Pampu ya insulin: ndi chiyani, ndemanga, mitengo ku Russia

Kampaniyo imatulutsa zitsanzo zambiri zomwe zimakhala ndi mawonekedwe. Nazi zambiri mwachidule:

Kusiyana pakati pa mpope mndandanda 5xx ndi 7xx:

Kuchuluka kwa chosungira insulin ndi 5xx - 1.8ml (180 mayunitsi), y 7xx - 3ml (300 magawo)
Kukula Kwambiri - 5xx mochepera 7xx.

Kusintha kwakukulu:

512/712 * 515/715 (Paradigm) - (basal step - 0,05 unit, bolus step - 0.1 units)

Itha kugwiritsidwa ntchito ndi OpenAPS pancreas system, Loop (* 512/712 OpenAPS yokha)

522/722 (Nthawi Yeniyeni) - (basal step - 0,05 unit, bolus step - 0.1 units) + kuwunika (minilink transmitter, enlite sensors).

Itha kugwiritsidwa ntchito ndi OpenAPS pancreas dongosolo, Loop

523/723 (Revel) - (microstep: basal - 0,025, bolus - 0,05) + kuwunika (minilink transmitter, enlite sensors).

Itha kugwiritsidwa ntchito ndi OpenAPS pancreas system, Loop (yokhala ndi firmware 2.4A kapena m'munsi)

551/554/754 (530g, Veo) - Pampu yokhala ndi microstep, yowunikira, yotulutsa ma insulin kwa maola awiri ndi hype (minilink transmitter, enlite sensors).

554/754 Itha kugwiritsidwa ntchito ndi OpenAPS pancreas dongosolo, Loop (European Veo, yokhala ndi firmware 2.6A kapena kutsika, OR Canadian Veo yokhala ndi firmware 2.7A kapena otsika).

630g - Pampu yokhala ndi microstep, yowunikira, yotumiza ma insulin kwa maola awiri ndi hype (yolumikizira yolumikizira, ma enlite sensors).

640g - Pampu yokhala ndi microstep, yowunikira, yolumikizana ndi kukonzanso kwayendetsedwe ka insulini kokha pamene kuchuluka kwa glucose komwe kwatchulidwa mu zoikamo kufikiridwa (kupewa kuthekera) (Guardian 2 link transmitter, enlite sensors).

670g - Pukuta ndi microstep, kuwunikira, kudziwonetsa koyambira (kasamalidwe ka 3 yolumikizira, chitetezo 3 masensa).

780g (2020) - Pampu yokhala ndi microstep, kuwunikira, kudziyang'anira koyambira, ma autobuses kuti akonzedwe.

Accu-Chek Combo - pampu, basal pitch kuchokera ku 0,01 U / h, bolus kuchokera ku 0 U, wathunthu ndi mawonekedwe akutali okhala ndi mita yomangidwira, kupereka kuyang'anira kwakutali kwa pampu kudzera pa Bluetooth. Itha kugwiritsidwa ntchito ndi pulogalamu yapancreas ya AndroidAPS

Kuzindikira kwa Accu-chek - pampu ndi control kutali kudzera pa Bluetooth. Kuwongolera kwakutali kumapangidwa ngati mawonekedwe a foni yokhala ndi mawonekedwe ofunikira. Ili ndi mita yopangidwa, diary yamagetsi ndi njira yosiyana yochenjeza, maupangiri ndi zidziwitso. Gawo loyambira ndi kuchokera pa 0.02 U / h, gawo la bolus limachokera ku 0,1 U. Mulingo wa makonzedwe a bolus umayendetsedwa. Pa pampu iyi, akasinja odzaza mafuta a insulin alipo kale kuti agulitse. Itha kugwiritsidwa ntchito ndi pulogalamu yapancreas ya AndroidAPS

Accu-Chek Combo
Pompo ili ndi chiwongolero chakutali chomwe chimawoneka ngati glucometer (potero, chimakhala chimodzi), ndipo popeza mutha kuchigwiritsa ntchito kuti mulowetse bolus, kuphatikizira ndi kukula kocheperako pampu yabwino kwambiri kwa iwo omwe safuna "kuyatsa".

Muli magawo 315 a insulin
Mtundu Wathunthu wa Bluetooth Kutali
Pompu itha kugwiritsidwa ntchito mosiyana ndi ulamuliro wakutali.
Kupanda mawonekedwe a CGM
Kuperewera kwamadzi

Kuzindikira kwa Accu-chek
Izi zinali zatsopano kwambiri kuchokera ku Accu Check, zomwe zikupezeka ku UK kokha.

Muli magawo 200 a insulin
Screen touch screen
Kugwiritsa ntchito ma cartridge odzaza kale
Pompu itha kugwiritsidwa ntchito mosiyana ndi ulamuliro wakutali.
Kupanda mawonekedwe a CGM
Kuperewera kwamadzi

Awa ndi mtundu wamakono wa Mzimu combo popanda kuwongolera kwakukulu, koma ndi zovuta zina pakukula kwake.

Omnipod - pampu yopanda zingwe ya insulin

Muli ndi pampu (pansi), womwe umakungika thupi (kutengera mtundu wa kuwunika), ndi chopondera cha PDM. Pompo imaphatikizapo chilichonse: chosungira, cannula, dongosolo lomwe limalumikiza iwo ndi onse makina ndi zamagetsi zofunika pampu kuti igwire ntchito komanso kuti ilumikizane ndi PDM
Pansi pake imagwira ntchito maola 72 + 8, 9 yomaliza yomwe imakonda kufinya ndikukukumbutsani kuti musinthe. Ngati pakadali pano mutatsegulira PDM, ndiye kuti kwakanthawi kayamba kuzimiririka
Zokongoletsa pampu zimasungidwa ponse ponse pompo komanso mu PDM; motero pampu imagwira ntchito molingana ndi momwe idasinthidwira mpaka itasinthidwa ndi PDM, koma makina atsopano amagwiranso ntchito chimodzimodzi ngati atathandizidwa ndi PDM yomweyo
Mtengo wa PDM UST-400 ndi kwinakwake pafupifupi $ 600, ndipo umodzi umakhala pafupifupi $ 20-25 (osachepera 10 akufunika pamwezi)

Zambiri za Omnipod 3:

Yoyamba kumene ikuchita kale moyo wake m'misika yazitsamba
- Amasiyana pakakulidwe kakakulu ka mbewa
- pafupifupi onse atha
- Pulogalamu ya wailesi yothandizira imagwiritsidwa ntchito polumikizana ndi PDM.
- protocol sanawonedwe ndikusiyidwa
- PDM: UST-200
M'badwo wamakono wamakutu (codenamed Eros) - otchuka kwambiri ogwiritsa ntchito tsopano
- pods ndizocheperako kuposa m'badwo woyamba
- PDM UST-400 yatsopano siyigwirizana ndi yapita
- Proteetary radio protocol imagwiritsidwabe ntchito polankhulana
- akuti protocol idabedwa, koma izi sizikwanira kumasula unyinji wazogulitsa ndipo chifukwa cha izi ...
- pakadali pano ndizosatheka kupanga mtundu uliwonse wamitundu mitundu (AndroidAPS, OpenAPS ndi zina)
Mbadwo wotsatira upite kukagulitsa ndikugwiritsa ntchito mu 2019 (codenamed Dash).
kukula kwa makutu kwasungidwa
PDM yatsopano (sindikudziwa mtunduwo), yosagwirizana ndi yapita
makutu ndi PDM amalumikizana kudzera pa Bluetooth, yomwe ikuwonetsa kutsogolo kuti m'malo mwa PDM mukhale foni ndi ...
mwina kuti zitheke kuthyolako ndikutheka malupu motengera m'badwo uno
Pangano lidasainidwa ndi Tidepool - kukhazikitsa kwa malonda ku Loop ndi cholinga chopanga loko lotsekedwa pogwiritsa ntchito iwo
Malinga ndi mphekesera, foni yam'manja ya Android izikhala ngati PDM, pomwe ikhoza kuletsa ntchito zina zonse, zomwe zimalimbikitsa chiyembekezo chambiri kwa iwo omwe akuyembekeza chiuno chotseka

Ubwino wa Omni:

Palibe machubu - pampu yonse imalumikizidwa ndi thupi pamalo oyikirapo ndipo safuna ziwalo zina zowonjezera pafupi ndi izo.
Kuwongolera kwakanema kwamtambo kwa PDM nthawi zambiri kumakhala kosavuta kuposa kuwongolera kuchokera pampu yomwe imalumikizidwa ndi cannula yokhala ndi m'manja.
Ma PC samuopa madzi ndikusambira mwamphamvu mwa iwo, zomwe zimachotsa kufunika kokhala opanda insulin ya panthawiyi.

