Kodi mwakonzeka kuvala pampu? Tiyeni tiwone zabwino ndi zovuta za chipangizocho

Pampu ya insulin ndi chida chachipatala chomwe chapangidwira kuti chizikhala chokhazikika pakulandirira kwa insulin (ndi matenda ashuga).

Pampu ya insulini ya shuga palokha imakhala ndi: pampu yomwe (imakhala ndi gawo loyendetsa, mabatire), chosungira (chosinthika), insulin jekeseni (kuyambitsa cannula, njira ya chubu yolumikiza cannula ndi chosungira).

Momwe piritsi la insulin limagwirira ntchito

Musadabwe ndi kuwerenga kapangidwe ka insulin. Zonsezi zimakwanira zazing'ono kuposa foni yamtundu wa BUTTON. M'malo mwake, ndizovala zazikulu (kuyerekezera, mawonekedwe apompo apano anali chikwama chamapewa 8, chomwe chidapangidwa ndi Dr. Arnold Kadesh koyambirira kwa zaka 60).

Mbale ya cannula ya insulin pampu imayikidwa m'malo amtundu wokhazikitsidwa ndi insulin (m'mimba, matako, mapewa, matako). Komwe kuli mafuta onunkhira. Mothandizidwa ndi mapulogalamu, muyeso wa makonzedwe ndi muyeso wakhazikitsidwa. Chifukwa chake, pampu imatsanzira ntchito ya kapamba.

Chithandizo cha insulin

Pali mitundu iwiri ya insulin yobereka:

Zoyambira (kuperekera kwa mankhwala a insulin nthawi zonse, omwe amaperekedwa tsiku lonse, kupatula usiku ndi chakudya).

Bolus (mlingo wowonjezera womwe umaperekedwa kuti udye ndikuwongolera kuchuluka kwa glucose usiku).

Palinso mitundu yosiyana ya ma botolo. Izi zikutanthauza kuti munthu yemwe amachititsa kuti pakhale insulin yobereka:

Mtundu woyenera wa bolus ("point") ndi munthawi yomweyo wopanga insulin yonse.

Njirayi ndi yabwino kwa chakudya chamafuta ambiri omwe amakhala ochepa mapuloteni komanso mafuta.

Mulingo wokulira ("wamakona") ndi pang'onopang'ono wa insulin.

Amagwiritsidwa ntchito panthawi yakudya yama protein ndi zakudya zamafuta, chifukwa insulini yovulaza siyipereka mphamvu komanso imachepetsa shuga pang'onopang'ono. Kuphatikiza apo, lidzatambalala kwambiri nthawi. Komanso mtundu uwu wa bolus umagwiritsidwa ntchito kwa munthu yemwe ali ndi chimbudzi pang'ono.

Double bolus kapena multiwave - ndi kuphatikiza kwa mitundu iwiri yoyambayo ndipo imapereka insulin yokwanira mchigawo choyamba ndipo imatambasula nthawi yokhazikitsa gawo lachigawo lachiwiri.

Njirayi imagwiritsidwa ntchito ndi iwo omwe amadya zakudya zamafuta ndi mafuta ambiri.

Ubwino Wogwiritsa Ntchito Pampu ya Insulin

Ndi insulin yochepa kwambiri yomwe imagwiritsidwa ntchito (Apidra, NovoRapid, Humalog) ndipo izi zimakwanitsa kulipira bwino.

Mapampu a insulini amathandizira kuchepetsa kuchuluka kwa insulin tsiku lililonse ndi 20-30%.

Pampu ya insulini imapereka insulini mu microdroplets, potero kuonetsetsa kuti kayendetsedwe ka kayendetsedwe kabwino kamagwira. Ndipo izi zimakuthandizani kuti muwunikire kuchuluka kwa insulin mthupi.

Chifukwa cha kuthekera kwa pampu yomwe ("luntha lochita kupanga"), mapampu ambiri a shuga amakhala ndi pulogalamu yomwe imathandizira kufotokozera kuchuluka kwa insulin yomwe imayendetsedwa pachakudya. Izi zimaganizira machitidwe a thupi, kuzindikira insulin nthawi zosiyanasiyana komanso kufunika kwa insulin, malinga ndi mtundu wa chakudya chomwe wodwala matenda ashuga amadya.

Kuchokera pamalingaliro, malingaliro aumoyo wa odwala matenda ashuga amasintha, chifukwa sadzakhalanso ndi nthawi, malo.

