Type 1 diabetes i neih chuan, emaw, Type 2 diabetes vei thenkhat ang bawkin, i thisen sugar level control hi a harsatzia i hria a ni. Tuna kan neih dan lian ber pahnih chu needle emaw pen emaw hmanga insulin inject emaw, insulin pump hman emaw hi a ni. Vawiin hian he insulin pump chungchang kan sawi dawn a, mi tam tak tan chuan thil thar a ni mai thei.
Chuti a nih chuan, Insulin Pump chu eng nge ni?
A awlsam zawngin, insulin pump hi computer hmanga siam hmanraw te tak te, i taksaah insulin chu rate bik neia pe chhuaktu a ni. I smartphone ang vela lian, he pump hian i vun hnuaia dah tube te tak te tak hmangin i taksaah insulin a rawn thawn lut thin.
Pump chu i taksaah ‘infusion set’ an tih thil hmangin i connect a. Hei hi plastic a siam tube te tak te a ni a, a chhungah hian needle te tak te emaw cannula emaw a inbun a ni. Hei hi vun hnuaiah i pum, i hnute leh a chang chuan i kekawrteah te dah a ni tlangpui. Hei hi ‘infusion site’ an ti a. Pump thenkhatah chuan i taksa hmun thlen harsa takah awlsam taka dah theihna tur hmanrua a awm bawk.
Engtin nge he machine te tak te hian hna a thawh?
Kan taksa hian a pianphungah insulin a tihchhuah dan hi han ngaihtuah teh. He pump hian chutiang kalphung nen chuan a thawk dan inang hle. Insulin chu kawng hnih in a tichhuak a:
1. Basal Insulin: Nilengin zawi zawiin insulin a tichhuak a, chu chu zan leh zan tihna a ni a, chu chuan i thisen sugar level a ti nghet thei a ni.
2. Bolus: Chaw ei i ei zawh chuan chu chaw ei avanga thisen sugar level sang chhoh dan tur control turin insulin dose extra a chhuak thin.
Heng hmanraw pahnih atana i mamawh insulin pe turin pump hi i program thei a ni. I ei dan pangngai aia tlem i ei tawh ang tih han ngaihtuah teh. Tichuan, chu chaw ei chhunga carbohydrates awm zat nena inmil turin bolus dose lian zawk i pe thei ang. He bolus dose hi hun dangah pawh thisen sugar level sang control nan i pe thei bawk.
Heng pump te hian short-acting leh rapid-acting insulin chauh an hmang thin. Pump hian insulin a pe chhunzawm zel avangin hun rei tak thawk thei insulin a ngai lo.
Insulin pump hian eng nge a thatna leh a that lohna?
Midang ang bawkin he mi pawh hian a thatna leh that lohna a nei a. A pahnih hi ngun zawkin han thlir ila.
| A thatna te | A that lohna te |
|---|---|
| Nitin zungbun chu chil chhak a ngai lo. Infusion set i thlak hunah ni engemaw zat chhungin vawi khat chauh i prick a ngai a ni. | Nitin pump chhungah information i luh tir a ngai a ni. Tin, ni engemaw zat danah infusion set pawh i thlak a ngai bawk. |
| Injection aiin a dik zawk a, chuvangin i sugar level pawh i control tha zawk thei. | I pump chu a thawk tha em tih hriat nan i thisen sugar i enfiah fo a ngai a ni. Chutianga tih loh chuan nunna atana hlauhawm Diabetic Ketoacidosis (DKA) tih natna a thlen thei a ni. |
| Thisen thlum hniam (hypoglycemia) chance a tlahniam. Hei hi thisen sugar hniam fo thin tan chuan advantage lian tak a ni. | A hman dan zir tur chuan training i neih a ngai a ni. Hei hian doctor vawi tam tak hmuh emaw, ni khat chhunga training program-a tel emaw a huam thei a ni. |
| I A1c level a tha thei. | Pump leh a bungrua te hi a man a to thei hle. |
| Chaw ei leh snacks atan insulin dose hi a awlsam hle. | |
| Exercise hun atan insulin schedule hi a awlsam hle. | |
| Zingkar hmasa lama thisen sugar level sang chhoh hi dawn phenomenon control turin a pui a ni. |
Pawimawh: Pump i hmang a nih pawhin eng thil vang pawha pump hnathawh a chawlhsan palh hlauh chuan insulin injection mumal tak i nei reng tur a ni. DKA ang natna i rinhlelh chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh.
Insulin pump hi mi zawng zawng tan a tha em?
Hei hi mi zawng zawng tan solution pakhat chauh a ni lo. Pump hi i tan a tha em tih i rel hmain heng thilte hi ngaihtuah hmasa phawt ang che.
- Diabetes i vei tih midangte hriattirna hmanrua i ha duh lo em ni?
- I taksaah thil eng emaw a tang reng tih hriatna hi i duh lo em ni?
- Chutiang hmanrua hman chu a harsa emaw, a buaithlak emaw i ti em?
- Ni khatah vawi li tal i thisen sugar level check turin i inpeih tawh em ?
- Insulin dose, carbohydrate intake leh taksa tihchakna tur enkawl turin thutiam i siam thei ang em?
Hêng zawhnate i chhânna hmang hian, hei hi i hnêna a inmil dân chu i ngaihtuah thei a ni.
Tunah hian eng ang insulin pump nge awm?
Pump chi hrang hrang lian tak tak a awm a.
Pump tethered a awm bawk
Hetiang pump chi hi taksaah hian tube te tak te hmangin a inzawm a ni. Pump chu i pocket-ah i keng thei a, i belt-ah i clip thei a, i thawmhnaw-ah i clip thei bawk. Pump display screen-ah information i en thei a, setting pawh i thlak thei bawk. Heng pump-a insulin cartridge hi ni 2-3 chhung a awm tlangpui. Ṭhenkhat chu tui tlakchhamna an nih avangin inbual emaw, tui chawi lai emaw pawhin i phelh thei a ni.
Tubeless pump te pawh a awm
Hemi atan hian tube a awm lo. Hengte hi pod te tak te, hak theih tak tak an ni. Pod hi vunah direct-a hnawih a nih chuan insulin chu needle tha tak hmangin a pe chhuak thin. Remote controller hran emaw smartphone app emaw hmangin i control thei bawk. Ni 2-3 danah pod hi i thlak thin tur a ni. Hengte hi tui tlak loh vek a nih avangin inbual emaw, tui chawi lai emaw pawhin i phelh a ngai lo.
Patch Pump te pawh a awm
Hengte hi tubeless pump chi khat an ni. Patch pump an ti a, a chhan chu taksaah a innghah theih avangin. An te hle a, hmuh tur a tlem hle bawk. EOPatch hi hetiang patch pump chi hrang hrang entir nan hman a ni.
Engtin nge insulin pump tha ber i thlan theih ang?
Pump tha ber chu mi hrang hrangah a inang lo ang. I nunphung, i mamawh leh i duh danah a innghat a ni. Thutlukna i siam hmain heng thilte hi i doctor nen sawiho hmasa phawt ang che.
- Eng ber nge i nunphung nena inmil? Tube nei pakhat nge tube nei lo pakhat?
- Pump-ah hian insulin engzat nge dah theih ang? Naupang tê tête chuan tê tê an mamawh mai thei a, puitling erawh chuan a lian zâwk an mamawh mai thei.
- Insulin dose tlemte chauh pek theih a ni em? Hei hi insulin ei tam lutuk tan leh naupang tê tê tan pawh a pawimawh hle.
- Pump hi thisen glucose meter emaw CGM (continuous glucose meter) emaw nen a inzawm thei em?
- Pump software hi i phone emaw laptop emaw nen a inmil em?
I doctor chuan heng zawng zawng ngaihtuah hian i tana nuam ber leh tha ber tur thlang turin a pui ang che.
Take-Home Thuchah a ni
- Nitin injection ai chuan insulin pump hi a tha hle. Taksain a pianphung atanga insulin a tihchhuah ang bawkin insulin a pe chhuak thin.
- Hei hian hlawkna tam tak nei mah se, needle stick tihtlem leh thisen sugar level control tha zawk te chu a mamawh a, i inpekna nasa tak, training leh ngaihven reng a ngai a ni.
- A chi hrang hrang a awm a, chu chu tubeless leh tubeless te hi a ni. I nunphung leh mamawh dan azirin i duh ber i thlan a ngai a ni.
- Hei hi "fit-and-forget" hmanrua a ni lo. Pump hian hna a thawk tha em tih hriat nan i thisen sugar level i enfiah fo a ngai a ni.
- A tawpah chuan, hei hi i tan a tha em tih leh i diabetes management plan-ah a inmil em tih ngaihtuah turin i doctor nen inbiakna neihpui ngei ang che.
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