Nfuli insulin

Igwe insulin bụ obere ngwaọrụ na-ebunye insulin site na obere tube rọba (catheter). Ngwaọrụ na-agbapụta insulin na-aga n'ihu ehihie na abalị. O nwekwara ike ịnapụta insulin ọsọ ọsọ (bolus) tupu nri. Nfuli insulin nwere ike inyere ụfọdụ ndị nwere ọrịa shuga aka ịchịkwa njikwa glucose ọbara.

Ọtụtụ nfuli insulin na-adị ka obere ekwentị mkpanaka, mana ụdị na-adị obere. A na-eyikarị ha ahụ n'ahụ site na iji band, belt, obere akpa, ma ọ bụ clip. Modelsfọdụ ụdị ugbu a bụ ikuku.

Nfuli omenala tinye insulin (katrij) na catheter. Etinye catheter a na agịga plastik dị n'okpuru anụ ahụ n'ime anụ abụba. A na-ejide nke a na bandeeji nnyapade. Tubing na - ejikọ catheter na mgbapụta nwere ihe ngosi dijitalụ. Nke a na-enye onye ọrụ ohere ịhazi ngwaọrụ ahụ ịnapụta insulin dị ka achọrọ.

Ịmachi nfuli na-eyi ozugbo na ahụ ya na mmiri na ọkpọkọ n'ime obere okwu. Ihe omume insulin dị iche iche na-eweta insulin na mgbapụta.

Nfuli na-abịa na njirimara dịka mgbochi mmiri, mmetụ ihu, na ọkwa maka oge onunu ogwu na ikike insulin. Pfọdụ nfuli nwere ike ijikọ ma ọ bụ kpọtụrụ ihe mmetụta iji nyochaa ogo glucose ọbara (nyocha glucose na-aga n'ihu). Nke a na - enye gị ohere (ma ọ bụ oge ụfọdụ, mgbapụta ahụ) ịkwụsị nnyefe insulin ma ọ bụrụ na glucose ọbara na-adịwanye ala. Gwa onye na ahu maka ahuike gi banyere ihe mgbaputa kwesiri gi.

OT IN insulin IN Pumpps na-arụ ọrụ

Igwe insulin na-ebunye insulin na-aga n'ihu na ahụ. Ngwaọrụ na-ejikarị naanị insulin na-arụ ọrụ ngwa ngwa. Enwere ike ịhazi ya iji wepụta insulin dị iche iche dabere na ogo glucose ọbara gị. Ngwadogwu insulin nwere ụdị atọ:

• Basal dose: Obere insulin na-ebuga ehihie na abalị. Na nfuli ị nwere ike ịgbanwe ọnụọgụ insulin basal ana-ebunye n'oge dị iche iche n'ụbọchị. Nke a bụ uru kasịnụ nfuli n'elu insulin agbanyeghị n'ihi na ị nwere ike ịhazi oke insulin basal ị na-enweta n'oge dị iche iche n'ụbọchị.
• Bolus dose: Mkpụrụ insulin dị elu karịa na nri mgbe ọkwa shuga dị n'ọbara na-ebili n'ihi carbohydrates na nri. Ọtụtụ nfuli nwere a ‘bolus wizard’ iji nyere aka gbakọọ ọnụ ọgụgụ bolus dabere na ọkwa glucose ọbara gị na nri (gram nke carbohydrate) ị na-eri. Can nwere ike ịmịpụta mgbapụta ahụ iji nyefee usoro bolus n'ụdị dị iche iche. Nke a bụkwa uru karịa insulin injected maka ụfọdụ ndị.
• Ndozi ma ọ bụ ọgwụ mgbakwunye dị ka achọrọ.

Can nwere ike ịhazi ọnụọgụ ọgwụ dịka ogo shuga shuga gị n'oge dị iche iche n'ụbọchị.

Uru dị na iji insulin mgbapụta gụnyere:

• Agaghị etinye insulin
• Ihe pụrụ iche karịa ịmịnye insulin na sirinji
• Inyefe insulin zuru ezu karị (nwere ike ịnapụta akụkụ nke nkeji)
• Nwere ike inye aka na njikwa glucose ọbara siri ike
• Obere nnukwu swings na ọkwa glucose ọbara
• Nwere ike ime ka A1C ka mma
• Ole na ole nke hypoglycemia
• Flexibilitygbanwekwu mgbanwe na nri gị na mmega ahụ
• Na-enyere aka ijikwa 'ọhụụ nke ụtụtụ' (n'isi ụtụtụ na-ebili n'ọbara glucose n'ọbara)

Ihe ọghọm nke iji nfuli insulin bụ:

• Ihe ize ndụ nke ibu bara ụba
• Mmetụta dị ukwuu nke ọrịa shuga ketoacidosis ma ọ bụrụ na mgbapụta anaghị arụ ọrụ nke ọma
• Ihe egwu nke ọrịa anụ ahụ ma ọ bụ mgbakasị na saịtị ahụ
• Ekwesiri itinye aka na mgbapụta ọtụtụ oge (dịka ọmụmaatụ, n'ụsọ osimiri ma ọ bụ na mgbatị ahụ)
• Mkpa ịrụ ọrụ mgbapụta, dochie batrị, doses, wdg
• Iyiri mgbapụta ahụ na-eme ka ndị ọzọ mata na ị nwere ọrịa shuga
• O nwere ike iwe obere oge iji nweta nkwanye nke iji mgbapụta ma debe ya na-arụ ọrụ nke ọma
• Kwesịrị inyocha ogo shuga shuga gị ọtụtụ oge n’ụbọchị ma gụọ carbohydrates
• Oke ọnụ

