Uma unesifo sikashukela sohlobo 1, noma njengabantu abathile abanesifo sikashukela sohlobo 2, uyazi ukuthi kungaba nzima kangakanani ukulawula amazinga kashukela egazini lakho. Izindlela ezimbili eziyinhloko esinazo njengamanje ukufaka i-insulin ngenaliti noma ipeni, noma ukusebenzisa iphampu ye-insulin. Namuhla sizokhuluma ngale phampu ye-insulin, engase ibe yinto entsha kubantu abaningi.
Ngakho-ke, iyini i-Insulin Pump?
Kalula nje, iphampu ye-insulin iyithuluzi elincane, elisebenzisa ikhompyutha eliletha i-insulin emzimbeni wakho ngesivinini esithile. Njengoba ilingana nosayizi wefoni yakho, le phampu iletha i-insulin emzimbeni wakho ngepayipi elincane kakhulu elibekwe ngaphansi kwesikhumba sakho.
Uxhuma iphampu emzimbeni wakho ngento ebizwa ngokuthi 'isethi yokufakwa'. Lena yipayipi elincane elenziwe ngepulasitiki, elinenaliti encane noma i-cannula enamathiselwe kuyo. Lokhu kuvame ukufakwa ngaphansi kwesikhumba esiswini sakho, ezinqeni, futhi ngezinye izikhathi emathangeni. Lokhu kubizwa ngokuthi 'indawo yokufakwa'. Amanye amaphampu afika namadivayisi enza kube lula ukuyinamathisela ezindaweni okunzima ukuzifinyelela emzimbeni wakho.
Lo mshini omncane usebenza kanjani?
Cabanga ngendlela imizimba yethu ekhipha ngayo i-insulin ngokwemvelo. Le phampu isebenza ngendlela efana kakhulu naleyo nqubo. Ikhipha i-insulin ngezindlela ezimbili:
1. I-Basal Insulin: Ikhipha i-insulin kancane kancane futhi ngokuqhubekayo usuku lonke, okusho ukuthi imini nobusuku, ukuze amazinga kashukela egazini lakho ahlale eqinile.
2. I-Bolus: Ngemva kokudla, kukhishwa umthamo owengeziwe we-insulin ukulawula ukwenyuka kwamazinga kashukela egazini okubangelwa yilokho kudla.
Ungahlela iphampu ukuze ilethe i-insulin oyidingayo kuzo zombili lezi zindlela. Cabanga ukuthi udle okungaphezu kwalokho obekuvame ukukudla. Ngemuva kwalokho unganikeza umthamo omkhulu we-bolus ukuze uhambisane nenani lama-carbohydrate kulokho kudla. Unganikeza futhi lo mthamo we-bolus ukulawula amazinga aphezulu kashukela egazini ngezinye izikhathi.
Lawa maphampu asebenzisa kuphela i-insulin esebenza ngokushesha futhi esebenza ngokushesha. Ngenxa yokuthi iphampu ihlinzeka nge-insulin njalo, i-insulin esebenza isikhathi eside ayidingeki.
Yiziphi izinzuzo kanye nokungalungi kwephampu ye-insulin?
Njenganoma iyiphi enye, lena inezinzuzo nezingozi zayo. Ake sibheke zombili ngokuningiliziwe.
| Izinzuzo | Ukungalungi |
|---|---|
| Asikho isidingo sokuhlaba inalithi nsuku zonke. Udinga ukuyihlaba kanye kuphela njalo ezinsukwini ezimbalwa uma ushintsha isethi yokumnika. | Udinga ukufaka ulwazi ephampini usuku lonke. Udinga futhi ukushintsha isethi yokumnika njalo ezinsukwini ezimbalwa. |
| Kunembile kakhulu kunemijovo, ngakho-ke ungalawula amazinga akho kashukela kangcono. | Udinga ukuhlola ushukela wegazi lakho njalo ukuqinisekisa ukuthi ipompo yakho isebenza kahle. Ukwehluleka ukwenza kanjalo kungaholela esimweni esisongela ukuphila esibizwa ngokuthi i-Diabetic Ketoacidosis (DKA) . |
| Amathuba okuba noshukela ophansi egazini (hypoglycemia) ayancipha. Lokhu kuyinzuzo enkulu kumuntu ovame ukuba noshukela ophansi egazini. | Udinga ukuqeqeshwa ukuze ufunde ukuthi ungayisebenzisa kanjani. Lokhu kungabandakanya ukubona udokotela wakho izikhathi eziningana noma ukuya ohlelweni lokuqeqeshwa losuku olulodwa. |
| Izinga lakho le-A1c lingathuthuka. | Iphampu nezinto ezisetshenziswayo zingabiza kakhulu. |
| Kulula kakhulu ukukala i-insulin ekudleni nasekudleni okulula. | |
| Kulula ukuhlela i-insulin ngezikhathi zokuzilolonga. | |
| Kuyasiza ukulawula isenzakalo sokusa, okuwukwenyuka kwamazinga kashukela egazini ekuseni kakhulu. |
Kubalulekile ukukhumbula: Ngisho noma usebenzisa iphampu, kufanele uhlale ufaka umjovo we-insulin njalo uma kwenzeka iphampu iyeka ukusebenza nganoma yisiphi isizathu. Uma usola isimo esifana ne-DKA, hamba ngokushesha esibhedlela esiseduze noMnyango Wezimo Eziphuthumayo (ETU).
