Pampu ya insulin: ndemanga ya anthu odwala matenda ashuga omwe akumana ndi zaka zopitilira 20, mtengo ku Russia

Pampu ya insulin, ndiye, chida chomwe chimagwira ntchito za kapamba, cholinga chake chachikulu ndikupereka insulin kwa wodwala mumagulu ang'onoang'ono.

Mlingo wa timadzi tating'onoting'ono timayang'aniridwa ndi wodwala iyemwini, mogwirizana ndi mawerengero ndi malingaliro a adokotala.

Asanaganize kukhazikitsa ndi kuyamba kugwiritsa ntchito chipangizochi, odwala ambiri amafunitsitsa kuwerenga zowunikira za pampu ya insulin, malingaliro a akatswiri ndi odwala omwe akugwiritsa ntchito chipangizochi, ndikupeza mayankho a mafunso awo.

Kodi pampu ya insulini imagwira ntchito kwa odwala matenda ashuga?

Odwala omwe ali ndi matenda a shuga, makamaka mtundu wachiwiri, womwe umafotokoza pafupifupi 90-95% yamatenda, jakisoni wa insulin ndiwofunikira, chifukwa popanda kudya mahomoni ofunikira mulingo woyenera, pamakhala chiopsezo chowonjezera kuchuluka kwa shuga kwa wodwala.

Zomwe mtsogolomo zimapangitsanso kuwonongeka kosasintha kwa ziwalo zam'magazi, ziwono zam'maso, impso, maselo am'mitsempha, komanso zochitika zapamwamba zimayambitsa kuphedwa.

Osati kawirikawiri, kuchuluka kwa shuga m'magazi kumatha kubweretsedwa pazikhalidwe zovomerezeka ndikusintha moyo (kudya mwamphamvu, kuchita masewera olimbitsa thupi, kumwa mankhwala osokoneza bongo monga Metformin).

Kwa odwala ambiri, njira yokhayo yokwaniritsira kuchuluka kwa shuga ndi kudzera mu jakisoni wa insulin.Funso la momwe angaperekere bwino timadzi m'magazi linali chidwi kwa gulu la asayansi aku America ndi aku France omwe adaganiza, pamaziko oyesera azachipatala, kuti amvetsetse kugwiritsa ntchito bwino kwa mapampu mosiyana ndi jakisoni wamba, wodziyendetsa wokha.

Pa kafukufukuyu, gulu la odzipereka 495 omwe ali ndi matenda a shuga a 2, azaka 30 mpaka 75, komanso ofuna jakisoni wambiri wa insulin, adasankhidwa.

Gululi lidalandira insulin ngati mawonekedwe a jekeseni wokhazikika kwa miyezi iwiri, pomwe anthu 331 adasankhidwa pambuyo panthawiyi.

Anthuwa adalephera, malinga ndi chizindikiro cha magazi ofotokoza magazi, kuwonetsa kuchuluka kwa shuga m'magazi (glycated hemoglobin), kutsitsa pansipa 8%.

Chizindikiro ichi chinawonetsa bwino kuti miyezi ingapo yapitayo, odwala sawunikira bwino kuchuluka kwa shuga m'thupi mwawo ndipo sanawongolere.

Pogawa anthuwa m'magulu awiri, gawo loyamba la odwala, lomwe ndi anthu 168, adayamba kubaya insulin kudzera pampu, odwala 163 otsalira adangopereka jakisoni wa insulin palokha.

Pambuyo pa miyezi isanu ndi umodzi yoyesera, zotsatirazi zidapezeka:

• kuchuluka kwa shuga mwa omwe ali ndi pampu woyikiratu kunali 0.7% kutsika poyerekeza ndi jakisoni wokhazikika wa mahomoni,
• oposa theka la omwe adagwiritsa ntchito pampu ya insulin, yomwe ndi 55%, adatha kutsitsa cholembera wa hemoglobin pansi pa 8%, 28% yokha ya odwala omwe ali ndi jekeseni ochiritsira omwe adakwaniritsa zotsatira zomwezo,
• Odwala okhala ndi mpope wokhazikika amene amakhala ndi hyperglycemia pafupifupi maola atatu patsiku.

Chifukwa chake, mphamvu ya pampu yatsimikiziridwa mwachipatala.

Kuwerengera Mlingo ndi kuphunzitsa koyambirira kugwiritsa ntchito pampu kuyenera kuchitika ndi adokotala.

Ubwino ndi zoyipa

Ubwino wawukulu wa chipangizocho ndi kuphatikiza kwachilengedwe, ngati munthu atha kunena zachilengedwe, njira ya insulin yolowera mthupi, chifukwa chake, kuyang'anira mosamala kwambiri shuga, komwe pambuyo pake kumachepetsa zovuta zazitali zomwe zimayambitsidwa ndi matendawa.

Chipangizocho chimayambitsa Mlingo wa insulin yaying'ono, yowerengeka, makamaka ya nthawi yochepa kwambiri, wobwereza ntchito ya endocrine system yathanzi.

Pampu ya insulin ili ndi zotsatirazi:

• kumabweretsa kukhazikika kwa mulingo wa glycated hemoglobin pamalire ovomerezeka,
• Amathandizanso wodwalayo kufunika kwa jakisoni wambiri wodziyimira mkati mwa insulin masana komanso kugwiritsa ntchito insulin yayitali,
• imalola wodwala kuti asankhe pang'ono pazakudya zawo, kusankha zinthu, ndipo, chifukwa chake, kuwerengera kwamawonekedwe ofunikira a mahomoni,
• Amachepetsa kuchuluka, kuuma komanso kuchuluka kwa hypoglycemia,
• imakupatsani mwayi wowongolera kuchuluka kwa shuga m'thupi panthawi yochita masewera olimbitsa thupi, komanso mutatha kuchita zinthu zolimbitsa thupi.

Zoyipa za pampu, odwala ndi akatswiri mosavomerezeka amaphatikizapo:

• mtengo wake wokwera, komanso momwe chipangacho chimagulitsira ndalama zochulukirapo, ndikuwongolera (m'malo mwake zothetsera),
• kuvala mosalekeza kwa chipangizocho, chipangizocho chimalumikizidwa ndi wodwala nthawi yonse, pampu imatha kulumikizidwa kuchokera kwa thupi osaposa maola awiri patsiku kuti muchite zinthu zina zomwe wodwala (kusamba, kusewera masewera, kugonana, ndi zina zambiri),
• monga zida zamagetsi zamagetsi zimatha kusweka kapena kugwira ntchito bwino,
• kumawonjezera chiopsezo cha kuchepa kwa insulin mthupi (matenda ashuga ketoacidosis), chifukwa insulini yochepa-yochepa imagwiritsidwa ntchito,
• kumafunikira kuwunika kwamisempha yambiri, pali kufunika kofotokozera za mankhwalawa musanadye.

Popeza mwasankha kusinthira pampu ya insulin, muyenera kukonzekera kuti muyenera kudutsa nthawi yophunzirira komanso kusinthasintha.

Ndemanga ya anthu odwala matenda ashuga omwe ali ndi zaka zopitilira 20 zokhudza pampu ya insulin

Asanagule pampu ya insulin, ogwiritsa ntchito amafuna kumva malingaliro a wodwala za chipangizocho. Odwala achikulire adagawidwa m'misasa iwiri: othandizira komanso otsutsa ogwiritsa ntchito chipangizocho.

Ambiri, akungodzipangira jakisoni wa insulin kwakanthawi, samawona zabwino zapadera zogwiritsa ntchito chipangizo chamtengo, kuzolowera kuperekera insulin "njira yakale."

Komanso m'gulu ili la odwala mukuopa kuwonongeka kwa pampu kapena kuwonongeka kwa ma chubu kulumikizana, zomwe zimapangitsa kuti asalandire mlingo wa mahomoni panthawi yoyenera.

Ponena za chithandizo cha ana omwe amadalira insulin, odwala ambiri ndi akatswiri amakhulupilira kuti kugwiritsa ntchito pampu ndikofunikira.

Mwana sangathe kubaya jakisoni payekha, amatha nthawi yoti amwe mankhwalawo, mwina adzaphonya chakudya chakecho, ndipo adzakopa chidwi chake pakati pa ophunzira nawo.

Wachinyamata amene walowa msinkhu wakutha msinkhu, chifukwa cha kusintha kwa thupi la thupi, ali pachiwopsezo chachikulu cha kuchepa kwa insulin, komwe kungalipiridwe mosavuta pogwiritsa ntchito pampu.

Kukhazikitsa pampu ndikofunikira kwambiri kwa achinyamata achinyamata, chifukwa chogwira ntchito kwambiri komanso kusuntha.

Maganizo a akatswiri a matenda ashuga

Matenda a shuga amawopa mankhwalawa, ngati moto!

Muyenera kungolemba ...

Ambiri a endocrinologists amakonda amakhulupirira kuti pampu ya insulin ndi malo abwino kwambiri obaya jakisoni wambiri wa mahomoni, omwe amalola kuti shuga ya wodwalayo ikhale m'malo ovomerezeka.

Kupatula, madokotala samangoganiza za kugwiritsa ntchito chipangizocho, koma thanzi la wodwalayo komanso kuwonjezereka kwa shuga.

Izi ndizofunikira kwambiri makamaka ngati chithandizo cham'mbuyomu sichinapereke zotsatira zomwe zimafunikira, ndipo kusintha kosasinthika kwayambika ziwalo zina, mwachitsanzo, impso, ndi kusinthanitsa kwa chiwalo chimodzi chokhazikika chikufunika.

Kukonzekera thupi kuti mufalitsidwe impso kumatenga nthawi yayitali, ndipo kuti zitheke bwino, kukhazikika kwa kuwerenga kwa magazi kumafunika. Mothandizidwa ndi pampu, izi ndizosavuta kukwaniritsa. Madotolo amati odwala omwe ali ndi matenda a shuga komanso amafunikira jakisoni wa insulin, pampu itayikidwa ndikukwaniritsa kuchuluka kwa glucose ndi iyo, amatha kukhala ndi pakati komanso kubereka mwana wathanzi labwino.

Akatswiri amati odwala omwe amapezeka ndi matenda ashuga omwe sanayikidwepo sanabwerenso moyo wawo kuti awononge thanzi lawo, adayamba kuyenda kwambiri, kusewera masewera, samvera kwambiri zakudya zawo, ndipo samatsata zakudya zoyenera.

Akatswiri amavomereza kuti pampu ya insulini imasintha bwino moyo wa wodwala wodalira insulin.

Makanema okhudzana nawo

Zomwe muyenera kudziwa musanagule pampu ya matenda ashuga:

Kuchita bwino kwa pampu ya insulin kumatsimikiziridwa mwaukadaulo, ndipo sikunaphatikizidwe. Kukhazikitsa koyenera kwambiri kwa odwala achinyamata, chifukwa ndizovuta kwambiri, kukhala pasukulu, kutsatira malingaliro onse a adokotala.

Kuyang'anira kuchuluka kwa shuga kwa wodwalayo kumangodziwikitsa ndipo pakapita nthawi kumayambitsa kukula kwake pamlingo wovomerezeka.

Endocrinologists ku Israeli kuchipatala

Malinga ndi magazini ya Forbes, mndandanda wa madokotala abwino kwambiri ku Israeli mu 2016 akuphatikizira ma endocrinologists ochokera kuchipatala cha Ikhilov, Pulofesa Naftali Stern, Dr. Jona Greenman, Dr. Keren Turjeman ndi akatswiri ena.

Odziwa za endocrinologists, omwe akwanitsa zaka 20 kapena kuposerapo, amakhala ndi ulamuliro woyenera kwa odwala ochokera kunja. Ena mwa anthuwa ndi a Dr. Shmuel Levitte a ku Sheba Hospital, Dr. Carlos Ben-Bassat ochokera ku Beilinson Hospital, ndi Dr. Galina Schenkerman ochokera ku chipatala cha Ichilov.

Mabungwe akatswiri a Israeli endocrinologists

A Endocrinological Society ikugwira ntchito ku Israeli. Palinso gulu la odwala matenda ashuga, omwe amatsogozedwa ndi Pulofesa Ardon Rubinstein ochokera ku Chipatala cha Ichilov. Gululi limaphunzitsa anthu odwala matenda ashuga za ufulu wawo wovomerezeka, chithandizo chatsopano, ndi zina zambiri. Magulu othandizira matenda a shuga akupangidwa mokhazikika, ndipo Masiku A Zaumoyo Amachitika ndi kutenga nawo mbali kwa maboma ndi zipatala.

Kusiyana pakati pa Tujeo ndi Lantus

Kafukufuku awonetsa kuti Toujeo akuwonetsa kuyendetsa bwino glycemic mu mtundu 1 ndi mtundu wa 2 odwala matenda ashuga. Kutsika kwa glycated hemoglobin mu insulin glargine 300 IU sikunasiyana ndi Lantus. Chiwerengero cha anthu omwe adakwanitsa kufika pa HbA1c anali omwewo, kuwongolera kwa ma insulin awiriwo kunali kofanana. Poyerekeza ndi Lantus, Tujeo ali ndi kutulutsidwa pang'onopang'ono kwa insulin kuchokera ku mpweya wotentha, motero mwayi waukulu wa Toujeo SoloStar ndi mwayi wochepetsedwa wokhala ndi hypoglycemia yayikulu (makamaka usiku).

Zambiri mwatsatanetsatane wa Lantushttps: //sdiabetom.ru/insuliny/lantus.html

Ubwino wa Toujeo SoloStar:

• Kutalika kwa maola opitilira maola 24,
• kuchuluka kwa 300 PIECES / ml,
• jakisoni wocheperako (mayunitsi a Tujeo siali ofanana ndi ma insulini ena),
• chiopsezo chochepa cha kukhala ndi hypoglycemia yausiku.

Zoyipa:

• osagwiritsidwa ntchito pochiza matenda ashuga a ketoacidosis,
• chitetezo ndi kuchita bwino mwa ana ndi amayi apakati sizinatsimikizidwe,
• osatchulidwa matenda a impso ndi chiwindi,
• tsankho la munthu payekha.

