Zunthlum i vei a nih chuan ni khatah vawi tam tak insulin inject hi a thinrimthlakzia leh a chang chuan a hrehawm zia i hre ngei ang. Nitin chaw ei hmain inject a ngai hi thil awlsam a ni lo va, a chang chuan hun dangah pawh inject a ngai bawk. Mahse, he injection hman dan ai chuan i nun awlsam zawka siam thei tur technology hmasawn tak a awm tih i hriat chuan mak i ti hle ang. Chu technology chu insulin pump kan tih chu a ni. Vawiin hian he thu hi chipchiar tak leh awlsam takin kan sawi dawn a ni.
Insulin pump chu eng nge ni?
A awlsam zawngin, insulin pump chu damdawi hmanraw te tak te, i bun thin, chu chu i taksaah a inzawm tihna a ni. I vun hnuaia insulin i mamawh zat a rawn thawn chhunzawm zel avangin a thawk a ni. He machine hi computer hmanga siam a ni a, a tlangpuiin juice box te tak te emaw, card deck emaw ang vel a ni.
Zunthlum control nana insulin mamawh tan chuan hei hi syringe emaw pen (Multiple Daily Injection - MDI) hmanga ni khatah vawi tam tak insulin inject ai chuan a tha zawk.
Insulin pump technology hi nitin a tha chho zel a. Tunlai pump tam tak hian CGM (Continuous Glucose Monitoring) tih technology nen an thawk dun a, chu chuan i thisen sugar level a teh reng a ni. Chumi awmzia chu he pump hian i thisen sugar level a zirin insulin i mamawh zat chu automatic in a siamrem thei tihna a ni. Mak a ni lo maw?
Engtin nge he machine te tak te hian taksa chhungah hna a thawh?
He insulin pump hian a tih tak tak chu mi hrisel tak pancreas-in a pianphungah insulin a siam chhuah dan a entawn hi a ni. Chu chu kan taksain insulin a mamawh dan pahnih hmangin insulin a pe chhuak tihna a ni.
1. Insulin a tlem berah pek chhunzawm zel (Basal Insulin):
Hei hi basal insulin kan ti a . Kan taksa hian hna bulpui atan insulin engemaw zat a mamawh a, kan ei loh lai pawhin. He pump hian a tih chu nitin, darkar 24 chhungin taksaah insulin tlemte chauh a supply chhunzawm zel a ni. He basal insulin hi nitin hun hrang hranga kan taksain a mamawh zat hi a inang lo hle. Entirnan, zing lamah chuan kan taksaah hormone cortisol a tam zawk avangin thisen sugar level a sang thei a ni. Chuvangin, zing lamah basal insulin tlem a tam zawk a ngai mai thei. I doctor nen tangkawpin heng basal amounts te hi i nunphung nena inmil turin i siamrem thei ang. Pump tharte thatna chu CGM atanga data an hmuh dan atanga thlirin he basal amount hi automatic in an tipung thei a, an ti tlem thei bawk.
2. Chaw ei lai leh thisen thlum a san huna a mamawh zat pek (Bolus Insulin):
Hei hi kan ti aBolus Insulin a ni. Chaw ei kan ei hian, a bik takin carbohydrates awmna chaw kan ei hian thisen sugar level chu a digested a, sugar-ah a chantir nghal zel a ni. Chutih lai chuan chu sugar control nan chuan insulin tam zawk a ngai a ni. I ei tur a carbohydrates awm zat leh chutih laia i thisen sugar level chu pump chhungah i dah chuan pump chuan a chhut a, bolus insulin i mamawh zat a hrilh che a ni. Tichuan chu zat chu i confirm thei a, button pakhat hmet chungin i taksaah i pe thei ang.
A awlsam zawngin, basal hi background-a ruahtui tla reng, light drizzle ang mai a ni. Bolus hi shower rit tak ang a ni a, a tul hunah chauh pek thin a ni.
Insulin pump chi hrang hrang a awm em?
