bwanji shuga

Ndi mtundu wodwala wa shuga womwe amadalira inshuwaransi, jakisoni a mahoni amapangidwa kangapo patsiku. Nthawi zina kufunika kwa jakisoni wa insulin m'malo osayenera kwambiri: mayendedwe aboma, m'malo aboma, mumsewu. Chifukwa chake, odwala matenda a shuga omwe amadalira insulin ayenera kudziwa: pampu ya insulin - chomwe ili ndi momwe imagwirira ntchito. Ichi ndi chida chapadera cha odwala matenda ashuga omwe amadzipangira insulin mthupi la munthu.

Zida za chipangizo

Pampu ya insulin imapangidwira kuti mayendedwe a mahomoni azikhala ndi odwala matenda ashuga. Imakhala ngati kapamba, yemwe mwa anthu athanzi amapanga insulin. Pompo limasinthiratu ndendezo, kupangitsa kuti kuikiratu kukhala kwachilengedwe. Insulin yochita zinthu mwachidule imalowetsedwa ndi pampu. Chifukwa cha izi, gawo lamahomoni awa silikhala, motero, chiopsezo chotenga hypoglycemia ndi chocheperako.

Zipangizo zamakono sizili zazikulu kukula, zimamangirizidwa ndi lamba kapena zovala zapadera. Mitundu ina imakulolani kuti muwunikire kuchuluka kwa glycemia. Zizindikiro zikuwonetsedwa pazenera. Izi zimakuthandizani kuti muzitha kuyang'ana momwe zinthu ziliri komanso kuyankha munthawi yake kusintha kwa kuchuluka kwa shuga m'thupi.

Chifukwa cha kuwunika kwakanthawi, odwala amatha kupewa kukula kwa hypoglycemia. Ngati ndi kotheka, pampu imatha kubwezeretsedwedwa kapena kuimitsidwa. Kenako njira yotumizira insulini isintha kapena kuperekako kusiya.

Mfundo yogwira ntchito

Ambiri ali ndi chidwi ndi momwe pampu imawonekera. Ichi ndi chipangizo chaching'ono ngati kukula kwa pager. Imagwira ntchito pamabatire. Pompo idakonzedwa kotero kuti ndi pafupipafupi imalowetsa muyeso wa insulin m'thupi. Iyenera kusinthidwa ndi dotolo wothandizira poganizira magawo a wodwala aliyense.

Chipangizocho chili ndi magawo angapo.

Pampu palokha, yomwe ndi pampu komanso kompyuta. Pompo imapereka insulini, ndipo kompyuta imayendetsa chipangizocho.
Kuthekera kwa insulin - cartridge.
Kulowetsedwa. Muli ndi cannula (chotchedwa singano yopyapyala yopyapyala), ma tubules omwe amalumikiza cannula ndi chidebe ndi insulin. Singano imayikidwanso mumtumbo wamafuta am'mimba pogwiritsa ntchito chipangizo chapadera ndikukhazikika ndi pulasitala. Sinthani zida izi zizikhala masiku atatu aliwonse.
Batri yothandizira kupangika kwa chipangizocho.

Katiriji wa insulini amafunika kusinthidwa nthawi yomweyo, popeza mankhwalawo amathera m'menemo. Singano imayikidwa m'malo amenewo am'mimbamo pomwe pamakhala chizolowezi kupaka insulin pogwiritsa ntchito cholembera. Homoni imaperekedwa mu microdoses.

Kusankha kwadongosolo

Pali mitundu iwiri ya mahomoni awa: bolus ndi basal. Kusankha kumapangidwa ndi adotolo, kutengera mawonekedwe a matendawa ndi kuchuluka kwa insulin yomwe ndiyofunikira kulipiritsa mkhalidwewo.

Njira ya bolus imaganiza kuti mlingo wofunikira wa mankhwalawo udalowetsedwa ndi wodwala pamanja asanadye. Insulin imaperekedwa mu kuchuluka kofunikira kagayidwe kazakumwa kamene kamaperekedwa ndi chakudya.