Malangizo achidule ogwiritsira ntchito Tujeo

Ndikofunikira kupaka insulin mosakakamira kamodzi patsiku nthawi yomweyo. Sicholinga cholowetsa magazi mkati. Mlingo ndi nthawi ya makonzedwe zimasankhidwa payekha ndi dokotala wanu woyang'aniridwa ndi shuga wamagazi pafupipafupi. Ngati moyo kapena kusintha kwa thupi, kusintha kwa mlingo kungafunike. Matenda a diabetes a Type 1 amapatsidwa Toujeo 1 nthawi patsiku limodzi ndi jekeseni wa ultrashort insulin. Mankhwalawa glargin 100ED ndi Tujeo ndi osakhala amwano komanso osasinthika.Kusintha kuchokera ku Lantus kumachitika ndi kuwerengetsa kwa 1 mpaka 1, ena omwe amakhala akuchita insulin - 80% ya tsiku lililonse.

Sizoletsedwa kusakanikirana ndi ma insulini ena!

Malo ochezera a pa Intaneti akambirana mwachangu za zabwino ndi zovuta za Tujeo. Mwambiri, anthu amakhutira ndi zomwe Sanofi adachita. Izi ndi zomwe odwala matenda ashuga amalemba:

Ngati mumagwiritsa kale Tujeo, onetsetsani kuti mukugawana zomwe mwakumana nazo mu ndemanga!

• Insulin Protafan: malangizo, analogi, ndemanga
• Insulin Humulin NPH: malangizo, analogues, ndemanga
• Insulin Lantus Solostar: malangizo ndi kuwunika
• Syringe cholembera insulin: kuwunika kwa mitundu, ndemanga
• Satellite ya Glucometer: kuwunika kwa mitundu ndi kuwunika

Matenda a insulin a shuga: mtengo ndi kuwunika kwa odwala matenda ashuga

Matenda a shuga ndi matenda omwe kagayidwe kachakudya, minyewa yam'mimba komanso mitsempha imachitika chifukwa chosowa insulini. Mtundu woyamba wa matenda ashuga, kuperewera kwa insulin kulibe kanthu, chifukwa kapamba amataya mphamvu.

Matenda a 2 a mtundu wa shuga amachitika chifukwa cha kuchepa kwa insulin komwe kumachitika chifukwa cha kukana minyewa imeneyi. Mtundu woyamba wa matenda ashuga, kuikidwa kwa insulin ndikofunikira, popanda kugwiritsa ntchito mankhwalawa panthawi yake, ketoacidosis yoopsa yomwe imayamba.

Matenda a shuga a Type 2 amathanso kukhala osokoneza bongo, pamene insulin yeniyeniyo imatha kupangidwa, komanso ngati mapiritsi sangathe kulipiritsa hyperglycemia. Mutha kuyendetsa insulin m'njira yachikhalidwe - ndi syringe kapena cholembera, chida chamakono cha odwala matenda ashuga otchedwa pampu ya insulin.

Kodi pampu ya insulin imagwira ntchito bwanji?

Zipangizo za anthu odwala matenda ashuga, monga pampu ya insulin, zikuchulukirachulukira. Chiwerengero cha odwala chikuwonjezeka, motero, kuti athane ndi matendawa amafunika chida chothandiza kuthandizira kuperekera mankhwalawo munthawi yomweyo.

Chipangizocho ndi pampu yomwe imatulutsa insulin pamalamulo oyendetsedwa ndi kayendetsedwe ka kayendedwe, imagwiritsa ntchito mfundo zachinsinsi za insulin m'thupi la munthu wathanzi. Mkati mwa pampu mumakhala bokosi la insulin. Chotupa chosinthika cha ma hormone chimakhala ndi cannula yoti ingayikidwe pansi pa khungu ndi machubu angapo olumikiza.

Kuchokera pazithunzi mutha kudziwa kukula kwa chipangizocho - chikufanana ndi pager. Insulini yochokera kuchosunga kudzera mu ngalande imadutsa mu cannula kupita munthaka ya subcutaneous. Chovuta, kuphatikiza posungira komanso cholembera kuyika, chimatchedwa infusion system. Ndi gawo lina lomwe matenda ashuga amafunika kusintha pambuyo masiku atatu ogwiritsa ntchito.

Pofuna kupewa kutengera kwa mankhwalawo ku kayendetsedwe ka insulin, nthawi yomweyo ndi kusintha kwa dongosolo la kulowetsedwa, malo omwe mankhwalawo amasintha. Cannula imayikidwa nthawi zambiri m'mimba, m'chiuno, kapena malo ena omwe insulin imabayidwa ndi njira zamakono zopangira jakisoni.

Zina za pampu kwa odwala omwe ali ndi matenda oopsa:

1. Mutha kukonzekera kuchuluka kwa insulin yobereka.
2. Kutumikiridwa ikuchitika yaying'ono.
3. Mtundu umodzi wa insulin yocheperako kapena ultrashort kanthu umagwiritsidwa ntchito.
4. Malowedwe owonjezera a mankhwalawa amaperekedwa kwa hyperglycemia yayikulu.
5. Kupezeka kwa insulin ndikokwanira masiku angapo.

Chipangizocho chimapangidwira ndi insulin iliyonse yomwe ikuchita mwachangu, koma mitundu ya ultrashort ili ndi mwayi: Humalog, Apidra kapena NovoRapid. Mlingo umatengera chitsanzo cha pampu - kuchokera pa 0,025 mpaka 0,1 PIECES pa kupatsira aliyense. Izi magawo a kulowa kwa mahomoni m'magazi kumabweretsa njira yoyendetsera kuyandikira kwachilengedwe.

Popeza kuchuluka kwa insulini yakumbuyo yam'mbuyo sikumakhala kofanana panthawi zosiyanasiyana zamasiku, zida zamakono zimatha kukumbukira kusintha kumeneku. Malinga ndi ndandanda, mutha kusintha kuchuluka kwa insulin kutuluka m'magazi mphindi 30 zilizonse.

Ubwino wa pampu yodwala

Pampu ya insulin siyingachiritse matenda ashuga, koma kugwiritsidwa ntchito kwake kumathandiza kuti moyo wa wodwala ukhale wabwino. Choyamba, zida zimachepetsa kusinthasintha kwakanthawi kwa shuga m'magazi, zomwe zimatengera kusintha kwa kuthamanga kwa insulin ya nthawi yayitali.

Mankhwala ofupikira ndi a ultrashort omwe amagwiritsidwa ntchito kupangira chipangizocho amakhala olimba komanso oganiza bwino, kuyamwa kwawo m'magazi kumachitika nthawi yomweyo, ndipo Mlingo wake ndi wocheperako, zomwe zimachepetsa chiopsezo cha zovuta za jakisoni wa insulin ya matenda ashuga.

Pampu ya insulin imathandizira kudziwa kuchuluka kwa insulin. Izi zimaganizira kukhudzika kwaumwini, kusinthasintha kwa tsiku ndi tsiku, chakudya chokwanira, komanso glycemia ya wodwala aliyense. Magawo onsewa amalowetsedwa mu pulogalamuyi, yomwe imawerengera yekha kuchuluka kwa mankhwalawo.

Kuwongolera uku kwa chipangizocho kumakupatsani mwayi woganizira za shuga, komanso kuchuluka kwa zakudya zomwe zimapangidwira kuti muzidya. Ndikotheka kutumiza mlingo wa bolus osati nthawi yomweyo, koma agawireni munthawi yake. Kufunikira kwa pampu ya insulin malinga ndi anthu odwala matenda ashuga omwe ali ndi zaka zopitilira 20 ndi kofunikira kwambiri pa phwando lalitali komanso kugwiritsa ntchito pang'onopang'ono chakudya.

Zotsatira zoyenera kugwiritsa ntchito pampu ya insulin:

• Gawo laling'ono pakayendetsedwe ka insulin (0,1 PESCES) komanso kutsimikiza kwakukulu kwa mankhwala.
• Nthawi 15 zopweteka pakhungu.
• Kuwongolera shuga wamagazi ndikusintha kwa chiwongola dzanja cha mahomoni kutengera zotsatira zake.
• Kudula mitengo, kusungirako glycemia ndi kumwa kwa mankhwalawo kuyambira mwezi umodzi mpaka miyezi isanu ndi umodzi, ndikuwasamutsa pakompyuta kuti iwasanthule.

Zizindikiro ndi zotsutsana pakukhazikitsa pampu

Pofuna kusinthana ndi insulin makina ogwiritsa ntchito pampu, wodwalayo ayenera kuphunzitsidwa bwino momwe angakhalire magawo a kupatsirana kwa mankhwalawa, komanso kudziwa mlingo wa insulin pakudya ndi chakudya.

Pampu ya matenda a shuga ikhoza kukhazikitsidwa pokhapokha wodwala atapempha. Ndikofunika kugwiritsa ntchito mankhwalawa pakakhala zovuta pakulipirira matendawa, ngati kuchuluka kwa hemoglobin ya glycated mu akulu kuli pamwamba pa 7%, ndipo mwa ana - 7.5%, komanso kusinthasintha kwakukulu pakuphatikizidwa kwa shuga m'magazi.

Kuchiza kwa insulin kumawonetsedwa ndi madontho a shuga pafupipafupi, makamaka kuwopsa kwa matenda a hypoglycemia, ndi vuto la "m'mawa kutacha", pakubala kwa mwana, pakubala, komanso pambuyo pawo. Ndikulimbikitsidwa kugwiritsa ntchito chipangizochi kwa odwala omwe ali ndi vuto losiyanasiyana la insulin, kwa ana, ndi kuchepetsedwa kukula kwa matenda a shuga a autoimmune ndi mitundu yake ya monogenic.

Contraindication yokhazikitsa pampu:

1. Kuzindikira kwa wodwala.
2. Kuperewera kwa luso la kudziletsa kwa glycemia ndi kusintha kwa insulin kutengera chakudya ndi zochita zolimbitsa thupi.
3. Matenda amisala.
4. Masomphenya otsika.
5. Kutheka kwa kuyang'aniridwa kwamankhwala panthawi yophunzitsira

Ndikofunikira kuganizira za chiopsezo cha hyperglycemia chifukwa pakalibe insulin yayitali m'magazi. Ngati vutoli latha, ndiye kuti mankhwala atasiya kugwira ntchito, ketoacidosis imayamba pakatha maola 4, ndipo pambuyo pake chikomokere matenda ashuga.

Chipangizo chothandizira kupopera insulin mankhwala ndi odwala ambiri, koma ndi okwera mtengo. Pankhaniyi, njira yothandizira odwala matenda ashuga atha kulandira kwaulere kuchokera kwa ndalama zomwe boma lagawa. Kuti muchite izi, muyenera kulumikizana ndi endocrinologist kumalo komwe mumakhala, kuti mupeze malingaliro pazakufunika kotereku kuperekera insulin.

Mtengo wa chipangizocho umadalira luso lake: kuchuluka kwa thankiyo, mwayi wosintha momwe mulili, poganizira momwe mankhwalawo alili, kuchuluka kwa chakudya, kuchuluka kwa glycemia, alamu, ndi kukana kwamadzi.

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

Kuti moyo ukhale wosavuta ndikusintha kayendedwe ka shuga, ma insulin achire anthu odwala matenda ashuga amatha kugwiritsa ntchito insulin.Chipangizochi chimawerengedwa kuti ndi njira yotsogola kwambiri poperekera mahomoni. Kugwiritsa ntchito pampu kumakhala ndi zotsutsana pang'ono, mutatha kuphunzitsa mokakamiza wodwala aliyense yemwe amadziwa bwino masamu kuti apirire.

Mitundu yapompopompo yaposachedwa ndiyokhazikika ndipo imapereka glucose wabwino kwambiri komanso hemoglobin, kuposa kubaya insulin ndi cholembera. Zachidziwikire, zida izi zilinso ndi zovuta. Amayenera kuyang'aniridwa, zothetsera zimasinthidwa nthawi zonse ndikukonzekera kupereka insulin njira yakale ngati zinthu sizinachitike mwadzidzidzi.

Moni Dzina langa ndine Galina ndipo sindilinso ndi matenda ashuga! Zinanditengera milungu itatu yokhakubwezeretsa shuga kwachikhalidwe komanso kusakhala mankhwala osokoneza bongo
>>Mutha kuwerenga nkhani yanga apa.

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 chachikulu 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 ngati matenda a shuga, insulin yayitali imagwiritsidwa ntchito kukwaniritsa zofunikira za thupi za mahomoni, nthawi yochepa asanadye.

Pampu imapangidwira pokhapokha ndi insulin yochepa kapena ya ultrashort, kuti isungire chinsinsi cha kumbuyo, imayilowetsa pansi pa khungu nthawi zambiri, koma m'magawo ang'onoang'ono. 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 yemwe 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 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 insulin yokha ya ultrashort. Imalowa m'magazi mwachangu ndikuchita mosasunthika, motero, imapambana kwambiri ndi insulin, yomwe imayamwa nthawi 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 kukumbukira kwa chipangizocho kuchuluka kwa insulin pa 1 XE kutengera nthawi ya tsiku komanso kuchuluka kwa shuga m'magazi. 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 wabwinobwino mukamasewera masewera, maphwando a nthawi yayitali, komanso odwala matenda ashuga ali ndi mwayi wosatsatira zakudyazo 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, kulumpha pafupipafupi m'magazi a shuga, hypoglycemia yausiku, komanso shuga yayikulu. Komanso, chipangizocho chikutha kugwiritsidwa ntchito bwino ndi odwala omwe ali ndi insulin.

Ndikofunikira kwambiri: Lekani kudyetsa mafia azakudya zonse. Ma Endocrinologists amatipangitsa kuti tiziwonongeratu ndalama pamapiritsi pomwe shuga m'magazi amatha kukhala ngati ma ruble 147 ... >>werengani nkhani ya Alla Viktorovna

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 magwiridwe antchito.

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. Aphatikize cannula pamalo a jakisoni a 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.

Chifukwa chake, kugwiritsa ntchito pampu ya insulin tsopano ndikodula kwambiri: zotsika mtengo komanso zosavuta ndiz 4,000 pamwezi. Mtengo wautumiki ukhoza kufikira ma ruble 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.

Kusankha kwa Brand

Ku Russia, ndizotheka kugula ndipo, ngati kuli kofunikira, 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.

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.

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 pa 29.12.