Ingabe iphampu ye-insulin ifanele wonke umuntu?
Lesi akusona isisombululo esifanelana nakho konke. Cabanga ngalezi zici ngaphambi kokunquma ukuthi iphampu ikulungele yini.
- Awufuni yini ukugqoka idivayisi ekwazisa abanye ukuthi unesifo sikashukela?
- Awuthandi yini umuzwa wokuhlala ubambeke okuthile emzimbeni wakho?
- Ingabe ukuthola kunzima noma kunzima ukusebenzisa idivayisi enjalo?
- Ukulungele ukuhlola amazinga kashukela egazini lakho okungenani izikhathi ezine ngosuku ?
- Ungakwazi yini ukuzibophezela ekulawuleni umthamo wakho we-insulin, ukudla ama-carbohydrate, kanye nomsebenzi womzimba?
Ngezimpendulo zakho zale mibuzo, ungacabanga ukuthi lokhu kufanelana kahle kangakanani nawe.
Yiziphi izinhlobo zamaphampu e-insulin atholakalayo njengamanje?
Kunezinhlobo eziningana eziyinhloko zamaphampu.
Amaphampu aboshwe
Lolu hlobo lwephampu luxhunywe emzimbeni ngepayipi elincane. Ungaphatha iphampu ephaketheni lakho, uyibophe ebhandeni lakho, noma uyibophe ezingutsheni zakho. Ungabuka ulwazi bese ushintsha izilungiselelo esikrinini sokubonisa sephampu. Ikhatriji ye-insulin kula maphampu ivame ukuhlala izinsuku ezingu-2-3. Amanye awangeni manzi, ngakho-ke ungawakhumula uma ugeza noma ubhukuda.
Amaphampu angenamapayipi
Akukho payipi lalokhu. Lawa ama-pod amancane kakhulu, angagqokwa. Uma i-pod ifakwa ngqo esikhumbeni, ikhipha i-insulin ngenaliti encane. Ungayilawula ngesilawuli kude esihlukile noma uhlelo lokusebenza lwe-smartphone. Udinga ukushintsha i-pod njalo ezinsukwini ezingu-2-3. Lawa awangenwa manzi nhlobo, ngakho akudingeki uwakhumule lapho ugeza noma ubhukuda.
Amaphampu e-Patch
Lezi uhlobo lwephampu engenamapayipi. Zibizwa ngokuthi amaphampu okuhlanganisa ngoba zingaxhunywa emzimbeni. Zincane kakhulu futhi azibonakali kakhulu. I-EOPatch iyisibonelo salolu hlobo lwephampu yokuhlanganisa.
Ungayikhetha kanjani iphampu ye-insulin engcono kakhulu kuwe?
Iphampu engcono kakhulu izohluka kumuntu nomuntu. Kuya ngendlela ophila ngayo, izidingo zakho, kanye nezintandokazi zakho. Khuluma nodokotela wakho ngalezi zinto ngaphambi kokwenza isinqumo.
- Yikuphi okufanelana nendlela yakho yokuphila? Okungenawo umbhobho noma okungenawo umbhobho?
- Ingakanani i-insulin engafakwa ephampini? Izingane ezincane zingadinga ezincane, kodwa abantu abadala bangadinga ezinkulu.
- Ingabe i-insulin ingasetshenziswa ngemithamo emincane kakhulu? Lokhu kubalulekile kubantu abazwela kakhulu i-insulin kanye nezingane ezincane.
- Ingabe iphampu ingaxhunywa ku-blood glucose meter noma ku-CGM (i-continuous glucose meter)?
- Ingabe isofthiwe yephampu iyahambisana nefoni noma i-laptop yakho?
Udokotela wakho uzokusiza ukuthi ukhethe okulungele kakhulu futhi okufanelayo, uma ucabangela konke lokhu.
Umlayezo Wokuya Nawe Ekhaya
- Iphampu ye-insulin iyindlela engcono kakhulu yokujova nsuku zonke. Ikhipha i-insulin ngendlela efanayo naleyo umzimba okhipha ngayo i-insulin ngokwemvelo.
- Nakuba lokhu kunezinzuzo eziningi, njengokunciphisa izinti zezinaliti kanye nokulawula kangcono amazinga kashukela egazini, kudinga ukuzinikela okukhulu, ukuqeqeshwa, kanye nokunakwa njalo okuvela kuwe.
- Kunezinhlobo ezahlukene, njenge-tubeless ne-tubeless. Udinga ukukhetha ekufanele kakhulu, ngokusekelwe endleleni yakho yokuphila nezidingo zakho.
- Lena akuyona idivayisi "yokufanela bese ukhohlwa". Udinga ukuhlola amazinga kashukela egazini lakho njalo ukuqinisekisa ukuthi iphampu isebenza kahle.
- Ekugcineni, qiniseka ukuthi ukhuluma nodokotela wakho ukuze unqume ukuthi lokhu kulungile yini kuwe futhi kuhambisana nohlelo lwakho lokuphatha isifo sikashukela.
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