Pali mitundu ingapo ya bolus.

Yoyambira yokhazikika. Mlingowo umaperekedwa nthawi imodzi, ngati mukugwiritsa ntchito cholembera. Chiwembu choterechi ndi chabwino ngati chakudya chochuluka mwa thupi chikamadya.
Chotetezera. Kuchuluka kwa insulini sikulowetsedwa mwachangu mthupi, koma pang'onopang'ono. Chifukwa cha izi, hypoglycemia yomwe imayamba chifukwa cha kuchuluka kwa mahomoni m'magazi imatha kupewedwa. Njirayi ndi yabwino ngati thupi lilandira chakudya chomwe chimakhala ndi mapuloteni ambiri komanso mafuta (mukamadya mafuta amitundu mitundu, nsomba). Kuyamba kumeneku ndikulimbikitsidwa kwa anthu omwe akudwala gastroparesis.

Choyimira pawiri ndi kuphatikiza kwa njira yokhazikika ndi lalikulu. Ngati pampu ya insulin ya shuga yakukhazikitsidwa kuti ipereke mankhwalawo ndi bolus iwiri, ndiye kuti poyamba mlingo waukulu wa insulin umalowa mthupi, ndipo zotsalazo zimaperekedwa pang'onopang'ono. Njira zamtunduwu zimafunikira ngati mukufuna kudya chakudya chomwe mumakhala mafuta ambiri komanso chakudya. Zakudya zoterezi zimaphatikizapo pasitala, wokonkhedwa ndi msuzi wa kirimu kapena keke wokhala ndi kirimu batala.
Super bolus. Mtunduwu wa zofunikira ndi wofunikira pakuwonjezeka kwa insulini pakufunika. Amagwiritsa ntchito pophika chakudya pakafunika kukonzekera kudya zakudya zomwe zimawonjezera shuga: zotsekemera kapena chakudya cham'mawa.

Mukamasankha njira yoyambira, insulin imaperekedwa mosalekeza malinga ndi dongosolo lomwe limasankhira munthu wina. Njirayi idapangidwa kuti izikhala ndi shuga wokwanira pakudya, pakati pa chakudya ndi zokhwasula-khwasula. Zida zimakupatsani mwayi wokhazikitsa kuchuluka kwa mahomoni m'thupi mosiyanasiyana.

Njira yosankhira ola limodzi imakupatsani mwayi:

kuchepetsa kuchuluka kwa mahomoni omwe amaperekedwa usiku (izi zitha kupewa kutsika kwa shuga mwa ana aang'ono),
onjezerani kupatsidwa kwa mahomoni usiku kuti muchepetse vuto la hyperglycemia pa achinyamata pa nthawi yakutha msinkhu (izi zimakwiyitsidwa ndi kuchuluka kwa mahomoni),
kuwonjezera kuchuluka kwa mankhwalawa m'mawa kwambiri kuti muchepetse kuchuluka kwa glucose musanadzuke.

Sankhani njira yoyenera yogwiritsira ntchito iyenera kukhala yolumikizana ndi adokotala.

Ubwino Wodwala

Atatha kudziwa momwe pampu imagwirira ntchito, anthu ambiri omwe amadalira insulin komanso makolo a ana omwe ali ndi matenda amtundu wa 1 amaganiza zogula. Chipangizochi chimawononga ndalama zambiri, koma ku Federation kumakhala mapulogalamu a anthu odwala matenda ashuga, malinga ndi momwe chipangizochi chimatha kuperekedwa kwaulere. Zowona, zida zake zimafunikirabe kugula zokha.

Kuyamwa kwa insulin, yomwe imaperekedwa kudzera pampu, kumachitika nthawi yomweyo. Kugwiritsa ntchito mahomoni ocheperako pang'ono komanso achidule amathandiza kupewa kusinthasintha kwa glucose.

