Ipompo ye-insulin eyongeziweyo (SAP) ihlanganisa i-teknoloji yepompo ye- insulin kunye ne-sensor continuous glucose sensor ehambisa i-glucose ukufundwa kumntu ogqoke isixhobo. Kuthathwa njengenyathelo elibalulekileyo ekuphuhliseni i-pancreas yokufakelwa.
Iipompo ezingenayo i-Senseor-Incmented Pump zihluke njani kwiipompo ze-Insulin eziqhelekileyo?
Imipompo ephezulu ye-insulin inikezela umsebenzisi ngokuqhubekayo kokuhamba kwe-insulin ekwixesha elifutshane eliboniswe ukuphucula ulawulo lwe-glucose kubantu abaninzi.
Ukongezwa kwentsholongwane ye-glucose eqhubekayo ukusebenzela umgca wepompo ye-insulin bekuye kwangaphambili. Oku kuvumela umsebenzisi ukuba aqhubeke nokufunda i-glucose ngexesha lokufunda ukuphucula i-glucose, ngakumbi xa wenza izigqibo ezibandakanya ukutya, ukuzivocavoca, kunye nokuphathwa kwemini .
Ukuxhaswa kwe-insulini eVikelekileyo ukuVimba i-Hypoglycemia
Lo mbandela uvumela ukuhanjiswa kwe-insulini ukuba imiswe ngokuzenzekelayo ukuya kwiiyure ezimbini xa i-monitor glucose ilondoloza ukuba izinga le-glucose liwile kwaye kukho umngcipheko we-hypoglycemia. Uvavanyo olwenziwa ngo-2013 e-Ostraliya lwezigulane ezingama-95 ezineesifo seswekile sagqiba ekubeni le ncitshitshisi izinga le-hypoglycemia ezinzima kunye neli-moderation eziqhathaniswa ne-standard insulin. Oku kucatshangwa ukuba yinye inyathelo kwi-pancreas yokufakelwa.
Bolus Calculator
Iipompu ezikhutshwe nge-sensor nazo ziza kunye neprogram ebizwa ngokuba yi-calculator bolus.
Umsebenzisi ufaka inani le- carbohydrates umsebenzisi enenjongo yokuyifaka, kwaye ipompo ibala iiyunithi ezihambelana ne-insulin ekufuneka isetyenziswe ukugubungela loo carbs.
Kuya kwiPancreas yokuSebenza
Iipompu ezixutywe nge-sensor zihamba phambili ukusuka kumapompo asezingeni eliqhelekileyo kodwa zingagqibekanga kwiindawo apho i-insulin ingahanjiswa ngokuzenzekelayo ngokusekelwe kwi-glucose yokufunda.
Oku kufuna i-algorithm echanekileyo edibanisa uqhagamshelwano phakathi kwenzwa kunye nepompo.
Abaphandi basasebenzisa kule algorithm kwaye balindele ukuba le ngxaki ixazululwe kwiminyaka emininzi. Xa oko kwenzeka, sinokuqala inkqubo yokuvala i-loop yokulawula isifo sikashukela se-type 1 .
I-close-loop ithetha ukuba ipom iyakwenza njengepakreta yokufakelwa - iyakwazi ukufunda i-glucose ize ikhuphe umthamo ochanekileyo we-insulin efunekayo ukuze kugcinwe i-level glucose level.
Izifundo ze-sensor-Included Insulin Pump Therapy
Ucwaningo lwe-STAR 3 lubhekiselele ukuba umpompo owongeziweyo wenzalo wenza ngcono ekunciphiseni i-Hemoglobin A1C kumabini omdala kunye nesigulo sezilwanyana ezine-diabetes ye-1 engalawulwa kakuhle, ngaphandle kokwanda kwe-hypoglycemia. Uphononongo lufumene i-1.0% ithetha ukunciphisa i-AIC kubantu abadala ukusuka kwisiseko ukuya komnye owodwa, okwakunezihlandlo ezine ezingcono kunokuphuculwa kubonwa kwizigulane zisebenzisa ii-injection zansuku zonke. Iziphumo zilungcono kulabo babenxiba iinzwa zabo ngaphezu kwe-81% yexesha.
Kwisigaba sokuqhubela phambili sophando, baqaphele ukuba ukugqoka i-sensor ngaphezu kwe-40% yexesha kwakudingeka ukugcina ii-A1C iinzuzo ezifezekileyo. Abantu abadala babekwazi ukugqoka i-sensor ixesha elide kwaye bafumane i-A1C engcono.
Imilinganiselo yeemeko ezinzulu ze-hypoglycemia ayizange ihluke phakathi kwamaqela, kwaye kwakungekho nantlukwano kwindleko yesisindo.
Imithombo:
URichard M. Bergenstal, MD, kunye. al. "Ukuphuculwa kwamathambo okuphuhliswayo kwe-A1C (I-STAR 3) Iziphumo zophando ezivela kwisigaba se-6 sokuqhubeka kwenyanga." Iabetes Ukunyamekela uNovemba 2011 vol. 34 no. 11 2403-2405.
ITrang T. et. al. "Impembelelo ye-Sensor-Included Insulin Pump Therapy kunye ne-Automatic Insulin Suspension vs Standard Insulin Pump Therapy kwi-Hypoglycemia kwizigulane ezine-Type 1 I-Diabetes I-Trialin Trial Trial. JAMA. 2013; 310 (12): 1240-1247. i-doi: 10.1001 / jama.2013.277818.
Eda Cengiz, kunye. al. Ulawulo lwesifo sikashukela esitsha: i-glucose sensor-infusion insulin. Iingcali zeRev Med Dev. 2011 Julayi; 8 (4): 449-458.