Ukuba unesifo seswekile, mhlawumbi uyazi ukuba kuyacaphukisa kwaye ngamanye amaxesha kubuhlungu kangakanani ukuzitofa nge-insulin izihlandlo ezininzi ngemini. Akulula ukuzitofa yonke imihla ngaphambi kokutya, kwaye ngamanye amaxesha nangamanye amaxesha. Nangona kunjalo, uya kumangaliswa kukwazi ukuba kukho ubuchwepheshe obuphambili obunokwenza ubomi bakho bube lula kakhulu njengendlela yokutofa. Elo teknoloji yinto esiyibiza ngokuba yipompo ye-insulin. Namhlanje, siza kuthetha ngale nto ngokweenkcukacha nangokulula.
Yintoni ipompo ye-insulin?
Ngamafutshane, i-insulin pump sisixhobo esincinci sezonyango osinxibayo, oko kukuthi, sinamathele emzimbeni wakho. Sisebenza ngokuqhubeka nokuhambisa ubungakanani be-insulin oyifunayo phantsi kolusu lwakho. Lo matshini sisixhobo esikwikhompyutha esidla ngokuba bukhulu obufana nebhokisi encinci yejusi okanye idekhi yamakhadi.
Kwabo bafuna i-insulin ukulawula isifo sabo seswekile, olu khetho lungcono kunokujova i-insulin izihlandlo ezininzi ngemini ngesirinji okanye ngepeni (Multiple Daily Injection - MDI).
Itekhnoloji yepompo ye-insulin iyaphucuka imihla ngemihla. Uninzi lweepompo ezikhoyo namhlanje zisebenza kunye netekhnoloji ebizwa ngokuba yi-CGM (Continuous Glucose Monitoring) , ehlala ilinganisa amanqanaba eswekile egazini lakho. Oku kuthetha ukuba le pump inokuzilungisa ngokuzenzekelayo ubungakanani be-insulin oyifunayo ngokusekelwe kumanqanaba eswekile egazini lakho. Ayimangalisi na loo nto?
Lo matshini mncinci usebenza njani ngaphakathi emzimbeni?
Oko kwenziwa yile mpompo ye-insulin kukulinganisa indlela ipancreas yomntu ophilileyo evelisa ngayo i-insulin ngokwendalo. Oko kukuthi, ikhupha i-insulin ngeendlela ezimbini ezibonisa ukuba umzimba wethu uyayidinga i-insulin.
1. Ukunikwa rhoqo kwe-insulin ngamanani amancinci (i-Basal Insulin):
Le yi -insulin esisiseko esiyibiza ngokuba yi-basal insulin . Umzimba wethu udinga inani elithile le-insulin kwimisebenzi esisiseko, nokuba asityi. Oko kwenziwa yile pump kukubonelela umzimba rhoqo nge-insulin ngamanani amancinci kakhulu imini yonke, iiyure ezingama-24 ngosuku. Ubungakanani bale insulin esisiseko esiyidingayo umzimba wethu ngamaxesha ahlukeneyo emini bahlukile. Umzekelo, kusasa, kuba i-hormone cortisol iphezulu emzimbeni wethu, amanqanaba eswekile egazini anokunyuka. Ke ngoko, inani eliphezulu le-insulin esisiseko linokufuneka kusasa. Kunye nogqirha wakho, ungazilungisa ezi zixa zisisiseko ukuze zihambelane nendlela yakho yokuphila. Inzuzo yeepompo ezintsha kukuba zinokunyusa okanye zinciphise ngokuzenzekelayo eli nani lisisiseko ngokusekelwe kwidatha efunyenwe kwi-CGM.
2. Ukunika umlinganiselo ofunekayo xa usitya naxa amanqanaba eswekile egazini enyuka (i-Bolus Insulin):
Sibiza oku ngokuthiI-Insulin yeBolus. Xa sitya ukutya, ingakumbi ukutya okuneekhabhohayidreyithi, inqanaba leswekile egazini liyenyuka ngequbuliso njengoko ligaywa lize liguqulwe libe yiswekile. Ngelo xesha, kufuneka i-insulin engaphezulu ukulawula loo swekile. Xa ufaka ubungakanani beekhabhohayidreyithi ekutyeni okutyayo kunye nenqanaba leswekile egazini lakho ngelo xesha kwimpompo, ipompo ibala kwaye ikuxelela ukuba ingakanani i-insulin ye-bolus oyifunayo. Emva koko ungaqinisekisa elo nani kwaye ulinike umzimba wakho ngokucinezela iqhosha.
Ngamafutshane, i-basal ifana nokuchaphaza okungapheliyo, okukhaphukhaphu ngasemva. I-Bolus ifana neshawa enkulu enikwa kuphela xa kuyimfuneko.
Ngaba kukho iintlobo ezahlukeneyo zeempompo ze-insulin?
