Kana uine chirwere cheshuga cheType 1, kana sevamwe vanhu vane chirwere cheshuga cheType 2, unoziva kuti zvinonetsa sei kudzora huwandu hweshuga muropa rako. Nzira mbiri huru dzatiinadzo parizvino ndeyekubaya insulin netsono kana peni, kana kushandisa insulin pump. Nhasi tichataura nezve insulin pump iyi, iyo ingave itsva kuvanhu vazhinji.
Saka, chii chinonzi Insulin Pump?
Zvichitaurwa zviri nyore, pombi ye insulin mudziyo mudiki, wakagadzirwa nekombiyuta unoendesa insulin mumuviri wako nekukurumidza kwakatarwa. Yakaenzana nehukuru hwefoni yako, pombi iyi inoendesa insulin mumuviri wako kuburikidza nechubhu yakatetepa yakaiswa pasi peganda rako.
Unobatanidza pombi mumuviri wako nechimwe chinhu chinonzi 'infusion set'. Iyi ichubhu yakatetepa yakagadzirwa nepurasitiki, ine tsono diki kana cannula yakabatanidzwa pairi. Izvi zvinowanzoiswa pasi peganda mudumbu mako, magaro, uye dzimwe nguva zvidya. Izvi zvinonzi 'infusion site'. Mamwe mapombi anouya nemidziyo inoita kuti zvive nyore kuibatanidza munzvimbo dzakaoma kusvika mumuviri wako.
Muchina uyu mudiki unoshanda sei?
Funga nezvekuti miviri yedu inoburitsa sei insulin nenzira yechisikigo. Pombi iyi inoshanda nenzira yakafanana nemaitiro iwayo. Inoburitsa insulin nenzira mbiri:
1. Insulin Yekutanga: Inoburitsa insulin zvishoma nezvishoma uye nguva dzose mukati mezuva rose, zvichireva masikati neusiku, kuti shuga yeropa rako igare yakagadzikana.
2. Bolus: Mushure mekudya, imwe insulin inoburitswa kudzora kukwira kwehuwandu hweshuga muropa hunokonzerwa nechikafu ichocho.
Unogona kuronga pombi kuti ipe insulin yaunoda munzira mbiri idzi. Fungidzira wadya zvishoma kupfuura zvawaiwanzoita. Wobva wapa bolus dose yakakura inoenderana nehuwandu hwemakabhohaidhiretsi ari mukudya ikoko. Unogonawo kupa bolus dose iyi kudzora huwandu hweshuga yeropa yakakwira pane dzimwe nguva.
Mapombi aya anoshandisa insulin inoshanda kwenguva pfupi uye inoshanda nekukurumidza chete. Nekuti pombi iyi inopa insulin nguva dzose, insulin inoshanda kwenguva refu haidiwi.
Ndezvipi zvakanakira uye zvakaipa zvepombi ye insulin?
Kufanana nedzimwe dzose, iyi ine zvayakanakira nezvayakaipira. Ngatinyatsoongororai zvese zviri zviviri.
| Zvakanakira | Zvakashata |
|---|---|
| Hapana chikonzero chekubaya tsono zuva nezuva. Unongofanira kuibaya kamwe chete mazuva mashoma ega ega kana wachinja seti yemushonga. | Unofanira kuisa ruzivo mupombi mukati mezuva rose. Unofanirawo kuchinja seti yemushonga mazuva mashoma ega ega. |
| Yakarurama kupfuura majekiseni, saka unogona kudzora huwandu hweshuga yako zviri nani. | Unofanira kugara uchiongorora shuga yako yeropa kuti uve nechokwadi chekuti pombi yako iri kushanda nemazvo. Kusaita izvi kunogona kukonzera chirwere chinouraya chinonzi Diabetic Ketoacidosis (DKA) . |
| Mikana yekuti shuga iderere muropa (hypoglycemia) inodzikira. Izvi zvinobatsira zvikuru kune munhu anowanzova neshuga shoma muropa. | Unofanira kudzidziswa kuti udzidze mashandisirwo acho. Izvi zvinogona kusanganisira kuona chiremba wako kakawanda kana kupinda purogiramu yekudzidziswa kwezuva rimwe chete. |
| Nhanho yako yeA1c inogona kuvandudzika. | Pombi nezvinhu zvayo zvinogona kudhura. |
| Zviri nyore kwazvo kuisa insulin pakudya uye pakudya kwemangwanani. | |
| Zviri nyore kuronga nguva yekurovedza muviri uchishandisa insulin. | |
| Zvinobatsira kudzora chiitiko chekumuka kwemangwanani, kunova kukwira kwehuwandu hweshuga muropa mangwanani-ngwanani. |
Zvakakosha: Kunyangwe uchishandisa pombi, unofanira kugara uchibayiwa jekiseni re insulin nguva dzose kana pombi ikarega kushanda chero chikonzero. Kana ukafungidzira chirwere chakadai seDKA, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika.