14pambuyo pake amatumizidwa ku dipatimenti ya Zaumoyo kuti akawaganizire ndi kusankha pakugawidwa kwa voti. Pakadutsa masiku 10, mwayi wopereka VMP umaperekedwa, pambuyo pake wodwala yemwe ali ndi matenda ashuga amafunika kungodikirira 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.

Chonde dziwani: Kodi mumalota kuti muthetse matenda ashuga kamodzi? Phunzirani momwe mungathetsere matendawa, osagwiritsa ntchito mankhwala okwera mtengo pokhapokha ... >>werengani zambiri apa

Pulogalamu ya insulin - mfundo ya kagwiritsidwe ntchito, ndemanga za anthu odwala matenda ashuga, kuwunika kwamitundu

Pampu ya insulin idapangidwa kuti ikhale yosavuta kuyendetsa magazi m'magazi ndikuwongolera moyo wa odwala matenda ashuga. Chipangizochi chimakulolani kuti muchotsere jakisoni wokhazikika wa mahomoni a kapamba.Pampu ndi njira ina yopangira majakisoni ndi ma syringe ena wamba.

Imagwira ntchito mosasinthasintha kwa wotchi, yomwe imathandizira kusintha kwa glucose komanso mfundo za hemoglobin za glycosylated.

Chipangizocho chikutha kugwiritsidwa ntchito ndi anthu omwe ali ndi matenda a shuga 1, komanso odwala omwe ali ndi mtundu wachiwiri, pakakhala kufunika kwa jakisoni wa mahomoni.

Pampu ya insulin ndi chipangizo chogwirira ntchito chomwe chimapangidwira kuti chithandizire kuchuluka kwa timadzi tating'onoting'ono tating'onoting'ono tating'onoting'ono tating'onoting'ono.

Zimaperekanso mphamvu ya thupi ya insulini, kutsata ntchito za kapamba.

Mitundu ina ya mapampu a insulin imatha kuwunika kuchuluka kwa shuga m'magazi kuti isinthe msanga wa mahomoni ndikulepheretsa kukula kwa hypoglycemia.

Chipangizocho chili ndi zinthu zotsatirazi:

• pampu (pampu) yokhala ndi chophimba chaching'ono komanso mabatani olamulira,
• katemera wa insulin
• kulowetsedwa dongosolo - cannula yoyikapo ndi catheter,
• ma batri (mabatire).

Mapampu amakono a insulin ali ndi ntchito zina zomwe zimapangitsa moyo kukhala wosavuta kwa odwala matenda ashuga:

• Kuchepetsa wokhazikika wa insulin pa nthawi ya hypoglycemia,
• kuwunika kuchuluka kwa shuga m'magazi,
• zizindikiro zomveka shuga zikagunda kapena zikagwa,
• kuteteza chinyezi,
• kuthekera kusamutsa chidziwitso pakompyuta chokhudza kuchuluka kwa insulin yomwe mwalandira komanso kuchuluka kwa shuga
• mphamvu yakutali yoyendetsedwa ndi kutali.

Chipangizochi chapangidwa kuti chizipeza mankhwala olimbitsa thupi.

Mfundo za magwiridwe antchito

Pali piston pakumpukusira kwa pampu, komwe nthawi zina kumanikizira katakitiri wa insulin, potero kuonetsetsa kuti amayambitsa matumba a mphira m'matumba ochepera.

Catheters ndi cannulas diabetesic ayenera m'malo masiku atatu alionse. Nthawi yomweyo, malo oyang'anira mahomoni amasinthidwanso. Cannula nthawi zambiri imayikidwa m'mimba; imatha kuphatikizidwa ndi khungu la ntchafu, phewa, kapena matako. Mankhwalawa ali mu thanki yapadera mkati mwa chipangizocho. Pakupopa kwa insulin, mankhwala osokoneza bongo omwe amagwiritsidwa ntchito posachedwa amagwiritsidwa ntchito: Humalog, Apidra, NovoRapid.

Chipangizocho chimatenga malo obisika a kapamba, motero timadzi timene timayendetsedwa mu njira ziwiri - zoyambira ndi zofunikira.

Wodwala matenda ashuga amatsata insulin pamanja pachakudya chilichonse, poganizira kuchuluka kwa buledi.

Njira yayikulu ndikulowerera kwakanthawi kwa Mlingo waung'ono wa insulin, womwe umalowa m'malo mwa insulin. Hormoni imalowa m'magazi angapo mphindi zochepa zilizonse.

Ndani akuwonetsedwa ngati mankhwala a insulin

Wodwala aliyense yemwe ali ndi matenda a shuga omwe amafunika jakisoni wa insulin akhoza kukhala ndi pampu ya insulini yoyikidwira pempho lake. Ndikofunika kuuza munthu mwatsatanetsatane maluso onse a chipangizocho, kufotokoza momwe mungasinthire mankhwalawa.

Kugwiritsa ntchito pampu ya insulin kumalimbikitsidwa kwambiri pazinthu zotere:

• osakhazikika matenda, pafupipafupi hypoglycemia,
• ana ndi achinyamata omwe amafunikira kuchuluka kwa mankhwalawa,
• chifukwa cha hypersensitivity payekha kwa mahomoni,
• kulephera kukwaniritsa zabwino za glucose mukabaya,
• kusowa kwa chipukuta cha matenda a shuga (glycosylated hemoglobin pamwamba pa 7%),
• "Mbandakucha" - kuwonjezereka kwa glucose kumadzuka,
• matenda a shuga, makamaka kupitirira kwa neuropathy,
• kukonzekera pakati komanso nthawi yonse,
• Odwala omwe amakhala ndi moyo wakhama, amakhala maulendo atchuthi pafupipafupi, sangathe kukonza zakudya.

Ubwino wa Chipumphu cha Matenda A shuga

• Kusunga shuga wabwinobwino popanda kudumpha masana chifukwa chogwiritsa ntchito mahomoni a ultrashort.
• Mlingo wa botus wa mankhwalawa ndi kulondola kwa mayunitsi a 0,1. Mlingo wa insulin pakadutsa koyamba ungasinthidwe, mlingo wocheperako ndi zigawo za 0,025.
• Kuchuluka kwa jakisoni kumachepetsedwa - cannula imayikidwa kamodzi masiku atatu, ndipo mukamagwiritsa ntchito syringe wodwalayo amatha jakisoni 5 patsiku. Izi zimachepetsa chiopsezo cha lipodystrophy.
• Kuwerengera kosavuta kwa kuchuluka kwa insulin. Munthu ayenera kulowetsa deta mu dongosololi: kuchuluka kwa shuga ndi kufunikira kwa mankhwala munthawi zosiyanasiyana za tsiku. Kenako, musanadye, zimangosonyeza kuchuluka kwa chakudya, ndipo chipangizocho chokha chidzalowa muyezo womwe mukufuna.
• Pampu ya insulin suwoneka kwa ena.
• Magazi osinthika a shuga pakulimbitsa thupi, maphwando. Wodwala amatha kusintha pang'ono podyedwa popanda kuvulaza thupi.
• Chipangizocho chikuwonetsa kuchepa kapena kuwonjezeka kwa glucose, komwe kumathandiza kupewa kukomoka kwa matenda ashuga.
• Kusunga deta m'miyezi ingapo yapitayo yokhudza kutalika kwa mahomoni ndi shuga. Izi, pamodzi ndi chisonyezo cha hemoglobin ya glycosylated, zimalola kuwunika mozama momwe mankhwalawo amathandizira.

Zoyipa zamagwiritsidwe

Pampu ya insulin ikhoza kuthana ndi mavuto ambiri okhudzana ndi insulin. Koma kugwiritsidwa ntchito kwake kuli ndi zovuta zake:

• mtengo wokwera wa chipangacho komanso chomwe chikutha, chomwe chimayenera kusinthidwa masiku atatu aliwonse,
• Chiwopsezo cha ketoacidosis chimawonjezeka chifukwa palibe insulin depot mthupi,
• kufunika kolamulira shuga m'magawo 4 patsiku kapena kupitilira, makamaka kumayambiriro kwa kugwiritsa ntchito pampu,
• chiopsezo cha matenda pamalopo a cannula ndikukula kwa chitupa,
• kuthekera kwa kuyimitsa kumayambiriro kwa mahomoni chifukwa chosagwira bwino ntchito zamagetsi,
• Kwa odwala matenda ashuga, kuvala mpope nthawi zonse kumakhala kovuta (makamaka pakusambira, kugona, pogonana),
• Pali chiopsezo chowonongeka pa chipangizochi mukamasewera.

Pampu ya insulini siimadziwidwa kuti isawonongeke yomwe ingayambitse wodwalayo. Kuti izi zisachitike, munthu wodwala matenda ashuga ayenera kukhala naye nthawi zonse:

1. Syringe yodzaza ndi insulin, kapena cholembera.
2. M'malo hormone katoni ndi kulowetsedwa.
3. Batire yosinthira m'malo.
4. Madzi a glucose mita
5. Zakudya zambiri zopatsa mphamvu (kapena mapiritsi a shuga).

Kuwerengera Mlingo

Kuchuluka ndi kuthamanga kwa mankhwalawa pogwiritsa ntchito pampu ya insulin amawerengedwa potengera kuchuluka kwa insulin yomwe wodwala adalandira asanagwiritse ntchito chipangizocho. Mlingo wokwanira wa mahomoni umachepetsedwa ndi 20%, m'malamulo oyambira, theka la ndalamazi limaperekedwa.

Poyamba, kuchuluka kwa mankhwala osokoneza bongo ndi chimodzimodzi tsiku lonse. Mtsogolomo, wodwalayo amatha kusintha momwe kayendetsedwe: chifukwa ndikofunikira kuyeza shuga m'magazi. Mwachitsanzo, mutha kuwonjezera kuchuluka kwa mahomoni m'mawa, zomwe ndizofunikira kwa odwala matenda ashuga omwe ali ndi matenda a hyperglycemia podzuka.

Njira yotsamira imakhazikitsidwa pamanja. Wodwala ayenera kulowa mu pulogalamu ya kukumbukira kwa chipangizocho pa kuchuluka kwa insulin yomwe imafunikira mkate umodzi, kutengera nthawi ya tsiku. M'tsogolomo, musanadye, muyenera kufotokozera kuchuluka kwa chakudya chamagulu, ndipo chipangacho chokha chidzawerengera kuchuluka kwa mahomoni.

Kuti athandize odwala, pampu imakhala ndi zosankha zitatu:

1. Mwachizolowezi - kulowetsedwa kwa insulin kamodzi musanadye.
2. Wotambitsidwa - mahomoni amaperekedwa kwa magazi mofanananso kwakanthawi, komwe nkotheka pakudya mafuta ochulukirapo.
3. Mafuta-akuwombera kawiri - theka la mankhwalawo limalowetsedwa nthawi yomweyo, ndikupuma pang'onopang'ono m'magawo ang'onoang'ono, ogwiritsidwa ntchito pamaphwando atali.

Medtronic MMT-522, MMT-722

Chipangizocho chili ndi ntchito yowunikira glucose wamagazi, zambiri zazidziwitso zili m'chikumbumtima cha masabata 12. Pampu ya insulin imayambitsa kuchepa kwakukulu kapena kuwonjezeka kwa shuga pogwiritsa ntchito chizindikiro cha kugwedezeka. Ndikotheka kukhazikitsa zikumbutso za glucose.

Medtronic Veo MMT-554 ndi MMT-754

Mtunduwu uli ndi zabwino zonse za mtundu wakale.

Mulingo wocheperako woyambira wa insulin ndi 0,025 U / h, yomwe imalola kugwiritsa ntchito chida ichi mwa ana ndi odwala matenda ashuga omwe amakhala ndi chidwi chachikulu ndi mahomoni.

Zolemba malire patsiku, mutha kulowa mpaka magawo 75 - ndikofunikira pakulimbana ndi insulin. Kuphatikiza apo, lamuloli limakhala ndi ntchito yoletsa kutuluka kwa mankhwala ngati vuto la hypoglycemic latha.

Roche Accu-Chek Combo

Ubwino wofunikira pampu iyi ndi kupezeka kwa gulu lowongolera lomwe limagwiritsa ntchito ukadaulo wa Bluetooth. Izi zimakuthandizani kuti mugwiritse ntchito chipangizocho mosazindikira ndi alendo. Chipangizocho chimatha kupirira kumizidwa m'madzi akuya osaposa 2.5 m kwa mphindi 60. Mtunduwu umatsimikizira kudalirika kwakukulu, komwe kumaperekedwa ndi microprocessors awiri.

Kampani ya Israeli ya Geffen Medical yakhazikitsa pampu yamakono yopanda zingwe ya insulin Insulet OmniPod, yomwe imakhala ndi kayendetsedwe kakutali komanso thanki yopanda madzi chifukwa cha insulin yomwe idakwera pathupi. Tsoka ilo, palibe chithandizo chovomerezeka cha mtunduwu ku Russia panobe. Itha kugulidwa m'misika yakunja pa intaneti.

Momwe mungawerengere Mlingo wa insulin

Mukasinthira pampu, mlingo wa insulin umatsika pafupifupi 20%. Potere, mlingo woyambira udzakhala theka la mankhwalawa omwe amaperekedwa. Poyamba, amathandizira pa mlingo womwewo, kenako wodwala amayeza kuchuluka kwa glycemia masana ndikusintha mlingo, poganizira zomwe zidapezeka, osapitirira 10%.

Chitsanzo cha kuwerengetsa mlingo: musanagwiritse ntchito pampu, wodwalayo amalandira mapiritsi 60 a insulin tsiku lililonse. Kwa pampu, mlingo umatsika ndi 20%, ndiye muyenera mayunitsi 48. Mwa izi, theka la basal ndi magulu 24, ndipo otsalawo amayamba nawo asanadye kaye.

Kuchuluka kwa insulini yomwe iyenera kugwiritsidwa ntchito chakudya chisanakhazikitsidwe pamanja malinga ndi mfundo zomwe zimagwiritsidwa ntchito pazomwe zimagwiritsidwa ntchito pakayendetsedwe ka syringe. Kusintha koyambirira kumachitika m'madipatimenti apadera a insulin therapy, pomwe wodwalayo amayang'aniridwa ndi achipatala mosamala.