Ewe, kukho iintlobo ezimbini eziphambili zeempompo ze-insulin. Ezo ziimpompo ezinetyhubhu (i-cannula) kunye neempompo ezingenatyhubhu. Masiqonde ngokucacileyo umahluko phakathi kwezi zimbini.
| Uphawu | Iimpompo ezineetyhubhu | Iimpompo ezingenazityhubhu/zePatch |
|---|---|---|
| Inkangeleko kunye namacandelo | Kukho umatshini wokumpompa kunye nombhobho omde oqhagamshelwe kuwo. Ekupheleni kombhobho kukho 'iseti yokufakwa' eqhagamshelwe eluswini. | Akukho mbhobho. 'I-pod' equlethe i-insulin kunye nenxalenye efakwe eluswini zombini ziyinto enye. Oku kunokunamathela eluswini njengeplasta. |
| Indlela yokulawula | Ipompo ilawulwa sisikrini kunye namaqhosha kwipompo ngokwayo. Ipompo ingathwalwa epokothweni okanye iqhotyoshelwe kwiimpahla. | Ilawulwa ngaphandle kwentambo kusetyenziswa 'isilawuli' esahlukileyo esiphathwa ngesandla. |
| Ulondolozo | Ngokwesiqhelo, ikhatriji ye-insulin kunye neseti yokufakwa edibene nolusu kufuneka itshintshwe rhoqo emva kweentsuku ezi-2-3. | Rhoqo emva kweentsuku ezi-2-3, kufuneka ususe yonke ipod uze ufake entsha. |
| Ukumelana namanzi | Ezinye azinamanzi, kodwa uninzi lwexesha, ungayikhupha ipompo kwityhubhu ngelixa uhlamba okanye udada. Ungayixhuma kwakhona kamva. | Ezi azinamanzi ngokupheleleyo, ngoko ungahlamba okanye uqubhe ngelixa uzinxibile. |
Inxalenye edibana nolusu (Iseti yokufakwa/iCannula)
Zombini ezi ntlobo zisebenzisa ityhubhu yeplastiki encinci neguquguqukayo ebizwa ngokuba yi- cannula ukuhambisa i-insulin phantsi kwesikhumba. Le ifakwa eluswini ngoncedo lwenaliti encinci. Emva kokuba inaliti ifakiwe, inaliti iyasuswa, kushiyeke i-cannula yeplastiki ethambileyo phantsi kwesikhumba. Yiyo loo nto ingenabuhlungu kakhulu. Inganamatheliswa kwiindawo ezifana nesisu, ingalo engentla, iimpundu, namathanga.
Ngubani ofanelekileyo kakhulu kule mpompo?
Nabani na onesifo seswekile ofuna i-insulin, kuquka abantwana abancinci kunye nabantu abadala abanesifo seswekile sohlobo loku-1, kunye nabanye abantu abanesifo seswekile sohlobo lwesibini, bangayisebenzisa le pump.
Ipompo ye-insulin inokuba luncedo kakhulu kuwe kwiimeko ezilandelayo:
- Ukuba unengxaki yokulawula amanqanaba eswekile egazini lakho nokuba sele utofe izihlandlo ezininzi ngemini.
- Ukuba ufuna ukulawula idosi yakho ye-insulin ngokuchanekileyo nangokuguquguqukayo .
- Ukuba iiyure zakho zomsebenzi kunye namaxesha okutya atshintsha rhoqo .
- Ukuba isixa se-insulin osidingayo sincinci kakhulu (oku kuyinyani ngakumbi kubantwana abancinci).
- Ukuba unemeko ecothisa ukugaywa kokutya, efana ne -gastroparesis .
- Ukuba unesifo esibizwa ngokuba yiDawn Phenomenon, apho amanqanaba eswekile egazini enyuka khona kusasa.
- Ukuba ulungiselela ukukhulelwa .
Ziziphi iingenelo kunye neengxaki zepompo ye-insulin?
Njengayo nayiphi na into, ipompo ye-insulin inezibonelelo kunye neengxaki. Kubalulekile ukuzazi zombini ezi zinto ngaphambi kokuba wenze isigqibo.
