Pulogalamu yotchedwa insulin pump (SAP) yomwe imaphatikizapo makina, imaphatikizapo luso la pulogalamu ya insulini yokhala ndi pulogalamu yowonongeka yomwe imachititsa kuti munthu amene akuvala chipangizochi awerenge. Ikuonedwa kuti ndi sitepe yofunika pakukula makina opangira.
Kodi Pump Yowonjezera Imene Imasiyana Bwanji ndi Mapampu Amadzimadzi Oyenera?
Mitundu ya insulini yowonjezera imapatsa wosuta mankhwala opatsirana omwe amachititsa kuti asamakhale ndi shuga kwambiri.
Kuwonjezera kwa sensulo yopitirirabe ya shuga kumagwira ntchito ndi pulogalamu ya insulini yakhala ikupita patsogolo kwambiri. Izi zimathandiza wophunzirayo kuti aziwerenga mozama nthawi zonse, zomwe zimawathandiza kuchepetsa shuga, makamaka popanga zisankho zomwe zimaphatikizapo chakudya, masewera olimbitsa thupi, komanso kusamalira tsiku .
Insulini Yotsimikiziridwa Yotsutsidwa Kuteteza Hypoglycemia
Mbali imeneyi imalola kuti insulini imayimilire mosavuta kwa maola awiri pamene pang'onopang'ono glucose yang'anani ikuzindikira kuti mlingo wa shuga wagwa ndipo pali chiopsezo cha hypoglycemia. Kuphunzira kwa 2013 ku Australia kwa anthu odwala 95 omwe ali ndi matenda a shuga a mtundu wa 1 adatsimikizira kuti izi zachepetsa chiwerengero cha matenda a hypoglycemia ovuta komanso ochepa poyerekezera ndi mankhwala omwe amachititsa kuti munthu asatengere mankhwala. Izi zikuganiziridwa kuti ndi sitepe yina kumapangidwe opangira.
Bolus Calculator
Mapampu owonjezereka kwambiri amabwera ndi mbali yotchedwa bolus calculator.
Wogwiritsira ntchito amapereka chiwerengero cha chakudya chomwe wothandizira akufuna kuti alowemo, ndipo pomupata amawerengera timagulu ta insulini zomwe ziyenera kugwiritsidwa ntchito kuti ziphimbe ma carbs.
Kupita kumapangidwe Opangira
Mapampu owonjezereka kwambiri akupita patsogolo pamapampu amadzimadzi koma sangakhale angwiro mpaka pamene insulini imatha kupezeka pogwiritsa ntchito kuwerenga kwa shuga.
Izi zimafuna njira yeniyeni yomwe imayendera mgwirizano pakati pa selo ndi pomp.
Ofufuza akugwiritsabe ntchito ndondomekoyi ndikuyembekeza kuti vutoli lidzathetsedwa mkati mwa zaka zingapo. Izi zikachitika, tikhoza kukhala ndi njira yoyamba yotsekemera yosamalira shuga ya mtundu wa 1 .
Kutsekeka kwapafupi kumatanthauza kuti mpope idzachita ngati kapangidwe kapangidwe kake - idzawerenga shuga ndikupereka mlingo weniweni wa insulini kuti ukhale ndi khola lokhazikika.
Zofufuza za Zomwe Zimagwiritsidwa Ntchito Powonongeka Kwambiri
Phunziro la STAR 3 linayang'ana ngati pampu yotumidwa ndi mphamvu yotereyi inachita bwino kuti achepetse Hemoglobin A1C kwa onse akuluakulu ndi ana omwe ali ndi matenda a shuga osagwiritsidwa ntchito mosayenera, popanda kuchuluka kwa hypoglycemia. Kafukufukuyu anapeza kuti 1.0% amatanthauza kuchepetsa AIC kwa akuluakulu kuyambira muyeso mpaka chaka chimodzi, zomwe zinalipo kangapo kusiyana ndi kusintha kwa odwala pogwiritsa ntchito jekeseni tsiku ndi tsiku. Zotsatirazo zinali zabwino mwa iwo omwe ankavala masensa awo kuposa 81% nthawiyo.
Pakupita patsogolo kwa phunzirolo, adanena kuti kuvala chojambulira kupitirira 40% ya nthawiyo kunkafunika kuti phindu la A1C likhalepo. Akuluakulu amatha kuvala masentimita nthawi yaitali ndikupeza bwino A1C.
Mliri wa zochitika zazikulu za hypoglycemia sizinali zosiyana pakati pa magulu, ndipo panalibe kusiyana kulikonse kolemera.
Zotsatira:
Richard M. Bergenstal, MD, ndi. al. "Njira Yopopera Pumpu Yothandizira Kuchepetsa A1C (STAR 3) Zotsatira Zophunzira kuchokera ku gawo la kupitirira kwa miyezi isanu ndi umodzi." Matenda a shuga November 2011 vol. 34 no. 11803-2405.
Trang T. et. al. "Mmene Mphuno Yopangira Insulini Imakhudzidwira ndi Kutsekemera Kwambiri Kusakaniza vs Standard Insulin Pump Therapy pa Hypoglycemia kwa Odwala Amene Ali ndi Matenda a Shuga A. JAMA. 2013; 310 (12): 1240-1247. lembani: 10.1001 / jama.2013.277818.
Eda Cengiz, ndi. al. "Kusamalira matenda atsopano a shuga: shuga wothandizira-mankhwala opatsirana kwambiri a insulini." Akatswiri Rev Med Devices. 2011 Jul; 8 (4): 449-458.