Zunthlum vei tan insulin hman dan thar i hre tawh em? (Insulin Pump) hmanga siam a ni.

Diabetes Mellitus vei i nih chuan ni khatah vawi tam tak insulin ei hi a buaithlak deuh thei a ni lawm ni? Injection pek emaw, pen hmanga ei emaw pawh i chau mai thei. Mahse, i hria em, tunah hian hetiang tih dan thar, awlsam tak tak a awm ta. Chutiang kawng khat chu insulin pump hi a ni . Vawiin hian chipchiar zawkin kan sawi dawn em ni?

Insulin Pump chu eng nge ni?

A awlsam zawngin, damdawi hmanraw te tak te, hak theih a ni a, i vun hnuaiah insulin tlemte a pe chhuak a, a chhunzawm zel mai mai a ni. Juice box te tak te emaw, card deck emaw ang maiin han ngaihtuah teh. Pump tam tak chu computer hmanga siam a ni.

Hei hi a takah chuan syringe emaw pen emaw hmanga nitin injection tam tak (MDI) pek ai chuan a tha zawk. Hei hi insulin mamawh tak tak tan chuan a tangkai hle.

Market-a insulin pump technology chu a hmasawn chak hle a ni. Tuna United States-a pump awm zawng zawng ang bawkin, CGM (Continuous Glucose Monitoring) technology hmanga thawk thei tura siam an ni a, hei hi i thisen sugar level tehna hmanrua a ni. Chumi awmzia chu heng pump tharte hian chutih laia insulin i mamawh zat chu automatic-in an siamrem thei tihna a ni a, chu chu i thisen sugar level a zirin a ni.

Hei (Insulin Pump) hian engtin nge hna a thawh?

He insulin pump hian kan pancreas hian a pianphungah insulin a tihchhuah dan ang chiah hian hna a thawk a ni. Insulin i taksaah kawng lian pahnih hmangin a pe chhuak a:

1. Basal Insulin mamawh phuhruk

Thil thleng chu i taksa hian nitin, darkar khat hnu darkar khat chhungin insulin tlemte chauh a dawng chhunzawm zel a ni. Hei hi ‘basal insulin’ kan ti a ni. Hei hian i taksain insulin a mamawh bulpui a khum a ni.

Kan taksain basal insulin a mamawh zat hi nitin hun hrang hrangah a inang lo tih i hria em? Entirnan, mi tam tak chuan tlai lam aiin zing lamah basal insulin tlem a mamawh tam zawk. Hei hi a chhan chu kan taksa hian zing lamah hormone cortisol hi a pianphungah a chhuah tam zawk vang a ni. He cortisol hian kan thisen sugar level a tisang deuh a.

I doctor nen inbia la, i duh ang ‘basal rate’ i work out tur a ni a, chu chu darkar khata insulin i mamawh zat a ni. Hun a kal zel a, i taksa a inthlak danglam a, nitin nun a inthlak danglam zel a, he ‘basal rate’ hi i thlak a ngai dawn a ni. Tunah chuan pump tam tak chuan i (CGM) atanga data lo chhuak atang hian he basal rate hi automatic in an siamrem thei tawh a ni. ‘Manually’ pawh i set thei a, chu chu manual-in i doctor nen in workout rate hmangin i set thei bawk.

2. Chaw ei leh thisen thlum a san huna insulin pek thin (Bolus Insulin) .

Hei hi tih dan pahnihna a ni. Chaw i ei hian, emaw, i thisen sugar level chu a rawt aia a san chuan, vawi khatah insulin mamawh zat pek che a ni . Hei hi ‘bolus insulin’ an ti a.

I ei tur a carbohydrates awm zat leh chutih laia i thisen sugar level chu pump chhungah i dah lut a, chu chuan ‘bolus’ insulin mamawh zat a chhut a, a hrilh che a ni. A tam zawkah chuan pump ngei hian a zat tur dik tak a rawn rawt ang. A dik leh dik loh i enfiah thei a, a tul chuan tihdanglamna tenau i siam thei a, insulin pek i duh tih i nemnghet thei bawk.

Eng feature dang nge awm?

