Insulin mapombi

Insulini pombi chishandiso chidiki chinoburitsa insulin kuburikidza nekapurasitiki tube (catheter). Iyo mudziyo unopomba insulin nekuenderera masikati nousiku. Inogona zvakare kuendesa insulin nekukurumidza (bolus) usati wadya. Insulini mapampu anogona kubatsira vamwe vanhu vane chirwere cheshuga kuve neakawanda kutonga mukubata ropa glucose.

Mazhinji mapampu e insulin akakura saizi mbozhanhare, asi mamodheru anoramba achiderera. Ivo vanonyanya kupfekwa pamuviri vachishandisa bhandi, bhandi, homwe, kana clip. Mimwe mienzaniso ikozvino isina waya.

Mapombi echinyakare inosanganisira dura re insulin (katuriji) uye catheter. Iyo catheter inoisirwa neyepurasitiki tsono iri pasi peganda chete mumafuta emafuta. Izvi zvinoitirwa panzvimbo nebhandeji rinonamira. Tubing inobatanidza iyo catheter kupombi ine dhijitari inoratidza. Izvi zvinobvumira mushandisi kuronga chishandiso kuburitsa insulin pazvinenge zvichidikanwa.

Patch pombi dzakapfekwa zvakaringana nemuviri nedura uye machubhu mukati mekesi kadiki. Yakaparadzaniswa isina waya kifaa zvirongwa insulin kutakura kubva mupombi.

Pombi dzinouya nezvinhu zvakaita sekudzivirira mvura, girazi rekubata, uye zviyeuchidzo zveyero nguva uye insulin dura rekugona. Dzimwe pombi dzinogona kubatanidza kana kutaurirana neiyo sensor yekutarisa huwandu hweshuga yeropa (inoenderera glucose glucose). Izvi zvinokutendera iwe (kana mune dzimwe nguva pombi) kumisa insulin kuendesa kana ropa glucose yave kuderera zvakanyanya. Taura nemupi wako wezvehutano nezve iyo pombi yakakunakira iwe.

KUSVIRA KUNOGONESA PUMPS KUSHANDA

Iyo insulin pombi inounza insulin ichienderera mberi kumuviri. Iyo kifaa inowanzo shandisa chete inokurumidza-inoshanda insulin. Iyo inogona kugadzirirwa kuburitsa akasiyana madosi einsulin zvichibva pane ako eropa glucose mazinga. Insulin doses ndeye matatu marudzi:

• Basal dose: Chishoma che insulini yakaunzwa masikati nousiku. Nemapombi iwe unogona kushandura huwandu hweiyo basal insulin iri kuendeswa panguva dzakasiyana dzezuva. Iyi ndiyo mukana wakakura wepombi pamusoro peiyo jekiseni insulin nekuti unogona kugadzirisa huwandu hweiyo basal insulin iwe yauri kuwana panguva dzakasiyana dzezuva.
• Bolus dose: Dosi yepamusoro ye insulin pakudya apo shuga dzeropa dzinokwira nekuda kwemakabohydrate muzvikafu. Mapombi mazhinji ane 'bolus wizard' yekubatsira kuverenga iyo bolus dose zvichibva padanho reropa rako reruglucose uye chikafu (magiramu ehydrohydrate) auri kudya. Iwe unogona kuronga iyo pombi yekuendesa iyo bolus doses mune akasiyana mapatani. Uku zvakare mukana pamusoro pejekiseni jekiseni kune vamwe vanhu.
• Kugadziriswa kana imwe yekuwedzera dosi pazvinenge zvichidikanwa.

Iwe unogona kuronga huwandu hweyero zvinoenderana neshuga yako yeropa panguva dzakasiyana dzezuva.

Zvakanakira kushandisa insulin pombi zvinosanganisira:

• Kwete kuita jekiseni insulin
• Yakanyanya discrete pane jekiseni insulin ine sirinji
• Yakajeka insulin kuendesa (inogona kuendesa zvikamu zveyuniti)
• Inogona kubatsira neyakaomarara ropa glucose kudzora
• Zvishoma kukura kukuru muropa glucose mazinga
• Zvinogona kukonzera kunatsiridzwa A1C
• Zvishoma zvikamu zve hypoglycemia
• Kunyanya kuchinjika nedhayeti yako uye kurovedza muviri
• Inobatsira kubata 'dawn phenomenon' (kwayedza inomuka muropa rehuga)

Zvakaipira kushandisa insulin mapombi ndeaya:

• Kuwedzera njodzi yekuwedzera huremu
• Kuwedzera njodzi yeshuga ketoacidosis kana pombi ikasashanda nemazvo
• Njodzi yekutapukirwa neganda kana kutsamwa panzvimbo yekushandisa
• Inofanira kusunganidzwa nepombi kazhinji nguva (semuenzaniso, kumahombekombe kana kunzvimbo yekurovedza muviri)
• Inoda kushandisa pombi, kutsiva mabhatiri, seti madhizaini, zvichingodaro
• Kupfeka pombi kunoita kuti zvive pachena kune vamwe kuti une chirwere cheshuga
• Zvinotora nguva kuti uwane hang yekushandisa pombi uye nekuichengeta ichishanda nemazvo
• Unofanira kutarisa shuga yako yeropa kakati wandei pazuva uye kuverenga makabhohaidhiretsi
• Inodhura