Ubwino wabwino ndikuti tsopano simuyenera kupanga jakisoni wambiri ngati mukugwiritsa ntchito syringe.

Zowopsa kapena zoyipa zogwiritsa ntchito pampu ya insulin

Kuphatikiza apo pampu ya shuga ili ndi zabwino zambiri, palinso "kuwuluka kwake mumafuta" mu chipangizochi. Zowonjezera zingapo.

Pampu ya matenda ashuga iyenera kukhala pa wodwala maola 24 patsiku.

Masiku atatu aliwonse, malo oikirako amafunika kusintha.

Ngati musiyira lamulo lakale (m'malo mwake) m'malo mopatula, musatsatire malamulo a asepsis, kenako ndikulowetsani pamalo omwe jakisoni kapena matenda opatsirana angayambire.

Monga zida zamagetsi zilizonse, pampu ya odwala matenda ashuga imatha kugwira ntchito kapena kuwononga, ndipo, panjira, ndi yokwera mtengo. Monga othandizira kwa iye.

Kukhazikitsa kwa Pulogalamu ya Insulin

Nthawi zambiri, kuyika pampu kumayambira pomwe wodwalayo adzaza chosungira ndi insulin, yomwe adamupatsa mwachindunji ndi endocrinologist. Kuti muchite izi, muyenera kutenga thanki yopanda kanthu, chotsani piston kuchokera pamenepo ndikulola mpweya kuchokera mu thanki kuti ukhale ndi insulin. Zitatha izi, jekeseni insulin mu chosungira ndi piston, chotsani ndi singano ndikutulutsa thovu. Kenako mutha kuchotsa pistoni ndikulumikiza thankiyo ndi chubu. Pambuyo pake, chigawo chimayikidwa pampu ndipo chubu chimadzaza, insulin imayendetsedwa kutalika konse kwa chubu (Chofunikira! Pankhaniyi, njira yoberekera iyenera kulekanitsidwa kwa munthu) kenako dongosolo lolowetsa limatha kulumikizidwa ku cannula.

Ndikosavuta kulingalira momwe ntchito yonseyo ilibe chipangizo chonse pamaso panu. Koma musadandaule. Aliyense wodwala matenda ashuga, akagwiritsa ntchito pampu, amaphunzira maphunziro.

Pampu ya insulin ya ana

Si chinsinsi kuti lembani matenda ashuga zimakhudza achinyamata. Nthawi zina, ana ochepa kwambiri amakhala odwala endocrinologists. Ndipo pakabuka funso la mankhwala a insulin, makolo amayesetsa kuchita chilichonse chotheka kuti ana awo akonzekere. Poterepa, pampu ya insulini ndi njira yothandiza odwala matenda ashuga ochepa.

Popeza thupi la ana ndilosiyana kwambiri ndi wamkulu, Mlingo wa insulin yoyang'anira ndiwosiyana. Ndizodziwikiratu kuti ana amafunikira zochepa, koma kukwaniritsa kumveka kwa muyeso womwe wapimidwa ndi syringe yachilendo ndizosatheka. Apa ndipomwe pampu ya insulin imathandizira.

Inde, pankhani yogwiritsa ntchito pampu ya ana, pakhala zovuta zina “mwamagulu”, koma ngati mungayankhe nkhaniyi moona, phunzitsani mwana kugwiritsa ntchito mpompo moyenera, mutha kumasula moyo wa mwana ndikuthandizira kuthana ndi vuto lomwe limayambitsa matenda omwe adayambitsa.

Kuchokera pakuwona kwanu

Pampu ya insulin ndi njira yothandiza kwambiri kwa odwala matenda ashuga ngati munthu atsatira malangizo a dokotala ndikutsatira malangizo ake onse mosagwirizana. Ngati amadziwa zoyambira zamagulu oyenera a shuga (kuphatikiza mkhalidwe wa hyperglycemia, hypoglycemia imatha kuonekanso. Izi siziyenera kuyiwalika!) Ngati adzisamalira ndi pampu.

Koma mukuyeneranso kukumbukira kuti pampu ya insulin, komabe, ndi chinthu chamagetsi. Amakhala osagwira bwino ntchito ndipo mavutidwe osagwirizana molakwika amathanso kuchita mbali yayikulu ngati munthu akudwala matenda ashuga. Chifukwa chake, mwatsoka, pampu iyeneranso kulamulidwa. Ndipo zingatheke bwanji kuti munthu asatchule mtengo wokwera wa zonse zomwe zimagwiritsidwa ntchito pazokha komanso zomwe zimatha.