Insulin pump chi hrang hrang, brand tin hian technical feature leh setting hrang hrang an nei vek a. Entirna tlemte chu hetiang hi a ni:

• Thisen sugar level a zirin insulin pek chhuah chu automatic-a tihpun, tihhniam, emaw, hun eng emaw chen atana tihtawp theihna (CGM) technology nena thawhhona tha tak neih theihna.
• Hun engemaw chen chhunga ‘Basal Rate’ tihsan emaw tihhniam emaw theihna, i duh angin (entir nan, exercise neih laiin).
• Battery a tlakchham lai emaw, insulin reservoir a khar deuh lai emaw ang chi thil atan alarm a awm bawk.
• CGM hi pump nena inzawm a nih chuan i thisen sugar level chu recommended range pawn lama a kal chuan a hriattir bawk ang che.
• Phone app leh smart device dang nena inzawm theihna.

Insulin Pump chi hrang hrang

Insulin pump hi chi hnih a awm a, chungte chu tubing nei leh tubing nei lo a ni.

1. Tubed Insulin Pump hmanga siam theih a ni

A hming ang bawkin he pump hian tube sei tak, te tak te a nei a. He tube hi pump atanga insulin phurtu a ni a, i vun hnuaia tube te tak te ‘cannula’ an tih ah a phur lut thin. A hmun thenkhat han en ila:

• Pumping machine leh technology: 1.1.He pump hi plastic leh thir hmanga siam a ni. Setting hrang hrang, data en leh thlan theihna screen a nei a. Cartridge, a nih loh leh reservoir, insulin-a khat a nei a. Brand a zirin battery thlak theih emaw, recharge theih emaw pawh a ni thei. He reservoir-a insulin dah theih zat hi pump hrang hrangah a inang lo. Mahse ni hnih atanga ni thum chhunga i hman tlangpui zat chauh i fill up thin. He pump hi i pocket-ah i dah thei a, i pants ang chi thawmhnaw pakhatah i clip thei bawk.
• Tubing leh infusion set: Hei hi inches tlemte sei tube a ni a, pump chhunga insulin reservoir atanga i vun hnuaia dah infusion set thlengin insulin a phur a ni. Infusion set hi vunah adhesive tape hmanga bun a ni a, vun hnuaiah hian plastic tube (cannula) te tak te, flexible tak a awm bawk. Cannula hi millimeter tlemte chauh a sei a ni. Infusion set chu kut hmangin i inject thei a, a kaihhnawih device te tak te pawh i hmang thei bawk. Cannula hian needle a nei a, chu chu vun kal tlangin needle chhungah a lut a. Chumi hnuah chuan needle chu lakchhuah a ni a, vun hnuaia cannula chauh a awm ta a ni. Hei hi i kut chunglam, i pum, i hip, i hnute emaw, i kekawrteah emaw i ti thei a ni.

A tam zawkah chuan reservoir leh infusion set hi ni hnih atanga ni thum danah thlak a ngai thin. Insulin a tlakchham chuan reservoir chu thlak a ngai a ni. Infusion set thar, reservoir, leh tubing thar hman tur a ni. Mahse, pump hi kum engemaw zat hman theih a ni tlangpui.

Tube pump thenkhat chu tui tlak loh ni mahse, mi tam tak chuan inbual emaw, tuiah emaw an inbual laiin infusion set atang hian an disconnect thin. Chumi hnuah chuan an inzawm leh thei ta a ni. Ṭhenkhat chu tui tlakchhamna chauh an ni a, tui tlakchham kim lo an ni.

2. Tubeless Insulin Pump / Patch Pump hmanga siam theih a ni

Heng pump te hian vun hnuai lama kal, plastic tube (‘cannula’) flexible tak an nei bawk. Mahse, insulin reservoir leh ‘cannula’ te hi ‘pod’ khatah an awm vek a, chu chu patch ang chi te tak te a ni. Hei hi vunah adhesive patch hmangin a nghet thei a ni. Tube hmuh tur a awm lo. Chumi hnuah chuan handheld ‘controller’ hmangin wireless-in control a ni.

'Pod' tin hi vawi khat chauh hman a ni. Tube nei pump ang maiin ni hnih atanga ni thum danah thlak a ngai a ni. Insulin a tlakchham chuan thlak a ngai a ni.