Ubwino wa chipangizochi mulinso:

kulondola kwamtali kwambiri komanso kuthekera kwa kugwiritsa ntchito ma microdoses a mahormoni: gawo la mlingo woyendetsedwa ndi bolus limasinthidwa ndikulondola kwa 0.1 PIECES, ndi zolembera za syringe, kusintha mkati mwa 0.5-1 PIECES ndikovomerezeka,
kutsika kwa ma piquence ochitika nthawi 15,
kutha kudziwa molondola mlingo wa mankhwala a bolus, kusankha kwa njira yoyendetsera,
kuyang'anira kuchuluka kwa shuga: ndikuwonjezereka kwa pampu, kumapereka chiwonetsero, mitundu yamakono imatha kusintha mankhwalawa pokhapokha pakutha kwa kupezeka kwakanthawi kogwiritsa ntchito hypoglycemia,
kupulumutsa deta pa Mlingo womwe waperekedwa, kuchuluka kwa glucose kukumbukira pamiyezi 6 yapitayi: chidziwitso chitha kusamutsidwa pakompyuta kuti chiwunikidwe.

Chipangizochi ndichofunikira kwa ana. Zimakupatsani mwayi wopititsa patsogolo moyo wa odwala achinyamata ndi makolo awo.

Zizindikiro zogwiritsidwa ntchito

Madokotala amalimbikitsa kuganiza zogulira pampu ya anthu odwala matenda ashuga zotsatirazi:

spikes mu shuga
kulephera kulipirira matenda a shuga,
mitundu yosiyanasiyana ya matenda ashuga, momwe mumakumana zovuta zambiri,
zaka mpaka 18 chifukwa chovuta pakusankha ndi kuperekera insulin,
m'mawa matenda a shuga amadzuka kwambiri asanadzuke)
kufunika pafupipafupi makonzedwe a insulini yaying'ono.

Pampu imalimbikitsidwanso kwa amayi apakati komanso anthu omwe ali ndi moyo wokangalika. Mutha kungogula pampu ya insulin ngati wodwalayo akufuna kusintha moyo wake kukhala wosavuta.

Contraindication

Odwala amatha kukonza mapampu amakono pawokha. Ngakhale atha kuperekera mankhwala a insulin mwachangu komanso kukhazikitsidwa ndi dokotala, anthu akutenga nawo mbali mankhwalawo. Tiyenera kumvetsetsa kuti insulini yotulutsa nthawi yayitali simalowa m'magazi a odwala matenda ashuga. Ngati chipangizocho chikuleka kugwira ntchito pazifukwa zina, ndiye kuti zovuta zimatha pambuyo pa maola 4. Kupatula apo, wodwalayo amatha kukhala ndi hyperglycemia ndi matenda ashuga a ketoacetosis.

Chifukwa chake, nthawi zina sibwino kugwiritsa ntchito pampu ya matenda ashuga. Contraindations akuphatikiza:

matenda amisala
Kuchepetsa masomphenya pamene sikutheka kuwongolera (kuwerenga zolembedwa pazenera ndikovuta),
kukana kufunika kwa kuwerengera mndandanda wazomwe wagululi, osafuna kuphunzira momwe ungagwirire ntchito ndi chipangizocho.

Tiyenera kudziwa kuti chipangizochi pachokha sichingafanize kudwala matenda ashuga a mtundu woyamba. Ayenera kuyang'anitsitsa zakudya zomwe azidya ndikuyamba kukhala moyo wakhama.

Mawonekedwe amasankho a zida zamagetsi

Ngati wodwala matenda ashuga apatsidwa insulin pampu yaulere, ndiye kuti simuyenera kusankha. Koma ngati mukufuna nokha kuti mugule chipangizochi chamtengo wapatali (ndipo mtengo wake umafika kuma ruble 3,000), ndiye kuti muyenera kudziwa zomwe muyenera kulabadira.

