Uhlobo lwe-2 lweswekile nesipompo ze-insulini

Ngokuqhelekileyo, izigulane ezine-Type 1 zeswekile zisebenzisa iipompo ze-insulin. Kodwa, kukho iimeko apho ipompo yindlela yokukhetha umntu onesifo sikashukela sohlobo lwe-2. Uphando lubonisa ukuba amapompu e-insulin ayanceda kwizigulane ze-2 ze-diabetes ezinokuxhathisa okukhulu kwe-insulin kunye nokulawulwa kakubi kwe-glycemic naphezu kokwanela kwe-insulin titration nokunamathela kwiingcebiso malunga nokutya nokuzilolonga .

Nangona kunjalo, kukho izikhokelo ezithile ezimele zilandelwe ukulungiselela umgangatho kunye nezokhuseleko.

Ukuba unesifo sikashukela seSibini 2, awukwazi kwaye akufanele ufumane ipompo ye-insulin ngokuzenzekelayo. Ukuze bakwazi ukufumana unyango lwe-insulin, umntu onesifo sikashukela sohlobo lwe-2 kufuneka abe kwii-insulin ezininzi iintsuku zonke iintsuku (ubuncinane 4 / ngosuku). Okwesibini, unokuba ngumviwa ofanelekileyo kumpompo ukuba unamava kaninzi e-hypoglycemia (nge-insulin injections), unesixazululo esiphezulu sesifo sikashukela, okanye uhambo lwe-sugar (frequently sugars).

Ngaphambi kokuba uqaliswe, kuyacetyiswa ukuba uqaphele ushukela wakho malunga nezihlandlo ezine ngosuku okanye ngaphezulu. Isizathu salokhu siza kuba nobuninzi bokucwangciswa kakuhle kwee-insulin xa uqala ukupompa. Yaye ukusetyenziswa kwe-insulin kwandisa umngcipheko we-hypoglycemia. Kufuneka udibana kunye noThuthi oThengisiweyo ngoTitshala malunga nokulawulwa kwepompo ye-insulin.

Ingaba isebenza kanjani

Ipompo ye-insulin yincinci encinci, ifowuni ehambisa i-dose eqhubekayo ye-insulin ngokusebenzisa i-cannula ukulungiselela isiseko sakho okanye imvelaphi ye-insulin yangemuva. Xa udla ukutya equle i-carbohydrate uza kufuneka uhambise i-bolus ye-insulini ngokusebenzisa ipom ngokusekelwe kwisixa semidrobohydrates oyidlile.

Kubalulekile ukuba uyayiqonda indlela yokusebenza kweso sixhobo ukuze unikeze inani elifanelekileyo le-insulin. Uya kufuneka uqikelele i-carbohydrates count, ngokuba i-insulin izidlo zokutya zixhomekeke kwizinto ezingakanani ze-carbohydrates ozidlile. Uya kufumana into ebizwa ngokuba yi-insulin-to-carbohydrate ratio. I-insulin kwi-carbohydrate ratio iya kugqiba inani elithile le-insulin esekelwe kwi-carbohydrate kwisidlo sakho. Ngokomzekelo, ukuba i-insulin yakho kwi-carbohydrate ratio ingu-1:10 oku kuthetha ukuba ufuna enye iyunithi ye-insulin nganye i-10 grams ye-carbohydrate edliwe. Ngoko ke, ukuba udla 40g we-carbohydrate uya kuba neyunus units 4 ye-insulin.

Kukho ezininzi iimpawu kwipom ezingakunceda ulawule emva kokutya kweshukela esekelwe kwiintlobo zokutya odlayo. Uyakukwazi kwakhona ukuthatha i-insulin eyongezelelweyo xa kuyimfuneko ukunciphisa ushukela (okubizwa ngokuba ngulungiso). Iipompu ezininzi ziqulethe nabasebenzisi abancedisayo. Unokuxoxa ngeempawu ezithile zamapompu kunye neqela lakho lezempilo.

Ngubani ongayi kuhamba epompo

Kwakhona, iipompo zetsholongwane azenziwanga kuzo zonke izigulane ezineSifo 2 seswekile. Izigulane ezitsha zifumanekile, izigulane ezinesifo sikashukela esilawulwa kakuhle ngomlomo okanye ezi gulane ezine- prediabetes azintle abaviwa abafanelekileyo ukuba baphathe unyango.

Kwakhona, ezo zigulane kwiqondo elikhulu kakhulu le-insulin akufanele zimiselwe ipompo ye-insulin. Ukuba ungumntu omele athathe iiyunithi ezingama-25 ze-insulin ekudleni kwakho, ke umpompo awukho kuwe. Imithombo yamapompo ye-insulin igcwaliswa ngokusebenza ngokukhawuleza kwe-insulin, kodwa kuxhomekeke kumpom umthombo ungabamba kwindawo ephakathi kwimizi engama-170-300 ye-insulin. Ekugqibeleni, izigulane ezinomqondo wokugula komzimba, ukukhubazeka ngokomzimba okanye ngokwengqondo ukusebenzisa ipompo ye-insulin akukhuthazwa ukuba unyango lwe-insulin lungamachiza.

Ukuba Ucinga Ukuba Ufanelekile kwiPompa

Okokuqala, biza inkampani yakho yenkampani yomshuwalense ukuba ubone iipompo ezigubungelayo.

Ezinye iinkampani ze-inshorensi ziye zakhetha amapompu. Xa usufumana ipompo ye-insulin, ngowakho iminyaka emininzi kwaye awukwazi ukutshintshela de kube ufanele ukuphucula (ngaphandle kokuba ufuna ukuhlawula).

Emva koko, xubusha neqela lakho lezempilo; bacele ukuba bafundiswe nguTitshala ogqirha isifo sikashukela. Iinkampani zompompo ze-insulin ziqesha iingcali zekliniki, ezifana neZatifikethi eziThengisiweyo zoTitshala ukuba benze ukuqeqeshwa kwepom kunye nokuqalisa. Yiba nomonde-ezi zinto zithatha ixesha kwaye zifanele. Ukuba awusebenzi kakuhle ipompo, unokufumana kwiimeko eziyingozi. Kuyafaneleka ukuba ufundiswe kakuhle.

> Imithombo:

> Isifo seswekile. Isikhokelo sabathengi: 2014. Izipompo ze-Insulin.

> Reznik, Yves, MD & Cohen, Ohad, MD. I-Insulin Pump yohlobo lwe-2 lweswekile. Ukusetyenziswa kunye nokusetyenziswa kakubi kwe-infused insulin infusion kwi-type 2 yeswekile. Uncedo lweSwekile.

> IiNkonzo zezeMpilo zeSebe leZiko laseTexas, iTransystem Treatment Algorithms kwi-Insulin Pump Therapy, Supplement, 1-34.