Niba urwaye diyabete yo mu bwoko bwa 1, cyangwa kimwe n'abandi bantu barwaye diyabete yo mu bwoko bwa 2, uzi ukuntu bigoye kugenzura urugero rw'isukari mu maraso yawe. Uburyo bubiri bw'ingenzi dufite ubu ni ugutera insuline ukoresheje urushinge cyangwa ikaramu, cyangwa gukoresha pompe ya insuline. Uyu munsi tugiye kuvuga kuri iyi pompe ya insuline, ishobora kuba ari nshya ku bantu benshi.
None se, pompe ya insuline ni iki?
Mu magambo make, pompe ya insuline ni igikoresho gito, gikoreshwa muri mudasobwa, gitanga insuline mu mubiri wawe ku gipimo runaka. Ingana n'iy'uruganda rwawe rukoresha telefoni, iyi pompe itanga insuline mu mubiri wawe inyuze mu muyoboro muto cyane ushyizwe munsi y'uruhu rwawe.
Uhuza pompe n'umubiri wawe n'ikintu cyitwa 'infusion set'. Iyi ni umuyoboro muto ukozwe muri pulasitiki, ufite urushinge ruto cyangwa kannula ifatanye na rwo. Ibi bikunze gushyirwa munsi y'uruhu mu nda yawe, mu matako, ndetse rimwe na rimwe mu matako. Ibi byitwa 'infusion site'. Amwe mu mapompo aza afite ibikoresho bituma byoroha kuyifata ahantu hagoye kugera mu mubiri wawe.
Iyi mashini nto ikora ite?
Tekereza uburyo imibiri yacu irekura insuline mu buryo busanzwe. Iyi pompe ikora mu buryo busa cyane n'ubwo. Irekura insuline mu buryo bubiri:
1. Insulini y'ibanze: Irekura insuline buhoro buhoro kandi buri gihe umunsi wose, bivuze amanywa n'ijoro, kugira ngo isukari yawe mu maraso ikomeze kumera neza.
2. Bolus: Umaze kurya ifunguro, inzoga ya insuline y'inyongera irarekurwa kugira ngo igabanye ukwiyongera kw'isukari mu maraso guterwa n'iryo funguro.
Ushobora gushyiraho porogaramu ya pompe kugira ngo iguhe insuline ukeneye muri ubu buryo bwombi. Tekereza ko wariye byinshi kurusha uko wari usanzwe ubikora. Hanyuma ushobora gutanga urugero runini rwa bolus kugira ngo ruhuze n'ingano ya karubohidrati iri muri iryo funguro. Ushobora kandi gutanga uru rugero rwa bolus kugira ngo ugenzure urugero rw'isukari iri hejuru mu maraso mu bindi bihe.
Izi pompe zikoresha insuline ikora vuba kandi ikora vuba gusa. Kubera ko pompe itanga insuline ihoraho, insuline ikora igihe kirekire ntabwo ikenewe.
Ni izihe nyungu n'ibibi bya pompe ya insuline?
Kimwe n'izindi zose, iyi ifite ibyiza n'ibibi byayo. Reka tubirebe neza byombi.
| Ibyiza | Imbogamizi |
|---|---|
| Nta mpamvu yo gutobora urushinge buri munsi. Ugomba kurutobora rimwe gusa mu minsi mike iyo uhinduye uburyo bwo guterwamo. | Ugomba kwinjiza amakuru muri pompe umunsi wose. Ugomba kandi guhindura uburyo bwo kuyitera buri minsi mike. |
| Ni byiza cyane kurusha inshinge, bityo ushobora kugenzura neza urugero rw'isukari yawe. | Ugomba kugenzura isukari mu maraso yawe buri gihe kugira ngo umenye neza ko ipompo yawe ikora neza. Kutabikora bishobora gutera indwara ishobora gushyira ubuzima mu kaga yitwa Diabetes Ketoacidosis (DKA) . |
| Amahirwe yo kugira isukari nke mu maraso (hypoglycemia) aragabanuka. Ibi ni inyungu ikomeye ku muntu ukunze kugira isukari nke mu maraso. | Ugomba kubona amahugurwa kugira ngo wige uburyo bwo kuyakoresha. Ibi bishobora gusaba kubonana na muganga wawe inshuro nyinshi cyangwa kwitabira gahunda y'amahugurwa y'umunsi umwe. |
| Urugero rwawe rwa A1c rushobora kuzamuka. | Pompe n'ibikoresho byayo bishobora kuba bihenze. |
| Biroroshye cyane gukoresha insuline mu gihe cyo kurya no mu byo kurya. | |
| Biroroshye gutegura igihe cyo gukora imyitozo ngororamubiri hakoreshejwe insuline. | |
| Bifasha kugenzura ibintu biba mu gitondo cya kare, ari nabyo bizamuka mu gipimo cy'isukari mu maraso. |
Icy'ingenzi: Nubwo wakoresha pompe, ugomba guhora uterwa inshinge za insuline buri gihe mu gihe pompe yahagaze gukora kubera impamvu iyo ari yo yose. Niba ukeka ko hari ikibazo nka DKA, jya ku bitaro bikuru byita ku butabazi bwihuse (ETU) by'ibitaro biri hafi yawe.