| Iinzuzo | Iingxaki kunye neengozi |
|---|---|
| Ulawulo olungcono: Amanqanaba eswekile egazini anokulawulwa kakuhle. I-insulin ingalungiswa ukuze ilungele ukutya okwahlukileyo kunye nokuzilolonga. | Ukuyeka ukuhanjiswa kwe-insulin: Ukuhanjiswa kwe-insulin emzimbeni kunokuphazanyiswa zizinto ezinje ngokukrwitshwa, ukuvaleka, okanye ukukhupha i-cannula. |
| Ukutofa okumbalwa: Endaweni yokutofa izihlandlo ezininzi ngemini, ungayitshintsha nje i-cannula rhoqo emva kweentsuku ezi-2-3. | Umngcipheko we-DKA: Ukuba ukunikezelwa kwe-insulin kuphazanyiswa iiyure ezininzi, amanqanaba eswekile egazini anokunyuka kakhulu (i-hyperglycemia), nto leyo ekhokelela kwimeko ebizwa ngokuba yiDiabetic Ketoacidosis (DKA) , enokuba yingozi ebomini. |
| Umgangatho wobomi ophucukileyo: Abantu abaninzi bathi ubomi babo baba lula kakhulu baza baziva bekhululekile emva kokutshintshela kwipompo. | Ixabiso eliphantsi: Impompo kunye nezixhobo ezifunekayo kuyo zingabiza kakhulu kunendlela eqhelekileyo yokutofa. |
| Uhlalutyo lwedatha: Ngokufaka idatha esuka kwipompo ukuya kwikhompyutha, wena nogqirha wakho ninokuqonda ngcono iipateni zezinga leswekile egazini lakho. | Ihlala ivuliwe: Ekubeni esi sixhobo kufuneka sihlale emzimbeni ngamaxesha onke, sisenokungalungelelani kwabanye abantu. |
| Uqhagamshelwano ne-CGM: Iqhagamshelwe kwi-CGM ehlala ilinganisa amanqanaba eswekile egazini, inokulawula ngokuzenzekelayo i-insulin. | Ukunganyamezelani nolusu:Abanye abantu banokuba ne-allergy kwi-plaster encamathisela ipompo okanye i-infusion ebekwe eluswini. |
Kubaluleke kakhulu: Ukuba usebenzisa ipompo ye-insulin, kubalulekile ukuba uhlale unesicwangciso sokugcina xa kukho imeko engxamisekileyo . Gcina ipeni ye-insulin okanye isirinji kufutshane xa ipompo iyeka ukusebenza okanye ukunikezelwa kwe-insulin kuyeka. Qiniseka ukuba uqhagamshelana nogqirha wakho ngale nto.
Ndingayikhetha njani ipompo endifanelayo?
Esi sisigqibo esikhulu. Ngoko ke kubalulekile ukuba wenze uphando lwakho kwaye uthethe nogqirha wakho ngaphambi kokuba wenze isigqibo. Ngaphambi kokuba ukhethe ipompo, ungazibuza le mibuzo.
- Ngaba ndifuna enye enetyhubhu okanye engenayo? Zithini izinto ezilungileyo nezingalunganga ngazo zombini?
- Ingakanani ubukhulu, ubunzima, kunye nembonakalo yepompo? Ngaba ndiza kukwazi ukuphila nayo ngokukhululeka?
- Ingaba oku kubiza malini? Ngaba i-inshurensi yam iya kuyihlawulela le nto?
- Ufundisa njani indlela yokusebenzisa oku? Ngaba ufumana uqeqesho olufanelekileyo?
- Ngaba oku kuyasebenza netekhnoloji yeCGM?
- Ingaba ipompo ayingeni manzi?
- Zithini ii-alamu apha? Ngaba ziyavakala okanye ziyangcangcazela?
- Ngaba ndingayibona kakuhle isikrini? Ngaba kulula ukuyisebenzisa?
- Loluphi uhlobo lwezixhobo ezikrelekrele enokunxibelelana nazo? (umz. i-app yefowuni)
Thetha nogqirha wakho ngayo yonke le nto ngokukhululekileyo. Uza kukunceda ukhethe ipompo efanele impilo yakho nendlela ophila ngayo.
Ukuqukumbela, ipompo ye-insulin yiteknoloji emangalisayo enika abantu abaninzi abanesifo seswekile lula kwaye bakhululeke. Kodwa ayifanelekanga kuye wonke umntu. Kwaye ayihlali ihleli. Ukuba ufumana ipompo kwaye uyifumanisa ingalunganga, ungabuyela kwiinaliti rhoqo. Eyona nto ibalulekileyo kukwaziswa ngendlela yonyango efanelekileyo kuwe kwaye wenze isigqibo esifanelekileyo ngokusekelwe kwingcebiso kagqirha.
Umyalezo Wokuya Ekhaya
- Ipompo ye-insulin yindlela elula nephucukileyo yokuzitofa izihlandlo ezininzi ngemini.
- Oku kusebenza njengepancreas yomzimba wakho, kunika isixa esifanelekileyo se-insulin xa uyidinga (njenge-basal kunye ne-bolus).
- Kukho iintlobo ezimbini eziphambili, ezifakwe ityhubhu kunye nezingenazo iityhubhu (iiphatshi). Ungakhetha enye ngokwendlela othanda ngayo.
- Nangona ukusebenzisa ipompo kunokunceda ukulawula amanqanaba eswekile egazini ngcono, kukho umngcipheko wokuphazamiseka kokunikezelwa kwe-insulin.
- Ngoko ke, hlala ugcina ipeni ye-insulin okanye isirinji kufutshane xa kukho ingxaki.
- Ngaphambi kokuba ukhethe ipompo efanelekileyo kuwe, xoxa ngononophelo ngeengenelo zayo, iingxaki, iindleko, kunye nokulula kokusetyenziswa kwayo nogqirha wakho.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho