Impompo insulin - ufakelo, iindidi, isicelo

inzululwazi Modern yenza konke okusemandleni ukuze ukwenza ubomi lula seswekile. Kwiminyaka embalwa edlulileyo, isigulane ngasinye kwakufuneka aphathe umpu, ngoku sele liphuhlise isixhobo esenza kube lula kakhulu inkqubo yokwazisa hormone. izixhobo Modern, ekuthiwa insulin iimpompo, ukuphucula ubomi babantu, kananjalo, ukuba basoko belwakhele umkhanya amaqondo eswekile yegazi kunye iyaluthintela uphuhliso iingxaki ezinxulumene nesi sifo.

izixhobo Injongo

izixhobo zale mihla zahluke kakhulu kwezo ezibe ekuqaleni ukudalwa iimpompo insulin ezenzekelayo. Nangona umgaqo yomsebenzi yawo iye yahlala injalo. Impompo insulin yenzelwe endaweni kweentlanti insulin, zona ihlupha abantu abanengxaki seswekile. De kufike kunye ukunwenwa kwesi sixhobo, izigulane zanyanzeleka izihlandlo eziliqela ngemini wena inaliti insulin ubomi. Iyunithi inokwenziwa ngokukhankanya mode of delivery insulin kunye idosi elifunekayo. Ngaphezu koko, kuxhomekeke kwimisebenzi yemihla ngemihla, uyakwazi ukukhetha iinketho eziliqela ukutya incindi yedlala, ukuchola esithathwa neemfuno zomntu ngamnye.

ukusebenzisa njalo kwimpompo kwenza kube lula ubomi obuqhelekileyo. Isixhobo, ngokutsho amaxabiso zahlelwa, uya kwazisa ithamo efunekayo hormone. Ukutya kakuhle akubangi waziva, nqakraza kanye kwi kwisixhobo iqhosha ezizodwa, naphantsi eluswini imali eyongezelelweyo insulin ukuba zifakwa.

Isakhiwo kwimpompo

Kungakhathaliseki umenzi kunye ixabiso isixhobo zonke izixhobo ezifanayo. Ziqulethe la macandelo alandelayo:

• impompo ngqo insulin, nto leyo iquka indlela ye yokulawula kanye lweenkcukacha, iibhetri;
• amandla ngenxa insulin, leyo ngaphakathi izixhobo;
• iseti elisusekayo, le nkqubo ibandakanya inkqubo yemibhobho ukudibanisa kunye cannula apho ithwalwa kwaye hormone ongama.

Ububi enomfutho unyango

Isenzo kwimpompo sibhekiswe yokuba kangangoko kunokwenzeka ukuba indawo injeke. Ngaphambili, i xa unyango nangakumbi, abantu kufuneka inaliti insulin ezininzi, nto leyo uzama zokulinganisa kwimo yendalo lomzimba yokusebenza. Kulo mzekelo, isigulane nolwathi iintlobo ezimbini hormone: ultra inyathelo elifutshane ixesha elide. Insulin inaliti lohlobo yesibini kwafuneka ukuba kwenziwe kabini ngemini (idla ngokuba kusasa nangokuhlwa). Kodwa uhlobo wokuqala hormone nolwathi xa imfuneko ngawo ukunyuka emzimbeni, umzekelo xa besitya. izitofu ezongezelelweyo ultrashort sokubambela insulin ebizwa bolus. Ngoko ke, yonke imihla umntu onesifo seswekile kufuneka ukwenza ngesitofu 2 hormone elide-zokubambela ubuncinane 3 - mfutshane. Kodwa ke kufuneka ulawulo onjalo nako zilinganisa umsebenzi zepancreas, ngoko izigulane ezijongene rhoqo hypoglycemia ebusuku, kunye nokwanda eswekile kusasa.

Indlela yesenzo kwefowuni

ulawulo automated hormone kunceda ukuphelisa iingxaki ezinxulumene ubunzima. Impompo insulin yenzelwe ukulungiselela ukusungulwa amathamo ultra esezantsi kwencindi olungele ukusebenza kakhulu ngokwendalo umzimba. Umthamo kunye rhoqo ulawulo abanyuliweyo ngqo ngamnye, ngokuxhomekeke kwiimfuno ngamnye. Oko kukuthi, umzimba ufumana hormone kangangoko, njengoko kufuneka ngawo lo mzuzu. Ukulungiselela le njongo yaye kufuneka nempompo insulin. Izimvo izigulane seswekile bathi ubomi babo buye baphucuka kunye nokuqaliswa kwale divayisi.