Cons omni:

Pakadali pano, kuthekera kwa mtundu uliwonse wa kuzungulira
PRICE Chifukwa choti pampu imafunikira kusinthidwa kwathunthu kwathunthu masiku atatu aliwonse ndipo kudzazidwa kumawononga ndalama zambiri, ma omnipod ndi amodzi a mapampu okwera mtengo pakadali pano.
Chimodzi mwa izo ndi magawo 85-200 a insulin. Ngati pakutha kugwiritsa ntchito insulin isanathe, ndiye kuti insulini yotsalayo ikhoza kutulutsidwa ndi syringe, koma ngati phula litatha insulini, ndiye kuti simungathenso kuwonjezera lina.
Omnipod sakulolani kuti muyike maziko oyambira 0, koma limakupatsani mwayi kuti musayike maziko kwa maola 12, omwe angagwiritsidwe ntchito kutsata zero. Lonjezo ili likukonzekera mu Dash
Gawo locheperako pokhazikitsa insulin ya basal ndi 0,05ED. Palibe zosankha za 0.025ED
Ngati mutayika kapena kuthyola PDM, muyenera kugwiritsa ntchito yatsopanoyi ndi zomwe mwamva, pakadali pano, wakaleyo adzagwiritsa ntchito pulogalamu yapa basal kumapeto kwa nthawi yawo. Bolus idzakhala yosatheka kutero.
Omnipod sikuyimilidwa mwamaiko a CIS ndipo kugulidwa kwake nthawi zonse kumakhala kovomerezeka komanso kosatsimikizika, mogwirizana ndi izi ...
Sub ikalephera, ikhoza kungosinthidwa pansi pa chitsimikizo ndipo pakadali pano muyenera kuyika sub.
Pakadali pomwe akukana, amakhala wolimba mtima ndipo pali njira ziwiri:
1. mukayatsa PDM, imatha kulumikizana ndi zomvera, ndiye kuti pa PDM tiona code yolakwika, ititseka ndipo iyenera kusinthidwa
2. ngati PDM singathe kulumikizana ndi zomera, ndiye kuti muyenera kukhazikitsa chatsopano, koma chakale sichitha. kuti mulowetse mu dzenje pansi pa khutu muyenera kumata pepala, koma pali anthu omwe adaphwanya nyundo, amasunthira galimoto kapena kuyikanda mu freezer

Kugwiritsa ntchito mochedwa kumalumikizidwa ndi chiopsezo cha batri lakufa, popeza amapangidwira mkati ndipo dongosolo lonse limadalira iwo. Palibe amene anachepetsa pulogalamuyi, koma nthawi yogwiritsira ntchito maola 72 + 8 ndi yolumikizidwa mu PDM ndipo siigwira ntchito nthawi yayitali.

Pampu ya insulin

Anthu omwe akudwala matenda monga shuga mellitus nthawi zina amakhala ovuta chifukwa chofunikira kubayira jakisoni nthawi zonse. Chowonadi ndichakuti kufunika kwa jakisoni mankhwala ofunikira nthawi zina kumachitika pamalo osavomerezeka, mwachitsanzo, mumayendedwe. Kwa munthu amene ali ndi matenda oterewa, izi zimakhala zovuta m'maganizo.

Komabe, mankhwala amakono samayima. Pakadali pano, pali chipangizo chomwe chimathandiza kuthana ndi vutoli - pampu ya insulin.

Ichi ndi chiyani

Pampu ya insulin ndi chida chaching'ono chomwe chimayendetsa mabatire ndikulowetsa insulin inayake m'thupi la munthu. Mlingo wofunikira ndi pafupipafupi zimakhazikika kukumbukira kukumbukira kwa chipangizocho. Komanso, adotolo opezekapo ayenera kuchita izi, chifukwa Magawo onse ndi amodzi pamunthu aliyense.

Chipangizochi chili ndi magawo angapo:

Pampu Ndi pampu yomwe insulin imaperekedwako, ndi kompyuta momwe machitidwe onse oyendetsera chipangizocho alimo.
Katiriji Ichi ndiye chiwiya chomwe insulin ilimo.
Kulowetsedwa. Mulinso singano yopyapyala (cannula), yomwe insulin imalowetsedwa pansi pakhungu ndi machubu kuti athe kulumikiza chidebe ndi insulin. Ndikofunikira kusintha zonsezi masiku atatu,
Zabwino komanso, ndikufuna mabatire.

Catheter ya cannula imalumikizidwa ndi chigamba pamalo pomwe insulin nthawi zambiri imalowetsedwa ndi syringes, i.e. m'chiuno, m'mimba, m'mapewa. Chipangacho chimakonzedwera lamba la wodwala pogwiritsa ntchito chidutswa chapadera.

Mphamvu momwe insulin ilili iyenera kusinthidwa atangomaliza, kuti asasokoneze dongosolo la kaperekedwe ka mankhwala.

Pump-based insulin therapy ndi yabwino kwambiri kwa ana, chifukwa mlingo womwe amafunikira si wawukulu kwambiri, ndipo zolakwika pakuwerengera ndi kuyambitsa zingayambitse mavuto. Ndipo chida ichi chimakulolani kuwerengera kuchuluka kwa mankhwalawa moyenera kwambiri.

Dokotala ayenera kukhazikitsa chipangizochi. Imayambitsa magawo ofunikira ndikuphunzitsa munthuyo kugwiritsa ntchito moyenera. Sizingatheke kuchita izi nokha, chifukwa cholakwitsa chimodzi chokha chitha kubweretsa mavuto osaneneka, komanso kudwala matenda ashuga.

Pompo amatha kuchotsedwa pomwe akusambira. Koma zikatha izi, munthu yemwe ali ndi matenda ashuga amayenera kudziwa shuga wawo wamagazi kuti awonetsetse kuti mulingo wake sukuwatsutsa.

Njira zoyendetsera

Poganizira kuti munthu aliyense ndi payekhapayekha, pali mitundu iwiri ya mankhwala a insulin. Chipangizocho chimatha kugwira ntchito m'njira ziwiri:

Poyamba, kupezeka kwa insulin m'thupi la munthu kumachitika mosalekeza. Chipangizocho chimakonzedwa payekhapayekha, chomwe chimakupatsani mwayi wokhazikika wa mahomoni m'thupi tsiku lonse. Dokotala amasintha chida chake kuti insulini iperekedwe mwachangu pamlingo womwe wasonyezedwa. Gawo lochepetsetsa limachokera ku mayunitsi 0,1. pa ola limodzi.

Pali magawo angapo oyambira insulin:

Masana.
Usiku uliwonse. Monga lamulo, thupi limafunikira insulini yochepa panthawiyi.
M'mawa Munthawi imeneyi, m'malo mwake, kufunikira kwa insulin kumakwera.

Magawo awa amatha kusinthidwa pamodzi ndi dokotala kamodzi, kenako sankhani yomwe ikufunika panthawiyi.

Bola ndi gawo limodzi la insulini yokhala ndi mahandiredi ambiri kuti athetse shuga wambiri m'magazi.

Pali mitundu ingapo ya mabululo:

Zoyimira. Pankhaniyi, mlingo woyenera wa insulin umaperekedwa kamodzi. Nthawi zambiri amagwiritsidwa ntchito ngati chakudya chokhala ndi chakudya chochuluka komanso mapuloteni ochepa. Izi zimabwezeretsa shuga m'magazi mwachangu.
Chiwere. Pogwiritsa ntchito insulin yamtunduwu imagawidwa pang'onopang'ono m'thupi. Nthawi yomwe mahomoni azidzachita mthupi azikula. Mtunduwu ndi wabwino kugwiritsa ntchito ngati chakudya chadzaza ndi mapuloteni komanso mafuta.
Pawiri. Potere, mitundu iwiri yapitayi imagwiritsidwa ntchito nthawi imodzi. Ine.e. Choyamba, mlingo woyenera wokwanira umaperekedwa, ndipo kutha kwake kumatenga nthawi yayitali. Njira iyi ndi bwino kugwiritsa ntchito mukamadya zakudya zamafuta komanso zamoto kwambiri.
Zabwino. Poterepa, machitidwe a mawonekedwe omwewo amawonjezeka. Amagwiritsidwa ntchito pakudya, chifukwa chomwe shuga m'magazi amakwera mofulumira kwambiri.

Katswiriyu amasankha njira yoyenera yoperekera insulin kwa wodwala aliyense payekhapayekha.

Chithandizo cha insulin chogwiritsa ntchito pampu chikukula kwambiri. Itha kugwiritsidwa ntchito ndi aliyense amene ali ndi matenda a shuga. Komabe, pali zizindikiro zina zomwe madokotala amalangizira kugwiritsa ntchito njirayi. Mwachitsanzo:

Ngati kuchuluka kwa shuga ndi kosakhazikika, i.e. nthawi zambiri imakwera kapena kugwa kwambiri.
Ngati munthu nthawi zambiri amawonetsa zizindikiro za hypoglycemia, i.e. kuchuluka kwa glucose kumagwera pansi 3.33 mmol / L.
Ngati wodwalayo ali ndi zaka 18. Nthawi zambiri zimakhala zovuta kuti mwana akhazikitse kuchuluka kwa insulini, ndipo cholakwika cha kuchuluka kwa mahomoni omwe amaperekedwa chimatha kubweretsa zovuta zazikulu.
Ngati mayi akukonzekera kutenga pakati, kapena ngati ali kale ndi pakati.
Ngati pali matenda a m'mawa, kuwonjezeka kwa shuga m'magazi musanadzuke.
Ngati munthu akuyenera kubayira insulin pafupipafupi komanso waukulu.
Ngati wodwala yekha akufuna kugwiritsa ntchito insulin pump.
Ndi kwambiri matenda ndi zovuta chifukwa chake.
Anthu omwe amakhala moyo wokangalika.

Contraindication

Chipangizocho chili ndi chake:

Chida chotere sichimagwiritsidwa ntchito mwa anthu omwe ali ndi matenda amtundu uliwonse. Izi ndizoyenera chifukwa munthu amatha kugwiritsa ntchito mpope mokwanira, zomwe zimabweretsa zovuta zathanzi.
Ngati munthu safuna kapena sangaphunzire momwe angachiritsire matenda ake, i.e. amakana kuganizira za glycemic index ya zinthu, malamulo ogwiritsira ntchito chipangizocho ndikusankha njira yoyenera ya insulin.
Pompo siligwiritsa ntchito insulin yokhala nthawi yayitali, yochepa chabe, ndipo izi zimakupangitsani kulumpha lakuthwa m'magazi a magazi ngati mungatseke chipangizocho.
Ndi m'maso ochepa kwambiri. Zikhala zovuta kuti munthu athe kuwerenga zolembedwa papompo.