Pod i bun hmain reservoir chu insulin i khat a, adhesive strip chu i vunah i dah a ni. Tichuan, button pakhat i hmet chuan Pod chhunga cannula chhunga needle chu a chhuak a, vun chu a rawn chhuah a, Pod chhungah a lut leh ta a ni. Vun hnuaiah hian cannula chauh a awm. I kut chunglam, i pum, i hip, i hnute, emaw i kekawrteah pawh i dah thei bawk.

A bik tak chu heng tubeless pump te hi waterproof an nih avangin tui chawi lai emaw, tui chhunga kal lai emaw pawhin i ha thei a ni.

Insulin pump chi hrang hrang nge market-ah a awm?

Khawvel ram hrang hrangah insulin pump chi hrang hrang a awm a. Tuna American market-a awm mek chi lar tak tak thenkhat chu hetiang hi a ni:

• iLet® Bionic Pancreas System (pump pakhat, tube nei) a ni.
• Medtronic MiniMedTM (reed pump chi hrang hrang) .
• Omnipod® (reedless pump chi hrang hrang) .
• Tandem® t:slim (reed pump chi hrang hrang) .

UK-ah hian tubeless pump dang Accu-Chek® Solo Micropump System tih a awm a, US (FDA - Food and Drug Administration) phalna nghah mek a ni. Heng zinga ṭhenkhat emaw, chi thar dang emaw chu Sri Lanka-ah pawh a awm thei bawk. A tha ber chu i zunthlum doctor hnenah hemi chungchang hi zawt la.

He insulin pump hi tuin nge hmang?

Diabetic tu pawhin insulin artificial-a ei ngai chuan insulin pump a hmang thei a ni. Chumi awmzia chu:

• Type 1 Diabetes vei tan - chu chu naupang te leh puitling tan pawh a ni.
• Type 2 Diabetes vei thenkhat tan chuan.
• Pump hi Type 3c Diabetes emaw ‘Monogenic’ Diabetes vei tan pawh a tha thei bawk.

Pump chi tin hian hman theihna tur kum bithliah tlem ber a nei a, hei hi FDA ang agency-te pawmpui a ni. Pump thenkhat chu naupang kum 2 hnuai lam tan pawh hman phalsak a ni. A dang tam tak chu kum 7 chunglam hman phalsak a ni.

Insulin pump hi zunthlum enkawlna atana enkawlna pakhat chauh a ni – mimal thutlukna a ni. Nang (a nih loh leh i fa) hian pump hi i ngaihtuah mai thei a, chu chu:

• Ni khatah vawi tam tak injection (MDI) i ei hnuah pawh i thisen sugar level control harsa i tih chuan.
• Insulin i pek zat dik zawk, i duh angin siamrem i duh chuan.
• Mi danglam reng, nitin hna emaw, chaw ei hun emaw ti thei lo i nih chuan.
• Insulin tlem a mamawh chuan. Hei hi naupang tê tê leh nausen zunthlum vei te tan pawh a hman theih fo.
• Gastroparesis i neih chuan (chu chu ei tur chu a hmin leh a insiam slow tihna a ni).
• ‘Dawn Phenomenon’ i neih chuan (chu chu zing lamah i thisen sugar a san mai mai a nih chuan).
• Naupai beisei i nih chuan.

Insulin pump hmang tur hian tute nge tling lo?

Insulin pump hi mi zawng zawng tan a tha ber lo – pump hi nangmah emaw i fa emaw tan a fit tha lo thei tih chhan hrang hrang a awm a, chung zingah chuan:

• Kut leh kut zungtang hman harsatna i neih chuan: I kut leh kut zungtang hmangin insulin reservoir i luah khat tur a ni a, pump button te i hmet tur a ni. I kut hman harsatna i neih chuan, arthritis emaw neuropathy ang chi natna avang pawh nise, pump hmanga hnathawh hi thil harsa tak a ni thei.
• Mit i hmuh that loh emaw, mitdel emaw i nih chuan: Mit i hmuh that loh chuan Pump technology hmanga i duhthlan tur chu a tlem thei hle. Pump screen lian leh te, thuziak chiang tak, letter leh number lian leh te, leh backlight te ang chi thil te i ngaihtuah a ngai ang.
• Pump i vawn harsat chuan: Entirnan, nangmah emaw i fa emaw hian hriatna lama harsatna i neih chuan, emaw, vun allergy na tak i neih chuan, pump hi a remchang lo mai thei a, a chhan chu engtik lai pawha a hmuna vawn reng a ngai a ni.

Insulin pump hman hian eng hlawkna nge a neih?

Ni khata vawi tam tak injection (MDI) lak aiin insulin pump hman hian a thatna engemaw zat a nei a:

• Insulin pek zat (pump thenkhatah) ei leh in leh exercise hrang hrang nena inmil tura siamrem theihna. Hei hian insulin dosing dik zawk a siam thei a ni.
• Insulin delivery hi CGM technology nen a inzawm thei a ni.
• Data ‘download’ theih a ni. Hei hian nang leh i diabetes doctor (Endocrinologist) te chu in enkawlna tur ruahmanna siam that zawk nan a pui ang.
• Thisen sugar control tha zawk. Puitling leh naupangte zirchiannaah chuan hun rei tak pump hmangtute chuan MDI hmangtute aiin thisen sugar control an nei tha zawk tih hmuhchhuah a ni.
• MDI atanga insulin pump lama inthlak thin mi tam takin an sawi thin pakhat chu an nunphung a tha chho hle tih hi a ni .
• Insulin injection pek tam lutuk.

Diabetes specialist (Endocrinologist) tam tak chuan he pump hi a hlawkna finfiah a nih avangin hman hi an fuih a ni.

Insulin pump hian chhiatna a nei em?

A thatna rual hian a that lohna engemaw zat a awm thei bawk. Injection (MDI) nena khaikhin chuan insulin pump that lohna lian ber pakhat chu taksa chhunga insulin a luh dawna harsatna awm thei hi a ni.

Insulin dawn huna harsatna awm thei:

Chungte chu chhan hrang hrang vang pawh a ni thei:

• Cannula kinking emaw getting stuck: Vun hnuaia tissue atanga pressure avang hian cannula hi a kinked emaw stuck emaw a ni thei. Hei hian taksa chhunga insulin lut tur a titawp a ni.
• Insulin Crystallization: Ni engemaw zat chhungin insulin chu cannula emaw tube emaw chhungah a crystallize thei a. Hei hian insulin dik tak i dawn loh nan a veng thei a ni. Chuvangin infusion set tam tak leh tubeless pump tam tak chu ni hnih atanga ni thum danah thlak thin tur a ni.
• Infusion Set Disconnection: Tube nei pump i hman chuan i hriat lohvin infusion set atang hian tube chu a lo chhuak thei a ni. Hei hian insulin chu i taksaah lut lovin tube atang hian a leak chhuak ang.
• Infusion na hmuna swelling emaw thisen lakkhawm (Hematoma): Cannula bulah swelling na tak a awm a nih chuan, emaw thisen zam a awm chuan insulin chu a absorb tha lo ang.
• Tubing chhe emaw, khar emaw: Pump-a tubing chu a inzawm emaw, a chhe emaw thei (entir nan, i ran vulh hian tubing chu a chew thei). Chuti chung pawh chuan taksaah insulin a thleng dawn lo.
• Adhesive Tape Harsatna: Infusion Set leh Tubeless Pump te hi vunah adhesive hmangin an bun a. Chûngte chu tum loh takin emaw, a hun hmain emaw a lo chhuak thei a ni. Hei hi ven nan hian adhesive dang pawh hman theih a ni.
• Pump a chhiat: A tlem berah chuan i insulin pump chu a chhe thei a, a thawk tha lo thei bawk. Battery pawh a tlakchham thei bawk.

A chang chuan i pump chuan occlusion a hmuchhuak ang a, pump emaw infusion set emaw thlak turin a hriattir ang che. Mahse hun dangah, entirnan, tubing chu set atanga a chhuah chuan pump hian harsatna a hmu lo mai thei. CGM i hman chuan i thisen sugar chu beisei loh takin a sang tih i hmu thei a, hei hian insulin pek danah harsatna a awm tih a tilang thei a ni.