Kuchuluka kwa thankiyo kuyenera kukhala kokwanira masiku atatu ogwiritsira ntchito - uku ndi kusintha kwa kulowetsedwa, nthawi ino mutha kudzaza katoni.
Musanagule, muyenera kuyang'ana kuwoneka bwino kwa zilembo zomwe zimawonekera pazenera komanso kumasuka kwa zilembo.
Dziwani nthawi yomwe mungawonetsere insulin. Kwa ana ayenera kusankha zida zomwe zili ndi gawo locheperako.
Kupezeka kwa chowerengera chokhazikitsidwa: kumapangitsa chidwi cha insulin, chakudya chokwanira, nthawi yayitali ya insulin komanso kutsata shuga.
Kupezeka komanso kuwonekera kwa chizindikiro cha alamu panthawi yopanga hypoglycemia.
Kutsutsa kwamadzi: pali zitsanzo zomwe sizimawopa madzi.
Kutha kukhazikitsa mafayilo osiyanasiyana pakukhazikitsa insulin malinga ndi njira yoyambira: kusintha kuchuluka kwa mahomoni omwe amaperekedwa pakatchuthi, kumapeto kwa sabata, kuyika njira yodziwika pakatikati pa sabata.
Kutha kutseka mabatani kuti musawakakamize mwangozi.
Kupezeka kwa menyu ya Russian.

Malangizowa akuyenera kuganiziridwa musanagule. Chida chosavuta chomwe mungasankhe, chizikhala chosavuta kuwunika.

Ndemanga za Odwala

Asanagule chipangizo chamtengo wapatali chotere, anthu ali ndi chidwi chofuna kudziwa zambiri kuchokera kwa anthu odwala matenda ashuga okhudza mapampu a insulini azaka zopitilira 20. Ngati tikulankhula za ana, ndiye kuti chida ichi chingapangitse moyo wawo kwambiri. Kupatula apo, mwana kusukulu sangapange zodyera panthawi yotsimikizika ndipo sangadzipatse insulin. Ndi pomp, kuthetsa mavuto awa ndikosavuta.

Muubwana, mwayi wothandizira insulin mu microdoses ndiwofunikira. Muubwana, ndikofunikira kulipira momwe vutoli lilili, kuchuluka kwa glucose kumatha kusinthika chifukwa cha kusachita bwino kwa mphamvu ya mahomoni panthawi yakutha msinkhu.

Akuluakulu pazida izi ndiosiyana. Pokhala ndi zaka zambiri pakudziyang'anira pawokha, ena amawona kuti pampu ndi kuwononga ndalama. Kuphatikiza apo, zowonjezera zomwe zimafunika kugulidwa ndikusinthidwa ndizokwera mtengo.

Ndiosavuta kwa iwo kubaya jekeseni wa insulin pansi pa khungu lawo. Ena akuwopa kuti cannula ikhala yotsekeka, payipi imapinda, pampu iyokha, pompopompo, mabatire amakhala pansi, ndipo pampu imaleka kugwira ntchito.

Zachidziwikire, ngati pali mantha owopa kuchita jakisoni tsiku ndi tsiku, ndiye kuti ndibwino kusankha pampu. Komanso, iyenera kusankhidwa kwa anthu omwe sangathe kupereka mahandiredi asanadye. Koma ndikwabwino kukaonana ndi endocrinologist.

Ichi ndi chiyani

Mapampu a insulin ndi njira zochizira matenda osokoneza bongo, omwe, malinga ndi pulogalamu yatsiku ndi tsiku, amalowetsa insulin m'matumbo am'mimba, mosalekeza glucose wa magazi mu zithunzi zotere.

Chipangizocho chili ndi:

gawo module
thanki yosinthika
zinthu zosinthika kuti kubayidwa mwachindunji kwa jakisoni mu minyewa yolumikizira (singano yopyapyala, catheter ndi chubu cholumikizira).

Thupi la chipangizocho limamangirizidwa ndi lamba wapadera kapena chovala pogwiritsa ntchito clip, catheter imayikidwa pansi pakhungu ndikukulumikiza ndi pulasitala. Homoni imalowa mu catheter kuchokera kuchosungira kudzera mu chubu cholumikizira, pomwe catheter imasinthanso masiku atatu aliwonse. Izi zimakuthandizani kuti muchepetse kuchuluka kwa jakisoni kuyambira 4-5 mukamagwiritsa ntchito zolembera, mpaka 1 m'masiku atatu. Pomwe nkhosayo ilibe kanthu, iyenera m'malo mwake nthawi yomweyo.

