Kodi pampu ya insulini: mawonekedwe a chipangizocho, maubwino ndi zovuta za matenda ashuga

Anthu odwala matenda ashuga amtundu 1 amayenera kubaya insulin tsiku lonse kuti akhale wathanzi.

Izi ndizosasangalatsa, zimapangitsa wodwala kudalira kuwonetsetsa kuchuluka kwa shuga ndikuyika jakisoni.

Chithandizo chophweka chili ndi pampu ya insulin.

Pampu ya insulin yopanda zingwe: ndi chiyani ndipo imagwira ntchito bwanji?

Pampu ya insulini ndi chida chomwe chimalowetsa mozungulira mahomoni a insulini kukhala ndi matenda ashuga. Chipangizocho chimakhala ndi pampu yokhala ndi mabatiri, catheter wokhala ndi singano, malo osungira komanso wowunikira.

Kuchokera pachidebe, mankhwalawa amalowa pakhungu kudzera mu catheter. Insulin imayendetsedwa mu mabasi ndi mitundu yoyambira. Mlingo ndi magawo a 0,025-0.100 nthawi. Chipangizochi chimayikidwa pamimba. Ma catheter omwe ali ndi pampu ya insulin amasinthidwa masiku onse atatu.

Pampu ya insulin ndi zida zake

Masiku ano, zida zopanda zingwe zagulitsidwa. Amakhala ndi chosungira chokhala ndi mankhwala komanso gulu lowongolera. Chipangizocho ndi chopepuka kulemera, chaching'ono komanso chosawoneka bwino. Chifukwa cha njira yolowera popanda kugwiritsa ntchito mankhwalawa, kayendedwe ka odwala sikochepa.

Pampu iyi idayikidwa ndi endocrinologist. Hemeni wa insulin imadzibayira kamodzi kokha tsiku lonse. Komanso, odwala matenda ashuga amatha kupereka malangizo othandiza kuti pakhale insulin.

Pampu imatsata kapamba.

Maluso aukadaulo ndi magwiridwe antchito

Pali mitundu yosiyanasiyana ya mapampu. Amasiyana mu machitidwe ogwira ntchito, mtundu, mtengo, kampani yopanga.

Magawo aukadaulo a zida zamomwe mungapangire insulin:

• mtundu wa mankhwala (basal ndi (kapena) bolus),
• moyo wa batri
• voliyumu yamatanki (mayunitsi 180-30),
• kukumbukira zakumwa mankhwala. Kwa mitundu yambiri, ndi masiku 25-30. Pali zida zomwe zimasunga deta mpaka masiku 90,
• miyeso (85x53x24, 96x53x24 mm),
• kulemera - 92-96 g,
• kukhalapo kwa makina otsekeka batani.

Ma pompo a insulin:

• chinyezi mulingo woyenera - 20-95%,
• kutentha kwa ntchito - + 540 madigiri,
• kuthamanga kwa m'mlengalenga - 700-1060 hPa.

Mitundu ina imayenera kuchotsedwa musanasambe. Zipangizo zamakono zili ndi chitetezo pamadzi.

Zabwino ndi zoyipa zamagetsi zokhala ndi kachitidwe kopitilira kuyang'anira shuga kwa wodwalayo

Ma insulin mapampu amasintha kwambiri moyo wamunthu wodwala matenda ashuga. Ali ndi zabwino zambiri. Koma ngakhale zida zotere ndizopanda ungwiro. Kuti mumvetsetse ngati kuli koyenera kukhazikitsa pampu, muyenera kuyerekeza zabwino ndi zovuta zonse za zida zotere.

Ubwino wazida zomwe zili ndi dongosolo losamalitsa la shuga:

• timadzi timene timayendetsa timadzi timene timayamwa. Izi zimachepetsa chiopsezo chokhala ndi vuto la hypoglycemic,
• palibe chifukwa chodziyang'anira pawokha komanso kubayidwa ndi insulin,
• kulimbikitsidwa kwamalingaliro. Wodwalayo amamva ngati munthu wathanzi labwino,
• kuchuluka kwa malembedwe am'mimba kumachepa,
• Chipangizocho chili ndi mita yolondola ya shuga. Izi zimakuthandizani kusankha mlingo woyenera ndikuwongolera thanzi la wodwalayo.

