Amapompo e-insulin

Iphampu ye-insulin yinto encane eletha i-insulin ngepayipi elincane lepulasitiki (ipayipi). Idivayisi iphampa i-insulin ngokuqhubekayo imini nobusuku. Ingahambisa ne-insulin ngokushesha okukhulu (i-bolus) ngaphambi kokudla. Amapompo e-insulin angasiza abanye abantu abanesifo sikashukela ukuba babe nokulawula okwengeziwe ekuphatheni i-glucose yegazi.

Iningi lamaphampu e-insulin acishe alingane nomakhalekhukhwini omncane, kepha amamodeli aqhubeka eba mancane. Zigqokwa kakhulu emzimbeni kusetshenziswa ibhande, ibhande, isikhwama, noma isiqeshana. Amanye amamodeli manje awanazintambo.

Amaphampu wendabuko faka idamu le-insulin (igobolondo) kanye ne-catheter. Ipayipi lifakwa ngenaliti yepulasitiki ngaphansi kwesikhumba nje ezicutshini ezinamafutha. Lokhu kubanjelwa endaweni ngebhandishi elinamathelayo. I-tubing ixhuma i-catheter kupompo enesibonisi sedijithali. Lokhu kuvumela umsebenzisi ukuthi ahlele uhlelo ukuletha i-insulin njengoba kudingeka.

Ama-patch pump zigqokwe ngqo emzimbeni onedamu kanye namashubhu ngaphakathi kwesikhwama esincane. Idivayisi ehlukile engenazintambo ihambisa ukulethwa kwe-insulini kusuka kupompo.

Amaphampu eza nezinto ezifana nokuvinjelwa kwamanzi, isikrini esithintwayo, kanye nezixwayiso zesikhathi somthamo namandla echibini le-insulin. Amanye amaphampu angaxhuma noma axhumane nenzwa yokuqapha amazinga kashukela egazini (i-glucose monitor eqhubekayo). Lokhu kukuvumela (noma kwezinye izimo ipompo) ukuthi umise ukulethwa kwe-insulin uma i-glucose yegazi iyehla kakhulu. Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuthi iyiphi ipompo ekufanele.

INDLELA ESEBENZA NGAYO AMAPHOMU E-INSULIN

Iphampu ye-insulin iletha i-insulin ngokuqhubekayo emzimbeni. Idivayisi ivame ukusebenzisa i-insulin esebenza ngokushesha kuphela. Kungakuhlelwa ukukhipha imithamo ehlukene ye-insulin ngokuya ngamazinga eglucose egazi lakho. Ukweqiwa kwe-insulin kunezinhlobo ezintathu:

• Umthamo osisekelo: Inani elincane le-insulin elethwa ubusuku nemini. Ngamaphampu ungashintsha inani le-basal insulin elethwa ngezikhathi ezahlukahlukene zosuku. Lokhu kuyinzuzo enkulu yamaphampu ngaphezu kwe-insulin ejojowe ngoba ungenza ngendlela oyifisayo inani le-basal insulin oyitholayo ngezikhathi ezahlukene zosuku.
• Umthamo weBolus: Umthamo ophakeme we-insulin ekudleni lapho amazinga kashukela egazi enyuka ngenxa yama-carbohydrate ekudleni. Amaphampu amaningi ane-'bolus wizard 'yokusiza ukubala umthamo we-bolus ngokuya ngezinga le-glucose yegazi lakho kanye nesidlo (amagremu e-carbohydrate) owadlayo. Ungahlela ipompo ukuletha imithamo ye-bolus ngamaphethini ahlukile. Lokhu futhi kuyinzuzo ngaphezu kwe-insulin ejojelwe kwabanye abantu.
• Ukulungiswa noma umthamo owengeziwe njengoba kudingeka.

Ungahlela inani lomthamo ngokwamazinga kashukela egazini lakho ngezikhathi ezahlukahlukene zosuku.

Izinzuzo zokusebenzisa i-insulin pump zifaka:

• Ukungadingi ukujova i-insulin
• Kuhlukaniswe kakhulu kunokujova i-insulin ngesirinji
• Ukulethwa okuthe xaxa kwe-insulin (kungaletha izingxenyana zamayunithi)
• Kungasiza ngokulawulwa okuqinile kweglucose kwegazi
• Zimbalwa izinguquko ezinkulu emazingeni eglucose egazini
• Kungaholela ekuthuthukisweni kwe-A1C
• Izigcawu ezimbalwa ze-hypoglycemia
• Ukuvumelana nezimo okwengeziwe ngokudla kwakho nokuvivinya umzimba
• Isiza ukuphatha 'i-phenomenon yasekuseni' (ukunyuka ekuseni kakhulu emazingeni eglucose egazi)

Okubi kokusebenzisa amaphampu e-insulin yilawa:

• Ingozi eyengeziwe yokuthola isisindo
• Ingozi eyengeziwe ye-ketoacidosis yesifo sikashukela uma ipompo ingasebenzi kahle
• Ubungozi bokutheleleka kwesikhumba noma ukucasuka endaweni yokufaka isicelo
• Kufanele unamathele kupompo isikhathi esiningi (ngokwesibonelo, olwandle noma ejimini)
• Udinga ukusebenzisa ipompo, ukushintsha amabhethri, ukusetha imithamo, njalonjalo
• Ukugqoka iphampu kwenza kube sobala kwabanye ukuthi unesifo sikashukela
• Kungathatha isikhashana ukuthola ukulengiswa kokusebenzisa ipompo nokuyigcina isebenza kahle
• Kufanele uhlole amazinga kashukela egazini lakho izikhathi eziningana ngosuku futhi ubale ama-carbohydrate
• Kuyabiza