Chida chaching'onochi chili ndi zabwino zambiri:

Umoyo wa wodwala umayenda bwino. Munthu safunikira kuda nkhawa nthawi zonse kuti asayiwale kupereka jakisoni panthawi, insulin yokha imadyetsedwa mthupi.
Mapampuwa amagwiritsa ntchito insulin yochepa, yomwe imakuthandizani kuti musachepetse zakudya zanu.
Kugwiritsa ntchito chida ichi kumathandiza munthu kuti asadzitamandire matenda ake, makamaka ngati nkofunika m'malingaliro mwake.
Chifukwa cha chipangizochi, mlingo womwe umafunikira amawerengedwa molondola, mosiyana ndi ma syringes a insulin. Kuphatikiza apo, wodwala amatha kusankha mtundu wa momwe amagwiritsira ntchito mahomoni omwe amafunikira pakadali pano.
Ubwino mosakayikira ndikuti kugwiritsa ntchito chipangizocho kumatha kuchepetsa kuchuluka kwa khungu lanu.

Komabe, pampu ya insulin ilinso ndi zinthu zoipa zomwe muyenera kudziwa. Mwachitsanzo:

Mtengo wokwera. Kusamalira chida choterocho ndiokwera mtengo kwambiri, chifukwa zowonjezera zimayenera kusinthidwa nthawi zambiri.
Masamba obayira angayambitse kutupa.
Ndikofunikira kuyang'anira kayendetsedwe konse ka pampu, momwe mabatire amafunikira kuti chipangizocho chisatseke nthawi yolakwika.
Popeza ichi ndi chipangizo chamagetsi, kusowa kwaukadaulo ndizotheka. Zotsatira zake, munthu amayenera kubayira insulin m'njira zina kuti athetse vuto lakelo.
Ndi chipangizo chimodzi, matendawa sangathe kuchiritsidwa. Muyenera kutsatira njira yoyenera yamoyo, kuyang'anira kuchuluka kwa shuga m'magazi, kusunga magawo a mkate m'zakudya.

Mtengo ndi momwe mungapezere kwaulere

Tsoka ilo, pampu ya insulin pakadali pano ndi chipangizo chodula kwambiri. Mtengo wake ukhoza kufikira ma ruble 200,000. Kuphatikiza apo, mwezi uliwonse muyenera kugula zofunikira, ndipo izi ndi ma ruble 10,000. Sikuti aliyense angakwanitse kugula, makamaka chifukwa odwala matenda ashuga nthawi zambiri amatenga mankhwala okwanira mtengo.

Komabe, mutha kupeza chida ichi kwaulere. Kuti muchite izi, muyenera kusonkhanitsa zikalata zomwe zimatsimikizira kufunika kogwiritsa ntchito chipangizochi pa moyo wabwinobwino.

Kuchiza kwa insulini ndikofunikira kwa ana omwe ali ndi matenda ashuga, kuti pasakhale zolakwika muyezo wa mahomoni. Kuti mupeze pampu ya mwana kwaulere, muyenera kulembera ku Fund Yothandizira ku Russia. Zotsatirazi ziyenera kulumikizidwa ndi kalata:

setifiketi ya makolo awo zachuma kuchokera kumalo antchito a amayi ndi abambo,
ndalama zochokera ku thumba la penshoni pakuwerengera ndalama ngati mwana wapatsidwa chilema,
satifiketi yobadwa
Mapeto a adotolo wodziwa za matendawa (ndi chidindo ndi siginecha ya katswiri),
Kuyankha kwa oyang'anira maboma ngati akukana oyang'anira chitetezo,
zithunzi za mwana.

Ndikosavuta kupeza pampu ya insulin kwaulere, koma chachikulu ndichakuti musataye mtima ndikupeza chida chomwe mukufuna paumoyo.

Pakadali pano, chipangizochi chili ndi mbali zofananira komanso zoyipa, komabe, kupanga zida zamankhwala sikumaima malo amodzi, koma ndikupanga mosalekeza.

Ndipo mwina patadutsa zaka zingapo, pampu ya insulin ikhoza kupezeka ngati si kwa aliyense, ndiye kwa anthu ambiri omwe akudwala matenda oyipawa - matenda a shuga.

Komabe, ndikofunikira kukumbukira kuti simungadzipulumutse nokha ku matendawa ndi chipangizo chimodzi, muyenera kutsatira malangizo a dokotala ena ndikutsatira moyo wathanzi komanso zakudya.

Pampu za insulin: muyenera kuyembekezera chiyani mu 2017?

Tsopano pamsika wapadziko lonse pali mitundu yambiri yamapampu a insulin. Ku Russia, msika wa matenda ashuga udagawika kwa nthawi yayitali pakati pa opanga awiri: kampani yaku America Medtronic ndi Swiss Roche (Accu-Chek). Chifukwa chake, funso lakusankhidwa kwa odwala matenda ashuga oweta sizofunika kwenikweni.

USA ndi chinthu chosiyana kwambiri - mpikisano ukulamulira pano, mwanjira yolimbikitsa kupita patsogolo kwaukadaulo. Mitundu yosiyanasiyana imapikisano kwa ogula, imagwirizanitsa mogwirizana ndi tekinoloje ndipo chaka chilichonse amayesetsa kukonza zomwe agulitsa.

Mapampu akukhala anzeru kwambiri pakuwoneka komanso amakono pakupanga. Kulumikizana pafoni ya Bluetooth sikulinso kwapamwamba, koma chofunikira. Malangizo akutali kuchokera pampu sayeneranso kuwoneka ngati chipolopolo cha antediluvia, ma touchscreen ndi menyu yazokongoletsa.

Zachidziwikire, chinthu chofunikira kwambiri ndi mpikisano wokhazikitsa algorithm apamwamba kwambiri pakulumikizana pakati pa pampu ndi CGM (njira yowunikira), yomwe pamapeto pake imasandulika kukhala "kapamba wochita kupanga".

Munkhaniyi, ndidaganiza zotenga zonse zosangalatsa komanso zolankhula zomwe zidzachitike ndi mapampu a insulin mu 2017.

Pafupifupi Artificial Pancreas kuchokera ku Medtronic

Cholinga choyamba cha okonda matenda ashuga onse padziko lapansi - kuphatikiza zida ziwiri zoyambira (kupopa ndi kuwunikira) munjira imodzi yabwino - kunabwera kampani ya Medtronic. Mbiri ya kulengedwa kwa "kapamba wochita kupanga" ngati njira yodziyimira yoperekera mankhwala a shuga yakhala ikuchitika kwa zaka zoposa 10. Mu Okutobala chaka chino, FDA idavomereza koyamba kachitidwe koyamba - MiniMed 670G. Izi, ndizachidziwikire, zomwe zikuchitika padziko lonse lapansi, koma kutali ndi mzere, koma malo opumira pamsewu kuti amalize ufulu wa anthu odwala matenda ashuga - "chitseko chotseka" ("chitseko chotseka"). Chipangizocho chimatchedwa kuti hybrid ("hybrid chotseka-lophimba"), chifukwa chimagwira gawo lokha, amawerengera ndikusintha insulin.

Chogulitsachi chimakhala ndi insulin pump komanso sensor yopitilira muyeso wa shuga wa Enlite 3. Kutengera miyeso ya sensor, dongosolo lokhalo limangokulitsa kapena limachepetsa kupezeka kwa insal insulin. Monga mtengo wa chandamale Pazantchito, chiwerengero mu 6.6 mmol (120 mg). Ndiye kuti, makinawo amawongolera insulin yoyambira popanda kutenga nawo mbali, poyesera kuti mulingo wama glucose ukhale wotetezeka. Mankhwala onse omwe ali ndi chakudya komanso Mlingo wa insulin ayenera kuchitika pamanja. Wina anganene kuti: "Ndiye, pamakhala chiyani, ngati ndikufunikirabe kuwerengera zakudya zamafuta?"

Chakudya chimakhalabe chochitika chapakati cha matenda ashuga, koma ndimasiku okha. Ndipo usiku? Ingoganizirani kuti ndi makina olondola a dongosolo lanu chisamaliro chanu chonse chidzatengedwa ndi katswiri. Zikuwoneka kuti izi ndi zopambana. Madzulo, kukonza shuga omwe wasokera, mishoni ndizotheka.

Ndipo apa patsani dongosolo ngakhale usiku Kugwira ntchito m'nyumba si ntchito yovuta. Pali zinthu zambiri: maziko oyenera, nthawi yake komanso chakudya chamadzulo, zochitika zolimbitsa thupi, zochitika za mahomoni. Onjezerani izi ku chiwopsezo cha nocturnal hypoglycemia, ndipo simudzagona.

Ndi zovuta zonse zomwe zingachitike masana, ndimatha kupereka zonse padziko lapansi kuti ndizigona mwakachetechete popanda jakisoni ndi jakisoni wa madzi.

MiniMed 670G pakali pano imalimbikitsidwa kwa anthu odwala matenda ashuga amtundu 1. woposa zaka 14. Komabe, chipangizochi chimakonzedweranso kuti chiziphunzitsidwa ana mu ana 7 mpaka 13. Pazifukwa zoonekeratu, mankhwalawo saloledwa kuti azigwiritsidwa ntchito osakwana zaka 7 komanso kwa iwo omwe amagwiritsa ntchito insulin zosakwana 8 patsiku. Ku US, dongosololi liyenera kulowa mumsika mchaka cha 2017.

Tandem: kuphatikiza ndi Dexcom ndi T: masewera opanda zingweKampani Tandem, yomwe imatulutsa mwina ndi insulin yokongola kwambiri pakupanga Pump T: slimkwenikweni kutsatira mapazi a Medtronic. Tandem amatenganso nawo gawo popanga "chotseka chophimba", komabe, amachita izi mogwirizana ndi omwe amapereka kwambiri njira zowunikira - mtundu wa Dexcom. Posachedwa, kampaniyo idatulutsa mtundu watsopano wa pampu yake ya T: slim X2, ndikuwonjezera kudzazidwa kwanzeru, potero ikupanga njira yamtsogolo yopanga matekinoloje.

T: slim X2 analandila kulumikizana kwa Bluetooth ndikuwunika kwa Dexcom komanso foni yam'manja, komanso kuthekera kosintha mapulogalamu pa intaneti (zosintha pa intaneti). Zodabwitsa ndizakuti, izi ndizopadera zamakampani - palibe wopanga wina aliyense amene ali ndi zoterezi.