Zovuta za pampu ya insulin:

• mtengo wokwera wa chipangizocho,
• chosawoneka (chipangizocho chikuwoneka pamimba)
• kudalirika kochepa (pali chiopsezo cha pulogalamu yovuta, kutsekeka kwa chinthu cha insulin),
• Pakulimbitsa thupi, kugona, kusamba, munthu samva bwino.

Endocrinologists adazindikira kuti gawo la kulembetsa mlingo wa bolus wa mahomoni ndi mayunitsi 0,1. Mlingowu umaperekedwa pafupifupi kamodzi pa ola limodzi. Mlingo wocheperako wa insulin ndi magawo 2.4. Kwa mwana wokhala ndi mtundu woyamba wa matenda ashuga ndi munthu wamkulu wokhala pachakudya chocheperako cha carb, kuchuluka kwa mankhwalawa kwa tsiku lililonse kumakhala kwakukulu.

Momwe mungayike pampu ya insulin ya ana ndi akulu omwe ali ndi matenda ashuga?

Matenda a shuga amawopa mankhwalawa, ngati moto!

Muyenera kungolemba ...

Kwa ana ndi akulu omwe ali ndi matenda a shuga, pampu ya insulin imapezeka m'mimba. Singano ya catheter imayikidwa pansi pa khungu ndikukhazikika ndi pulasitala. Tangi imamangiriridwa ndi lamba.

Kukhazikitsa pampu yaulere, wodwalayo ayenera kulandira kuchotsera ku khadi lakunja, lingaliro la komisheni yachipatala pakufunika kogwiritsa ntchito zida zamtunduwu.

Kenako wodwalayo amapatsidwa mwayi wopita ku dipatimenti yachipatala ya insulin, momwe zida zamapampu zimayambitsidwira komanso njira yolandirira mankhwala m'thupi imasankhidwa.

Malangizo pakugwiritsa ntchito pampu:

• mukamayambitsa zida, samalani malamulo aseptic. Sinthani chida ndi manja oyera,
• sinthani kanthawi kokhazikitsa dongosolo,
• ikani chipangizochi m'malo omwe mankhwalawa amakhala athanzi, pamakhala mafuta oyenera kwambiri,
• gwiritsani ntchito jakisoni ndi mowa,
• Mukakhazikitsa pampu, onetsetsani momwe ntchitoyo ikuyendera. Kuti muchite izi, yeretsani kuchuluka kwa shuga seramu patatha maola angapo mutangoyambitsa chida,
• Osasintha cannula usiku. Ndikofunika kuchita njirayi musanadye.

Kodi chida cha matenda ashuga chimawoneka bwanji mwa anthu?

Mapampu amakono a insulin ndi oyera komanso opepuka. Mwa anthu, amawoneka ngati zida zing'onozing'ono zamkati pamimba. Ngati pampu yolumikizira yaikika, mawonekedwe ake amakhala okongola: pali catheter wopaka m'mimba pamimba, waya amawongolera insulin, yosungirako lamba.

Momwe mungagwiritsire ntchito?

Musanayambe kugwiritsa ntchito pampu ya matenda ashuga, muyenera kuwerengera malangizo omwe wopanga amapangira. Kugwiritsa ntchito kachitidweko ndikosavuta, chinthu chachikulu ndikutsatira malamulo angapo.

Ntchito Algorithm:

• tsegulani cartridge ndikuchotsa piston,
• lekani mpweya kuchokera mumtsuko,
• phatikizani mahomoni mu chosungira pogwiritsa ntchito piston,
• chotsani singano
• Finyani mpweya mu chotengera,
• Chotsani pisitoni
• polumikiza kulowetsa waya ndi chosungira,
• ikani chubu ndi cholumikizira chopopera,
• gwiritsitsani chipangizocho ndi tsamba la jakisoni.

Accu Chek Combo

Chida cha Accu Chek Combo chochokera ku ROSH ndichotchuka kwambiri pakati pa anthu omwe ali ndi matenda ashuga. Dongosolo nthawi zonse limayang'anira ndikusintha shuga.

Ubwino wina wa Accu Chek Combo ndi:

• kukhazikitsa mitundu 4 ya bolus,
• pali mita yomangidwa
• kutsata kolondola kwambiri kwa kapamba,
• insulin imayendetsedwa kuzungulira ola
• masankho osiyanasiyana
• pali kuwongolera kutali
• pali ntchito yokumbutsa,
• makonda anu menyu payokha ndi kotheka,
• Zambiri zimafalikira pakompyuta yanu.