INDLELA YOKUSEBENZISA I-POMP

Ithimba lakho likashukela (kanye nomenzi wepompo) lizokusiza ufunde konke odinga ukukwazi ukusebenzisa ipompo ngempumelelo. Uzodinga ukwazi ukuthi:

• Gcina umkhondo wamazinga kashukela egazini lakho (kulula kakhulu uma usebenzisa nokuqapha i-glucose okuqhubekayo)
• Bala ama-carbohydrate
• Setha imithamo ye-basal ne-bolus bese uhlela iphampu
• Yazi ukuthi imiphi imithamo ozoyihlela nsuku zonke ngokuya ngenani nohlobo lokudla okudliwayo nemisebenzi eyenziwa ngokomzimba eyenziwe
• Yazi ukuthi ungaziphendulela kanjani izinsuku zokugula lapho wenza uhlelo lwedivayisi
• Xhuma, unqamule, uphinde uxhume kabusha idivayisi, njengesikhathi semvula noma umsebenzi onamandla
• Phatha amazinga aphezulu eglucose egazini
• Yazi ukuthi ungayibuka kanjani futhi uyigweme kanjani i-ketoacidosis yesifo sikashukela
• Yazi ukuthi ungabhekana kanjani nezinkinga zepompo futhi ubone amaphutha ajwayelekile

Ithimba lakho lokunakekelwa kwezempilo lizokuqeqesha ukuthi uhlole amazinga kashukela egazini lakho ukuze ulungise imithamo.

Amapompo e-insulin ayaqhubeka nokwenza ngcono futhi aseshintshe kakhulu selokhu aqala ukwethulwa.

• Amaphampu amaningi manje axhumana nabaqaphi be-glucose abaqhubekayo (ama-CGM).
• Ezinye zifaka imodi 'ezenzakalelayo' eshintsha umthamo osisekelo ngokuya ngokuthi ngabe ushukela wegazi lakho uyanda noma uyancipha. (Lokhu kwesinye isikhathi kubizwa ngohlelo 'oluvaliwe lweluphu').

AMACEBISO OKUSETSHENZISWA

Ngokuhamba kwesikhathi, uzokhululeka ngokwengeziwe usebenzisa iphampu ye-insulin. Lezi zeluleko zingasiza:

• Thatha i-insulin yakho ngezikhathi ezibekiwe ukuze ungakhohlwa imithamo.
• Qiniseka ukuthi ulandelela futhi uqopha amazinga kashukela egazini lakho, ukuzivocavoca umzimba, amanani we-carbohydrate, imithamo ye-carbohydrate, kanye nemithamo yokulungisa bese uwabuyekeza nsuku zonke noma masonto onke. Ukwenza kanjalo kuzokusiza ukuthuthukisa ukulawulwa kweglucose egazini.
• Khuluma nomhlinzeki wakho ngezindlela zokugwema ukuthola isisindo lapho uqala ukusebenzisa ipompo.
• Uma usohambweni, qiniseka ukupakisha izinto ezengeziwe.

Kufanele ushayele umhlinzeki wakho uma:

• Unamazinga amaningi eglucose egazini aphansi noma aphezulu
• Kufanele udle phakathi kokudla ukuze ugweme amazinga kashukela egazini aphansi
• Unomkhuhlane, isicanucanu, noma ukuhlanza
• Ukulimala
• Udinga ukuhlinzwa
• Unenzuzo engachazeki
• Uhlela ukuba nengane noma ukhulelwe
• Uqala ukwelashwa noma imithi yezinye izinkinga
• Uyeka ukusebenzisa iphampu yakho isikhathi eside

Ukufakwa kwe-insulin okuqhubekayo okungaphansi; CSII; Isifo sikashukela - amaphampu e-insulin

• Iphampu ye-insulin
• Iphampu ye-insulin

I-American Diabetes Association. 9. Izindlela ze-Pharmacologic ekwelashweni kwe-glycemic: Amazinga Wokunakekelwa Kwezokwelapha Esifo Sikashukela-2020. Ukunakekelwa yisifo sikashukela. 2020; 43 (Suppl 1): S98-S110. I-PMID: 31862752 pubmed.ncbi.nlm.nih.gov/31862752/.

U-Aronson JK. I-insulini. Ku: Aronson JK, ed. Imiphumela emibi kaMeyler yezidakamizwa. Umhla ka-16. I-Waltham, MA: Elsevier; 2016: 111-144.

I-Atkinson MA, Mcgill DE, Dassau E, Laffel L. Thayipha i-1 yesifo sikashukela. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 36.

I-National Institute of Diabetes kanye newebhusayithi yezifo zeDigestive and Kidney. I-insulin, imithi, nezinye izindlela zokwelapha isifo sikashukela. www.niddk.nih.gov/health-information/diabetes/overview/insulin-medicines-treatments. Kubuyekezwe uDisemba 2016. Kufinyelelwe ngoNovemba 13, 2020.

• Imithi Yesifo Sikashukela