Ipompo ye-insulin yesifo sikashukela: ukuphononongwa kunye nemiyalelo yokusetyenziswa

Umpompo uyindlela engcono kakhulu kwindlela yokusetyenziswa rhoqo kweentsholongwane ngeesirinji. I sixhobo siqhuba unyango lwe-insulin rhoqo kunye nokuqwalaselwa rhoqo kwexabiso elifunekayo le-glucose nokubala kwe-carbohydrates engena emzimbeni. Umpompo we-insulin wesifo sikashukela, unjani uhlobo lwesicatshulwa, ukuba lusebenza njani, luphi uhlobo lwaloo nzuzo kunye noluntu? Ngale nto kwaye awufundanga kuphela kwinqaku.

Iyiphi i sixhobo?

Ipomulisi ye-insulin yesifo sikashukela - isisombululo esincinci esisebenza kwiibhetri, eseza i-insulin egazini lomntu ogulayo. Siyabulela kule fowuni, isiza ngokuzikhethela singena emzimbeni kwidayi efuna ukugcina i-glucose level in the norm.

Ipululini ye-insulin yesifo sikashukela: umgaqo wokusebenza we-apparatus

Lo mthengisi unamathele emzimbeni womntu kwaye ususwe kuphela xa kudingekile, umzekelo, ukuba uhlambe, ngokufutshane, ukuze ungayeki ukuphunyezwa kwenkqubo. Ukuqaliswa kwe-hormone kuzaliswa kusetyenziswa ipaneli yokulawula kude.

I-catheter idibene ne-plaster kwisisu, kwaye inyunithi enekhono iqhutywe esinqeni. Iimodeli ezintsha zeipompo azikho izibhabhane, ziqulethe ukunikezelwa kwamandla angenawucingo kunye nenkrini.

Umpompo we-insulin wesifo sikashukela uvumela ukuba ujobe amayeza kwiincinci ezincinci, ezibalulekileyo kubantwana abagulayo. Emva kwakho konke, nokuba iphoso elingabalulekanga kwi-dosage lingabangela ukuphendula okungalunganga komzimba.

Le fowuni ikulungele kakhulu izigulane ezibukhali ngokukhawuleza kumazinga e-hormone emini. Akusekho mfuneko ukuba ujobe eziliqela ngamaxesha. Ayikwazi ukuqokelela i-insulin engaphezulu. Ngombulelo wesigulane kule fayili uqala ukuonwabela ubomi, ngelixa ukwazi ngokugqibeleleyo ukuba i-hormone iya kuqaliswa ngexesha.

Iimodeli zokusebenza

Esi sidakamizwa sinemiyalelo emibini yokuhambisa iziyobisi:

1. Ukulawula okuqhubekayo kwe-insulin kumanani amancinane kakhulu.

2. Isigulane esilungisiweyo se-hormone.

Ulawulo lokuqala lubeka ngokutsha ukusetyenziswa kweziyobisi ezinde. Iyesibini ilawulwa isigulane ngokukhawuleza ngaphambi kokutya. Enyanisweni, ithatha indawo ye-hormone ekwixesha elifutshane kwisakhelo se-insulin yonyango.

Ukutshintshwa kwecatheter kwenziwa ngumguli rhoqo iintsuku ezintathu.

Iimpawu zokusetyenziswa

Umpompo we-insulin wesifo sikashukela, imifanekiso yazo eboniswa kule nqaku, unokucetyiswa kuwo onke amacandelo abantu kungakhathaliseki ukuba yiminyaka nobungakanani bentsholongwane. Ekuqaleni qalisa ukufakwa kwehomoni kule divayisi, kulula ukukhusela ukuphuhliswa kweengxaki ezinzima.

Kodwa ogqirha bacebisa ukuba basebenzise ipom kwiimeko ezinjalo:

- Ngokunqongophala kwembuyekezo eqhelekileyo ye-carbohydrate metabolism ngokumalunga nesimo esithintekayo sokunyuka kwe-insulin.

- Ngokuxhatshazwa ngokuphindaphindiweyo, oku kuyenzeka xa iqondo lomntu weshukela lehla lihlahla ngokukhawuleza , kwaye oku kubangela ukunciphisa ekusebenziseni i-glucose ngamaseli enkohliso yengqondo, kwaye i-hypoxia yeziko leentloko ifunyenwe.