Ngati mungowonjezera zatsopano ndi ntchito, simukuyenera kusintha chipangizocho kukhala chatsopano, ndikwanira pangani kutali mapulogalamu. Nthawi yomweyo ndimakumbukira fanizo ndi iOS, lomwe limayenera kusinthidwa pafupipafupi ku mtundu watsopano.

Pankhani ya t: yaying'ono, tidzayang'ana kwambiri pakuphatikizidwa ndikuwunika ndi kukhazikitsa pancreatic algorithm.

Chifukwa chake, kulumikizana ndi Dexcom G5 kukonzekera pakati pa chaka cha 2017, kukhazikitsidwa kwa kutsekeka kwadzidzidzi kwa kuperekera kwa insulini ndi hypoglycemia (kuyerekezera kotsika kwa glucose) kukuyembekezeka kumapeto kwa chaka cha 2017, ndipo dongosolo la "lotsekedwa" la hybrid mu 2018.

Kampaniyo ikufunanso kupikisana ndi mtundu wa mtundu wina - Insulet Omnipod Wireless Pump. Tandem akupanga mtundu wake chigamba wotchedwa T: masewera.

Dongosolo lake lidzakhala lopanda zingwe zopanda waya komanso chotsekeramo chokhala ndi insulini chomwe chimamatira molunjika pakhungu (monga pansi pake). Chigamba chimasunga mayunitsi 200 a insulin, ndipo ulamuliro udzachitika kuchokera kutali kapena kuchokera pa pulogalamu ya smartphone.

Chochita chikuchitika: poyamba, zoyesa zamankhwala zidakonzekera 2016, ndikugwiritsa ntchito FDA ya 2017. Tsopano zikuwonekeratu kuti nthawi yayenda pang'ono.

Insulet: Omnipod yokhala ndi smartphone komanso kuphatikiza ndi Dexcom

Chaka chino polojekiti ya shuga Glooko idayambitsidwa pulogalamu yam'manja ogwiritsa ntchito Omnipod dongosolo.

Pulogalamuyi imalandira chidziwitso kuchokera ku chiwongolero chakutali (PDM) ndikuyika pulogalamuyo mu pulogalamu ya Glooko, yomwe imapereka zolemba zowunika, ma analytics, ma graph ndi malingaliro.

Amaganiziridwa kuti Omnipod adzatsata njira ya Dexcom, ndiye kuti, imayang'ana kulumikizana ndi foni, ndikupita pang'onopang'ono ndikugwiritsa ntchito gawo lakunja, lomwe limatha kukhala chida chothandizira (monga wolandila Dexcom G5).

Kampaniyo imatinso ndiyo "gulu loto" lomwe lili mgulu la "ma pancreas". Pampu yowunikira ya Omnipod + Dexcom idzayendetsa pa Mode AGC (automated Glucose Control) algorithm.

Madivelopa akuti zoyambira adzakhala momwe angathere wodziwikakutanthauza kuti, azikumbukira momwe wodwala aliyense alili, osangodalira kuchuluka kwa glucose omwe apezeka pakuwunika.

Kutengera kusanthula kwakumunthu, monga kufunika kwa insulin, kuchuluka kwa insulini ku chakudya chamagulu, kukonza ndi zakudya, algorithm imapanga chithunzi cholosera. Mwachidule, akuyenera kukusankhirani kuchuluka kwa insulin yomwe mumafunikira nthawi ina kapena ina. Zikumveka ngati zopeka za sayansi.

Pakadali pano, mayesero azachipatala adayamba chaka chino. Ngati zonse zikuyenda bwino, ndiye kuti mutha kudikirira pulogalamuyi ku FDA mu 2017.

Ndikukhulupirira ndi mtima wonse kuti mchaka chatsopano, makampani omwe afotokozedwa m'nkhaniyi azigwira ntchito mosatopa kuti zikhumbo za anthu onse omwe ali ndi matenda ashuga akhale gawo limodzi pafupi ndi momwe akukhudzidwira.

Kudziwana koyamba ndi Omnipod

Uku ndikuwunika mwachidule mwina mwina pampu ya insulin yabwino kwambiri padziko lapansi pakadali pano - OmniPod. Chifukwa chake, chifukwa chiyani Omnipod, m'malingaliro mwanga, ndiye pampu yabwino kwambiri ya insulini?

Chofunikira kwambiri pampu ya insulin ya OmniPod ndichakuti palibe chubu chomwe chimagwiritsidwa ntchito popereka insulin kwa mafuta ochulukirapo ("Palibe tubing" ndi chinthu choyamba chomwe amalemba pazotsatsa zonse za kumnipod chakumadzulo)! Ndiye kuti, pampu iyi si bokosi lozolowerana ndi mawaya ndi ma tub, koma mini-system pamkono (yotchedwa POD system). Sub-system - pamene pampu imalumikizidwa mwachindunji ndi thupi, insulini imaperekedwa kudzera mu cannula yomangidwa, ndipo kuwongolera kumachitika pogwiritsa ntchito njira yapadera yakutali, yofanana ndi smartphone yakuda kwambiri, yomwe imatchedwa Personal Diabetes Manager, kapena PDM mwachidule.

Zonsezi zimapereka maubwino angapo pamapampu ena a insulin:

palibe chubu - pampu imakhala pa thupi nthawi zonse, ngakhale munthawi zamadzi - chifukwa chake, insulin nthawi zonse imayendetsedwa ndipo imayendetsedwa mosasamala kanthu zomwe mumachita
kulibe chubu - pampu imatha kuyikiridwa kulikonse ndipo palibe amene angayerekeze kuti mukugwiritsa ntchito pampu - zonse zowongolera, kuphatikiza kuyambitsidwa kwa bolus, zachitika pogwiritsa ntchito PDM (Direct Diabetes Manager), yomwe imawoneka ngati foni ndipo ingakhale mosavuta m'thumba lanu.
Kwa odwala ambiri, lingaliro la kumasuka ku mawaya ndilofunika kwambiri, ndipo ichi ndi chimodzi mwa zifukwa zosinthira mpope ndi makina ochiritsira ophatikizidwa kukhala dongosolo la chigamba, ngati izi zingalole inshuwaransi.
kuyikika kokha kwa teflon catheter pansi pa khungu - kuyika catheter kumachitika ndikanikiza batani limodzi pa PDM. Simukuwona singano, simungathe kuyika catheter molondola.
PDM (Direct Diabetes Manager) ndi kompyuta yeniyeni yokhala ndi glucometer yomanga - imatha kusunga zonse ndikuwonetsa ziwerengero zingapo pa iyo, kuyeza shuga m'magazi, kuwerengetsa insulin Mlingo ndi insulin yogwira, ndipo ili ndi laibulale ya chakudya yomangidwa.

Uliwonse wa OmniPod Insulin Pump:

Mulingo woyambira	Mbiri 7 zoyambira zokhala ndi masitepe 24 pachilichonse.
Basal Insulin Gawo	0,05 mayunitsi / ora mpaka 30 mayunitsi / ola lalitali
Yoyambira kwakanthawi	Magulu 7 oyambira osakhalitsa. Sinthani peresenti yonse ndi zigawo za insulin pa ola limodzi.
Makina owerengera a Bolus	Zimaphatikizanso magawo amodzi amodzi pazomwe mukufuna kukwaniritsa.
Insulin bolus	0,05, 0,1, 0,5, 1.0 mayunitsi

MawonekedwePod

Tanki yosakanikirana

Kufikira magawo 200 a insulin / yochepa kapena yochepa yokhala ndi U100

Wokhazikika-kulowetsedwa dongosolo ndi serter zokha

9mm wokuluka pulasitiki

Madzi kukana

IPX8 (mpaka 7.6 mita mu mphindi 60)

Kufotokozera

Miyeso: 4.1 masentimita x 6.2 masentimita x 1.7 masentimita

Kulemera: Magalamu 34 ndi thanki yathunthu

MawonekedwePDM

OmangidwaFreeStyle®magazi shuga mita

Doko lowunikira poyesa mzere

Malo osungiramo mabuku

Carbohydrate kuchuluka kwa zakudya zopitilira 1000

Makina akulu a LCD

3,6 cm x 4.8 cm, 6.1 masentimita

Memory

Masiku 90 (mpaka 5,400 zochitika)

Zikumbutso Zabwino Kwambiri Ndi Ma Alamu

Cholembera mwana

Kufotokozera

Gweromphamvu: Mabatire a 2 AAA

Miyeso 6.4 masentimita x 11.4 masentimita x 2.5 masentimita - omasuka kugwira dzanja lanu

Kulemera 125 magalamu okhala ndi mabatire

Chitsimikizo cha zaka 4

Pampu yokha ku Russia pakali pano ndiyosatheka kugula. Pakadali pano, Omnipod ndiosavuta kugula ku Israel kapena m'malo athu ogulitsira. Mukamagula ku Israel, mudzafunika kulandira mankhwala kuchokera kwa dokotala, amene adzakulemberani mapepala awiri pazotsatira zamtsogolo zamatumbo a insulin.

POD iliyonse yamakina a Omnipod imayatsidwa monga iyenera kukhalira pachimake. Mkati mwake pali pampu palokha ndipo gawo la kupopera insulin kulowa pampompo. Tangiyo yaphatikizidwa kale mkati mwa pampu, kotero sizisintha, koma pampu yonseyo imasintha. Tankiyo idapangidwa kuti ikhale ndi mayunitsi 180.

Pompayo idakonzedwa kuti izitha patatha maola 80. Chifukwa chake, ngati mukumwa mankhwala a insulin oposa mayunitsi 54 patsiku, ndiye kuti pampuyo imazungulira ndikufunika kusintha nthawi zambiri kuposa masiku atatu. Ngati kufunikira kuli kochepa, ndiye kuti insulini iyenera kusungidwa pampope potengera masiku 3.3 (maola 80).