Zosankha zama insulin

• Zoyimira. Insulin imayendetsedwa kamodzi. Amagwiritsidwa ntchito popanga chakudya chochuluka muzakudya komanso zomanga thupi zochepa.
• Lalikulu. Insulin imagawidwa pang'onopang'ono kwa nthawi yayitali. Zimawonetsedwa pakukhuta kwakukulu kwa chakudya ndi mapuloteni ndi mafuta.
• Pawiri. Choyamba, mlingo waukulu umayambitsidwa, ndipo wocheperako umatenga nthawi. Chakudya chokhala ndi njirayi chimakhala ndi chakudya chamafuta kwambiri komanso mafuta.
• Zabwino. Mukamadya ndi index yayikulu ya glycemic, mlingo woyambayo umachuluka. Mfundo za kayendetsedwe kamafanana ndi mtundu wamba.

Zovuta za Pulogalamu ya Insulin

Zambiri mwazovuta za pump insulin therapy ndizokhudzana ndi chakuti chipangizocho chimatha kukhala ndi vuto laukadaulo: pulogalamu yovuta, kutseka kwa mankhwalawa, kucheka kwa cannula, ndi kulephera kwa magetsi. Zolakwika zoterezi zopopa zimatha kuyambitsa matenda ashuga a ketoacidosis kapena hypoglycemia, makamaka usiku, pomwe palibe kuwongolera njirayi.

Mavuto pakugwiritsa ntchito pampu amadziwika ndi odwala akamatenga njira zamadzi, kusewera masewera, kusambira, kugonana, komanso kugona. Kusokonezekaku kumapangitsanso kupezeka kosalekeza kwa machubu ndi ziphuphu pakhungu la pamimba, chiopsezo chachikulu chotenga kachilomboka pamalo a jekeseni wa insulin.

Ngati mutatha kupeza inshuwaransi yaulere, ndiye kuti nkhani yokhudza kugula zinthu zomwe mumakonda ndi yovuta. Mtengo wamankhwala obwezeretsera njira yogwiritsira ntchito mankhwala a insulini ndiwokwera kangapo kuposa mtengo wa ma insulin kapena cholembera chimbudzi.

Kupititsa patsogolo chipangizochi kumachitika mosalekeza ndipo kumayambitsa kupangidwa kwa mitundu yatsopano yomwe ingathetseretu kukhudzidwa kwa chinthu cha munthu, popeza ali ndi kuthekha kusankha mosamala mlingo wa mankhwalawo, womwe ndi wofunikira pakuyamwa kwa shuga m'magazi mutatha kudya.

Pakadali pano, mapampu a insulin sakhala ambiri chifukwa cha zovuta zomwe amagwiritsa ntchito tsiku lililonse komanso mtengo wokwera wa chipangizocho komanso ma infusion obwezeretsanso. Kuchepa kwawo sikuzindikirika ndi odwala onse, ambiri amakonda jakisoni achikhalidwe.

Mulimonsemo, makonzedwe a insulin sangakhale popanda kuwunika nthawi zonse matenda a shuga, kufunika kotsatira malangizo a kadyedwe, masewera olimbitsa thupi a shuga komanso kuyendera endocrinologist.

Kanemayo munkhaniyi akufotokoza bwino mapampu a insulini.

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Pampu ya insulin: ndemanga, kuwunika, mitengo, momwe mungasankhire

Pampu ya insulin ndi chida chapadera choperekera insulin kwa thupi la wodwala yemwe ali ndi matenda ashuga. Njirayi ndi njira ina yosagwiritsira ntchito syringe-mtsinje ndi syringes. Pampu ya insulini imagwira ntchito ndikupereka mankhwala mosasinthasintha, womwe ndi mwayi wake waukulu pakubaya jakisoni wa insulin.

Ubwino wake wa izi ndi monga:

1. Mosavuta makonzedwe ang'onoang'ono Mlingo wa insulin.
2. Palibe chifukwa chobayira insulin yowonjezera.

Pampu ya insulin ndi chipangizo chovuta, ndipo magawo ake ndi:

1. Pampu - pampu yomwe imatulutsa insulini kuphatikiza kompyuta (control system).
2. Katiriji mkati mwa pampu ndi insulin.
3. Makina obwezeretsanso osakanikirana a cannula ndi machubu angapo kulumikiza ndi chosungira.
4. Mabatire

Pampu ya inshuwaransi ya Refuel insulin yokhala ndi insulin iliyonse, ndibwino kugwiritsa ntchito Ultvo-Short NovoRapid, Humalog, Apidru. Izi zitha masiku angapo musanapange mafuta kuti mukhalenso.

Mfundo za pampu

Zipangizo zamakono zili ndi choperewera, ndipo ndizofanana ndi pger. Insulin imaperekedwa ku thupi laumunthu kudzera pamiyendo yapadera yopapatiza (ma catheters omwe ali ndi cannula kumapeto). Kudzera m'machubu awa, chosungira mkati mwa pampu, chodzaza ndi insulin, chimalumikizana ndi mafuta osunthika.

Pampu yamakono ya insulin ndi chipangizo chopepuka cha pager. Insulin imalowetsedwa m'thupi kudzera m'matimu oonda. Amamangirira madzi osungirako ndi insulin mkati mwa chipangizocho ndi mafuta osakanikira.

Vutoli, kuphatikiza posungira lokha ndi catheter, limatchedwa "infusion system." Wodwala azisintha masiku atatu onse. Imodzi ndi kusintha kwa kulowetsedwa, malo omwe amapezeka ndi insulin amafunikanso kusinthidwa. Cannula ya pulasitiki imayikidwa pansi pa khungu m'malo omwewo omwe insulin imabayidwa ndi njira yokhayo yovomerezeka.

Ma analog a insulin osakhalitsa pang'onopang'ono nthawi zambiri amaperekedwa ndi pampu; nthawi zina, insulin ya anthu yochepa imatha kugwiritsidwanso ntchito. Kupereka kwa insulin kumachitika m'miyeso yaying'ono kwambiri, mu Mlingo kuchokera ku 0,025 mpaka 0.100 mayunitsi nthawi (izi zimatengera chitsanzo cha pampu).

Mlingo wa insulini wakonzedwa, mwachitsanzo, kawonedwe kameneka kamapereka ma insulini a 0.05 mphindi 5 zilizonse mwachangu magawo a 0,6 pa ola limodzi kapena masekondi aliwonse 150 pa mayunitsi a 0.025.

Malinga ndi lingaliro la magwiridwe antchito, mapampu a insulin ali pafupi ndi magwiridwe antchito aanthu. Ndiye kuti, insulin imayendetsedwa m'njira ziwiri - bolus ndi basal. Zinapezeka kuti kuchuluka kwa insulin yotulutsidwa ndi kapamba kumasiyana malinga ndi nthawi ya tsiku.

M'mapampu amakono, ndizotheka kukonza kuchuluka kwa insulin, ndipo malinga ndi ndandanda imatha kusintha mphindi 30 zilizonse. Chifukwa chake, "insulin yakumbuyo" imatulutsidwa m'magazi m'magawo osiyanasiyana nthawi zosiyanasiyana.

Asanadye chakudya, mankhwala a bolus amafunikira. Wodwala amayenera kuchitika pamanja.

Mutha kukhazikitsanso pampu kuti ikhale ndi mankhwalawa pokhapokha ngati pali kuchuluka kwina kwa insulini m'magazi.

Zisonyezo za pampu insulin mankhwala

Kusintha kwa mankhwala a insulin pogwiritsa ntchito pampu kumachitika mu milandu ili:

1. Pofunsidwa ndi wodwalayo.
2. Ngati sizotheka kulandira chindapusa chabwino cha matenda ashuga (glycated hemoglobin ali ndi mtengo woposa 7%, ndipo mwa ana - 7.5%).
3. Kusintha pafupipafupi komanso kwakukuru pakusintha kwa shuga m'magazi kumachitika.
4. Nthawi zambiri pamakhala hypoglycemia, kuphatikizapo mawonekedwe owopsa, komanso usiku.
5. Zodabwitsa za "mbandakucha m'mawa."
6. Zotsatira zosiyanasiyana za mankhwala kwa wodwala masiku osiyanasiyana.
7. Ndikulimbikitsidwa kugwiritsa ntchito chipangizochi pakukonzekera kubereka, mukakhala ndi mwana, panthawi yobereka komanso pambuyo pake.
8. Zaka za ana.

Mwachidziwitso, pampu ya insulin iyenera kugwiritsidwa ntchito mwa onse odwala matenda ashuga omwe amagwiritsa ntchito insulin. Kuphatikizira kuchedwa kwa autoimmune shuga mellitus, komanso mitundu ya matenda ashuga.

Contraindication pa ntchito pampu ya insulin

Mapampu amakono ali ndi chida chotere chomwe odwala amatha kugwiritsa ntchito mosavuta ndikuzikonza payokha. Koma ngakhale zili choncho, mankhwala a insulin omwe amatanthauza kuti wodwalayo ayenera kutenga nawo mbali pamankhwala ake.

Ndi mankhwala a insulin ofotokoza kupopa, chiopsezo cha hyperglycemia (kuchuluka kwambiri kwa shuga m'magazi) kwa wodwalayo chikuwonjezereka, ndipo mwayi wokhala ndi matenda a shuga a ketoacidosis nawonso ndiwokwera. Izi ndichifukwa choti palibe insulin yomwe imatenga nthawi yayitali m'magazi a anthu odwala matenda ashuga, ndipo ngati kupezeka kwa insulin yayifupi pazifukwa zilizonse kuyimitsidwa, zovuta zina zimatha kuyamba patatha maola 4.

Kugwiritsa ntchito pampu kumapangidwa panthawi yomwe wodwalayo alibe chidwi kapena kuthekera kugwiritsa ntchito njira yayikulu yosamalira matenda a shuga, ndiye kuti, alibe luso lodziwonera wokha wama shuga, samawerengera mafuta ochulukirapo malinga ndi dongosolo la buledi, samakonzekera kuchita zolimbitsa thupi komanso kuwerengetsa Mlingo wa insulin.

Pampu ya insulin sikugwiritsidwa ntchito kwa odwala omwe ali ndi matenda amisala, chifukwa izi zimapangitsa kugwirira ntchito molakwika kwa chipangizocho. Ngati wodwala matenda ashuga asaone kwambiri, sangathe kuzindikira zolembedwa papompo la insulin.

Pachigawo choyambirira chogwiritsa ntchito pampu, kuyang'anira dokotala nthawi zonse ndikofunikira. Ngati palibe njira yoperekera, ndibwino kuchedwetsa kusintha kwa insulin ndikugwiritsa ntchito pampu nthawi ina.

Kusankhidwa kwa pampu ya insulin

Mukamasankha chida ichi, onetsetsani kuti mumvera:

• Kuchuluka kwa voliyumu. Iyenera kukhala ndi insulin yambiri ngati ikufunika masiku atatu.
• Kodi zilembozi zimawerengedwa kuchokera pachinsalu bwino, ndipo kodi kuwongola kwake komanso kusiyana kwake ndikokwanira?
• Mlingo wa botus insulin. Muyenera kuyang'anitsitsa kuchuluka kwa insulin yomwe ingathe kuyikidwa, komanso ngati ili yoyenera kwa wodwala wina. Izi ndizofunikira kwambiri kwa ana, chifukwa amafunika Mlingo wochepa kwambiri.
• Makina owerengera. Kodi ndizotheka kugwiritsa ntchito kuchuluka kwa wodwalayo pakampampu, monga insulin sensitivity factor, nthawi ya mankhwala, carbohydrate coefftire, chandamale m'magazi a shuga.
• Zowawa Kodi zidzakhala zofunikira kumva kulira kapena kumva kugwedezeka pomwe mavuto abwera.
• Madzi osagwira. Kodi pakufunika pampu yopanda madzi.
• Kuchita ndi zida zina. Pali ma pampu omwe amatha kugwira ntchito mwaokha mophatikiza ndi glucometer ndi zida zowunikira shuga wamagazi mosalekeza.
• Kusavuta kugwiritsa ntchito pampu m'moyo watsiku ndi tsiku.

Momwe timayesera kuyika pampu ya insulin

Moni, owerenga okondedwa kapena mlendo wongobwera! Nkhaniyi ikhala yosiyana pang'ono. Izi zisanachitike, ndidalemba pamitu yachipatala, kudali kovuta kuwona ngati dotolo.

Lero ndikufuna kukhala kumbali ina ya "zotchinga" ndikuyang'ana zovuta kudzera m'maso a wodwalayo, makamaka chifukwa sizovuta kwa ine kuchita izi, chifukwa ngati sindikudziwa, sindingokhala wodwala wa endocrinologist, komanso mayi wa mwana wa matenda ashuga.

Ndikukhulupirira kuti chondichitikira chitha kuthandiza ena ...

Posachedwa, mu Okutobala 2012, ine ndi mwana wanga wamwamuna tinali m'chipatala cha ana a Republican. Izi zisanachitike, ndinali m'chipatala ndili ndi mwana kamodzi kokha (zaka 4 zapitazo) kwa tsiku limodzi ndi theka, ndipo zikuoneka kuti sindinkadziwa zonse za "zithumwa" zonse.

Mpaka nthawi iyi, abambo athu anali kugona nthawi zonse. Nthawi iyi kuchipatala kunali kukonzekera - mayeso otsatila alemala. Mwambiri, izi ndizodabwitsa, bwanji mukufunika kuvutika kwambiri chaka chilichonse kuti mupange pepala la pinki? Kapena akuganiza pamwambapa kuti chozizwitsa chidzagwera mwana ndipo achotsa matenda ashuga awa?

Zachidziwikire, sindikutsutsana ndi zochitika zoterezi, koma tonse tikudziwa kuti izi zachokera ku nthano yopeka. Ndinalemba kale izi munkhani yomwe ndidalankhula za kuthekera kochotsa matenda ashuga, ngati simunawerenge, ndikulimbikitsa kuti muziwerenge.

Mwambiri, inaliulendo wamba kupita ku chipatala, ndipo sindingathe kulingalira kuti zikadzabweretsa chiyani. Zomwe ndidaphunzira komanso zomwe ndidapanga, ndidaziwerenga.

Ngati mwakhala mu chipatala, mumvetsetsa mkhalidwe wanga. Ayi, sindikuyankhula za zochitika wamba. Zinali zabwino kwenikweni: mu dipatimentiyo panali kukonza, gulu la anthu 2, mu wadiyo panali zovala, tebulo, komanso ulemu. node (lakuya ndi chimbudzi mbale). Koma m'maganizo ndizovuta kupirira. Sindinazolowerepo ngati pali zoletsa kuyenda! Zikuwoneka kuti dipatimenti yamagetsi yokha ikuphwanya.