Ni e, insulin pump hi chi hnih a awm a. Chu chu tube (cannula) nei pump leh tube nei lo pump te an ni. Heng pahnih inthlauhna hi chiang takin i hrethiam ang u.
| Nihphung | Tubed Pump hmanga siam a ni | Tubeless/Patch Pump hmanga siam theih a ni |
|---|---|---|
| A lan dan leh a part hrang hrang | Pump machine leh tube sei tak inzawmkhawm a awm bawk. Tube tawp lamah hian vun nena inzawm ‘infusion set’ a awm a. | Tube a awm lo. Insulin awmna ‘pod’ leh vunah a dahna hmun chu pakhatah a awm vek a. Hei hi plaster ang maiin vunah a innghat thei. |
| Control dan tur | Pump hi screen leh pump ngeia button hmanga control a ni. Pump hi pocket-ah dah theih a ni a, thawmhnaw-ah pawh clip theih a ni bawk. | Handheld ‘controller’ hran hmanga wireless hmanga control a ni. |
| Enkawlna | A tlangpuiin insulin cartridge leh vun nena inzawm infusion set chu ni 2-3 danah thlak a ngai thin. | Ni 2-3 danah pod pumpui chu la chhuakin a thar i hnawih tur a ni. |
| Tui laka invenna | Ṭhenkhat chu tui tlakchhamna nei lo an ni a, mahse a tam zawkah chuan inbual emaw, tui chawi lai emaw hian tube aṭangin pump chu i disconnect thei a ni. Nakinah i connect leh thei ang. | Hengte hi tui tlak lohna a ni vek a, chuvangin i ha chungin inbual emaw, tui chawi emaw theih a ni. |
Vun nena inzawm (Infusion Set/Cannula) .
Heng chi hnih hian plastic tube te tak te, flexible tak, cannula an tih hmangin vun hnuaiah insulin an pe chhuak thin. Hei hi needle te tak te hmangin vunah an dah lut thin. Needle an dah hnuah needle chu lakchhuah a ni a, vun hnuaia plastic cannula nem tak chauh a awm ta a ni. Hei vang hian a hrehawm vak lo. Pum, kut chunglam, hnute, leh kekawrte ang chi hmunah te a inbun theih a ni.
He pump hi tu tan nge a inhmeh ber?
Zunthlum vei tu pawhin insulin mamawh, naupang te leh puitling Type 1 Diabetes vei te, Type 2 Diabetes vei thenkhat te pawhin he pump hi an hmang thei a ni.
Insulin pump hi a hnuaia thil awm danah hian i tan a tangkai hle thei a ni:
- Ni khatah vawi tam tak inject hnuah pawh i thisen sugar level control harsa i tih chuan .
- I insulin dose dik zawk leh awlsam zawka control i duh chuan .
- I hnathawh hun leh chaw ei hun a inthlak fo chuan .
- Insulin i mamawh zat a tlem hle a nih chuan (hei hi naupang tê tê tan chuan a dik hle).
- Chaw ei chakna tikhawtlai thei dinhmun i neih chuan, gastroparesis .
- Dawn Phenomenon tih natna i neih chuan, zing lamah thisen sugar level a sang thin.
- Naupai tur i inbuatsaih a nih chuan .
Insulin pump hian eng nge a thatna leh a that lohna?
Engkim ang bawkin insulin pump hian a thatna leh a that lohna a nei vek a. Thutlukna siam hmain a pahnih hi hriat chian a pawimawh.