Pampu ya insulin imakhazikitsidwa kuchipatala, komwe magawo amomwe amathandizira a mahomoni amayikidwa ndipo wodwalayo amaphunzitsidwa bwino pakayendetsedwe ka chipangizocho. Chipangizocho chimangogwiritsa ntchito insulin yochepa komanso ya ultrashort, yomwe imalepheretsa zovuta zina za matenda ashuga. Njira yolimbikira ya mankhwala a insulin imadziwika kuti ndi yodalirika komanso yothandiza kwambiri pochiza matenda ashuga.

Mlingo woyendetsedwa

Popeza wodwala aliyense ali ndi mawonekedwe ake amthupi, nthawi yamatendawa komanso kuchuluka kwa mahomoni, pampu ya insulin imapangidwira ntchito ziwiri zantchito:

"Musana woyambira." Insulin imadyetsedwa mosalekeza m'matumbo amkati molingana ndi pulani yomwe yapangidwira payokha, yomwe imapangidwa kuti ikhalebe yokhazikika pamagulu a shuga panthawi yopuma (kugona) ndi magawo pakati pa zakudya zazikulu ndi zazakudya. Nthawi yomweyo, kuchuluka kwina kwa ma horoni omwe amapezeka panthawi imodzi ndi gawo limodzi la mayunitsi a 0.1 akhazikitsidwa. pa ola limodzi.
Bolus Imaperekedwa nthawi yomweyo chakudya chisanachitike, ndipo imawerengeredwa potengera kuchuluka kwa chakudya chamagulu, monga kuchuluka kwa glucose panthawi yomwe timadzi timene timayambitsa ndi kukhalapo kochita masewera olimbitsa thupi kutsatira chithunzithunzi. Pazomwezi, othandizira apadera pazosankha zamagwiritsira ntchito. Njira iyi ya insulin makonzedwe amagwiritsidwa ntchito poteteza shuga.

Basal Dose Mbiri

Popeza wodwala aliyense ali ndi umunthu payekha komanso amafunikira mlingo winawake wa mankhwalawo, mapampu a insulini amathandizira kusintha mauthenga a ola limodzi pakukonzekera kwa mahomoni:

Mlingo wochepetsedwa wa basal wa usiku, womwe umafunika kuti magazi a ana asagwere,
kuchuluka kwa basal yokwanira usiku, komwe ndikofunikira kupewa shuga ochulukirapo omwe amayamba chifukwa cha mahomoni mwa anyamata ndi atsikana atatha msinkhu,
kuchuluka kwa basal mlingo nthawi kuyambira 5 mpaka 6 am, zomwe zimathandiza kupewa zodabwitsa za "m'mawa kutacha".

Mafomu a Bolus

Pakuwongolera moyenera momwe kuperekera kwa mahomoni afupipafupi kapena a ultrashort, wogwiritsa ntchito amatha kuyika amodzi mwa mitundu ya bolus. Izi zikuthandizani pakupita nthawi kuti muphunzire momwe mungasankhire mitundu yambiri ya chakudya, kukhalabe ndi shuga nthawi zonse.