Pompo imagwiritsa ntchito mota yamakono ya piezo, yomwe imapereka gawo loyambitsira basal insulin yamagulu 0,2525 / ola. Palinso mabatire omangidwa omwe mwachilengedwe masiku atatu sangathe kutuluka.

Kukhazikitsa kwa POD ndikosavuta. Tisonkhanitsa kuchuluka kwa insulini mu syringe. Timabaya chingamu pansi papompo ndipo timalowetsa insulin yonse m'm tank. Ngati mwangolipira insulin popanda mpweya, ndiye kuti ilibe mpweya ndipo ilowa mkati mwa thankiyo - njira yolumikizana ndi ulalo imangiririka limodzi pambuyo poti singano ituluka ndikulepheretsa mpweya kuti usakokedwe.

Kenako timakonza khungu lanu - lithandizeni kuti muchotse mankhwala. Derali lidzakhala lalikulupo, koma izi zimapangitsa kuti pampu ikhale yodalirika komanso chofunikira kwambiri, imalola POD kuyika molondola cholembera pansi pa khungu. Malo oikapo a POD ndi ofanana ndi makina amachitidwe wamba.

Mwa njira, mkati mwa chivundikiro cha bokosi, chovala chachikulire ndi chovala chamwana chikuwonetsedwa zomwe zimayikidwa. Koma muyenera kukumbukira kuti singano imayilidwa pafupifupi 9 mm. Chifukwa chake, timachotsa pulagi yoteteza ku dipatimenti yomwe kuli catheter, timachotsa pepala lotchinjiriza pamatchaka ndikukhomerera PODyo pamalo osankhidwa khungu.

Ndikwabwino kungokhala pamalo otambalala pang'ono, osasamala kuchuluka kwa mafuta - apo ayi mukamapanda kusangalatsa sikungakhale kosasangalatsa. Mwachilengedwe, monga kukhazikitsa kwa kulowetsedwa kwa mapampu ena, ndizosatheka kukhazikitsa POD pamavuto, pakhungu lowoneka bwino, m'malo obisika, m'mizere yachilengedwe ndi mizere yolumikizana, pamizere yoyera yam'mimba.

Atatha gluing POD, iye samatinso chidwi ndipo china chilichonse chimachitika pogwiritsa ntchito PDM.

PDM ndi mtundu wa kompyuta womwe umathandizira kulumikizana ndi pampu. Kukula kwake, ndi kwakukulu kwambiri poyerekeza ndi mafoni amakono, koma sizichititsa kukanidwa. Amasonkhanitsidwa kuchokera kumapulasitiki okhazikika, zomangamanga ndizopindulitsa, sizingokhala paliponse ndipo ndikuganiza kuti zitha kupirira kugwa. Ndikosavuta kuyigwira m'manja mwanu, zala za milanduzo zilibe.

Zambiri zakutsogolo zimakhala ndi chophimba. Chophimba sichikhudza, mtundu, matte, chowala, sichizirala ndi dzuwa, zolemba zonse pa izo zikuwoneka bwino.

Pompopompo pazenera pali mabatani atatu motsatana, ntchito zake zomwe zimasintha malinga ndi ntchito yomwe yasankhidwa mumenyu ndikuwonetsedwa kumapeto kwazenera.Mabataniwo ndi olimba mokwanira kuti muthe kupewa kubwereza kapena zolakwika.

Pansi pazenera ndi mabatani ogwiritsa ntchito, pali gawo loyendera lomwe limakhala ndi mabatani okwera / pansi, kunyumba (gawo pang'onopang'ono) ndi thandizo.

Kumbuyo kuli chipinda cha mabatire awiri. M'mphepete mwamunsi - doko lopangira zoyesa - ndi Freform Papillon yokhayo yomwe imagwiritsidwa ntchito. Pamphepete pamwamba pali cholumikizira cha miniUSB.

Kuwongolera pampu yanu ndi PDM ndi VERY CONVENIENT. Izi sizomwe mungayang'anire mawonekedwe a paradigm kapena aaccu-cheke, kuyesera kutukula pampu mpaka kutalika kwa njira yolowetsedwera kumalola, ndipo nthawi yomweyo kuti musawoneke ngati wachigawenga wokhala ndi gulu lowongolera. Palibe chomwe chikukuletsani kuwongolera pampu yanu. Kulumikizana ndi pampu kudzera pa wailesi.

Sindinapeze mtunda wapakati pakati pa PDM ndi pampu pamalangizo, koma patali ndi 1.5-2 mita kuchokera kwa wodwalayo, ndidakhazikitsa pampu ya insulin modekha. Chofunikira ndichakuti pampu sikuti nthawi zonse imagwirizana ndi PDM. Amalumikizidwa pokhapokha pakubweretsa bolus, kusintha kusintha, kusintha pampu ndi ma alarm azadzidzidzi.

Nthawi yonse yogona "kugona", yomwe imapulumutsa mphamvu ya batri.

Zosankha za PDM ndizosavuta komanso zowongoka. Chofunikira kudziwa ndikuti ndizosatheka kuthyola pampu ndi PDM kudzera pa menyu, chifukwa chake simuyenera kuwopa menyu ndikudina mabatani. Tsoka ilo, mndandandawu uli pachilankhulo china kupatula Chirasha, koma Chingerezi ndichosavuta pamenepo ndipo sizingakhale zovuta kuzindikira.

Mukalola PDM, ikufunsani kuti muyambitse POD kapena ayi. Zosankha ndizosavuta kwambiri ndipo zimakhala ndi zithunzi komanso zolemba zambiri. Chochita chilichonse pamndandandawu chimaphatikizidwa ndi funso lomveka bwino, zithunzi zomaliza, ndipo m'chigawochi pamakhala zithunzi.

Mwachilengedwe, pampu imakhala ndi chowerengera cha mlingo chomwe chitha kuwerengenso insulin yogwira. Palinso ntchito zina zapompopi - mulingo woyambira wosakhalitsa, mafunde owirikiza ndi awiri, etc.

Ndipo yosavuta komanso yayikulu database ya zinthu, koma mwatsoka mu Chingerezi ndi mu American system yowerengera.

Kubwereranso pakusintha pampu, mutatha kuphatikiza pampu yathupi, muyenera kupita ku mndandanda wa "Zowonjezereka", sankhani "Sinthani PAD" ndikutsatira malangizo omwe ali pazenera.

Pampu imayendetsa pisitoni, kudziwa kuchuluka kwa insulini mu thanki yanga, kwa ine kopambana kwambiri, imadzilimira ndekha mu tinthu tating'onoting'ono popanda kupweteka. Chifukwa

kuyambitsa kwa cannula kumachitika ndi makinawo, popanda kugwiritsa ntchito anthu ndipo malo okukhomako ndi akulu, ndiye mwachilengedwe pampu iyi ilibe mavuto ndi cannula yolowetsedwa bwino, kupindika kwake, kusamuka ndi mavuto ena omwe amadziwika ndi kulowetsedwa kwa mapampu ena panthawi ya kuyika.

Izi ndi za ine, monga dokotala, chinthu chofunikira kwambiri - ndili ndi chitsimikizo kuti zinthu zotsekemera kwambiri sizingakhale pagawo la insulin. Ngakhale 9 mm, cannula ndiyabwino kwambiri kwa ana. imayambitsidwa pang'ono pakona.

Kanema wapamwamba kuchokera kwa wopanga:

About mwana wamng'ono "kale" ndi "atatha" kugwiritsa ntchito pampu:

Pampu m'malo mwa jakisoni

Pampu ya insulin imakupatsani mwayi woperekera mahomoni mosalekeza, sizomwe zimachitika ndi jakisoni wamba wa insulin. Uwu ndiye mwayi waukulu pampu pamabowo. Imathandizira kwambiri kuthandizira odwala matenda ashuga. Kuphatikiza apo, amathetsa kufunika kwa insulin yayitali.

Chipangizo chilichonse chotere chimakhala ndi zinthu zingapo.

Pampu yomwe ndi pampu yolamulidwa ndi kompyuta. Ndi pampu iyi yomwe imapereka kuchuluka kwa insulin yofunika kuchiritsa matenda a shuga.
Kutha kwa insulin.
Chida chosinthira chinafunika pakuwongolera insulin.

M'mapampu amakono, kupezeka kwa mankhwala sikungochepera masiku atatu. Wodwala payokha amakonza pafupipafupi kayendedwe ka mahomoni ndi kuchuluka kwake. Izi zimachitika ngati kapamba wathanzi akupanga insulin.

Singano imayikidwa pamimba kuti ipereke insulin. Yokhazikitsidwa ndi bandi-yothandizira. Singano yolumikizidwa ndi pampu kudzera pa catheter. Zida zimayikidwa lamba.

Kuti insulini iperekedwe, ndikofunikira kuchita kuwerengetsa konse kofunikira. Kenako, kutenga nawo mbali kwa munthu pakulimbikitsa sikofunikira, ndipo zida zimayambitsa mlingo wofunikira, kutengera ntchito ya pulogalamuyo.

Pankhaniyi, ndi insulin ya ultrashort yokha yomwe imayendetsedwa.

Ubwino wochiza matenda ashuga ndi mapampu a insulin ndiwodziwikiratu.

Hormalo imadziunjikira m'thupi nthawi yomweyo, yomwe imathetsa kwathunthu kufunika kwa insulini yowonjezera.
Wogwiritsa ntchito amatha kukwaniritsa zolondola kwambiri za ma hormone, zomwe sizimawonedwa ndi jakisoni wamba.
Kuboola pakhungu sikachilendo.
Kuwerengera kwa bolus kumapangidwa molondola - chifukwa muyenera kungotenga magawo awiri a wodwala.
Wodwalayo amatha kuwongolera zizindikiro zonse za matenda ashuga, ndipo izi zimachitika mokwanira pogwiritsa ntchito pulogalamu yomwe idakhazikitsidwa.
Pompo imasunga chidziwitso pakumbukidwe ndipo imatha kusamutsidwa mosavuta ku kompyuta kuti ikonzedwe.