- Ngeyona nkqubo enzima yesifo.

- Ukuba kukho ukukhulelwa okanye kucetywayo.

- Kwabantwana, njengendlela efanelekileyo yokufaka i-insulin unyango.

- Xa utshintshela iintso.

- Ukuba isigulane sinobuchule obuphezulu kwi-insulin.

- Ukuba umntu unomnqweno wokuphucula umgangatho wobomi bakhe.

Ukufaka ifowuni

Umpompo we-insulin wesifo sikashukela, umfanekiso onokufunyanwa kwimithombo yonyango, idinga ukulandelelana okuthile ekufakweni. Ukusebenza kweso sixhobo kuyimfuneko ukulandela okulandelelanayo:

1. Vula itanki elingenanto.
2. Fumana ipiston.
3. Faka inaliti kwi-ampoule nge-insulin.
4. Vumela umoya ungene kwisitya kwisitya ukuze ugweme ukubonakala kwe-vacuum kwindawo yokuqokelela i-hormone peptide.
5. Qalisa i-insulin kwi-reservoir usebenzisa ipiston, ngoko kufuneka inaliti isuswe.
6. Ukufakela umoya okhupha umkhumbi.
7. Susa ipiston.
8. Namathisela umthombo kwi-tube yokumisa ukumisa.
9. Qinisekisa idilesi edibeneyo epompo uze ugcwalise ityhubhu (ukukhupha i-insulin kunye ne-bubbles air). Kule meko, ipompo kufuneka ikhutshwe kumntu ukuze inqande ukunyangwa ngengozi ye-hormone peptide nature.
10. Xhuma kwi-site injection.

Iinkonzo zecebo

Ipomulisi ye-insulin yesifo sikashukela yisisombululo sesizukulwana esitsha esinaloo mathuba:

1. Iyunithi iphucula kakhulu umgangatho wobomi besigulane, ngelixa ikhupha isidingo sokwenza injections kwiimeko eziphantsi.

2. Ukuchaneka kokubala inani elifunekayo leyeza lenziwe ngokuzenzekelayo ngaphandle kokuthatha inxaxheba kwesifo sikashukela.

3. Ukuba ufuna ukutshintsha iiparameters zesixhobo, ngoko akukho mfuneko yokuya kugqirha-isigulane ngokwakhe unokwenza izilungiso zakhe.

4. Ukunciphisa okubalulekileyo kwinani leeplctures zolusu.

5. Ubuninzi bokubekwa kweliso lwe-glucose: ukuba iswekile isuke sivalekile, ipompo inika isigulane uphawu.

Iingxaki zefowuni

Ngoku ke masibuyele kwiimigodi zesi sixhobo. Ngelishwa, zizo kwaye zichazwe kwezi zilandelayo:

1. Iindleko zesixhobo.

2. Umnikezeli unokungasebenzi kakuhle kwinkqubo.

Kwaye ukusetyenziswa kwepompo ye-insulin inqatshelwe kwiindidi ezilandelayo zabantu:

1. Abantu abanobuhlwempu kakhulu, njengoko isigulane kufuneka siqaphele rhoqo ukusebenza kweso sixhobo, sifunde ulwazi olungenayo ukusuka kwisiboniso.

2. Abantu abaneengxaki ezingundoqo zempilo.

3. Abantu abangakwazi ukulawula ngokuzimeleyo izinga le- glucose yegazi ubuncinane amaxesha amane ngosuku.

Iimbono zabantu

Ukupompa kwe-insulin ekuhlaziyikeni kwesifo sikashukela kuyahluke. Omnye uyaneliswa yilo mtsha mtsha, ephikisana ngokuthi ngokusebenzisa isixhobo unakho ukulibala malunga nokuxilongwa kwaye uphile ngendlela eqhelekileyo yokuphila. Abantu abaninzi bayonwabile ukuba inkunkuma ingenziwa kwindawo egcwele indawo, kwaye ngococo inkqubo ikhuselekile. Kwakhona, izigulane ziqaphele ukuba ukubonga kule fowuni, umthamo we-insulin osetyenziswayo wancitshiswa. Ingongoma ebalulekileyo apho izigulane zinikele ingqalelo kukuba imiphumo yokujoba i-insulin iya kuba yincinci: izibonda kunye nemivimbo ayibonakali.