Ese pompe ya insuline ikwiriye buri wese?
Iyi si igisubizo cy'ingano imwe gusa. Tekereza kuri ibi bintu mbere yo gufata icyemezo niba pompe ikubereye.
- Ese ntushaka kwambara igikoresho kimenyesha abandi ko urwaye diyabete?
- Ese ntukunda kumva ko hari ikintu gihora kigufashe ku mubiri wawe?
- Ese gukoresha igikoresho nk'iki bikugora cyangwa biragoye?
- Ese witeguye kugenzura urugero rw'isukari mu maraso yawe nibura inshuro enye ku munsi ?
- Ese ushobora kwiyemeza gucunga igipimo cya insuline yawe, ifunguro rya karubohidrati, n'imyitozo ngororamubiri?
Ukoresheje ibisubizo byawe kuri ibi bibazo, ushobora kwiyumvisha uburyo ibi bikubereye.
Ni ubuhe bwoko bw'ipompo za insuline ziboneka ubu?
Hari ubwoko bwinshi bw'ingenzi bw'ipompo.
Pompe zihambiriye
Ubwo bwoko bwa pompe buhuzwa n'umubiri unyuze mu muyoboro muto. Ushobora gutwara pompe mu mufuka wawe, ukayishyira ku mukandara wawe, cyangwa ukayishyira ku myenda yawe. Ushobora kureba amakuru no guhindura imiterere y'ibikoresho kuri ecran ya pompe. Karitsiye ya insuline iri muri izi pompe akenshi imara iminsi 2-3. Zimwe ntizishobora gutwarwa n'amazi, bityo ushobora kuzikuramo iyo wiyuhagiye cyangwa woga.
Pompe zidafite imiyoboro
Nta muyoboro uhari wo kubikoresha. Utu duti duto cyane, dushobora kwambarwa. Iyo agati gashyizwe ku ruhu, gatanga insuline binyuze mu rushinge ruto. Ushobora kugagenzura ukoresheje agakoresho ka kure cyangwa porogaramu ya telefoni. Ugomba guhindura agati buri minsi 2-3. Ntigashobora kwangirika n'amazi, bityo ntugomba kugakuramo iyo wiyuhagira cyangwa woga.
Pompe za Patch
Izi ni ubwoko bwa pompe zitagira imiyoboro. Zitwa pompe z'udukingirizo kuko zishobora gushyirwa ku mubiri. Ni nto cyane kandi ntizigaragara cyane. EOPatch ni urugero rw'ubu bwoko bwa pompe z'udukingirizo.
Nigute wahitamo pompe ya insuline ikubereye?
Pompe nziza izatandukana bitewe n'umuntu ku giti cye. Biterwa n'imibereho yawe, ibyo ukeneye, n'ibyo ukunda. Vugana na muganga wawe kuri ibi bintu mbere yo gufata icyemezo.
- Ni iyihe ijyanye n'ubuzima bwawe? Hari ifite umuyoboro cyangwa hari idafite umuyoboro?
- Ni insuline ingana iki ishobora gushyirwa muri pompe? Abana bato bashobora gukenera nto, ariko abantu bakuru bashobora gukenera nini.
- Ese insuline ishobora gutangwa ku rugero ruto cyane? Ibi ni ingenzi ku bantu bafite ubwivumbure bwinshi kuri insuline ndetse no ku bana bato.
- Ese pompe ishobora guhuzwa n'icyuma gipima isukari mu maraso cyangwa CGM (ikimenyetso gipima isukari mu maraso)?
- Ese porogaramu ya pompe irahuye na terefone cyangwa mudasobwa igendanwa yawe?
Muganga wawe azagufasha guhitamo igukwiriye kandi ikubereye, ukurikije ibi byose.
Ubutumwa bwo kujyana mu rugo
- Pompe ya insuline ni ubundi buryo bwiza bwo kuyitera buri munsi. Itanga insuline nk'uko umubiri urekura insuline mu buryo busanzwe.
- Nubwo ibi bifite inyungu nyinshi, nko kugabanya udushinge tw’inshinge no kugenzura neza urugero rw’isukari mu maraso, bisaba ubwitange bwinshi, amahugurwa, no kwitabwaho buri gihe.
- Hari ubwoko butandukanye, nko kutagira imiyoboro n'idafite imiyoboro. Ugomba guhitamo ikubereye, bitewe n'imibereho yawe n'ibyo ukeneye.
- Iki si igikoresho cyo "gufata neza no kwibagirwa". Ugomba kugenzura buri gihe urugero rw'isukari mu maraso yawe kugira ngo umenye neza ko ipompo ikora neza.
- Amaherezo, menya neza ko uganira na muganga wawe kugira ngo agufashe kumenya niba ibi bikubereye kandi bihuye na gahunda yawe yo kurwanya diyabete.
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