Thil pawimawh ber: Insulin tel lova hun engemaw chen – a tlangpuiin darkar tlemte – i kal chuan hyperglycemia leh nunna atana hlauhawm tak diabetic ketoacidosis (DKA) tih hi i vei theihna a sang hle.

Heng insulin delivery chungchangah hian pump i hman chuan backup plan i neih reng a pawimawh hle. Hetiang hian a lang thei:

• In atanga i chhuah dawnin insulin leh pump nena inzawm thil te keng la.
• Injection atan insulin, syringe emaw insulin pen emaw chu a bulah dah la.
• Technical lama harsatna i neih chuan tanpuina i dawng thuai theih nan pump siamtu company customer service number chu i kutah dah la.

Heng harsatnate hi ven emaw hriat hmasak nan ni khatah vawi khat tal i pump leh/ emaw infusion set enfiah thin kha tih danah siam rawh. Tin, i thisen sugar level enfiah fo a pawimawh hle bawk.

Harsatna dang a awm em?

A chunga kan sawi tak chhiatna lian ber berte bakah hian thil dang i tihchhiat theih tur a awm bawk:

• Hman senso: Insulin pump leh supply te hi insulin therapy (MDI) aiin a man a to zawk thei. He senso hi i health insurance plan a zirin a danglam ang.
• I taksa hi i fimkhur reng tur a ni: Pump tin hi i taksaa i buntir tur hmanraw dang a ni. Hman dan fing tak tak a awm nual a, mahse hman thiamna engemaw chen a ngai a ni.
• Thil mamawh zat: MDI nena khaikhin chuan insulin pump hian insulin pump aiin thil tam tak – "thil" – a mamawh a ni. In lama dahna tur hmun an mamawh a, zin chhuah hunah bag dang i keng tel a ngai a, a bik takin zin rei takah chuan.
• Adhesives avanga allergic reaction: Mi thenkhat chuan insulin pump leh infusion set-a hman thin adhesives te hi allergy an nei thei.

Insulin pump thlan hunah eng nge ngaihtuah tur?

Insulin pump thlan hi thutlukna lian tak a ni. Tin, ngaihtuah tur tam tak a awm bawk. Thu lawmawm tak chu pump company te hian hemi chungchangah hian information tam tak an nei a, i zawhna chhanna tur trainer an nei bawk. I zunthlum doctor pawh hi resource tha tak a ni.

Pump thlan huna ngaihtuah tur leh zawh tur thenkhat chu hetiang hi a ni:

• Tubed pump nge tubeless pump i duh em? A chi hrang hrangte hian eng nge an thatna leh an that lohna?
• Pump hi engzat nge a rit, a lian leh a lan dan?
• I health insurance hian eng pump nge a huam a, engzat nge a senso tih te, kum khatah engzat nge a sen?
• Pump siamtu company atanga customer service hi engtin nge a awm?
• Engtin nge training i neih?
• Engtin nge he pump hi CGM technology nen a inmil?
• Engtiang chiahin nge pump thar ka thlak theih ang?
• Tui tlak/tui tlak lohna a ni em?
• Insulin pekna tur setting leh program chi hrang hrang eng nge awm?
• Eng ang alarm leh alert nge awm? Aw an siam nge an vibrate?
• Pump screen te hi chiang takin i chhiar thei em?
• Eng smart device nge connect theih ang?
• Engtiang chiahin nge hman a awlsam (intuitive)?
• I doctor hnena i share theih tur data download na tur software program eng nge awm?

A tawp berah chuan thil hriat reng tur

Chuvangin, insulin pump hi mi tam tak tan chuan insulin ei theihna tur kawng awlsam leh awlsam tak a ni. Zunthlum vei tam tak chuan injection aiin insulin pump hi a awlsam zawkin an hmu thin.

A pawimawh ber chu insulin pump hi a awm reng lo. Pump i hman tan a, i duh loh chuan engtik lai pawhin injection i hmang leh thei ang.

Market-a pump chi hrang hrang tam tak zinga thlan chu thil harsa tak a ni thei. Mahse, i zunthlum doctor chuan i tana thutlukna dik siam turin a pui ang che tih hre reng ang che. Chuvangin, he thu hi i doctor nen sawi belh leh rawh.

` Insulin pump, zunthlum, insulin, thisen thlum, CGM, basal insulin, bolus insulin