| Hlawkpuina | A that lohna & A hlauhawmna |
|---|---|
| Control tha zawk: Thisen sugar level hi a control tha hle. Insulin hi ei leh in leh exercise hrang hrang nena inmil turin siamrem theih a ni. | Insulin pek chhuah tihtawp: Taksa hnena insulin pek chhuah hi cannula kinking, blockage, dislodging ang chi thil vangin a titawp thei a ni. |
| Injection tlem zawk: Ni khatah vawi tam tak inject ai chuan ni 2-3 danah cannula hi i thlak mai thei. | DKA vei theihna: Insulin supply darkar engemaw zat tihtawp a nih chuan thisen sugar level a sang lutuk (hyperglycemia), chu chuan Diabetic Ketoacidosis (DKA) tih natna a thlen thei a, chu chuan nunna a tichhe thei a ni. |
| Nunphung tihchangtlun: Mi tam tak chuan pump an thlak hnuah an nun a awlsam phah hle a, an zalen zawk niin an sawi. | Man to: Pump leh a spare parts mamawh te hi injection pangngai aiin a man a to thei hle. |
| Data analysis: Pump atanga data computer-a upload hian nang leh i doctor hian in thisen sugar level pattern chu in hrethiam zawk thei ang. | Always on: He device hi taksaah engtik lai pawha awm a ngai avangin mi thenkhat tan chuan a remchang lo mai thei. |
| CGM nena inzawmna: Thisen sugar level teh chhunzawm zeltu CGM nena inzawm chuan insulin chu automatic-in a control thei a ni. | Vun allergy nei te: 1.1.Mi thenkhat chuan pump emaw infusion set emaw vunah a dahna plaster hi allergy an nei thei. |
Pawimawh tak: Insulin pump i hman chuan emergency a awm chuan backup plan neih reng a pawimawh . Pump hnathawh a chawlhsan emaw, insulin supply a tawp emaw a nih chuan insulin pen emaw syringe emaw chu i bulah dah tur a ni. Hemi chungchangah hian doctor rawn hmasa phawt ang che.
Engtin nge ka duh ang pump ka thlan ang?
Hei hi thutlukna lian tak a ni. Chuvangin thutlukna i siam hmain i research tih hmasak a pawimawh a, i doctor nen inbiakna neih hmasak phawt a pawimawh. Pump i thlan hmain heng zawhnate hi i inzawt hmasa thei ang.
- Tube nei emaw, nei lo emaw ka mamawh em? An pahnih hian eng nge an thatna leh an that lohna?
- Pump hi engzat nge a lian leh te, a rih zawng leh a hmel lan dan? Hahdam takin ka khawsa thei dawn em ni?
- Hei hi engzat nge a sen? Ka insurance hian hei hi a cover dawn em ni?
- Engtin nge hei hi hman dan tur i zirtir? Training tha tak i hmu em?
- Hei hian CGM technology hmangin hna a thawk em?
- Pump hi tui a tuar thei em?
- Hemi chungchangah hian eng alarm nge awm? Audible nge vibrate an ni em?
- Screen chu chiang takin ka hmu thei ang em? Hman a awlsam em?
- Eng ang smart device nge a connect theih ang? (e.g. phone app) a ni.
Heng zawng zawng hi i doctor nen inhawng takin sawi rawh. I hriselna leh nunphung nena inmil ber pump thlan turin a pui ang che.
Thutawp atan chuan insulin pump hi technology mak tak a ni a, zunthlum vei tam tak tan awlsamna leh zalenna nasa tak a thlen a ni. Mahse mi zawng zawng tan a inhmeh lo. Tin, a awm reng pawh a ni lo. Pump i hmuh a, a remchang lo nia i hriat chuan injection-ah i inthlak leh thei reng a ni. A pawimawh ber chu i tana tha ber enkawl dan tur hriattir i nih a, damdawi lam thurawn atanga thutlukna tha ber siam hi a ni.
Take-Home Thuchah a ni
- Insulin pump hi ni khatah vawi tam tak inject ai chuan a awlsam, a hmasawn zawk a ni.
- Hei hian i taksa pancreas angin hna a thawk a, i mamawh hunah insulin dik tak (basal leh bolus angin) a pe chhuak thin.
- A chi hnih a awm a, tubed leh tubeless (patch pump) te an ni. I remchan dan angin pakhat i thlang thei bawk.
- Pump hman hian thisen sugar level a control tha zawk thei a, mahse insulin supply tihtawp a hlauhawm hle.
- Chuvangin, emergency a awm chuan insulin pen emaw syringe emaw i bulah dah reng tur a ni.
- I tana tha tur pump i thlan hmain i doctor nen uluk takin a thatna te, a that lohna te, a man te leh a hman awlsam dan te sawipui hmasa phawt ang che.
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