Lingaliro linanso. Izi ndi chakudya. Ngakhale kuti chakudyacho sichinali choyipa, ndi chapadera kwa ife odwala matenda ashuga. Pazakudya za odwala matenda ashuga amtundu 1, payenera kuwerengedwa kolondola kwa chakudya, ndipo izi ndizosatheka kuchipatala.

Momwe ndimaganizira ndendende ndi michere, ndikuuzani mwanjira ina mu nkhani ina, chifukwa chake ndilangizeni lembetsani ku zosinthakuti musaphonye.

Ndingonena chabe kuti kuwongolera kwambiri zamankhwala kuchipatala kunakhala kosatheka, komwe kunapangitsa kuti ntchito ziyambe kuyenda bwino.

Koma izi sizinthu, pamapeto pake, adayamba kunyamula chakudya kuchokera kunyumba. Zomwe sindimayembekezera nkomwe kuti tidzapemphedwa kusinthana ndi pampu ya insulin.

Kwa ine kunali ngati chipale kumutu kwanga, ndipo sindinathe kuloza nthawi, kukonzekera, kapena china chake. Ndakhala ndikuganiza zanthawi imeneyi kwa nthawi yayitali ndipo sindinkayembekezera kuti ungadziwane ndi munthu woyambayo.

Mzochita zanga, sindinawonepo "chilombo" ichi ndipo mwanjira inayake ndidakhala ndi nkhawa.

Chifukwa chakuyenda kwakazungulira pamawebusayiti ndi mafomu, ndinadziyimira ndekha kuti chinthucho, ndichachidziwikire, chinali chabwino, koma panali mafunso angapo omwe sindinapeze yankho lake. Kodi ndizoyenera kuyika pazaka izi (tili pafupifupi zaka 5)? Kodi mwana aziona bwanji chipangizochi (ndili wamakani)? Kodi tidzatha kuigwiritsa ntchito mtsogolo (zodula mtengo)?

Monga momwe zidakhalira, chilengedwe chonse chimakhala chofuna kutithandiza, ndipo mayankho ake adandipeza. Mapeto ake, ndidavomera, ndipo tinayamba kugwira ntchito. Ndikufuna kudziwa kuti poyamba tinali ndi shuga abwino kwambiri, hemoglobin ya glycated sioyipa. Pazonse, zonse sizinali zoyipa, koma ndimafuna china chabwinopo, monga akunena kuti palibe malire pa ungwiro.

Tapeza pampu ya Medtronic Real Time yokhala ndi mayankho (yokhala ndi sensor yomwe imayeza shuga ndikuyisamutsira pampu).

Poyamba, kwa masiku awiri ndidawerenga mabulosha pampu ndikuphunzitsidwa momwe ntchito zake zamkati zimagwirira ntchito: momwe mungazigwiritsire ntchito, momwe mungathandizire, momwe mungayankhire kuzizindikiro, kuwerengera insulin.

Moona, sizivuta konse, sizivuta kugwiritsa ntchito foni, komanso mtundu wakale kwambiri.

Ndi zomwe pampu yathu inkawoneka. Ndili ngati pager kukula kwake, kumbukirani kuti kamodzi pazolumikizana.

Ndipo kotero imayikidwa. A pampu pawokha, B ndi catheter yokhala ndi cannula (yofulumira), C ndi D ndi cholumikizira chaching'ono ndi sensor yomwe imayeza shuga ndikusamutsa pampu kuti ionere.

Zosankha ndizosavuta komanso zotheka kufikika. Chifukwa chake ndidazolowera ndipo ndinali wokonzeka kukhazikitsa pampu pa mwana.

Kukhazikitsa pampu palokha sikunali kovuta. Ndikuganiza kuti aliyense ali ndi mantha pang'ono, koma luso komanso bata zimabwera pambuyo pa 3-4 nthawi. Ndikutha kuyankhula za kapangidwe ka pampu iyi, momwe mungayiyikire mwanzeru, etc., koma cholinga cha nkhaniyi ndi chosiyana. Ndilankhulanso izi munkhani zanga zotsatira, musaphonye.

Timayika catheter ndi sensor popanda mavuto. Amavala bulu, pomwe nthawi zambiri amaika jakisoni wamkati. Mutha kuyiyika pamimba, ntchafu ndi mapewa, koma mufunikira chakudya chamafuta ambiri, ndipo tili ndi mavuto ndi malo osungirako. Kwakukulukulu, adapulumutsa ndikuwapulumutsa.

Catheter imodzi imatenga masiku atatu, ndiye imasinthidwa ndi yatsopano. Ichi ndi chimodzi mwazinthu zabwino za pampu zomwe mumafunikira jekeseni kamodzi pakapita masiku atatu, ndipo Mlingo wa insulin wotsatira amaperekedwa kudzera pa chubu. Koma zonse sizinatisangalatse.

Pompo itayikidwa, shuga anali osasinthika, makamaka amasungidwa 19-20 mmol / l, kapena ngakhale apamwamba, hemoglobin ya glycated panthawiyo inali 6.2%. Ndimalowetsa mlingo kuti muchepetse, ndipo shuga samachepa, ndiye ochulukirapo.

Zotsatira zake, nditazunzidwa kwambiri, kumapeto kwa tsiku lachiwiri, ndidaganiza zopanga insulin njira yokhayo - ndi cholembera changa cha syringe. Ndipo mukuganiza chiyani, shuga adafulumira kugwa, ndidalephera kuyimitsa. Kenako kukayikira kunalowa kwa ine, koma ine sindinamvere.

Ndipo pokhapokha shuga itatha kudya chakudya chamadzulo, ndinapanga insulin cholembera changa ndipo imagundanso, ndinazindikira kuti zonse zinali pampu, kapena m'malo mwake, mu catheter.

Kenako ndidaganiza, osadikirira kuti atumize catheter, kuti achotse. Zotsatira zake, ndidawona kuti cannula yomweyo (6 mm kutalika) momwe insulini idatulutsidwa idakutidwa m'malo awiri. Ndipo nthawi yonseyi, insulin sinadyeredwe kulowa mthupi konse.

Chiwonetserochi chikuwonetsa dongosolo lokha, kudzera lomwe insulin imaperekedwa. Gawo limodzi limaphatikizidwa ndi pampu, yachiwiri (bwalo loyera lamkati ndi cannula ndi singano yoyendetsa) imayikidwa pa thupi.

Cannula ikakhala m'thupi, singano ya wopangayo imabweza, ndipo chubu lo pulasitiki lotalika (6 mm m'litali) limatsalira. Pafupifupi ofanana ndi ma catheters amkati, kokha pakhungu.

Chifukwa chake chubu la pulasitiki ili linakumba m'malo angapo omwe insulin sinaperekedwe.

Tsiku lotsatira ndidamuuza adotolo ndikuwonetsa catheter yomweyi. Adanenanso kuti izi zimachitika ndipo muyenera kusintha kuti musinthe. Timalowetsanso dongosolo, pafupi ndi malo am'mbuyomu. Chakudya choyamba chinawoneka kuti chikuyenda bwino, koma pa chakudya chamadzulo ndimatchulanso chimodzimodzi. Kenako ndidachotsa catheter - komanso cannula yokhazikika pakati.

Atakhudzidwa ndi shuga wambiri, mwana adakana kukhazikitsanso dongosolo, ndipo tidayambiranso "singano". Kuphatikiza apo, mwana nthawi yonseyo amakumbukira za pampu, akasintha zovala kapena kupita kuchimbudzi, amayenera kupitilira, zomwe zimangokwiyitsa mwana. Kwa iye, chipangizochi chinali chofanana ndi sutikesi yopanda chida.

Ponena za ine, ndinasangalala kwambiri kuigwiritsa ntchito. Chinthu chosavuta, simunganene chilichonse. Pambuyo pake, ndinkaganiza chifukwa chake panali zovuta izi ndi kukhazikitsa.

Ndinaganiza kuti zonsezi zinali zolephera, makamaka kwa mwana wanga wamwamuna, chifukwa cha cannula. Chifukwa, monga ndidafunsa, azimayi ena omwe ali ndi ana pampu amakhalanso ndi mavuto otere, m'malo ena okha, mwachitsanzo, mukadzavala m'chiuno.

Mwana wanga wamwamuna ndi wakhama, samangokhala phee, amangokwera kwinakwake.

Umu ndi momwe ndinapezera chothandiza kwambiri. Sindikudandaula zomwe zinachitika, koma m'malo mwake, ndikuthokoza kuti zinandipatsa mwayi kuyesa pampu ya insulin. Inde, pampu iyomwe idayenera kubwezeretsedwa, chifukwa imatha kubwera kwa wina ndikupindula.

Kodi ndazindikira chiyani pamenepa ndipo ndaphunzira chiyani chatsopano:

• Apanso ndidatsimikiza zowona kuti mawu oti "Opani zofuna zanu, atha kukwaniritsidwa."
• Tsopano tikudziwa momwe imagwirira ntchito, momwe pampu imawonekera ndi zovuta zomwe mumagwiritsa ntchito, izi zimatipatsa mwayi wofikira njirayi mozama nthawi ina. Ndikukhulupirira kuti kuphatikiza pa mfundozi, palinso ena omwe timangophunzira tokha pongodutsa tokha.
• Palibe chifukwa chothamangira kwatsopano ngati chakale chikuyenda bwino. Muyenera kupita chifukwa cha tanthauzo, osati chifukwa choti wina wanena.
• Mwanayo sanakonzekere kusintha (kapena mwina ine, kuphatikiza)

Ndipo kwa iwo omwe akukayikirabe, ndikukulangizani: pitani mukayese, pezani zomwe mukukumana nazo. Mwambiri, ndimakondwera ndi kuyesa kwathu, tiyesanso, mwina zaka 1-2. Mwa njira, zothetsera zingatiwonongere ma ruble 7,000 opanda masensa ndi ma ruble 20,000 ogwiritsa ntchito masensa.

Zonsezi ndi zanga. Ndinalemba zambiri, ndikhulupirira kuti wina adzapindula ndi zomwe ndakumana nazo. Ngati muli ndi mafunso funsani. Ngati muli ndi chidziwitso, tiuzeni zomwe mukuganiza ponena za pampu ya insulin, zingakhale zosangalatsa kudziwa malingaliro a gulu lachitatu. Ndi zovuta ziti zomwe mwakumana nazo poyamba? Kodi mwana wanu anamva bwanji ndi chipangizochi? M'nkhani yanga yotsatira ndidzalankhula za hemoglobin ya glycated.

Ndikupangira kuti muwerenge za zizindikiro za matenda ashuga, zomwe sizodalira mtundu wake. Mwa ana ndi akulu, mawonetseredwe ndi ofanana, pokhapokha ngati ali ana owala bwino. Chifukwa chake, nkhaniyi ndiyabwino kwa makolo a ana omwe ali ndi matenda ashuga, komanso kwa akulu omwe ali ndi matenda ashuga.

Ndi chisangalalo ndi chisamaliro, endocrinologist Lebedeva Dilyara Ilgizovna

Zizindikiro za matenda a shuga kwa ana aang'ono

Tresiba: malangizo ogwiritsira ntchito. Ndemanga ya odwala matenda ashuga omwe akudziwa zambiri

Insulin Tresiba: pezani chilichonse chomwe mukufuna. Pansipa mupeza malangizo ogwiritsira ntchito olembedwa mchilankhulo chabwino, komanso ndemanga ya anthu omwe ali ndi matenda ashuga omwe akudziwa za mankhwalawa.

Kumvetsetsa momwe mungasankhire mlingo woyenera, sinthani ku Tresib kuchokera ku insulin ina yayitali. Werengani zithandizo zothandiza zomwe zimapangitsa kuti magazi anu akhale ndi shuga 3.9-5,5 mmol / L khola maola 24 patsiku, monga momwe zimakhalira ndi anthu athanzi.

Dongosolo la Dr. Bernstein, amene akhala ndi matenda ashuga kwa zaka zoposa 70, amathandiza kuteteza ku zovuta zoopsa.

Tresiba ndiye insulin yatsopano kwambiri yomwe imakhalapo kwa nthawi yayitali yopangidwa ndi kampani yotchuka yapadziko lonse Novo Nordisk.

Imaposa Levemir, Lantus ndi Tujeo, ndipo koposa pamenepo, insulin yoteteza, chifukwa jakisoni aliyense amatha maola 42. Ndi mankhwala atsopano awa, zakhala zosavuta kusunga shuga wabwinobwino m'mimba popanda kanthu.

Posachedwa, idaloledwa kuti isagwiritsidwe ntchito osati kwa akulu okha, komanso kwa ana omwe ali ndi matenda osokoneza bongo opitilira chaka chimodzi.

Tresiba wa Ultra wautali: zolemba zambiri

Kumbukirani kuti Tresiba yowonongera ikhalabe yatsopano. M'mawonekedwe sizingatheke kudziwa mtundu wake. Chifukwa chake, simuyenera kugula insulini m'manja, malinga ndi kulengeza kwapadera. Mosakayikira mungapeze mankhwala osafunikira, kuwononga nthawi ndi ndalama pachabe, kuthana ndi vuto lanu la matenda ashuga.

Pezani insulin kuchokera ku malo ogulitsa odziwika, odalirika omwe amayesa kutsatira malamulo osungira. Werengani zambiri pansipa.

Malangizo ogwiritsira ntchito

Mukabayidwa pokonzekera Trecib, monga mtundu wina wa insulin, muyenera kutsatira zakudya.

Mtundu wa matenda a shuga a 2 Mtundu woyamba wa shuga Zakudya tebulo No. 9 Masamba a sabata: Zitsanzo

Anthu ambiri odwala matenda ashuga omwe amathandizidwa ndi insulin sawona kuti ndizotheka kupewa kukhala ndi vuto la hypoglycemia. M'malo mwake, izi siziri choncho. Mutha kusunga shuga wokhazikika ngakhale ndi matenda oopsa a autoimmune.