Umgaqo tyando ngolu hlobo. Impompo kukodwa ichibi nge-insulin. Elidityaniswe nge ngemibhobho kunye cannula (inaliti zeplastiki) lifakwa amanqatha ongama esiswini. piston Special ngesantya esisigxina uyayicinizela phezu ezantsi kwisikhongozeli, ngokubonelela kuhlale hormone. Kodwa ngaphaya koko, xa impompo insulin nganye inika ithuba bolus kwencindi, nto leyo efunekayo ngexesha ukutya. Akwanelanga ukuba cinezela iqhosha okhethekileyo.

expendables

isixhobo automated kuba insulin unako ukwenza ubomi lula seswekile. Kodwa musa ukulibala ukuba ukusetyenziswa kwayo lu dityanisiwe ezininzi iingxaki. Eyona nto ibalulekileyo kubo - yimfuneko yokuthenga rhoqo lezibonelelo pump insulin. Ezi ziquka:

• ichibi apho i insulin;
• cannula, eyafakwa ngaphantsi kwesikhumba;
• catheter ohlanganisa unit kunye inaliti.

Ukuba ifowuni une ulawulo osemqoka iswekile ngokuzithandela, ngenxa izinto ukutshintsha yaqala sensor, eligqala yoxinaniso yeswekile.

igazi ezibonisa

Susa ukusuka kubomi bemihla ngemihla insulin ngebhegi inaliti - iphupha yonke seswekile. Okwangoku, phantse zonke Isigulana ezifunyenwe yi impompo insulin. Izimvo zabantu abaninzi abasebenzisa ezi zixhobo zibonisa ukuba akukho nosizi imali.

Ngoko ke, kungcono ukuba uthenge impompo abo badlala imidlalo, kukhokelela zokuphila abakhuthele kakhulu kwaye abo bafuna ukufihla kwabanye isigulo sakhe. Ezifana therapy insulin Kukhethwa ukuba abantwana abafikisayo, ngokuba abafazi uceba ukuba abe ngunina, nokuba abo bantu babe neengxaki diabetes zenzeka. Thetha malunga nokusetyenziswa olusisinyanzelo kwimibhobho yeempompo angakwazi yaye kwiimeko apho kukho hypoglycemia rhoqo, kwaye ndilithethile syndrome kusasa nge spikes sugar ngequbuliso.

Ezingeloncedo usebenzisa isixhobo

Phambi kokuba ugqibe ukuba uthenge le isixhobo eninzi, kubalulekile ukuqwalasela ukuba lineqela kuneengxaki kunye Izimo. Ngoko ke, lo Ububi obukhulu ixabiso kweempompo kunye ziphele kubo. Ukusebenzisa iindleko lomatshini izigulane amawaka 6-7 ngenyanga nganye. Ukuba seswekile ukhetha ukuthenga isixhobo ukuba ngokuzimeleyo elawula umgangatho glucose, iindleko zenyanga ukusetyenziswa kwayo kuya kukhula ngokuphindwe 2-3.

Kodwa ukuba isigulane ukuthenga impompo insulin, musa ukulibala malunga nenani Izimo. Oku kuquka ukwehla ecacileyo acuity ezibonwayo, kuquka ubumfama, kunciphise kwinqanaba ubungqondi kunye neenkqubo ezikhoyo komzimba okanye ukudumba abekiwe kwindawo esiswini.

Iimpompo abantwana

Ngelishwa, kaninzi uhlobo lokuqala seswekile uqalisa ukuba ziyaphuma ebuntwaneni. Ukwenza ubomi lula ukuba usana, abazali isigqibo ukubuyisela isitofu rhoqo pump insulin. Kodwa ngokukhetha le yunithi ukuba umntwana kufuneka athathe ingqalelo inani lemisebenzi esemqoka. Ngoko ke, ngaphambi kokuba uthenge kuyimfuneko ukuba banikele ingqalelo nesantya apho insulin sakusasa. Ukuba idosi yemihla ngemihla encinane umntwana, kungcono ingqalelo kwezixhobo esikwaziyo ukunikeza hormone iiyunithi 0,025 okanye 0.05 ngeyure. Intsha ne imfuno ophezulu insulin kungcono ukukhetha ifowuni kunye ichibi elikhulu. Kwakhona kubalulekile ukuba impompo yafakwa kunye uphawu ekhalayo xa bolus yokupasa xa zisitya.

Umzekelo, inkampani Medtronic livelise pump insulin Veo abantwana. Ubukhulu compact, lula ukusebenza, esweni rhoqo kwamanqanaba glucose kunye nemiqondiso xa itshintsha avumele abazali ukuba esweni imeko yabantwana babo. Kwakhona, umatshini akasivumeli ukuba ukutsiba ithamo bolus elilandelayo esidlweni, izinga utshintsho yesilumkiso iswekile ingqalelo. Kodwa ke nantoni na yathengwa isixhobo, kuyimfuneko ukulawula abantwana nawuphi na ubudala. Abazali kufuneka esweni ngenyameko imeko umntwana ukuba ukulibala ukuba cannula ebegqwese kucocwe, yaye insulin akukho kuba saxhontelana ngezixa ezizizo. Kubalulekile kwakhona ukuba babeke iliso kwinqanaba kwentlawulo battery kwi impompo.

Ukongeza, kuyimfuneko ukuba ukukhetha ezisetyenziswa ziphele ekunene. Ngokomzekelo, abantwana basebenzisa iinaliti elifutshane, ubude catheter nayo ayilungiswanga ngamnye.

