Iimpompo ze-insulin

Impompo ye-insulin sisixhobo esincinci esisa i-insulin ngombhobho omncinci weplastikhi (i-catheter). Izixhobo zimpompo lwe-insulin ngokuqhubekayo imini nobusuku. Inokuhambisa i-insulin ngokukhawuleza (bolus) ngaphambi kokutya. Iimpompo ze-insulin zinokunceda abanye abantu abanesifo seswekile ukuba babe nolawulo ngakumbi kulawulo lweglucose yegazi.

Uninzi lweempompo ze-insulin ziphantse zilingane nefowuni encinci, kodwa iimodeli ziya ziba ncinci. Zinxibe kakhulu emzimbeni zisebenzisa ibhanti, ibhanti, isingxobo, okanye ikliphu. Ezinye iimodeli ngoku azinazingcingo.

Iimpompo zemveli zibandakanya indawo yokugcina i-insulin (iCartridge) kunye ne-catheter. I-catheter ifakwe ngenaliti yeplastiki phantsi nje kolusu kwizicwili ezinamanqatha. Oku kubanjelwe endaweni ngebhandeji elinamathelayo. Ukutyubhisha kudibanisa i-catheter kwimpompo ebonisa umboniso wedijithali. Oku kuvumela umsebenzisi ukuba enze inkqubo yokuhambisa i-insulin njengoko kufuneka.

Iimpompo patch zinxitywe ngqo emzimbeni kunye nedama kunye neetyhubhu ngaphakathi kwityala elincinci. Inkqubo yezixhobo ezingenazingcingo ezahlukileyo ezivela kwimpompo.

Iimpompo ziza nezinto ezinjengokungangenwa kwamanzi, isikrini sokuchukumisa kunye nezilumkiso zexesha lokulinganisa kunye nomthamo we-insulin. Ezinye iimpompo zinokunxibelelana okanye zinxibelelane nesenzi sokujonga esweni amanqanaba eswekile yegazi (ukubeka esweni okuqhubekayo kweglucose). Oku kukuvumela (okanye kwezinye iimeko impompo) uyeke ukuhanjiswa kwe-insulin ukuba iswekile yegazi iyehla kakhulu. Thetha nomboneleli wakho wezempilo malunga nempompo efanelekileyo kuwe.

INDLELA YOKUSETYENZISWA KWEEMPAHLA

Impompo ye-insulin ihambisa i-insulin ngokuqhubekayo emzimbeni. Isixhobo sihlala sisebenzisa i-insulin esebenza ngokukhawuleza kuphela. Inokucwangciswa ukukhupha iidosi ezahlukeneyo ze-insulin esekwe kumanqanaba eglucose egazini lakho. Iidosi ze-insulin ziintlobo ezintathu:

• Umthamo osisiseko: Inani elincinci le-insulin elethwayo imini nobusuku. Ngeempompo unokutshintsha inani le-basal insulin ehanjiswa ngamaxesha ahlukeneyo emini. Olu lolona ncedo lukhulu lweempompo ngaphezulu kwe-insulin efakwe inaliti kuba ungenza ngokusesikweni isixa se-basal insulin oyifumana ngamaxesha ahlukeneyo emini.
• Idosi yeBolus: Idosi ephezulu ye-insulin xa kutyiwa xa amanqanaba eswekile esegazini enyuka ngenxa yeecarbohydrate ekutyeni. Uninzi lweempompo zine 'bolus wizard' yokunceda ukubala idosi ye-bolus esekwe kwinqanaba leswekile yegazi kunye nesidlo (iigrama zecarbohydrate) osityayo. Unokwenza inkqubo yokumpompa ukuhambisa iidosi ze-bolus kwiipateni ezahlukeneyo. Oku kukwaluncedo ngaphezu kwe-insulin efakwe kwabanye abantu.
• Ukulungiswa okanye idosi eyongezelelweyo njengoko kufuneka.

Unokucwangcisa inani ledosi ngokwamanqanaba eswekile yegazi ngamaxesha ahlukeneyo emini.

Izibonelelo zokusebenzisa impompo ye-insulin zibandakanya:

• Akufuneki ukuba utofe i-insulin
• Ukudibanisa ngakumbi kunokutofa i-insulin ngesirinji
• Ukuhanjiswa kwe-insulin ngokuchanekileyo (kunokuhambisa amaqhezu eeyunithi)
• Ngamana unokunceda ngokulawulwa kweglucose yegazi
• Ukumbalwa okutshintshayo okukhulu kumanqanaba eswekile yegazi
• Isiphumo sinokuphuculwa kwe-A1C
• Iziqendu ezimbalwa ze-hypoglycemia
• Ukuguquguquka ngakumbi kwindlela otya ngayo kunye nokuzilolonga
• Inceda ukulawula 'isenzeko sakusasa' (kwangoko kusasa ukunyuka kwamazinga eswekile yegazi)

Ukungancedi kokusebenzisa iimpompo ze-insulin zezi:

• Umngcipheko okhulayo wokufumana ubunzima
• Umngcipheko owandisiweyo wesifo seswekile ketoacidosis ukuba impompo ayisebenzi ngokuchanekileyo
• Umngcipheko wosulelo lolusu okanye ukucaphuka kwindawo yesicelo
• Kufuneka uqhotyoshelwe kwimpompo ixesha elininzi (umzekelo, elunxwemeni okanye ejimini)
• Kufuneka usebenzise impompo, buyisela iibhetri, useta idosi, njalo njalo
• Ukunxiba impompo kuyenza icace kwabanye into yokuba unesifo seswekile
• Kungathatha ixesha ukufumana ukuxhoma kokusebenzisa impompo kwaye uyigcine isebenza ngokufanelekileyo
• Kuya kufuneka ujonge amanqanaba eswekile yegazi amatyeli aliqela ngosuku kwaye ubale iikhabhohayidrethi
• Ixabiso