Kodi mumalandira chiyani?

• Kupititsa patsogolo kayendedwe ka shuga, komanso kusintha kwake tsiku lonse,
• Kuchepetsa kwambiri hypoglycemia,
• Kuwongolera bwino kwa chochitika cham'mawa. Vutoli limawonekera mu mawonekedwe a mbandakucha hyperglycemia (pakati pa 4: 00-8: maola 0), omwe amalimbitsa kwambiri pambuyo pa chakudya cham'mawa ndikufika kwambiri m'mawa,
• Matendawa komanso kusintha kwa moyo.

Ndani akuwonetsedwa kuti wakhazikitsa pampu?

• Kukhazikitsidwa kwa pampu ya insulin kumawonetsedwa kwa onse odwala omwe ali ndi kusinthasintha kwakukulu mu shuga m'magazi panthawi ya mankhwala a insulin komanso kulephera kukwaniritsa glycemia wabwino,
• Mlingo wa hemoglobin wa glycosylated woposa 7.5%,
• Pafupipafupi, usiku, kapena latent hypoglycemia
• Mimba kapena kukonzekera kutenga pakati
• Pafupipafupi matenda ashuga ketoacidosis (precoma) ndimagulitsidwe pafupipafupi
• Chodabwitsa cha mbandakucha
• Kudya kosinthasintha ndikusinthasintha kwamoyo. Awa ndi anthu omwe amachita nawo masewera, ophunzira, achinyamata, ana. Anthu otsogoza moyo wokangalika.
• Zofunikira za insulin zochepa.
• Palibe zotsutsana kukhazikitsa pampu ya insulin!

Ubwino wa chithandizo cha pampu pamankhwala amtundu wa insulin

• Kukhazikitsidwa kosalekeza kwamalingaliro ang'onoang'ono a insulin (kuthekera kopititsa 0.1-0.05 UNITS), yomwe ili pafupi kwambiri ndi ntchito ya zikondamoyo zathanzi
• Gwiritsani ntchito insulin yochepa kapena yochepa kwambiri
• Kupanda insulin depot mu subcutaneous minofu
• Kugwiritsa Mlingo wa woyambira dongosolo la insulin
• Pampu imatha kuzimitsidwa ngati pakufunika kutero
• Kuchepetsa kudya kwa insulin tsiku lililonse
• Kuchepetsa kuchuluka kwa jakisoni - jakisoni 1 m'masiku atatu
• Mwayi ndi womwe mukufuna komanso nthawi yomwe mukufuna

Ndipo kumbukirani, kuti pampu sasamalira mavuto, imawathandiza kupewa!

Nthawi Yachilango kapena Chisangalalo cha Matenda A shuga

Pamenepa ndiye tchuthi chanji cha matenda ashuga? Iyi ndi nthawi yochepa (nthawi zambiri miyezi 1-2, motero dzina lake) atasamutsa wodwala wa mtundu 1 wa shuga kuti alandire mankhwala a insulin, pomwe kunamizira kuchira kwathunthu. Wodwalayo ndi abale ake angakhulupirire kuti adachotseratu matenda ashuga chifukwa chakuti patapita nthawi yayitali pambuyo pa kuyamba kwa insulini

Ndipo ngati munthawi imeneyi simudziwa za zovuta zonse za chisangalalo cha matenda ashuga, posachedwa mutha "kudzilipira" kapena kuwongolera matenda a shuga, omwe ndizovuta kwambiri kuchitira ndi njira zamankhwala azikhalidwe masiku ano. Pansipa ndikuwuzani za vuto lakufa lomwe odwala matenda ashuga ambiri amapanga pa nthawi yaukwati wawo.

Kulembetsa ku portal

Amakupatsirani zabwino kuposa alendo okhazikika:

• Mpikisano ndi mphoto zamtengo wapatali
• Kuyankhulana ndi mamembala amakalabu, kukambirana
• Nkhani Za Matenda Ashuga Sabata Iliyonse
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Kulembetsa kumakhala kothamanga kwambiri, kumatenga mphindi zochepa, koma zonse ndizothandiza bwanji!

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