Mashandisiro Aungaita PUMP

Chikwata chako cheshuga (uye mugadziri wepombi) ichakubatsira iwe kudzidza zvese zvaunoda kuti uzive kushandisa pombi zvinobudirira. Iwe unozofanirwa kuziva maitiro eku:

• Chengetedza huwandu hweshuga yeropa rako (zviri nyore kwazvo kana uchishandisa zvakare inoenderera glucose glucose)
• Verenga makabhohaidhiretsi
• Gadza basal uye bolus doses uye program pombi
• Ziva madosi epurogiramu zuva rega rega zvichienderana nehuwandu uye mhando yechikafu chakadyiwa uye zviitiko zvemuviri zvinoitwa
• Ziva maitiro ekuverengera kwemazuva anorwara kana uchigadzira chishandiso
• Batanidza, bvisa, uye dzorerazve chishandiso, senge panguva yemvura kana chiitiko chine simba
• Chengetedza huwandu hweropa glucose
• Ziva maitiro ekutarisa nekudzivirira chirwere cheshuga ketoacidosis
• Ziva maitiro ekugadzirisa matambudziko epombi uye uone zvakajairika zvikanganiso

Boka rako rezvehutano rinokudzidzisa kuti utarise mashuga eropa rako kuti uchinje madhizaini.

Mapombi ejekiseni anoramba achivandudzwa uye akachinja zvakanyanya kubvira pavakatanga kuunzwa.

• Mapombi mazhinji ikozvino anotaurirana neyakaenderera glucose monitors (CGMs).
• Zvimwe zvinoratidza 'auto' modhi iyo inoshandura iyo basal dose zvichibva nekuti shuga yako yeropa iri kuwedzera kana kudzikira. (Izvi dzimwe nguva zvinonzi se 'yakavharwa loop' system).

MAZANO OKUSHANDISA

Nekufamba kwenguva, iwe unozove wakasununguka kushandisa iyo insulin pombi. Aya matipi anogona kubatsira:

• Tora insulin yako panguva dzakatarwa kuti usakanganwa madosi.
• Ive neshuwa yekuteedzera uye kunyora yako eshuga eropa mazinga, kurovedza muviri, makabhohaidhireti zviyero, macarhydrate madosi, uye ekururamisa dosi uye wozviongorora zuva nezuva kana vhiki. Kuita izvi kunobatsira iwe kunatsiridza kudzora glucose muropa.
• Taura nemupi wako nezvenzira dzekudzivirira kuwana huremu paunotanga kushandisa pombi.
• Kana iwe uri kufamba, ita chokwadi chekutakura zvimwe zvekushandisa.

Iwe unofanirwa kufonera mupi wako kana:

• Iwe unogara uine yakaderera kana yakakwira ropa glucose mazinga
• Iwe unofanirwa kudya pakati pezvikafu kuti udzivise yakaderera ropa glucose mazinga
• Une fivha, kusvotwa, kana kurutsa
• Kukuvara
• Unofanira kuvhiyiwa
• Iwe une zvisina tsananguro kurema kuwedzera
• Uri kuronga kuva nemwana kana kubata pamuviri
• Iwe unotanga kurapwa kana mishonga yemamwe matambudziko
• Unomira kushandisa pombi yako kwenguva yakareba

Inopfuurira subcutaneous insulin infusion; CSII; Chirwere cheshuga - insulin mapombi

• Insulin pombi
• Insulin pombi

American Chirwere cheshuga Association. 9. Pharmacologic inosvika kune glycemic kurapwa: Maitiro Ekurapa Kuchengetedza mune Chirwere cheshuga-2020. Chirwere cheshuga. 2020; 43 (Chikwata 1): S98-S110. PMID: 31862752 pubmed.ncbi.nlm.nih.gov/31862752/.

Aronson JK. Insulin. Mune: Aronson JK, ed. Meyler's Side Migumisiro yeMishonga. 16 ed. Waltham, MA: Elsevier; 2016: 111-144.

Atkinson MA, Mcgill DE, Dassau E, Laffel L. Type 1 chirwere cheshuga mellitus. Mune: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Chinyorwa cheEndocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 36.

National Institute of Chirwere cheshuga uye Digestive uye Kidney Zvirwere webhusaiti. Insulin, mishonga, & mamwe marapirwo eshuga. www.niddk.nih.gov/health-information/diabetes/overview/insulin-medicines-treatments. Yakagadziridzwa Zvita 2016. Yakasvika munaNovember 13, 2020.

• Chirwere cheshuga Mishonga