Mtengo wa zida zamtunduwu ndi pafupifupi ma ruble 80,000. Mtengo wazakudya ndi motere:

• betri - 3200 rubles,
• singano - ma ruble 5300-7200,
• zingwe zoyeserera - ma ruble 1100,
• makatoni dongosolo - 1,500 ma ruble.

Mizere ya Accu-Chek Performa No. 50/100 amagwiritsidwa ntchito kuti adziwe kuchuluka kwa shuga. Accu Chek Combo ndiye njira yabwino kwambiri kwa ana ndi achinyamata.

Madokotala ambiri amalimbikitsa kugwiritsa ntchito pampu ya insulin yopangidwa ndi America, Medtronic, kwa odwala matenda ashuga. Chipangizocho chimapereka ma insulin omwe amapezeka m'thupi. Chipangizocho ndichopanga ndipo sichingawoneke pansi zovala.

Medtronic imadziwika ndi kulondola kwambiri. Chifukwa cha pulogalamu ya Bolus Assistant, wodwala matenda ashuga amatha kuphunzira za kukhalapo kwa insulin yogwira ntchito ndikuwerengera mlingo wake malinga ndi zomwe zili ndi shuga ndi chakudya chomwe chidyedwa.

Mapindu ena a mapampu a Medtronic:

• kiyi
• menyu ambiri
• alamu yomangidwa
• ntchito yokumbutsa kuti mankhwalawo akutha,
• yokhazikika catheter
• kupezeka kwa zowonjezera pampu.

Mtengo wapompo wa chinthu ichi ndi ma ruble 123,000. Mtengo wazinthu:

• singano - kuchokera ma ruble 450,
• ma catheters - ma ruble 650,
• thanki - kuchokera ma ruble 150.

Chipangizocho chimangopereka insulin kwa thupi, komanso chimayimitsa kayendetsedwe kake ngati pakufunika.

Omnipod ndi mtundu wotchuka wa insulin wa odwala matenda ashuga. Chipangizochi chimapangidwa ndi kampani yaku Israeli ya Geffen Medical.

Dongosolo limakhala ndi gulu lowongolera komanso makutu (tanki yaying'ono yomwe imakhazikitsidwa pamimba ndi tepi yomatira). Omnipod ndi chipangizo chothandizira kuzungulira.

Pali mita yopangidwa. Chipangizocho sichimagwira madzi. Mtengo wake umayamba kuchokera kuma ruble 33,000. Zotupa za pampu zimagulitsidwa ma ruble 22,000.

Dana Diabecare IIS

Mtunduwu wapangidwa makamaka pochiza ana a matenda ashuga. Dongosolo lake ndi laling'ono komanso lopepuka.

Pali chiwonetsero chamadzimadzi amadzimadzi. Mwa zabwino, ndikofunikira kuwonetsa ntchito yayitali (pafupifupi miyezi itatu), kukana kwamadzi.

Ndizovuta kupeza zinthu: zimagulitsidwa m'masitolo apadera ndipo sizipezeka nthawi zonse. Dana Diabecare IIS amalipira ma ruble 70,000.

Ndemanga za akatswiri ndi odwala matenda ashuga

Endocrinologists, odwala matenda a shuga omwe amadalira insulin amalankhula zabwino za kugwiritsa ntchito mapampu.

Odwala amadziwa kuti chifukwa cha zida, amatha kukhala moyo wabwinobwino: masewera olimbitsa thupi, kuyenda, kugwira ntchito komanso osadandaula za kufunika koyeza kuchuluka kwa shuga ndikupereka mlingo wa mankhwala.

Chobwereza chokha ndikuti odwala amatcha mtengo wokwera wa zida zotere ndi zinthu zawo.

Madokotala amachenjeza kuti chipangizocho chitha kusokonekera, ndiye kuti nthawi zina mumayenera kuyang'anitsitsa kuchuluka kwa shuga ndi glucometer.

Makanema okhudzana nawo

Zokhudza phukusi la anthu odwala matenda ashuga mu kanema:

Chifukwa chake, mtundu woyamba wa matenda a shuga ndi matenda oopsa, osachiritsika. Kuti mukhale ndi matenda oterewa, muyenera kupaka jekeseni wa insulin kangapo kangapo, gwiritsani ntchito glucometer nthawi zonse. Zipangizo zapadera zomwe zimaperekera timadzi tokha mu mulingo woyenera, mapampu, kupewetsa chithandizo.