Ndipo makamaka, ndi matenda a shuga a 2 ochepa. Palibe chifukwa chakuwonjezera kuchuluka kwa shuga m'magazi anu kuti mudzilimbitse nokha motsutsana ndi hypoglycemia yoopsa. Onerani kanema pomwe Dr. Bernstein akufotokoza nkhaniyi.

Phunzirani momwe mungasinthire zakudya zopatsa thanzi komanso mulingo wa insulin.

Sonyezani shuga yanu kapena sankhani jenda kuti mulimbikitsidwe

Tresiba: Kumbukirani za wodwala wodwala matenda ashuga a mtundu woyamba

Kodi Tresiba insulin ndi yoyenera kwa ana?

Makolo ambiri amaganiza ngati Tresiba insulin ndi yoyenera kwa ana awo odwala matenda ashuga. Inde, ku Europe ndi USA, komanso ku Russian Federation ndi mayiko a CIS, mankhwalawa avomerezedwa kale kuti agwiritsidwe ntchito mwa ana. Amanenanso kwa achinyamata omwe ali ndi matenda a shuga a mtundu woyamba 1 kapena 2.

Koyamba kuphunzira 1 KUYAMBIRIRA kunachitika .. Zotsatira zake zinaonetsa kuti Tresiba amathandiza ana omwe ali ndi matenda ashuga kuposa Levemir. Komabe, kafukufukuyu adalipira ndi wopanga mankhwalawo.

Chifukwa chake, zotsatira zake ziyenera kuthandizidwa popewa kubwezeretsa.

The Tresiba mankhwala amaloledwa kupereka kwa odwala matenda ashuga azaka 1 ndi kupitilira. Zavomerezedwa kuti zizigwiritsidwa ntchito mwa ana ku United States, Europe, Russia ndi mayiko a CIS. Mwambiri, insulin iyi ndiyoyenera kwa ana azaka zosakwana 1 omwe samakonda kulandira matenda a shuga. Komabe, palibe kuvomereza mwatsatanetsatane kwa izi.

Mwa ana odwala matenda ashuga omwe amatsata zakudya zama carb ochepa, matendawa ndi osavuta. Monga lamulo, mutha kupaka jekeseni wa Levemir kapena Lantus pamiyeso yotsika, ndikupeza zotsatira zabwino.Ingogwiritsani ntchito sing'anga insulin Protafan kapena mawonekedwe ake.

Mankhwala atsopano a Tresib, abwino kuposa mitundu yakale ya insulin, amathetsa vuto la shuga m'mawa pamimba yopanda kanthu. Makolo ayenera kusankha ngati kuli koyenera kuti azigula mwanjira yake. Komabe, ngati amaperekedwa kwaulere pochiza matenda a shuga kwa mwana, simuyenera kukana.

Molekyuli ya Treshiba insulin ndi mwanjira yofanana ndi Levemir. Osati zofanana kofananira, koma ofanana kwambiri. Opanga adaganiza momwe angayilongedzere m'njira yatsopano kuti mankhwalawa azikhala motalika. Levemir wagwiritsidwa ntchito kwazaka pafupifupi 20.

Kwa zaka zambiri, mtundu wa insulini sunakhale ndi mavuto ena alionse. Sizokayikitsa kuti pakapita nthawi zotsatira zina zoyipa za Treshib insulin ziziwululidwa.

Mpaka pano, cholepheretsa chokha kugwiritsa ntchito mankhwalawa kwa ana ndi akulu ndi mtengo wake wokwera.

Kodi ndi zovuta ziti za anthu odwala matenda ashuga zomwe adakumana nazo za Treshiba insulin?

Umboni wa anthu omwe ali ndi matenda ashuga omwe akudziwa ku Tresib insulin sizabwino, koma ndi chidwi. Jakisoni wa mankhwalawa, wotengedwa usiku, amakulolani kudzuka ndi shuga wabwinobwino m'mawa wotsatira. Zachidziwikire, ngati mlingo umasankhidwa molondola. Asanaonekere insuludec ya insulin, yomwe imatenga maola 42, kuwunika shuga m'magazi m'mimba yopanda kanthu kumafunikira zovuta zambiri.

Insulin Tresiba: kukumbukira kwa odwala matenda ashuga kwa nthawi yayitali

Tresiba amatsitsa shuga bwino kuposa Levemir ndi Lantus. Ndi mankhwalawa, chiopsezo chokumana ndi hypoglycemia chimatsika. Kutsiliza: ngati ndalama zilola, lingalirani kusinthana ndi insulin yatsopanoyi.

Komabe, pakadali pano zimawononga ndalama pafupifupi katatu kuposa Lantus ndi Levemir. Mwinanso m'zaka zikubwerazi adzakhala ndi fanizo lofananalo ndi zomwe zili zabwino kwambiri. Koma sangakhale otsika mtengo. Padziko lapansi pali makampani ochepa chabe padziko lonse lapansi omwe amapanga insulin yamakono yapamwamba kwambiri.

Mwachiwonekere, amagwirizana pakati pawo kuti mitengo ikhale yokwera.

Kodi mungasinthe bwanji mankhwalawa ndi insulin ina yayitali?

Choyamba, pitani pa zakudya zamafuta ochepa. Chifukwa cha izi, Mlingo wanu wa insulin yayitali komanso yothamanga umachepa nthawi 2-8. Magazi a shuga azikhazikika, osadumpha.

Odwala ambiri a shuga amasinthira ku Tresib ndi Levemir, Lantus ndi Tujeo.

Ngati mukugwirabe ntchito Medium Protafan, ndikulimbikitsidwa kuti musinthe kukhala amtundu wa insulin yowonjezera yomwe ili pamwambapa. Werengani apa za mavuto a sing'anga a insulin NPH.

Tresiba ili ndi zinthu zabwino kwambiri kuposa mitundu yayitali ya insulini yomwe yakhala pamsika kwa nthawi yayitali. Nkhani yosintha imangokhala pa ndalama.

Insulin Tresiba: zokambirana ndi odwala

Malangizo a boma amati mankhwalawa sayenera kusintha mukamasinthana ndi mankhwala amtundu wina kupita wina. Komabe, mzochita amasintha. Komanso, ndizosatheka kuneneratu pasadakhale ngati mungafunikire kuchepetsa mlingo kapena mosinthanitsa kuti muwonjezere. Izi zitha kutsimikizidwa ndi kuyesedwa ndi vuto masiku angapo kapena masabata.

Dr. Bernstein amalimbikitsa kuti asamangokhala ndi jakisoni imodzi ya Tresib patsiku, koma kuti athane ndi jekeseni ya tsiku ndi tsiku jakisoni awiri - madzulo ndi m'mawa. Iyenso akupitilirabe kubayira insulini mu insulin monga momwe adagwiritsira ntchito Levemir kwazaka zambiri. Ngakhale kuti pafupipafupi majekeseni sanachepe, adakondwererabe ndi mankhwalawa.

Insulin Tujeo SoloStar yatsopano: ndemanga za anthu odwala matenda ashuga

Toujeo SoloStar ndiye njira yatsopano yochitira insulin glargine yopangidwa ndi Sanofi. Sanofi ndi kampani yayikulu yopanga mankhwala omwe amapanga ma insulin osiyanasiyana odwala matenda ashuga (Apidra, Lantus, Insumans).

Ku Russia, Toujeo adachita kulembetsa pansi pa dzina la "Tujeo." Ku Ukraine, mankhwala atsopano a shuga amatchedwa Tozheo. Umu ndi mtundu wa analogi yapamwamba ya Lantus. Zopangidwira mtundu wa akulu 1 ndi mtundu wa 2 odwala matenda ashuga.

Ubwino wawukulu wa Tujeo ndi mbiri yopanda chiyembekezo ya glycemic komanso nthawi yayitali mpaka maola 35.

Kafukufuku awonetsa kuti Toujeo akuwonetsa kuyendetsa bwino glycemic mu mtundu 1 ndi mtundu wa 2 odwala matenda ashuga. Kutsika kwa glycated hemoglobin mu insulin glargine 300 IU sikunasiyana ndi Lantus.

Chiwerengero cha anthu omwe adakwanitsa kufika pa HbA1c anali omwewo, kuwongolera kwa ma insulin awiriwo kunali kofanana.

Poyerekeza ndi Lantus, Tujeo ali ndi kutulutsidwa pang'onopang'ono kwa insulin kuchokera ku mpweya wotentha, motero mwayi waukulu wa Toujeo SoloStar ndi mwayi wochepetsedwa wokhala ndi hypoglycemia yayikulu (makamaka usiku).

Malangizo achidule ogwiritsira ntchito Tujeo

Ndikofunikira kupaka insulin mosakakamira kamodzi patsiku nthawi yomweyo. Sicholinga cholowetsa magazi mkati. Mlingo ndi nthawi ya makonzedwe zimasankhidwa payekha ndi dokotala wanu woyang'aniridwa ndi shuga wamagazi pafupipafupi.

Ngati moyo kapena kusintha kwa thupi, kusintha kwa mlingo kungafunike. Matenda a diabetes a Type 1 amapatsidwa Toujeo 1 nthawi patsiku limodzi ndi jekeseni wa ultrashort insulin. Mankhwalawa glargin 100ED ndi Tujeo ndi osakhala amwano komanso osasinthika.

Kusintha kuchokera ku Lantus kumachitika ndi kuwerengetsa kwa 1 mpaka 1, ena omwe amakhala akuchita insulin - 80% ya tsiku lililonse.

Matenda a insulin: mitundu, momwe mungagwiritsire ntchito, ubwino ndi malingaliro a odwala matenda ashuga:

Anthu omwe ali ndi matenda ashuga nthawi zina amakhala ovuta ndipo vuto lonse limakhala jakisoni wokhazikika wa insulin.

Zonsezi sizingakhale kalikonse, koma pali chenjezo limodzi - kufunikira kwakumwa kwa mankhwalawa kumatha kuchitika panthawi yomwe siyabwino kwambiri.

Mwachitsanzo, mumayendedwe apagulu, kuti munthu amene ali ndi matenda oterewa amabweretsa chisokonezo m'maganizo. Mwamwayi, masiku ano zamankhwala zapita patsogolo kwambiri, ndipo tsopano pali chida chimodzi - pampu ya insulin.

Izi ndi zomwe opanga omwe amatha kunyadira moyenerera. Njira zina zopangira jakisoni watsiku ndi tsiku ndi syringe sizinapangidwe.

Komanso, zomwe zimapezeka pa chipangizocho ndikuti zimapereka chithandizo mosalekeza, koma kuwonjezera pamenepo zimawongolera kuchuluka kwa shuga m'magazi ndikuwonetsetsa kuti mafuta abwera mthupi.

Ndi chida chamtundu wanji chodabwitsa? Tidzakambirana m'nkhaniyi.

Chipangizo ndi chiyani?

Chida cholowetsera insulin ndi chipangizo chomwe chimayikidwa m'nyumba yofikika yomwe imayimira jakisoni ya mankhwala m'thupi la munthu.

Mlingo wofunikira wa mankhwalawa komanso pafupipafupi jakisoni umalowetsedwa kukumbukira chida. Pakadali pano kuchita izi pamankhwala oyenera kuchitidwa ndi adokotala okha ndipo palibe wina.

Izi ndichifukwa choti munthu aliyense ali ndi magawo ake pawokha.

Mapangidwe a insulin pampu ya shuga ali ndi zinthu zingapo:

• Mapampu - uwu ndiye pampu yeniyeni, yomwe ntchito yake ndi yoyenera kupereka insulini.
• Kompyuta - imayang'anira ntchito yonse ya chipangizocho.
• Katiriji ndiye chidebe chomwe mankhwalawo amapezeka.
• Makulidwe obowoleza ndi singano kapena cannula yomwe idalowetsedwa ndi mankhwala pansi pa khungu. Izi zimaphatikizanso ndi chubu cholumikiza cartridge ndi cannula. Pakupita masiku atatu, zida zisinthidwe.
• Mabatire

Catheter wokhala ndi singano amakhazikika pamalo pomwe, monga lamulo, insulin imalowetsedwa ndi syringe. Nthawi zambiri awa ndi gawo la m'chiuno, pamimba, m'mapewa. Chipangacho chokha chimakhazikitsidwa pa lamba wa zovala pogwiritsa ntchito chidutswa chapadera. Ndipo kuti pulogalamu ya kaperekedwe ka mankhwala sikuphwanyidwa, katemera ayenera kusinthidwa atangopanda kanthu.

Chipangizochi ndi chabwino kwa ana, chifukwa mlingo wake ndi wochepa. Kuphatikiza apo, kulondola ndikofunikira pano, chifukwa cholakwika pakuwerengera kwa mankhwalawa imabweretsa zotsatira zosasangalatsa. Ndipo popeza kompyuta imayendetsa momwe chipangizocho chikugwirira ntchito, ndi iye yekha amene amatha kuwerengera kuchuluka kwa mankhwalawo molondola kwambiri.

Kupanga makonzedwe a pampu ya insulin ndi udindo wa dotolo, yemwe amaphunzitsa wodwalayo momwe angagwiritsire ntchito. Kudziyimira pawokha pazokha sikumayimiridwatu, chifukwa kulakwitsa kulikonse kungayambitse kudwala matenda ashuga. Panthawi yosamba, mutha kuchotsa chida, koma pokhapokha kutsatira njirayo ndikofunikira kuyeza kuchuluka kwa shuga m'magazi kuti mutsimikizire kuti ndizabwinobwino.

Njira yogwiritsira ntchito

Chifukwa chakuti munthu aliyense ndi wofanana, pampu ya insulin ingagwire ntchito m'njira zosiyanasiyana:

Munjira yoyambira yogwiritsira ntchito, insulin imaperekedwa kwa thupi la munthu pafupipafupi. Chipangizocho chimakonzedwa palokha. Izi zimakuthandizani kuti muzikhala ndi shuga pafupi ndi masiku onse tsiku lonse.

Chipangizocho chimakonzedwa m'njira yoti mankhwalawo amapitilizidwa pafupipafupi pa liwiro linalake komanso molingana ndi nthawi yolemba. Mlingo wocheperako pankhaniyi ndi magawo a 0.1 m'maminitsi 60.

Pali magawo angapo:

Kwa nthawi yoyamba, mitundu iyi imakonzedwa molumikizana ndi katswiri. Zitachitika izi, wodwalayo amasinthika kale pakati pawo, kutengera amene akufunikira kwakanthawi.