INDLELA YOKUSEBENZISA IPOMU

Iqela lakho leswekile (kunye nomenzi wempompo) liya kukunceda ufunde yonke into oyifunayo ukuze usebenzise impompo ngempumelelo. Uya kudinga ukwazi ukuba:

• Gcina umkhondo wamanqanaba eswekile yegazi lakho (kulula kakhulu ukuba usebenzisa esweni iswekile eqhubekayo)
• Bala iikhabhohayidrethi
• Beka i-basal kunye ne-bolus doses kunye nenkqubo yokumpompa
• Yazi ukuba yeyiphi idosi yenkqubo yonke imihla esekwe kwinani kunye nohlobo lokutya okutyiweyo kunye nemisebenzi yomzimba eyenziweyo
• Yazi indlela yokuphendula ngeentsuku zokugula xa usenza isixhobo isixhobo
• Qhagamshela, unqamle, kwaye uqhagamshele kwakhona isixhobo, ngexesha lemvula okanye umsebenzi onamandla
• Ukulawula amanqanaba aphezulu eglucose
• Yazi ukuba ubukele njani kwaye uphephe i-ketoacidosis yeswekile
• Yazi indlela yokujongana neengxaki zempompo kwaye ubone iimpazamo eziqhelekileyo

Iqela lakho lokhathalelo lwempilo liza kukuqeqesha ukuba ujonge amanqanaba eswekile yegazi ukuze uhlengahlengise idosi.

Iimpompo ze-insulin ziyaqhubeka nokuphuculwa kwaye ziye zatshintsha kakhulu ukusukela oko zaziswa okokuqala.

• Iimpompo ezininzi ngoku zinxibelelana nabalindi be-glucose abaqhubekayo (CGMs).
• Ezinye zibonisa imo 'ezenzekelayo' etshintsha idosi esisiseko ngokusekwe ekubeni iswekile yegazi lakho iyanda okanye iyancipha. (Oku ngamanye amaxesha kubhekiswa kuko njengenkqubo ye 'loop evaliweyo').

AMACEBISO OKUSETYENZISWA

Ixesha elingaphezulu, uya kukhululeka ngakumbi xa usebenzisa impompo ye-insulin. Ezi ngcebiso zinokunceda:

• Thatha i-insulin yakho ngamaxesha abekiweyo ukuze ungalibali iidosi.
• Qiniseka ukuba ukulandelela kunye nokurekhoda amanqanaba eswekile yegazi, umthambo, izixa ze-carbohydrate, iidosi ze-carbohydrate, kunye needosi zokulungisa kwaye uzivavanye yonke imihla okanye ngeveki. Ukwenza njalo kuya kukunceda ukuphucula ulawulo lweglucose.
• Thetha nomboneleli wakho malunga neendlela zokuphepha ukutyeba xa uqala ukusebenzisa impompo.
• Ukuba uhamba, qiniseka ukupakisha izinto ezingaphezulu.

Kuya kufuneka ubize umnikezeli wakho ukuba:

• Unamaqondo asezantsi okanye aphezulu eswekile yegazi
• Kuya kufuneka utye phakathi kokutya ukunqanda amanqanaba asezantsi eswekile yegazi
• Unomkhuhlane, isicaphucaphu, okanye ukugabha
• Ukwenzakala
• Kufuneka wenze utyando
• Unenzuzo engachazekiyo
• Uceba ukuba nomntwana okanye ukhulelwe
• Uqala unyango okanye amayeza ezinye iingxaki
• Uyeka ukusebenzisa impompo yakho ixesha elide

Ukuqhubela phambili kwe-insulin engaphantsi; CSII; Seswekile - insulin iimpompo

• Impompo ye-insulin
• Impompo ye-insulin

Umbutho weSwekile yaseMelika. 9. I-Pharmacologic isondela kunyango lwe-glycemic: ImiGangatho yoNyango lwezeMpilo kwiSwekile-2020. Unonophelo lweSwekile. 2020; 43 (iSuppl 1): S98-S110. IINKCUKACHA: 31862752 pubmed.ncbi.nlm.nih.gov/31862752/.

UAronons JK. I-insulin. Ku: Aronson JK, ed. Iziphumo ebezingalindelekanga zikaMeyler zeziyobisi. Ngomhla we-16. I-Waltham, MA: Elsevier; Ngo-2016: 111-144.

UAtkinson MA, uMcgill DE, uDassau E, uLaffel L. Uhlobo lwe-1 yeswekile. Ku: UMelmed S, uAuchus RJ, uGoldfine AB, uKoenig RJ, uRosen CJ, ii-eds. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-14. IPhiladelphia, PA: Elsevier; 2020: isahluko 36.

IZiko leLizwe leSwekile kunye neWebhusayithi kunye neZifo zeZintso. I-insulin, amayeza, kunye nezinye iindlela zonyango lweswekile. www.niddk.nih.gov/health-information/diabetes/overview/insulin-medicines- unyango. Ukuhlaziywa ngoDisemba 2016. Kufikeleleke ngoNovemba 13, 2020.

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