Makhalidwe ndi ofunikira

Kupenda kowunika kwa odwala ambiri kumawonetsa kuti pampu yabwino kwambiri ya insulin iyenera kukhala ndi mikhalidwe yofunika:

Amayang'anira gawo la kayendetsedwe ka insulin,
mtengo wake umakumana ndi mtundu komanso ntchito,
mutha kuyika pulogalamuyi chifukwa cha mitundu ya insulin
Mutha kuwerengera kuchuluka kwa insulin yomwe imayendetsedwa yokha
zida zili ndi chikumbutso chomangidwa,
kumatanthawuza kulumpha mu shuga,
ali ndi mphamvu yakutali
ali ndi mndandanda mu Russian,
ili ndi katundu woteteza kwambiri.

Mapampu a AccuChekCombo

Pampu ya insuwala ya Accu Chek Combo ndi dongosolo labwino kwambiri lomwe limakupatsani mwayi wowunika magazi anu ndikubaya insulin ngati pakufunika. Accu Chek Combo imakulolani:

khalani ndi insulin nthawi yonse malinga ndi zosowa zanu,
imakupatsani mwayi wolondola kutulutsa kwa insulin,
ili ndi mbiri zisanu zomwe zingasinthidwe kutengera kufunika kwa mahomoni,
imakulolani kuti mulowe mitundu inayi ya bolus yomwe imakwaniritsa zofunikira za insulin,
imapereka wogwiritsa ntchito maula angapo, kutengera mulingo,
ikhoza kugwira ntchito ndi chiwongolero chakutali.

Werengani komanso Kodi buku la diabetes lomwe limayang'ana pawokha ndi iti?

Kuphatikiza apo, pampu ya insulin iyi imakulolani kuyeza shuga yanu yamagazi chifukwa cha mita yosungidwa.

Izi zimathandizanso kuti ntchitoyi ikhale ndi Accu Chek Combo, popeza wodwalayo amatha kuwunika momwe insulin ikukhudzira.

Makina ogwiritsa ntchito a Accu Chek Combo ndiwopezeka komanso wogwiritsidwa ntchito ndi ogwiritsa ntchito novice komanso omwe sanagwiritsepo ntchito izi kuti ayang'anire insulin.

Muyeneranso:

khazikitsani mitundu ina yoyendetsera,
ikani zikumbutso
sinthani menyu
sinthani deta yakuyezera pakompyuta.

Zonsezi zimapangitsa insuwiti ya insuwala ya Accu Chek Combo kukhala yofunikira pakulandila insulini nthawi yonseyi.

Mtengo wa pampu ya insulin ya Accu Chek Combo ndi pafupifupi. Madola 1300

Ndemanga pa pampu ya insulin ya Accu Chek Combo

"Ndikuyenera kuyang'anira kuchuluka kwa shuga m'magazi. Ngati mukusowa nthawi yopereka mankhwalawo kapena kukhazikitsa mlingo woyipa, mavuto amabuka. Accu Chek Combo ndiye yankho lenileni la mavuto anga. ” Svetlana, wazaka 31.

“Nthawi zina ndimayiwala kubaya insulin. Chipangizo cha Accu Chek Combo chimandithandiza. ” Marina, wazaka 40.

"Ndikulimbikitsa aliyense amene amayang'anira thanzi lawo kuti azigula pampu ya insulin. Ndiwosavuta kumayendetsa limodzi ndi insulin. " Sergey, wazaka 28.

"Pakadali pano ndili ndi chidaliro chonse mu thanzi langa, chifukwa pampu iyi imakulolani kuthetsa mavuto onse a matenda a shuga." Ivan, wazaka 28.

Ndemanga izi zikuwonetsa kudalirika kwa chipangizocho.

Pump Medtronic

Pulogalamu ya insulin yaku America ku America imapereka insulin kuti izikhala ndi nthawi yokwanira. Wopanga adachita chilichonse kuti chikhale chosavuta kugwiritsa ntchito. Pampu ya insulini imakhala ndi kakulidwe kakang'ono, kotero kuti izitha kupangika yosaoneka pansi pa zovala.

Chipangizocho chimakulolani kuti mulowetse insulin mwachangu kwambiri. Ndipo chifukwa cha pulogalamu yokhazikitsidwa ndi Bolus Helper, mutha kuwerengera kuchuluka kwa zosakaniza zomwe zimafunikira potengera kuchuluka kwa chakudya komanso kuchuluka kwa glycemia.

Mwa zina zowonjezera mwadongosolo ndi izi:

chida chobweretsa zokha catheter mthupi,
chikumbutso cha nthawi yoyendetsa jekeseni wa insulin,
chikumbutso kuti insulin ikutha,
wotchi yolumikizidwa ndi mawonekedwe amitundu ambiri,
zotsatira zoyipa
kulumikizana kutali
kusankha kwakukulu kwa ogwiritsa ntchito,
mndandanda wogwiritsa ntchito ambiri
chachikulu chophimba
kuthekera kotsekeka kiyibodi.

Zonsezi zimapangitsa kuperekera insulini kutengera zosowa za wodwalayo komanso kupewa kupewa kwa shuga. Ndipo zoikirazo zikukuwuzani kuti muyenera kuyambitsa kuyamwa kwa mankhwalawa kapena kuyeza mulingo wa shuga. Makina a chipangizo choterocho amapezeka nthawi zonse. Mutha kuwonanso zithunzi pa intaneti kuti mumve mawu oyamba akugwira ntchito pampu.

Mapampu a Medtronic ali ndi zida zabwino kwambiri zamakono kuti azitha kuwunika mawonedwe a shuga m'magazi. Chifukwa chake munthu amatha kusankha momasuka mkhalidwe womwe umawopseza moyo - kupweteka kwa hypoglycemic. Izi ndizofunikira kwambiri usiku, pamene munthu wagwa kwambiri m'magazi, munthu amakhala wopanda chitetezo.

Mapulogalamu amakono anzeru a Medtronic sangathe kuperekera insulin ku minofu ya thupi, komanso kuyimitsa jakisoni panthawi yake. Kuyimitsidwa kwa insulin makonzedwe kumachitika kwa maola awiri pambuyo poti sensa isonyeze kuchuluka kwa shuga. Kuchita bwino kwa njira yatsopanoyi yoyendetsera insulin kwatsimikiziridwa ndi maphunziro amakono ambiri.

Werengani komanso. Kodi nditha kuthetsa matenda ashuga?

Pampu ya Medtronic ndi imodzi mwamalamulo abwino kwambiri a shuga. Mtengo wa malonda abwino - pafupifupi. Madola 1900

Ndemanga za pampu ya Medtronic

"Kuti ndithane ndi matenda a shuga omwe amadalira insulin, ndiyenera kupatsidwa jakisoni wa insulin nthawi zonse. Pazochitika zanga, pampu ya Medtronic ndiye yankho labwino kwambiri. Tsopano ndimayang'anira matendawa nthawi zonse ndipo ndimabaya jakisi insulin zikafunika. ” Irina, wazaka 31.

"Ndi pampu iyi, ndimatha kukhala wodekha komanso osadandaula ndikusowa nthawi yogwiritsira ntchito mankhwala. Ndazindikira kuti shuga yanga ndiyabwinobwino. " Taisia, wazaka 23.

Nthawi zonse ndimkaopa kuphonya insulin kapena ndikalakwitsa. Ndi pampu iyi, mavuto ngati amenewa adasiyidwa. " Ilya, wa zaka 32.

"Ichi ndiye chida chabwino kwambiri chopewera matenda ashuga ndipo mtengo wake ndi wokwanira." Sergey, wazaka 46.

M'malo mwa masanjidwe

Chifukwa chake, makina amakono a insulin amalola kuwunika kwa wodwala nthawi zonse. Pampu ya insulin si zida zokhazokha zoperekera mahomoni omwe munthu akufuna.

Ndi pulogalamu yamakono yapamwamba kwambiri yomwe imakulolani kuti muone momwe zinthu zasinthira pang'ono mu umunthu ndikulowa insulin yeniyeni. Ndipo mtengo wake umagwirizana kwambiri ndi zabwino zomwe umabweretsa.

Mkhalidwe wa munthu umakhala wotukuka kwambiri.

M'machitidwe amakono, miyeso yonse yoyenera ndi njira zimachitika zokha. Zofunikira zonse zimasinthidwa kukhala foni ya smartphone kapena kompyuta.

Miyeso yonse yofunikira imakonzedwa mosamala ndikuwerengedwa pa smartphone kapena PC. M'malo mwake, mapampu amakono a insulin ndi kapamba wochita masewera apamwamba kwambiri.

Omwe ali ndi matenda a shuga omwe amadalira insulin ali ndi mwayi aliyense woti akhoza kukhala wopanda nkhawa kuti angamuphe.

Mapampu amakono ambiri a insulin amayesedwa osati kunyumba, komanso m'zipatala zamakono. Izi zikuwonetsedwa ndi ndemanga zabwino za iwo. Zotsatira zakufufuza zikuwonetsa kudalirika kwa zinthuzi komanso njira yamakono yochizira matenda ashuga.

Kodi pampu ya insulin imawononga ndalama zingati - mtengo ku Russia ndi mayiko ena

Matenda a shuga ndi matenda omwe amadziwika makamaka chifukwa chosowa insulini, mahomoni ofunikira omwe amaphatikizidwa ndi metabolism.

Nthawi yomweyo, pakadalibe njira zokakamizira thupi kupanga izi palokha pamaso pa matenda awa. Chifukwa chake, munthu ayenera kubaya insulin yokumba.

Izi zitha kuchitika m'njira zambiri. Njira yakale imaphatikizapo kugwiritsa ntchito cholembera-phula nthawi zonse. Koma ili ndi zovuta zingapo. Choyamba ndi kufunika kutsatira boma.