Mpweya wotupa wa insulin pump kale ndi jakisoni imodzi ya insulin, yomwe imathandizira kuchuluka kwa shuga m'magazi. Njira yotereyi imagwiridwanso m'magulu angapo:

Njira yokhazikika imatanthawuza kudya kamodzi kwa kuchuluka kwa insulin mthupi la munthu. Monga lamulo, zimakhala zofunikira mukamadya zakudya zokhala ndi chakudya chambiri, koma mapuloteni ochepa. Poterepa, kuchuluka kwa shuga m'magazi ndi kwamtundu wonse.

Munthawi ya mraba, insulin imagaidwa m'thupi lonse pang'onopang'ono. Zimakhala zofunikira pazinthu izi pamene chakudya chomwe mumadya chimakhala ndi mapuloteni ambiri komanso mafuta.

Makina awiri kapena angapo-ophatikizira amodzi amaphatikiza mitundu yonse yomwe ili pamwambapa, komanso nthawi yomweyo. Ndiye kuti, poyambira, mulingo wambiri (mkati mwa mulingo wabwinobwino) umafikiridwa, koma kenako mphamvu yake m'thupi imatsika. Njirayi imalimbikitsidwa kuti igwiritsidwe ntchito podya zakudya momwe mumapezeka chakudya ndi mafuta ambiri.

Superbolus ndi machitidwe ogwirira ntchito mowongoleredwa, chifukwa chomwe zotsatira zake zabwino zimakulitsidwa.

Kodi mungamvetsetse bwanji ntchito yogwiritsira ntchito pampu ya medtronic insulin (mwachitsanzo) zimatengera mtundu wa chakudya chomwe mumadya. Koma kuchuluka kwake kumasiyanasiyana malinga ndi chinthu.

Mwachitsanzo, ngati kuchuluka kwa chakudya chamafuta m'makilogalamu oposa 30, muyenera kugwiritsa ntchito njira ziwiri.

Komabe, mukamagwiritsa ntchito chakudya chokhala ndi index yayikulu ya glycemic, ndikofunikira kusintha chipangizocho kukhala chosangalatsa kwambiri.

Zoyipa zingapo

Tsoka ilo, chida chodabwitsa choterechi chilinso ndi zovuta zake. Koma, panjira, bwanji alibe?! Ndipo koposa zonse, tikulankhula za kukwera mtengo kwa chipangizocho. Kuphatikiza apo, ndikofunikira kusintha pafupipafupi zowonjezera, zomwe zimawonjezera ndalama. Inde, ndichachimo kupulumutsa thanzi lako, koma pazifukwa zingapo kulibe ndalama zokwanira.

Popeza ichi chikadali chinthu chamakina, nthawi zina pamatha kukhala zinthu zina zaluso. Mwachitsanzo, ndikulowetsa singano, crystallization wa insulin, dongosolo la dosing limalephera. Chifukwa chake, ndikofunikira kwambiri kuti chipangizocho chimasiyanitsidwa ndi kudalirika kwakukulu. Kupanda kutero, wodwalayo amatha kukhala ndi zovuta zosiyanasiyana monga nocturnal ketoacidosis, hypoglycemia yayikulu, etc.

Kuphatikiza pa mtengo wa insulin pump, pali chiopsezo chotenga kachilomboka pamalo omwe jakisoni, nthawi zina imatha kubweretsa chotupa chomwe chimafunikira opareshoni. Komanso, odwala ena amawona zosokoneza pakupeza singano pansi pa khungu. Nthawi zina izi zimapangitsa kuti zikhale zovuta kupanga njira zamadzi, munthu akhoza kukumana ndi zovuta pakasambira, kusewera masewera kapena kupumula usiku.

Mitundu yazida

Zogulitsa zamakampani otsogola zimaperekedwa pamsika wamakono waku Russia:

Ingokumbukirani kuti musanakonda mtundu wina, muyenera kufunsa katswiri. Tiyeni tiwone mitundu ina mwatsatanetsatane.

Kampani yochokera ku Switzerland yatulutsa malonda otchedwa Accu Chek Combo Mzimu. Mtunduwu uli ndi mitundu 4 ya mabasi ndi mapulogalamu asanu a basal. Pafupipafupi insulin makonzedwe ndi 20 pa ola limodzi.

Mwa zabwino titha kuzindikira kukhalapo kwa gawo laling'ono la basal, kuyang'anira kuchuluka kwa shuga mumachitidwe akutali, kukana kwamadzi pamlandu. Kuphatikiza apo, pali ulamuliro wakutali. Koma nthawi yomweyo, ndizosatheka kuyika deta kuchokera pa chipangizo china cha mita, yomwe ndiyokhayo yomwe ingabweze.

Pampu ya medtronic insulin

Kampaniyi ili ndi zida ziwiri. Imodzi ndi yosavuta kugwiritsa ntchito - ya Medtronic Paradigm MMT-715, inayo - ya Medtronic Paradigm MMT-754 ndichitsanzo chapamwamba kwambiri.

Chipangizocho, codenamed MMT-715, chili ndi chiwonetsero chomwe chikuwonetsa kuchuluka kwa shuga m'magazi, komanso munthawi yeniyeni. Izi zimatheka ndi sensor yapadera yomwe imalumikiza thupi.

Pofuna kutonthozedwa kwakukulu kwa ogwiritsa ntchito olankhula Chirasha, mtunduwu umakhala ndi mndandanda wazolankhula ku Russia, kukonza glycemia kumachitika zokha, kuphatikizapo kumwa insulin mukamadya chakudya. Mwa zina mwatsatanetsatane amaikidwa pakayendetsedwe ka chinthu ndi milingo yaying'ono.

Zogulitsa - mtengo wazakudya ndi wokwera kwambiri.

Chipangizo chinanso cha MMT-754 chili ndi pulogalamu yowunikira shuga. Gawo la kipimo cha bolus ndi mayunitsi 0,1, muyeso wa basal ndi mayunitsi 0.025. Chikumbukiro cha pampu ya medtronic insulini idapangidwa kwa masiku 25, kumakhala kotsekeka kuchokera kukanikiza mwangozi.

Mkulu wama glucose akatsika, siginecha yapadera idzadziwitse za izi, zomwe titha kuziwona ngati kuphatikiza. Komabe, munthawi yopanga zolimbitsa thupi komanso kupuma usiku, chipangizocho chimatha kubweretsa kusasangalala, komwe kumakhala kale kuchotsera.

Woyang'anira wathanzi waku Korea

SOOIL idakhazikitsidwa mchaka cha 1981 ndi Soo Bong Choi waku Korea, yemwe ndi katswiri wofufuza za matenda ashuga. Mbiri yake ndi chida cha Dana Diabecare IIS, chomwe chimapangidwira omvera a ana. Ubwino wa mtunduwu ndi kupepuka komanso kuphatikizana. Nthawi yomweyo, kachitidwe kamakhala ndi mitundu 24 ya basal maola 12, chiwonetsero cha LCD.

Batire ya pampu ya insulin yotereyi kwa ana imatha kupereka mphamvu kwa milungu pafupifupi 12 kuti chida chizigwira ntchito. Kuphatikiza apo, nkhani ya chipangizocho ndi yopanda madzi konse. Koma pali zovuta zina zomwe zimatha - zomwe zimagulitsidwa zimagulitsidwa m'masitolo apadera okha.

Zosankha kuchokera ku Israeli

Pali mitundu iwiri pantchito ya anthu omwe akudwala matendawa:

• Omnipod UST 400.
• Omnipod UST 200.

UST 400 ndi mtundu waposachedwa kwambiri. Chochititsa chidwi ndikuti ndichopanda zingwe komanso opanda zingwe, chomwe chimasiyana ndi zida zomwe zimatulutsidwa kale. Kupereka insulin, singano imayikidwa mwachindunji pachidacho.

Gulu la Freestyl glucometer limapangidwa mwachitsanzo, mitundu isanu ndi iwiri yamtundu wa basal muli nayo, chiwonetsero chazithunzi chomwe chidziwitso chonse cha wodwala chikuwonetsedwa.

Chipangizochi chili ndi mwayi wofunikira kwambiri - zothetsera pampu ya insulin sizofunikira.

UST 200 imawonedwa ngati njira yosankhira bajeti, yomwe ili ndi mawonekedwe ofanana ndi UST 400, kupatula zosankha zina ndi kulemera kwake (10 gramu). Mwa zabwino, ndikofunikira kuzindikira kuwonekera kwa singano. Koma kuchuluka kwa odwala pazifukwa zingapo sikungawoneke pazenera.

Mtengo wa zinthu

M'masiku athu ano, pakapezeka zinthu zambiri zofunikira padziko lapansi, mtengo wazogulitsa sizimasiya kukondweretsa anthu ambiri. Mankhwala pankhaniyi ndiwonso.

Mtengo wapampu wa jakisoni wa insulin ukhoza kukhala pafupifupi ma ruble 200,000, omwe sangakwanitse aliyense. Ndipo ngati mungaganizire zothetsera, ndiye kuphatikiza kwa ma rubles 10,000. Zotsatira zake, kuchuluka kwake ndikosangalatsa.

Kuphatikiza apo, zinthu zimavuta chifukwa chakuti anthu odwala matenda ashuga amafunika kumwa mankhwala ena okwera mtengo.

Kodi mtengo wopopera wa insulin tsopano wamveka bwanji, koma nthawi yomweyo, pali mwayi wopeza chipangizo chofunikira kwambiri pafupifupi pachabe. Kuti muchite izi, muyenera kupereka mapepala ena, potengera momwe angagwiritsidwe ntchito kuti akhazikitsidwe kuti atsimikizire moyo wabwinobwino.

Makamaka ana omwe ali ndi matenda osokoneza bongo amafunikira opaleshoni ya insulin. Kuti mudziwe zaulere kwa mwana wanu, muyenera kulumikizana ndi Russian Fund Fund ndi pempholo. Zikalata ziyenera kuphatikizidwa ndi chilembo:

• Chikalata chotsimikizira kuti makolo ali ndi ndalama yanji kuchokera kuntchito.
• Chowonjezera chomwe chingapezedwe ku thumba la penshoni kuti mudziwitse zowona zachuma pakukhazikitsa kulumala kwa mwana.
• Satifiketi yakubadwa.
• Kutsiliza kuchokera kwa katswiri wokhala ndi matenda (chisindikizo ndi siginecha ndikofunikira).
• Zithunzi za mwana pamitundu ingapo.
• Kalata yoyankha kuchokera kuboma la masepale (ngati oyang'anira chitetezo akana kuthandiza).

Inde, kupeza pampu ya insulin ku Moscow kapena mumzinda wina uliwonse, ngakhale masiku ano, kumakhalabe zovuta. Komabe, musataye mtima ndikuyesetsa kuchita zomwe mungakwanitse.

Ambiri odwala matenda ashuga adawona kuti moyo wawo wasinthadi atapeza zida za insulin. Mitundu ina imakhala ndi mita yopangidwa, yomwe imawonjezera kwambiri chitonthozo chogwiritsa ntchito chipangizocho. Kuwongolera kwakutali kumakupatsani mwayi wochita izi pokhapokha ngati sizingatheke kupeza chipangizocho pazifukwa zilizonse.

Ndemanga zambiri za mapampu a insulin mowonadi zimatsimikizira phindu lachipangizoli. Wina anawagulira ana awo ndipo anali wokhutira ndi zotsatirapo zake. Kwa ena, ichi chinali chofunikira choyamba, ndipo tsopano sanathenso kupirira jakisoni owawa m'm zipatala.

Pomaliza

Chida cha insulin chili ndi zabwino komanso zovuta, koma makampani azachipatala samayima ndipo akupitilira. Ndipo zikuwoneka kuti mitengo ya mapampu a insulini izikhala yotsika mtengo kwa anthu ambiri omwe ali ndi matenda a shuga. Ndipo pasakhale, nthawi ino ibwera mofulumira.

Upangiri woyipa kuchokera kwa endocrinologist wa matenda ashuga

Galina, ndawerenga nkhani yanu ndimapuma kamodzi, nkhaniyi ndiyophunzitsa komanso yothandiza kwa anthu odwala matenda ashuga. Ine ndikugwirizana nanu pazonse. Kupatula apo, thanzi lili m'manja mwa munthu aliyense ndipo palibe amene akuwafuna, kupatula anthu omwe. Apa pokhapokha muyenera kuyang'ana zaumoyo kuyambira ubwana, zomwe sitinachite.

Chifukwa samadziwa ndipo samamvetsa kuti ndi zinthu zambiri zakale ziti zomwe zingasanduke, zomwe sizingasinthe.

Ndipo madotolo munthawi yathu ya Soviet sanaperekenso upangiri pazakusintha kwamtsogolo mthupi. Mankhwala, monga sayansi, anali atangoyamba kumene kupanga.

Anthu ndi madokotala, kuphatikiza m'nthawi yawo, amagwira ntchito, kulandira penshoni, ndipo sankaganiza kuti nthawi yopuma ikubwera ndipo nyanja yamatenda osiyanasiyana ibwera nayo.

Okalamba okalamba ndi ukalamba, ndiye chiyani? Aliyense akukalamba, aliyense mu nthawi yake.

Ndikufuna kugawana nanu zambiri lero. Ponena za madokotala: madokotala amachokera kwa Mulungu, koma amabwera ndi ma dipuloma ogulidwa, ndipo alibe talente, tsoka.

Izi zinali mu nthawi yathu ya Soviet ndipo tsopano sizachilendo, chifukwa choti makoleji ambiri ndi mayunivesite amalipidwa. Mu ubwana wanga, madokotala ambiri sanakhale madokotala nthawi yomweyo, amayenera kudutsa namwino, namwino, kenako adakhala madokotala. Ndiponso, si onse.

Amayi Awo Akuluakulu a shuga

Cholinga cha zakudya zopatsa thanzi ndikuphunzira malamulo a zokhudzana ndi chakudya komanso njira yogwiritsira ntchito pakudya.

Koma m'masukulu azachipatala izi siziphunzitsidwa.

Mayi anga anali ndi chisonyezo cha shuga m'magazi pansi ... sindikukumbukira, koma popeza adotolo anali ndi maso pamutu pake, zikutanthauza kuti palibe zabwino zokwanira komanso zosangalatsa. Takana mwachangu kulowererapo kwa madokotala, mankhwala aliwonse, ndipo tsopano sindikudandaula.