Pombi ye insulin yakakodzera munhu wese here?
Iyi haisi mhinduro imwe chete inokwana zvese. Funga nezvezvinhu izvi usati wasarudza kana pombi yakakunakira.
- Haudi kupfeka mudziyo unoita kuti vamwe vazive kuti une chirwere cheshuga here?
- Haudi here kunzwa kwekugara uine chimwe chinhu chakanamira mumuviri wako?
- Unoona zvakaoma here kana kuti zvakaoma kushandisa mudziyo wakadaro?
- Wagadzirira here kuongorora huwandu hweshuga muropa rako kanenge kana pazuva ?
- Unogona here kuzvipa mukana wekutarisira huwandu hweinsulin yako, kudya kwako makabhohaidhiretsi, uye kurovedza muviri?
Nemhinduro dzako kumibvunzo iyi, unogona kufungidzira kuti izvi zvinokunakira sei.
Ndedzipi mhando dzemapombi e insulin aripo parizvino?
Kune mhando dzakasiyana-siyana dzemapombi.
Pombi dzakasungirirwa
Rudzi urwu rwepombi rwakabatana nemuviri kuburikidza nechubhu diki. Unogona kutakura pombi muhomwe yako, woibatanidza nebhandi rako, kana kuibatanidza nembatya dzako. Unogona kuona ruzivo uye kuchinja marongero pachiratidziro chepombi. Katuriji ye insulin iri mumapombi aya inowanzogara kwemazuva maviri kusvika matatu. Mamwe haapindi mvura, saka unogona kuabvisa paunenge uchigeza kana kushambira.
Pombi dzisina machubhu
Hapana chubhu yeizvi. Aya mapodhi madiki, anogona kupfekwa. Kana podhi ikaiswa zvakananga paganda, inoburitsa insulin kuburikidza netsono diki. Unogona kuidzora ne remote controller yakasiyana kana app yefoni. Unofanira kuchinja podhi mazuva ese maviri kusvika matatu. Aya haapindi mvura zvachose, saka haufanirwe kuabvisa paunenge uchigeza kana kushambira.
Mapombi ePatch
Idzi imhando yepombi isina machubhu. Dzinonzi mapombi emapatch nekuti dzinogona kunamirwa mumuviri. Idiki kwazvo uye hadzioneki zvakanyanya. EOPatch muenzaniso werudzi urwu rwepombi yemapatch.
Ungasarudza sei pombi ye insulin yakanakira iwe?
Pombi yakanakisisa inosiyana kubva pamunhu kusvika pamunhu. Zvinoenderana nemararamiro ako, zvaunoda, uye zvaunofarira. Taura nachiremba wako nezvezvinhu izvi usati waita sarudzo.
- Ndeipi inokodzera mararamiro ako? Ine chubhu kana isina chubhu?
- Ingani insulin inogona kuiswa mupombi? Vana vadiki vangada diki, asi vakuru vangada yakakura.
- Ko insulin inogona kupihwa madosi madiki here? Izvi zvakakosha kuvanhu vane insulin yakanyanya kukanganiswa uye kuvana vadiki.
- Pombi iyi inogona kubatanidzwa ne blood glucose meter kana CGM (continuous glucose meter) here?
- Ko software yepombi inoenderana nefoni yako kana laptop yako here?
Chiremba wako achakubatsira kusarudza iyo inonyanya kukunakira uye yakakunakira, uchifunga zvese izvi.
Mharidzo Yekuenda Nayo Kumba
- Pombi ye insulin imhando yakanaka yemushonga wekuisa insulin panzvimbo pekubaiwa jekiseni zuva nezuva. Inoburitsa insulin nenzira imwecheteyo iyo muviri unoburitsa insulin zviri nyore.
- Kunyangwe izvi zvine mabhenefiti akawanda, akadai sekudzikira kwetsono uye kudzora huwandu hweshuga muropa zviri nani, zvinoda kuzvipira kukuru, kudzidziswa, uye kutariswa nguva dzose kubva kwauri.
- Kune mhando dzakasiyana, dzakadai sedzisina machubhu nedzisina machubhu. Unofanira kusarudza inokukodzera zvakanyanya, zvichienderana nemararamiro ako nezvaunoda.
- Ichi hachisi chinhu chekuti "chikwane uye chikanganwe". Unofanira kugara uchitarisa huwandu hweshuga muropa rako kuti uve nechokwadi chekuti pombi iri kushanda nemazvo.
- Pakupedzisira, iva nechokwadi chekutaura nachiremba wako kuti asarudze kana izvi zvakakunakira uye zvichikodzera chirongwa chako chekurapa chirwere cheshuga.
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