Bolus "Standard". Mlingo umaperekedwa nthawi yomweyo ndipo umafanana ndi jekeseni wamba. Fomuyi imaphatikizidwa bwino ndi kugwiritsidwa ntchito kwa zakudya zamtundu wapamwamba komanso mbale.
Chotetezera. Mlingo wa insulini woterewu umaperekedwa kwa nthawi yayitali, zomwe zimachepetsa chiopsezo cha kutsika kwamphamvu kwa glucose atangolowa ma cell a magazi. Mtundu wamagulu amakulidwe umatenga nthawi yayitali ya insulin, yomwe ndi yoyenera kudya mbale yokhala ndi mafuta komanso mapuloteni (nyama yokazinga, nsomba yamafuta). Kukhazikika kwa mahomoni kumalimbikitsidwanso kwa odwala omwe ali ndi gastroparesis.
Malo ophatikizira kawiri ndi njira yophatikizira ya mitundu iwiri yapitayi yoyendetsera insulin.Pampu ya insulini yokhazikitsidwa kuti ipereke maholidi mu njira ya Double Bolus imatulutsa mlingo woyamba wapamwamba kenako ndikubaya insulini pang'onopang'ono, wofanana ndi Square Bolus. Njira iyi ya bolus ndi yoyenera pakumwa zakumwa zokhala ndi zakudya zamafuta ambiri komanso mafuta (chokoleti cha chokoleti, pasitala yokhala ndi msuzi wowawasa).
Super Bolus ndi njira yolimbikitsira zotsatira za kubereka kwamphamvu kwa insulin. Ndikofunikira pomwe wogwiritsa ntchito pampu akufuna kudya chakudya chomwe chimangowonjezera shuga m'magazi (zotsekemera zadzutsa zam'mawa, zotsekemera zotsekemera).

Kodi mungasankhe bwanji?

Kuti mumvetsetse kuti ndi pampu iti ya insulin yoyenera, muyenera kulabadira magawo otsatirawa pogula chida:

Mawerengero a Mlingo amakulolani kusintha mlingo woyenerera ndi mayunitsi a 0,1, omwe ndiofunikira mukamaganizira za insulin yogwira ntchito m'magazi. Mukakhazikitsa mlingo, muyenera kulowa mu coefficients pachakudya momwe mungathere, mulingo wa shuga wabwinobwino kwa wogwiritsa ntchito, chidwi chokwanira komanso nthawi ya mahomoni ogwira ntchito.
Mlingo woyambira wa ola limodzi umawonetsa kuchuluka kwa zomwe pampu imatha kupereka. Ichi ndi chofunikira makamaka posankha chida chothandizira matenda a shuga ana. Mlingo wocheperako wa mapampu amakono a insulin ndi gawo 0,01.
Gawo lodziwitsa zakudyera ndikofunikira poika mlingo woyenera wowongolera shuga ndi kudya. Ndikofunikira kuti sitepe yokhayo yakhazikitsidwa, komanso kuthekera kolowera mtengo palokha (musakanikizire batani maulendo zana kuti muyike magawo khumi a insulini m'magawo a 0,1, koma mwachangu lowetsani mtengo wa 10).
Chiwerengero chazoyambira ndizofunikira kudziwa kuchuluka kwa insulin masana nthawi iliyonse. Zochita zikuwonetsa kuti nthawi 24 ndizokwanira.
Mbiri za basal insulin ndizothandiza kusintha makina a insulin masiku osiyanasiyana amoyo. Mwachitsanzo, pa tchuthi ndi kumapeto kwa sabata, pamene kuchuluka kwa chakudya chamafuta kumakhala kokwanira kuposa masiku onse, mbiri imodzi ya insulin yolumikizidwa imayikidwa. Kwa masabata, mutha kukhazikitsa fomu yolowera modekha. Chifukwa chake, ndikofunikira kuti mapampu ambiri a insulini azitha kukumbukira. Kuwona kwa ogwiritsa ntchito zida zotere kumawonetsa kuti mbiri yopitilira zitatu siyofunika.
Chidziwitso cha vuto lofunikira ndikofunika kuti wogwiritsa ntchito azitha kuyendetsa mahomoni mwanjira zina (insulin) pakulephera kwa insulin pobereka. Nthawi zina zimachitika kuti batire limamwalira mwadzidzidzi kapena mankhwalawo amatha mu thankiyo.
Kukumbukira zomwe zili pachidacho ndikofunikira kuti athe kusanthula mosamala Mlingo wamagayidwe ndi glucose kuti athe kusintha machitidwe a insulin mtsogolo.
Kulumikizana ndi PC kungathandize kuwonetsa zambiri zomwe zasungidwa kuchokera pampompo pachithunzithunzi kuti athe kusanthula ndi kusintha mankhwalawo, kutengera mbiri yakagwiritsidwe ntchito pampu.
Kupezeka kwalamulira kwakutali kudzakuthandizani kuwongolera pampu ya insulin osachotsa paphiripo. Izi ndizofunikira kwambiri kwa odwala matenda a shuga omwe akukumana ndi vuto la m'maganizo akamagwiritsa ntchito anthu.
Ntchito yotseka batani ithandizanso kuteteza pampu kuti isakanize zolimba mabatani ogwirira ntchito.
Menyu ya Russian ndiyofunika kwa iwo osalankhula bwino Chingerezi.