Etu esi eji mgbapụta

Ndị otu ọrịa shuga gị (na ndị na-emepụta mgbapụta) ga-enyere gị aka ịmụ ihe niile ịchọrọ ịma maka iji mgbapụta ahụ nke ọma. Ikwesiri ima otu esi eme:

• Nọgide na-agbaso ọkwa shuga dị n'ọbara gị (ọ dị mfe karị ma ọ bụrụ na ị na-eji nyocha glucose na-aga n'ihu)
• Gụọ carbohydrates
• Debe usoro basal na bolus na mmemme mgbapụta ahụ
• Mara ụdị usoro ị ga-eme kwa ụbọchị dabere na ego na ụdị nri a na-eri na mmemme ahụ
• Mara otu esi echepụta ụbọchị ọrịa mgbe ị na -eme ngwaọrụ
• Jikọọ, kwụpụ, ma jikọgharịa ngwaọrụ ahụ, dịka n'oge ịsa ahụ ma ọ bụ ịrụ ọrụ siri ike
• Jikwaa ogo glucose ọbara dị elu
• Mara otu esi lelee ma zere ọrịa shuga na-arịa ọrịa shuga
• Mara otu esi emeri nsogbu mgbapụta ma hụ ntụpọ ndị a na-ahụkarị

Ndị otu nlekọta ahụike gị ga-azụ gị ka ịlele ogo shuga shuga gị ka ịhazie usoro ahụ.

Nfuli nke insulin na-aga n'ihu na-emeziwanye ma gbanwee nke ukwuu kemgbe e webatara ha.

• Ọtụtụ nfuli na-ekwurịta okwu na nlekota glucose na-aga n'ihu (CGMs).
• Featurefọdụ na-egosipụta ọnọdụ 'akpaaka' nke na-agbanwe mkpụrụ ndụ basal dabere na ọbara shuga gị na-abawanye ma ọ bụ na-ebelata. (Nke a na - akpọ mgbe ụfọdụ dị ka usoro ‘mechiri emechi akaghị’).

Ndụmọdụ maka iji

Ka oge na-aga, ị ga-enwe ahụ iru ala site na iji mgbapụta insulin. Ndụmọdụ ndị a nwere ike inyere aka:

• Were insulin gị n'oge edoziri ka ị ghara ichefu doses.
• Jide n'aka na ịdekọ ma dekọọ ọkwa shuga shuga gị, mmega ahụ, nri carbohydrate, mkpụrụ ọgwụ carbohydrate, na usoro ndozi ma nyochaa ha kwa ụbọchị ma ọ bụ kwa izu. Ime nke a ga - enyere gị aka melite njikwa glucose ọbara.
• Soro ndị na-eweta gị kwurịtara maka ụzọ ndị ị ga-esi zere ibuli ibu mgbe ịmalitere iji mgbapụta ahụ.
• Ọ bụrụ na ị na-ejegharị, gbaa mbọ tinye mgbakwunye.

Kpọọ onye na-eweta gị ma ọ bụrụ:

• Have na-enwekarị ogo glucose dị ala ma ọ bụ dị elu
• Have ga-eri nri n’etiti nri iji zere ogo glucose dị ala
• Have nwere ahụ ọkụ, ọgbụgbọ, ma ọ bụ agbọ
• Ihe mmerụ ahụ
• Ikwesiri ịwa ahụ
• Have nwere uru a na-akọwaghị
• Are na-eme atụmatụ ịmụ nwa ma ọ bụ ịtụrụ ime
• Na-amalite ọgwụgwọ ma ọ bụ ọgwụ maka nsogbu ndị ọzọ
• Kwụsịrị iji mgbapụta gị mee ogologo oge

Na-aga n'ihu n'okpuru insulin infusion; CSII; Ọrịa shuga - nfuli insulin

• Ngwunye insulin
• Ngwunye insulin

Tù Na-ahụ Maka Ọrịa Shuga nke America. 9. Pharmacologic na-abịaru nso na ọgwụgwọ glycemic: ofkpụrụ nke Nlekọta Ahụike na Ọrịa Shuga-2020. Ọrịa shuga. 2020; 43 (Suppl 1): S98-S110. PMID: 31862752 pubmed.ncbi.nlm.nih.gov/31862752/.

Aronson JK. Insulin. Na: Aronson JK, ed. Mmetụta Meyler nke Ọgwụ. Nke 16. Waltham, MA: Elsevier; 2016: 111-144.

Atkinson MA, Mcgill DE, Dassau E, Laffel L. Typedị nke mbụ 1 na-arịa ọrịa shuga. Na: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Akwụkwọ ọgụgụ Williams nke Endocrinology. Nke iri na anọ. Philadelphia, PA: Elsevier; 2020: isi 36.

Ebe nrụọrụ weebụ National Institute of Diabetes and Digestive and Kidney Disease. Insulin, ọgwụ, na ọgwụgwọ ọrịa shuga ndị ọzọ. www.niddk.nih.gov/health-information/diabetes/overview/insulin-medicines-treatments. Emelitere December 2016. Nweta November 13, 2020.

• Ọgwụ Ọrịa shuga