Njengoko ezisetyenziswayo

Ukuba ugqiba ukuyithenga isixhobo automated nolawulo insulin, kuyimfuneko kuqala ukujongana imisebenzi ezifunyenwe pump insulin. Ayifake ngolu hlobo lulandelayo.

1. Kuyimfuneko ukuba ufumane ichibi insulin ususe piston.
2. Inaliti lifakwa igutyana kunye hormone, oko wamkelwa emoyeni ukusuka kwisikhongozeli insulin. Oku kufuneka kwenziwe ukuze kuthintelwe ukuyilwa emoyeni kufunwe amayeza.
3. Esebenzisa hormone piston Impontshelwa kulo tanki, ngoko inaliti isusiwe. Eqalisiweyo inqanawa eziyimfuneko yalugudla amaqamza.
4. Le ichibi oludityaniswe catheter kwaye lifakwa kwisithuba esinikiweyo kulo impompo. Emva koku, ukuqhuba insulin ngokusebenzisa inkqubo ityhubhu kwaye susa umoya va. Oku kwenziwa phambi kokuba catheter iqhaganyishelwe kule cannula ukuze kuphetshwe ukudibana ngokugqithisileyo insulin emzimbeni.
5. Igcina isixhobo uqhagamshelo ingqokelela inaliti le nkqubo.

Ukongezelela ukutshintsha itanki, zonke isigulane kufuneka bazi ukuba kufuneka ulizalise rhoqo kanganani ukutshintsha cannula. Oku kwenziwa ngaphantsi kwe-1 kwexesha ngeentsuku 4, akunamsebenzi nokuba yintoni uhlobo pump insulin ifakiwe. Medtronic, umzekelo, icebisa ukutshintsha cannula rhoqo, ngokuba babe ivalekile. Ngazo kuyimfuneko ukutshintsha iseti ukumnika: inaliti catheter. Kodwa itanki unokuthatha ukuya kwiintsuku ezili-10.

abenzi-waziwa kakuhle

Okwangoku, iRussia ayikho iintlobo ngeentlobo kakhulu yezixhobo ezinika ungeno ezenzekelayo ye-insulin. Ncokola ziyafumaneka kwi yeemalike insulin iimpompo "Medtronic" kunye Accu-Chek. Baye ofisi eRashiya, ngoko seswekile akanangxaki kunye nokufunyanwa ezisetyenziswa ziphele eziyimfuneko.

Kakhulu impompo insulin cheap 'Medtronic' esa nomonde kuba ngaphezu kwe-80 amawaka engange. Oku kuya kuvumela ukuba ufake hormone malunga nomlinganiselo ubuncinane leeyunithi 0.05km. ngeyure nganye. Noko ke, le umenzi inikeza iinketho imali eninzi kakhulu. Ayakwazi ukulawula yoxinaniso leswekile, ukuba ihlole utshintsho yayo inqanaba zilumkisa ingozi yokukhulisa okanye ukuthoba izinga layo. Ukongeza, isixhobo ngokwayo Kunokusikhumbuza ngemfuneko ukwazisa idosi bolus hormone esidlweni.

Impompo insulin Accu-Chek (Roche) liya kuxabisa kancinane atshiphu, ezingabizi kunazo ukhetho ixabisa malunga 60 lamawaka. engange. Le izixhobo ubonelela ukusetyenziswa insulin Penfill yobungakanani ml-3, endaweni yitanki. Oku kunciphisa iindleko zokusebenza. Ukongeza, inkampani Roche likhuphe nempompo ngamanzi ngokupheleleyo mayixhotyiswe umthamo ichibi kwiiyunithi 315 hormone.

Development "Medtronic"

inkampani Advanced American Medtronic pump insulin wadalwa nguquko. Isixhobo kuphuhliswa ivumela baphethe unyango kwinqanaba eliphezulu. Ngaphandle kungenxa yokuba idatha screen kwinqanaba kwimpompo glucose usoloko uboniswa ngexesha lenene, ukuba zitshintshiwe rhoqo imizuzu emi-5. Oku kwenzeka emva kokuba uphuhliso zincwadi Womenzi olulodwa, nto leyo imvelaphi inyuselwa khona ngendlela efanayo njenge cannula, nokusebenzisa unomathotholo rhoqo iteknoloji edlulisela idatha impompo.

Xa ukufumaneka iswekile insulin ukumpompa 722 uya kukwazisa nge umqondiso okhethekileyo. Oku kuthintela esihanahanisa- okanye giperklikemii, ixesha elichithwa uhlengahlengiso ezifanelekileyo kwinqanaba lonikezelo insulin. Eyona ethile ibalulekileyo iindleko isixhobo, ixabiso layo yi-130 lamawaka. Engange, yaye oko uguqulelo oludlulileyo ixabisa phantse 200 lamawaka. Iindleko olubizayo kunye nezibonelelo, kuba woluvo kunye nokubandakanywa iseti kufuneka itshintshwe emva kweentsuku 3-5.