Wodwala amayenera kupatsidwa jekeseni panthawi yake. Nthawi yomweyo, nthawi zonse amafunika kukhala ndi syringe naye. Chachiwiri - njirayi imaphatikizapo kugwiritsa ntchito insulin yayitali, yomwe siyolandiridwa bwino ndi thupi.

Njira yamakono kwambiri yoperekera timadzi tamadzi ku thupi la munthu ndikugwiritsa ntchito pampu yapadera. Izi ndizabwino kale ndipo zili ndi zabwino zingapo. Odwala omwe ali ndi matenda ashuga amadzazindikira kuti ndi chipangizochi amamva chimodzimodzi monga momwe zimakhalira matenda awo asanafike.

Zowonetsa za mitundu yotchuka ya zida za matenda ashuga ndi ntchito zawo

Zosankha zamapampu osiyanasiyana ndizogulitsa. Chifukwa cha izi, wodwala wofuna chida chotere amatha kutayika pamitundu yosiyanasiyana yotere. Kuti mupange chisankho, mutha kusankha njira 4 zotchuka kwambiri.

Omnipod ndi kachipangizo kamene kamasiyana posonyeza kuti palibe timachubu. Ndi kachitidwe kachigamba. Izi zimapereka ufulu wambiri kuchitapo kanthu. Ndipo Chofunika kwambiri - thankiyo ndiyotetezedwa ku chinyezi, kuti muthanso kusamba nayo.

Kuwongolera kumachitika kudzera mu mawonekedwe apadera okhala ndi mawonekedwe. Komanso, chipangizocho chimatha kudziwa zambiri za kuchuluka kwa shuga ndikusunga zofunikira pakuwunika kwotsatira.

Medtronic MiniMed Paradigm MMT-754

Chipangizo china MMT-754 ndi chimodzi mwazodziwika bwino kwambiri kuchokera ku Medtronic. Amapangidwa ngati mawonekedwe a pager. Pampu ili ndi chophimba cha LCD chaching'ono kuti chisonyeze chidziwitso chofunikira.

Mosiyana ndi Omnipod, chipangizochi chili ndi dzanja limodzi. Amapereka insulin kuchokera kuchosungira. Zizindikiro za kuchuluka kwa shuga, zimasinthidwa popanda zingwe. Kwa izi, sensor yapadera imalumikizidwa padera ndi thupi.

Accu-Chek Mzimu Combo

Acu-Chek Mzimu Combo - wofanana ndi MMT-754, koma ali ndi kayendedwe kanthawi komwe amalumikizana ndi mpope kudzera pa Bluetooth. Pogwiritsa ntchito, mutha kuwerengera kuchuluka kwa insulin popanda kuchotsa chida chachikulu.

Monga zida zam'mbuyomu, imatha kudula mitengo. Chifukwa cha iye, munthu amatha kuwona zokhudzana ndi kumwa kwa insulini komanso kusintha kwa shuga m'masiku 6 apitawa.

Dana Diabecare IIS

Dana Diabecare IIS ndi chipangizo china chotchuka. Imatetezedwa ku chinyontho ndi madzi. Wopanga akuti ndi pampu iyi mutha kulowa pansi mpaka mamita 2.4 popanda kuvulaza zamagetsi.

Ili ndi makina owerengera omwe amakupatsani mwayi kuwerengera kuchuluka kwa insulin chifukwa cha kuchuluka ndi mawonekedwe a chakudya chomwe mumadya.ads-mob-1

Kodi pampu ya insulin imawononga ndalama zingati: mtengo mayiko osiyanasiyana

Mtengo wakewo umatengera mtundu. Chifukwa, mwachitsanzo, MINIMED 640G amagulitsidwa 230,000.

Mukasinthidwa kukhala ma ruble aku Belarusi, mtengo wa pampu ya insulin uyambira 2500-2800. Ku Ukraine, izi, zida zoterezi zimagulitsidwa pamtengo wa 23,000 hryvnia.

Mtengo wa pampu ya insulin umadalira makamaka pamapangidwe, magwiridwe, kudalirika kwa chipangizocho ndi wopanga.

Kodi munthu wodwala matenda ashuga angathe kupeza chipangizo kwaulere?

Ku Russia kuli zosankha zitatu: Nambala 2762-P ndi No. 1273 kuchokera ku Boma ndi No. 930n kuchokera ku Unduna wa Zaumoyo.

Malinga ndi iwo, odwala matenda ashuga ali ndi ufulu wodalira kulandira chida chilichonse mwaulere.

Koma madotolo ambiri sadziwa izi kapena samangofuna kusokoneza mapepalawo kuti wodwalayo apatsidwe pampu ya insulin potayira boma. Chifukwa chake, tikulimbikitsidwa kuti mupange nthawi yokumana ndi kusindikiza mapepala awa .ads-mob-2

Ngati dokotala akukana, muyenera kufunsa a Dipatimenti ya Zaumoyo, ndipo ngati izi sizingathandize, pitani mwachindunji ku Unduna wa Zaumoyo. Ngati kukana kwalandiridwa m'magawo onse, pulogalamu yoyenera iyenera kutumizidwa ku ofesi ya wotsutsa pamalo omwe akukhalamo.

Kukulitsa mwayi wopambana, ndikulimbikitsidwa kupempha thandizo la loya.

Kodi pampu ya insulini imawononga ndalama zingati komanso kuti musankhe bwino:

Pampu ya insulin ndi chida chomwe sichosavuta kugwiritsa ntchito, komanso chothandiza pa thanzi la wodwala yemwe ali ndi matenda ashuga. Chifukwa chake, tikulimbikitsidwa kukhala nacho pafupifupi odwala matenda ashuga onse.

Chokhacho chomwe chingakulepheretseni kugula ndiye mtengo wake wokwera. Koma, monga tafotokozera pamwambapa, ku Russia chipangizochi chitha kupezeka kuphatikiza kwaulere.

Kodi pampu ya insulin ndi chiyani?

Nkhani yokhudza kutulutsidwa kwa chida chatsopano chachipatala chomwe chalowa m'malo mwa jakisoni wa ma pancreatic imapangitsa chidwi anthu ambiri odwala matenda ashuga. Ndipo ali ndi nkhawa ndi funso lofunsira kuti ndipopa insulin, momwe angaigwiritsire ntchito. Komanso, ambiri ali ndi chidwi chofuna kupezedwa kwaulere.

Pampu ya insulin ndi chipangizo chamagetsi chomwe chili ndi njira yolumikizira shuga. Pogwira ntchito yake, imafanana ndi kapamba. Amapereka kulumikizana kosalekeza ndi mafuta osunthika, omwe ma insulin amathandizira.

Komabe, mkhalidwe wakusowa kuyang'anira kuwonetsetsa kwa shuga m'magazi kumabweretsa kuti mwa munthu, chifukwa cha kuchuluka kwa mahomoni, hypoglycemia imachitika mosavomerezeka.

Atazindikira izi, asayansi adazindikira kuti ndikofunikira kuwonjezera chipangizocho ndi ntchito ina. Chifukwa chake panali mitundu yatsopano yamapampu a insulini, omwe mfundo zake zimakhudzana ndikuwonetsetsa kuchuluka kwa shuga m'magazi.

Makina a shuga amayendetsedwa ndi mabatire. Zambiri pa pafupipafupi ndi mlingo zimayikidwa ndikusungidwa kukumbukira kukumbukira. Magawo amakhazikitsidwa ndi opezeka endocrinologist kutengera mawonekedwe ndi zofuna za thupi la wodwalayo. Sitikulimbikitsidwa kuzikonza pang'onopang'ono chipangizocho, chifukwa ngakhale pang'ono zopanda pake zomwe zingayambitse kukhazikika.

Chida chathunthu

Chithandizo cha insulini chimaphatikizapo izi:

chida chachikulu chamakompyuta,
cartridge - gawo lophatikizika pambali ya chipangizocho ndi chidebe cha insulin,
cannula yokhala ndi singano yopyapyala yoyendetsera ma hormone ndi chubu, kuonetsetsa kulumikizana kwake ndi chosungira,
Mabatire - chinthu chopatsa mphamvu pa chipangizocho.

Cannula imayikidwa m'dera loyang'anira kwambiri mankhwala: ntchafu, m'mimba pamunsi kapena kumtunda kwachitatu kwa phewa. Kuti muthane, gwiritsani ntchito chigamba chokhazikika. Chipangacho chokha, chomwe chili ndi zida, chimaphatikizidwa ndi zovala.

Kuphatikizika kwa posungira, machubu ndi cannula kumakhala ndi dzina lodziwika, monga njira yolowetsera. Njirayi imasinthidwa pakatha masiku atatu aliwonse komanso komwe kumachitika insulin. Monga chithandizo, ndi insulin yochepa kwambiri kapena yochepa yomwe imagwiritsidwa ntchito, monga: Humalog, NovoRapid.

Shuga wamagazi nthawi zonse amakhala 3,8 mmol / L

Momwe mungasungire shuga kukhala wabwinobwino mu 2019

Momwe pampu imagwirira ntchito

Kuti athandizire kugwiritsa ntchito chipangizochi, odwala matenda a shuga amapatsidwa mitundu iwiri ya regimen: bolus and basal therapy.

Kudya kwa insulin mu pancreatic fluid kumachitika chifukwa cha chakudya kuti muchepetse kulumpha kowopsa m'magazi.