Kodwa ipomulisi ye-insulin yokuhlola i-diabetes ayibi. Ngokomzekelo, kukho abantu abakholelwa ukuba akukho mfahluko omkhulu phakathi komthengisi onjalo kunye nesirinji-pen. I-pier, ifowuni ihlala ilenga, kodwa isicatshulwa esiqhelekileyo kufuneka sifumaneke ngaphambi kokusetyenziswa. Kwakhona, abanye abanelisekanga ngobukhulu befowuni entsha, bathi, akuyiyo ifowuni encinane, unokwazi kwakhona phantsi kweengubo. Kanti ufumana inaliti eqhelekileyo kwaye ususe iyunithi yonke isenokuba ubuncinane amaxesha amabini ngosuku ukuhlamba.

Eyona ninzi yazo zonke izimpendulo ezingalunganga zidibene nokuthandwa kwepom kunye nezindleko eziphezulu zenkonzo yayo. Esi sixhobo siza kuhlawuleka kuphela kubantu abacebileyo, kodwa isiRashiya rhoqo, enemali engenayo yenyanga ye-ruble eyi-10, esi sixhobo siya kubakho ngokucacileyo. Emva koko, kuphela ukugcinwa kwayo inyanga inokuhamba malunga nama-ruble amawaka ayi-5.

Iimodeli ezidumile, iindleko zesixhobo kunye nemigaqo yokukhetha

Umpompo we-insulin wesifo sikashukela, umfanekiso obonakaliswe ngokucacileyo kweli nqaku, ixabiso lihlukile. Ngokuxhomekeke kumenzi, iimpawu zesixhobo, kwakunye nemisetyenzana yemisebenzi, ixabiso lefowuni liguqukayo kwi-ruble yama-25-120 ayiwaka. Iimodeli ezithandwa kakhulu: I-Medtronic, iDana Diabecare, i-Omnipod.

Ngaphambi kokuba ukhethe uphawu oluthile lwepompo, kufuneka uqaphele izinto ezinjalo:

1. Umthamo wetanki. Kubalulekile ukwazi ukuba idivayisi iya kuba ne-insulin eyaneleyo yokuvumela isigulane ukuba sibe neyanele iintsuku ezi-3.

2. Ukukhanya kunye nokwahlula kwesikrini. Ukuba umntu akabonanga iileta kunye namanani avela kwisikrini, unokukwazi ukuchazwa ngokucacileyo ulwazi oluvela kwisixhobo, kwaye isiguli sinenkinga.

3. Ukubala ekwakhiwe. Ukuze kube lula nokulula, umpompo we-insulin wesifo sikashukela kufuneka ube nenketho enjalo.

4. Isibonakaliso esibalulekileyo. Isigulane kufuneka sive isandi okanye sive

5. Amanzi anganyangekiyo. Oku kuyimpawu ezongezelelweyo, ezingenakufumaneka kuzo zonke iintlobo zamapompo, ngoko ke ukuba ufuna ukuqhuba iinkqubo zamanzi kunye nesixhobo, kucetyiswa ukuba ubuze malunga nale parameter yecebo.

6. Ukuzonwabisa. Enye yeengongoma eziphambili, kuba ukuba umntu akanakulungeleka ukugqoka umphakeli kwimihla ngemihla, kutheni uthenge? Emva koko, kukho enye indlela - i-syringe-pen. Ngoko ke, ngaphambi kokuthenga isixhobo, kuyimfuneko ukuzama okokuqala, kuzame.

Ngoku uyazi ukuba umpompo we-insulin wesifo sikashukela, uyazi malunga nomgaqo wokusebenza kwawo, kunye ne-pluses kunye ne-minus ye sixhobo. Bafumanisa ukuba le yindlela ehle kakhulu kwi-syringe-pen, kodwa abanye abantu abasithandi le fowuni. Ngako oko, ngaphambi kokuba uthenge idivaysi ebiza kangaka, kufuneka uqikelele ubuqili kunye nobutyebi, ufunde ukuhlolwa kwabantu, zama idivayisi yakho uze wenze isigqibo sokuba kulungile ukuthenga umthengisi wesizukulwana esitsha okanye unokwenza ngaphandle kwayo.