Sindikumvetsa kuti ndi chiyani, mutu wakuzama kotere - DIABETES MellITUS, koma kuchokera kwa amayi anga ndinazindikira kuti zabwino sizokwanira. Anayamba kuchira kwambiri, zinali zovuta kusuntha, adayamba kutopa kwambiri. Koma sitinasiye. Nthawi imeneyo ndinali membala wa Coral Club.

Tinatsuka kanthawi 2 ndi Colavada, tinayang'ananso zakudyazo, bwino kwambiri, sizinapezeke pakudya.

Ngati mukufuna kukhala ndi thanzi locheperako - kuyiwala zambiri, kupanga chisankho chothandiza.

Amayi amadya zosaphika zambiri. Shuga pafupifupi samatha - nthawi zina, uchi umapezeka nthawi zonse. Imatsanulidwa tsiku lililonse, kuwerenga mapemphero, kuvomerezana, kumachita zowonera sabata iliyonse, zimachitika pafupipafupi - tsiku lililonse lililonse.

Tikukhala mu zabwino. Nthawi zina zoona mumafuna china chokoma, amayi amadya. KUSINTHA KWA DZIKO: TSIKU LONSE LA TOPINAMBURO PAKATI PA DIET, pali zinanso. Artecoke yaku Yerusalemu iyi idasunthira lakuthwa, ngakhale madotolo sanazikhulupirire. Koma zoona zake zilipo. Malingaliro, makanonokono, mabulosi abulu - zonse zimangokhala ozizira mufiriji.

Currants wakuda ndi wofiira, kabichi yoyera, timatha tsabola wambiri pamodzi - amoyo. Radish ndi wobiriwira komanso wakuda, radish. Tsiku lililonse timamwa tiyi wa rosehip pamodzi: kuyambira madzulo timakhala nthunzi mu maola 12 ndipo timadya. 2-3 magawo a mandimu ngati nkhani, madzi ndi mandimu.

Mu kasupe ndi chilimwe - achinyamata nettle saladi ndi dandelion masamba. Amayi amagwiritsa ntchito mbatata mosiyanasiyana. Koma yophika kwambiri mu uvuni, ndi peel.

Ndipo amayi anga atandiwuza zoyera izi atamupempha mphesa - amamukonda kwambiri: "Inde, adapita ndi matenda ashuga awa, ndili ndi thanzi ngati kavalo, ndilibe shuga." Ndidatsegula chitseko chakumaso, ndikuyang'anitsitsa matendawa. Adatulukira kunja, ngati okoma kuchokera pakhomo.

Chaka chatha sanayang'anitsidwe, amayi amakhala ali tcheru, tsiku lililonse amachita masewera olimbitsa thupi pang'ono, ngakhale anakumba dimba kumapeto. Pang'ono pang'ono. Ndine gombe lake. M'moyo wanga pakhala zochitika zosiyanasiyana pandekha ndi ine ndi amayi anga. Tithokoze Mulungu ndikuganiza kuti mwanjira inazizwitsa adatipulumutsa.

Katswiri wa Lab adasakaniza machubu oyeserera ndi magazi

Amayi anga amagwira ntchito kudipatimenti yopezera chakudya, monga lamulo, komitiyi idapitilira azipembedzo nthawi zambiri. Ndipo tsiku lina atapereka magazi a amayi anga, Syphilis adawonetsa magazi.

Zinali zoposa zopusa, poganiza kuti sanakwatiwe, adandilera, analibe nthawi yopuma kuntchito komanso kubwereranso kukhitchini. Kukwera kunali 4 koloko ndikugwira ntchito mpaka 22-00 pm. Ntchito masiku awiri - kupuma masiku awiri. Agogo adapita kukakumana ndi amayi, ndikuperekeza kuntchito.

Loweruka ndi Lamlungu ankandichitira china chake choti chichitike kunyumba, nthawi zambiri pa Lamlungu amayi anga ankapita nane kukapaki ya ayisikilimu kuti ndikadye ndi kumwa mandimu. Aliyense amene amagwira ntchito yophika, wophika, wobala zambiri ku USSR amandimvetsetsa.

Ndipo adayamba kumukoka pazowunikira zonse. Mapeto ake, zidapezeka pambuyo pa kuyeserera kwakanthawi kambiri kwa magazi kuti wothandizira ntchito asakanizirana machubu ndi magazi.

Pambuyo pa chisokonezochi, amayi anga adayesa kuyesa kwa miyezi 6. Munthawi imeneyi, adachepetsa thupi chifukwa cha zokumana nazo komanso manyazi omwe sanakhudzidwe nawo, 30 KG, WEIGHED 42 KG KUCHOKA KUKHALA WOSAVUTA. Ndiye? Wothandizira ma labotala sanachotsedwe, adotolo sanachotsedwe, sanayenereredwe chifukwa chonyalanyaza ntchito zawo zachindunji, amasamutsidwa ku zipatala zina.

Khansa ikapezeka komanso moyo suchedwa

Mlandu wotsatira ndi amayi. Anadutsa - mayeso adapita ndipo adadziwitsidwapo kuti ali ndi khansa ndipo dontho latsala ndi moyo. Adangotuluka m'zochitika zam'mbuyomu zomwe anali ndi mayeso osokonezeka, nkhani yatsopano. Ndimakumbukirabe bwino momwe amayi anga anali kusungunuka pamaso pathu. Agogo anga anali akulira mosatekeseka popanda iwowo, agogo ake anali atatuluka mnyumbamo, ngati akuchita zinazake ndipo anali kubwerera ndi misozi.

Ndidazindikira ndi mtima wanga wakhanda kuti china chake chosachitika.Amayi akundikakamira kwambiri kwa iwo ndipo tinakhala moyang'anizana, mwakachetechete kuganiza, aliyense za zake.

Kenako zidapezeka kuti iyi si khansa, sindikukumbukiranso nkhani yonse yovuta ija. Koma kodi dotolo adatembenuza lilime lake bwanji kuti adziwe matenda? Kupatula apo, mawu amatha kupha, kapena amatha kuukitsa.

Koma bwanji za lumbiro la Hippocracy lomwe madokotala amatenga?

Momwe mungakhalire munthu wogona

Komanso ndikupitilira zochitika pamoyo wanga. Tinkakhala ku Krivoy Rog, Ukraine, ine ndinali ndi zaka 18 panthawiyo, amayi anga adaduka miyendo yonse itapita kukagwira ntchito. Kunali ayezi, ndipo chilichonse chinagwa - matalala. Adakulunga mwendo umodzi molakwika. Broke. pindani Ndipo kotero katatu: iwo anaswa ndi kupindana. Zokhazikika komanso zosweka. Lilime la dokotala wa opaleshoni lidatembenukira kwa amayi ake kuti alonjeze kuti m'zaka 20 adzakhala munthu wogona.

Ndinamtulutsa muofesi, ndinapita naye kunyumba taxi, ndikubwerera kuchipatala, kwa adotolo. Ndidafunsa: Muli ndi ufulu wanji kuti mulankhule, mudalumbira! Ndinangomukalipira. Podzipereka ndikugwetsa misozi, adapita kwawo. Miyezi isanu ndi itatu ya gypsum, amayi anga anali atagona ndipo ali pachiwonetsero .... Ambuye, nsabwe zinalengedwa m'thumba, amayi adayamba kupanga singano yoluka - adasenda miyendo yake pansi pa chotupa.

Kenako ndidagula burashi, mukukumbukira Galinka, munthawi yathu ya Soviet, adagulitsidwa maburashi akutsuka mabotolo agalasi ya kefir? Pamene pulasitala lidachotsedwa kwathunthu, mafupa ophimbidwa mchikopa adadyedwa zonse, zinali zowopsa kuyang'ana kumiyendo, yomwe idasweka ndikukulungika. Ndipo ndinawauza amayi anga misozi kuti: "Amayi, madotolo onse ndiopusa ndipo madipuloma atagulidwa, tivina waltz limodzi nanu. Undipatsanso ukwati wina ndipo ndikupatsa mdzukulu ngati mphatso. Ndikukufunani kwambiri. ”

Waltz sanavina, sizinachite bwino. Komatu amayi anga adakwanitsa zaka 78 chaka chino ndipo ali ndi zidzukulu zazikulu zitatu, ndili ndi zidzukulu zitatu. Miyendo ya amayi anga yakana kawiri pambuyo pake - adamkoka ndi maantibayotiki, ndipo, chodabwitsa, madokotala abwino ndi mankhwala ena. Tsopano amayi akuyamba kunyowa, tikukhala mosatekeseka ndipo kale tidayiwala zochitika zachisonizi. Ndipo anamupatsa mdzukulu wake.

Tsoka ilo, mankhwala ena samadziwika, ndipo nthawi zina amaukitsa akufa

Kumeneko, ku Krivoy Rog, amayi anga anagwira chimfine kuntchito mu 1977, anagwira ntchito ku DSK, malo opangira nyumba, ndipo anayimirira ponyamula miyala yanyumba. Clinic, matenda okhumudwitsa - CHRONIC pleurisy. Pomaliza komanso mwamphamvu. momwe matendawa amakhudzidwira ... Koma kunalibe zisonyezo: zonse mwadzidzidzi zonse zinatuluka.

Madokotala anachita zonse zomwe zinali mwa kukhoza kwawo ndi mphamvu zawo. Sindikufotokozera momwe amayi anga ndi ine tinali. Koma dziko lino lili lolinganizidwa kotero kuti silikhala popanda anthu abwino.

Nthawi ina dokotala amatuluka napita nane kumsewu ndikulankhula kuti: "Tikufunika tipeze mafuta agalu kapena akadyedwe, imwani amayi anga: imwani supuni yamafuta mkaka nthawi isanadye. Chonde osauza Nadyush kuti ndakupangirani - nditha ntchito. Ndilibe ufulu wochita izi. Amayi anu ndi okongola komanso achichepere kwambiri. Ndiyesetsa kukupezerani mafutawa, koma sindikulonjeza. ”

Ndinathamangira kwa azakhali anga ku Kazakhstan, kenako anati iwo apeza. Chatsopano, 1978, ndinakumana ku Kazakhstan. Kunyumba, ku Krivoy Rog adabweretsa mitsuko yamafuta atatu-lita: ma badger awiri ndi imodzi - galu.

Amayi anamwa mafuta onse ndipo tinapita naye kwa X-ray. Chilichonse ndi mapapu oyera ndipo palibe chokondweretsa. Ndidakumana ndi adotolo, ndikumuuza chilichonse, ndimafuna kumuthokoza, adati: "Sindikufuna kalikonse - ndi ntchito yopatula ya dokotala aliyense kuteteza thanzi la odwala ake ndi mphamvu zake zonse.

Tsoka ilo, chithandizo chamankhwala sichidziwika, ndipo nthawi zina chimadzutsa akufa. ”

Vuto lachipatala, lidapezeka

Nkhani yomwe idandichitikira ndili ndi zaka 26. Ndinapita kukayezedwa ndi azachipatala ndipo adandiuza nditadutsa mayeso omwe ndikufunika kuti ndichitidwe opaleshoni, myoma adakula.

Sizikudziwika kuti anakula liti komanso kuti. Mayi wina wochokera ku msonkhano wathu anandiuza kuti ndipite kwa sing'anga wam'mudzi Tatyana. Dotolo adandiyesa, adamva, andipatsa chakumwa ndikupereka mankhwala: zitsamba + senna, adafotokoza kuti ndili ndi miyala yoyipa.

Patatha milungu iwiri, adalandila Tatyana, kulandira, matumbo oyera komanso oyera. Adotolo adandilangiza kuti: "Pita kwa dokotala uyu ndikafunse zomwe akufuna akuthawe." Ndidapita kuchipatala, mwachidziwikire ndidataya khadi yanga, ndipo adotolo adati: "Ndalakwitsa."

Ndili ndi zaka 26, madokotala anzeru pafupifupi adandisiya wopanda mwendo

Kuntchito, adanyambita chala chake chachikulu ndikugwira mtima ndipo adayamba kudya. Ndinkabwera tsiku lililonse kuchipatala, kusintha malamba, kudzutsa msomali, kutsukidwa ndikuyamba gangore, ndikukwera kwambiri. Ndinali kale mkhalidwe kotero kuti malingaliro anga adayamba kusokonezeka m'mutu mwanga.

Ndinapita ku phwandolo ndi ana anga, ndikusamba, kutsuka msomali wanga nthawi zonse, ndipo ndinamva kukambirana pakati pa adotolo ndi namwino kuti: "Muyenera kudula mwendo wanu mpaka wolumayo atakula.

Chifukwa chake amatha kuphatikiza tulo pansi pa bondo. ”Mwakachetechete, adatsika pakama, ndikunyenyeka m'manja mwake, mwana wake wamwamuna ndi manja ndikutupa mwachangu. Ma taxi akukwera, chilichonse chiri ndi nthawi yake.

Ndinafika pamalo oyimilira, ndakwera basi, ndikuimirira nikakayuschaya. Pa 26, yendani ndodo ...

Woyandikana naye kuchokera pansi, Valya: "Ukhulupirira uli nayo phazi lako?" Ndidayankha mwakachetechete: "Akufuna kuluka mwendo.

"Valentina adatemberera, atafika kunyumba, adatenga mwana wanga wamwamuna kwa iye, adatumiza ana ake aamuna kumudzi, adakoka ma mzigo - kwambiri.

Valya adatsuka mashopu, opindika mu chopukutira nyama, ndikuyika thumba la pulasitiki ndi mwendo wanga pamenepo. Ndi momwe adandisinthira ma lottery a burdock kupyola nthawi. Masiku angapo pambuyo pake ine ndinanyamuka.

Kodi ndikufuna kunena chiyani zaumoyo?

Komabe, ndikhulupilira kuti anthu omwe ali ndi chiyembekezo komanso mwanzeru amafuna njira yopezera vutoli. Kupatula apo, Ambuye samapereka mayesero kupitilira mphamvu ya munthu.

Munthu aliyense nthawi zonse amakhala ndi chisankho m'moyo wake, ndipo chinthu chachikulu ndikuwona izi ngati phunziro, koma osayesa. Izi zikutanthauza kuti china chake chatayika ndipo izi ziyenera kuphunzira ndikupanga nokha.