Kutengera mtundu wa chakudya, amasiyanitsa:

Njira yokhazikika. Zopangidwira odwala omwe zakudya zawo zimayang'aniridwa ndi chakudya chochuluka. Jakisoni imodzi ya insulini imathandizira kuti matenda a shuga agwirizane mwachangu.
Chiwere. Njira yoyendetsera imasiyana ndi yoyamba chifukwa cha kuchepa kwa timadzi mu thupi. Zokwanira kwa iwo omwe amadya zakudya zamafuta ndi mapuloteni.
Pawiri. Kuphatikiza njira zonse ziwiri. Poyamba, insulini imamasulidwa mofulumira, ndiye kuti pamakhala pang'onopang'ono kukonzekera kwa mankhwalawa ndikuwonjezeka kwa nthawi yayitali. Kubwezeretsanso magawo momwe zimakhalira nthawi zonse odwala akamadya zakudya zamagulu ochulukirapo.
Zabwino. Njira yokhazikika imakhala iwiri pokhapokha shuga yamagazi ikafika pamtengo wokwera kwambiri.

Kupitiliza kwa mahomoni mosalekeza ndi chiwongola dzanja china komanso kuchuluka kwa magawo munthawi. Njira yotereyi imakuthandizani kuti muzikhala ndi shuga pakatha masiku onse tsiku lonse.

Mosiyana ndi mankhwala a bolus, regimen ya basal imaphatikizanso magawo atatu a insulin:

m'mawa - chakudya chopatsa mphamvu mkati mwa maola awa ndiwokwera kwambiri komanso kufunikira kwa insulin kumayenderana,
tsiku ndi tsiku - kuchuluka kwa mahomoni kumakhala kochepa kuposa gawo lam'mawa,
usiku - mlingo wa zinthu ndi wochepa.

Njira yogwiritsira ntchito zida za insulin imayikidwa ndi kutsimikiziridwa ndi dokotala. Katswiri wodziwa bwino yekha ndiamene angapangire njira ya chithandizo payekha kwa wodwala aliyense.

Zizindikiro zogwiritsidwa ntchito

Pampu ya insulin ya mtundu 1 wa shuga ndi yoyenera, ngati mtundu 2 pokhapokha wodwala akufunika insulin.

Cholinga chogulira chipangizochi ndi:

kufunitsitsa kwa wodwala iye mwini
Kusakhazikika kwa kuwerenga kwa mtima wamagazi,
mtengo wa shuga pansi pa 3 mmol / l.,
kulephera kwa mwana kudziwa kuchuluka kwake,
kupezeka kwa matenda ashuga mwa mayi wapakati.
kuchuluka kwa shuga m'mawa,
kufunikira kwamakonzedwe apadera a mahomoni,
matenda osokoneza bongo a shuga ndi zizindikiro za zovuta.

Buku lamalangizo

Njira iliyonse yamankhwala a insulini imakhazikitsidwa pamalamulo owerengera kuchuluka kwa mahomoni a pancreatic. Choyamba, mlingo wa tsiku ndi tsiku umatsimikiziridwa, womwe nthawi zambiri unkaperekedwa kwa wodwala asanapeze chida. Chiwerengerocho chimatsitsidwa ndi 20% yoyambirira. Mu njira yoyambira yogwiritsira ntchito chipangizocho, mlingo wofanana ndi theka wa chiwerengero cha tsiku ndi tsiku cha magawo.

Pochiza matenda a shuga kunyumba, akatswiri akulangizani DiaLife. Ichi ndi chida chapadera:

Amasinthasintha shuga
Amayang'anira ntchito ya pancreatic
Chotsani puffness, limayendetsa madzi kagayidwe
Amawongolera masomphenya
Zoyenera akulu ndi ana.
Alibe zotsutsana

Opanga alandila ziphaso zonse zofunika ndi ziphaso za mbiri ku Russia komanso m'maiko oyandikana.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Gulani pa tsamba lovomerezeka

Chitsanzo: Wodwala movutikira nthawi zambiri amagwiritsa ntchito mayunitsi 56. insulin Mukamagwiritsa ntchito pampu, mlingo wonse ndi magawo 44.8. (56 * 80/100 = 44.8). Chifukwa chake, mankhwala oyambira amachitika mu mayunitsi 22.4. patsiku ndi mayunitsi 0,93. mu mphindi 60.

Mlingo woyambira tsiku lililonse umagawidwa tsiku lonse. Kenako kuchuluka kwa chakudya kumasintha malinga ndi kuchuluka kwa shuga m'magazi usiku ndi masana.

Ndi mankhwala a bolus, kuchuluka kwa makonzedwe a mahomoni kumakhalabe chimodzimodzi, monga jakisoni. Chipangizocho chimakonzedwa pamanja musanadye chakudya chilichonse.

Chidule cha Model

Mutha kudziwa kuti ndi pampu iti ya insulin yabwino patebulo pansipa. Nayi kufotokoza kwa zida kuchokera kwa omwe amapanga kwambiri ku Russia.

Kutanthauzira Mwachidule

Medtronic MMT-715	Chosavuta kugwiritsa ntchito chida. Amaganizira modekha kuchuluka kwa shuga m'magazi, mtengo wake umakhalapo osapitilira milungu 4.
Medtronic MMT-522, MMT-722	Chimodzi mwazida zomwe zili ndi ntchito yoyang'anira glucose wamagazi. Zambiri zomwe zimapezedwa pakuyeza zimakonda kukhala m'maganizo a chipangizochi mpaka miyezi itatu. Pazinthu zowopsa, amapereka chisonyezo.
Medtronic Veo MMT-554 ndi MMT-754	Chipangizocho chili ndi zida zonse ndi ntchito, komanso mtundu wakale. Zabwino kwa ana aang'ono omwe ali ndi kuchepa kwa mahomoni. Ubwino wa mtunduwo ndikuti umayimitsa makonzedwe a insulin ngati wodwala atayamba kukhala ndi hypoglycemia.
Roche Accu-Chek Combo	Chipangizocho chili ndi ntchito yowonjezerapo - Bluetooth, yomwe imapangitsa kuti ikonzeke popanda kukopa chidwi cha anthu ena. Kuphatikiza apo, imagwirizana ndi madzi. Wopangayo akutsimikizira kudalirika kwa chipangizocho.

Mutha kugula chida pamtengo kuyambira 20,000 mpaka 200 rubles, kutengera mtundu ndi wopanga.

Mtengo wapakati ku Moscow wopezeka ndi insulin pampu ya matenda ashuga ndi 122,000 ma ruble.

Momwe mungapezere insulin pampu yaulere

Mothandizidwa ndi Ministry of Health of the Russian Federation mu 2014, pampu ya insulin imaperekedwa kwa odwala matenda ashuga kwaulere. Ndikokwanira kulumikizana ndi dokotala, omaliziranso, ayenera kudzaza zikalata zotsimikizira kufunikira kwa wodwalayo chida.

Walandira chida ichi, wodwalayo amasayina mgwirizano kuti sangalandire ndalama kuchokera kuboma kuti alipire ndalama za chipangizocho. Ana omwe ali ndi matenda ashuga amatha kupindula ndi maubwino owonjezera a oyang'anira dera.

Mbali zoipa za pampu ya matenda ashuga

Ngakhale chida chilipo, mutha kupeza zovuta zingapo pakugwiritsa ntchito. Mtengo wokwera umakupangitsani kulingalira za mapindulidwe. Kupatula apo, chinthu chamtengo sichitanthauza kuti ndi cha pamwamba kwambiri, kugwiritsa ntchito ma syringe kukhala kotsika mtengo.

Chipangizo chaukadaulo, monga chipangizo china chilichonse, chimatha kusweka. Amatha kuyimitsa insulin, chubu amatha kutulutsa kapena kuphulika, ndipo cannula imachoka.

Anthu ena odwala matenda ashuga amakonda kubaya insulin ndi cholembera pang'onopang'ono kuposa kuvala pampu, yomwe imaletsa kuyenda komanso kusokonezedwa nthawi zonse ndikutenga njira zamadzi ndikupanga maphunziro olimbitsa thupi.

A cannula omwe amaikidwa pang'onopang'ono amafunikira kuti atsatire malamulo a asepsis kuti ateteze tizilombo toyambitsa matenda kulowa mkati. Kupanda kutero, m'malo mwake mutha kupangika cholowera, chomwe chimayenera kuchotsedwa moyenera.

Ndemanga wa pampu ya matenda ashuga

Ndakhala ndikudwala matenda a shuga kwa zaka zambiri. Madokotala nthawi zonse amandinyoza kuti ndili ndi glycogemoglobin yapamwamba kwambiri. Ndinagula chipangizo chokhala ndi ntchito yowunikira shuga. Tsopano sinditha kuiwala kubayitsa mahomoni munthawi yake, ndipo chipangizocho chimandichenjeza ngati kuchuluka kwa glucose kumachoka.

Svetlana, wazaka 38

Mwana wanga wamkazi ali ndi zaka 12 zokha ndipo ali ndi matenda ashuga 1. Sakonda kudzuka usiku ndi kubayirira insulin, popeza m'mawa glucose amakhala wamtengo wapatali. Chifukwa cha pampu, nkhaniyi idathetsedwa. Chipangizocho chimatha kupangidwa mosavuta ndikuwonjezera mlingo wa mahomoni usiku.

Ekaterina, ali ndi zaka 30

Pampu ya matenda ashuga ndi chinthu chosasangalatsa komanso yokwera mtengo kwambiri. Ndisanalandire, ndimayenera kudikirira nthawi yayitali kuti ndigwere. Ndipo nditatsiriza kukhazikitsa, ndidazindikira kuti zinali zopanda ntchito. Chipangizocho chikuwala kudzera mu zovala, timachubu timatha kutulutsidwa mkati mwa kuyenda. Chifukwa chake, kwa ine ndibwino kugwiritsa ntchito syringe.

Kutengera ndi zomwe tapenda, titha kunena kuti chipangizo cha insulin ndi chomwe chimayambitsa mavuto ambiri kwa odwala matenda ashuga. Koma si aliyense amene angakwanitse kugula zapamwamba za pampu ya matenda ashuga.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Shuga wambiri ndi owopsa kwambiri.

Lyudmila Antonova mu Disembala 2018 adafotokoza mwatsatanetsatane za chithandizo cha matenda ashuga. Werengani kwathunthu