Ndani akuwonetsedwa kugwiritsa ntchito zida zotere?

Pampu ya insulini imalimbikitsidwa ndi akatswiri kukhazikitsa odwala omwe ali ndi matenda ashuga awa:

pomwe zam'mawa zachitika
ana ndi achinyamata
Ochita masewera
odwala omwe ali ndi mitundu yovuta ya shuga,
odwala matenda ashuga omwe ali ndi zovuta kwambiri,
azimayi oyembekezera
pamene mphamvu ya insulin ikukwera kwambiri
kubisa matenda ngati kuli kotheka.

Ubwino ndi zoyipa

Ubwino waukulu wogwiritsa ntchito pampu ya insulin kwa odwala matenda ashuga ndikusintha kowoneka bwino m'moyo pamene simufunikira kuda nkhawa kuti muiwale za jakisoni wotsatira wa mahomoni. Ndizofunikira makamaka pazochitika ngati sizili bwino m'malingaliro kuti wodwala azigwiritsa ntchito cholembera mwa anthu (kutali, kuntchito, mumsewu, poyendera). Ambiri adadziyimira okha ufulu wokhala ndi zakudya zochepa komanso masewera olimbitsa thupi, zomwe m'mbuyomu zinkayenera kupangitsa kuti shuga azikhala wamphamvu.

Pampu ya insulin imapangitsa kuwerengetsa ndi kupereka mlingo weniweni, womwe umapangitsa kuti matendawa asungidwe m'thupi ndikulepheretsa kukula kwakukulu. Othandizira mu pulogalamuyi Omwe amathandizira kusintha kwa insulin m'malo opsinjika kwa odwala matenda ashuga (maphwando, kudya kwambiri).

Chokhacho chomwe chingabweze chithandizo cha insulin ndi mtengo wokwera wa chipangizochi komanso zinthu pamwezi.

Mankhwala a insulin

Odwala omwe ali ndi matenda ashuga ayenera kumvetsetsa kuti pampu ya insulini sili vuto la matendawa, kuphatikiza pazabwino zake, muyenera kudziwa njira zopewera, malamulo ogwiritsira ntchito komanso mawonekedwe a njirayo:

ma module posintha ma glycemia omwe adamangidwa mu pampu amagwira ntchito kudzera mu sensor yomwe imatulutsa zotsatira ndikuchedwa. Chifukwa chake, pakusankha bwino kwa mankhwalawa, muyenera kugwiritsa ntchito glucometer,
mapampu a insulini sangathe kuwerengera pawokha payokha, amangokhala ndi ma Calculator omwe amachita izi kutengera zinthu zomwe munthu adalowa,
Mukamagwiritsa ntchito pampu ya insulini, muyenera kukhala ndi cholembera nanu nthawi zonse, chifukwa pali zochitika zina pamene pampu singathe kupereka mlingo wa insulin panthawi yake (batire imatha, mahomoni omwe ali mu tank amatha.),
kuti pampu igwire ntchito, zowonjezera ndizofunikira, zomwe zimadya pafupifupi ma ruble 6,000 pamwezi,
ngati mukufuna kusamba, gawo loyendetsera zinthu limatha kuzimitsidwa, koma osapitirira ola limodzi ndi theka. Wofesayo amatha kuphimbidwa ndi chivundikiro chapadera chomwe chimateteza singano kumadzi,
singano, yomwe imayikidwa pansi pa khungu, imakhala yocheperako, motero imatha kubisika ndikumayambitsa insulin yokwanira mu minofu. Iyenera kusinthidwa masiku atatu aliwonse.