Injin insulin

Bushewar insulin wata karamar na'ura ce wacce ke sadar da insulin ta karamin bututun roba (catheter). Na'urar tana feshin insulin ba dare ba rana. Hakanan yana iya isar da insulin cikin sauri (bolus) kafin cin abinci. Fitar insulin na iya taimaka wa wasu mutane da ke fama da ciwon sukari su sami karin iko a sarrafa glucose na jini.

Yawancin fanfunan insulin sun kai girman ƙaramar ƙaramar wayar hannu, amma samfuran suna ci gaba da ƙaruwa. Yawancin lokaci ana sa su a jiki ta amfani da band, bel, jaka, ko clip. Wasu samfura yanzu ba su da waya.

Batu na gargajiya hada da madarar insulin (harsashi) da catheter. An saka catheter da allurar filastik a ƙarkashin fata a cikin nama mai ƙiba. Ana riƙe wannan a wuri tare da bandeji mai ɗauri. Tubing yana haɗa catheter zuwa famfo wanda yake da nuni na dijital. Wannan yana bawa mai amfani damar shirya na'urar don isar da insulin yadda ake buƙata.

Patch farashinsa Ana sawa kai tsaye a jiki tare da tafki da bututu a cikin ƙaramar harka. Shirye-shiryen kayan aikin mara waya mara waya daban daga famfo.

Bugawa suna zuwa da fasali kamar hana ruwa, allon taɓa fuska, da faɗakarwa don lokacin sashi da ƙarfin ajiyar insulin. Wasu famfunan na iya haɗawa ko sadarwa tare da firikwensin don saka idanu matakan glucose na jini (ci gaba da saka idanu na glucose). Wannan yana ba ka (ko a wasu lokuta famfo) don dakatar da isar da insulin idan glucose na jini yana da ƙasa sosai. Yi magana da mai baka kiwon lafiya game da wane famfo ya dace maka.

YADDA INSULIN Pumpps ke aiki

Fannin insulin yana ba da insulin ci gaba cikin jiki. Na'urar yawanci tana amfani da insulin ne mai saurin aiki kawai. Ana iya tsara shi don sakin insulin daban-daban dangane da matakan glucose na jinin ku. Sashin insulin iri uku ne:

• Basal kashi: Aananan insulin da aka kawo duk dare da rana. Tare da pamfuna zaka iya canza adadin insulin da ake kawowa a lokuta daban daban na yini. Wannan ita ce babbar fa'ida ta pamfuna akan insulin da aka yiwa allura saboda zaka iya tsara girman insulin basal da kake samu a lokuta daban-daban na rana.
• Yawan Bolus: Mafi girman sashin insulin a abinci lokacin da matakan sikarin jini ya tashi saboda carbohydrates a cikin abinci. Yawancin fanfunan famfo suna da ‘bolus wizard’ don taimakawa lissafin yawan ƙwanƙwasa dangane da matakin glucose na jini da abincin (gram na carbohydrate) da kuke ci. Kuna iya shirya famfon don isar da allurar bolus a cikin tsari daban-daban. Wannan kuma fa'ida ce akan insulin da aka yiwa wasu mutane.
• Gyara ko kari idan aka buƙata.

Kuna iya shirya adadin sashi bisa ga matakan sukarin jinin ku a lokuta daban-daban na rana.

Fa'idojin amfani da injin insulin sun hada da:

• Rashin yin allurar insulin
• Discarin hankali fiye da allurar insulin tare da sirinji
• Ingantaccen isarwar insulin (na iya sadar da ɓangarori na raka'a)
• Zai iya taimakawa tare da tsaurara sarrafa glucose na jini
• Bigarancin sauyawa cikin matakan glucose na jini
• Zai iya haifar da ingantaccen A1C
• Epananan lokutan hypoglycemia
• Flexibilityarin sassauci tare da abincinku da motsa jiki
• Yana taimaka sarrafa 'al'aurar wayewar gari' (da sanyin safiya zuwa matakan glucose na jini)

Rashin dacewar amfani da pamfunan insulin sune:

• Riskarin haɗarin kiba
• Riskarin haɗarin cutar ketoacidosis idan famfo ba ya aiki daidai
• Hadarin kamuwa da cutar fata ko damuwa a shafin aikace-aikacen
• Dole ne a haɗe shi da famfo mafi yawan lokuta (misali, a bakin rairayin bakin teku ko a dakin motsa jiki)
• Bukatar yin famfo, maye gurbin batir, saita allurai, da sauransu
• Saka famfo yana bayyana wa wasu cewa kana da ciwon suga
• Zai iya ɗaukar lokaci kaɗan don amfani da famfo da kuma sa shi aiki yadda ya kamata
• Dole ne ku gwada matakan jinin ku sau da yawa a rana kuma ku ƙidaya carbohydrates
• Mai tsada

YADDA AKE AMFANI DA HUFAR

Yourungiyar ku na ciwon sikari (da mai yin famfo) zasu taimaka muku koya duk abin da kuke buƙatar sani don amfani da fanfin cikin nasara. Kuna buƙatar sanin yadda ake:

• Kula da matakan suga na jini (mafi sauƙin idan har amfani da mai saka idanu na glucose akai)
• Idaya carbohydrates
• Saita allurai masu mahimmanci da kuma shirya famfo
• San irin allurai don shiryawa kowace rana dangane da adadin da nau'in abincin da ake ci da ayyukan motsa jiki
• San yadda ake yin asusu na ranakun rashin lafiya yayin aiwatar da na'urar
• Haɗa, cire haɗin, da sake haɗa na'urar, kamar lokacin shawa ko aiki mai ƙarfi
• Gudanar da matakan glucose na jini mai yawa
• San yadda ake kulawa da kaucewa cutar ketoacidosis
• San yadda ake magance matsalolin famfo da hango kurakurai gama gari

Careungiyar ku na kiwon lafiya za ta horar da ku don bincika matakan sukarin jinin ku don daidaita allurai.

Fitar insulin na ci gaba da inganta kuma sun canza sosai tun lokacin da aka fara gabatar dasu.

• Yawancin famfunan ruwa yanzu suna sadarwa tare da ci gaba da saka idanu na glucose (CGMs).
• Wasu suna nuna yanayin 'auto' wanda ke canza ƙimar basal bisa la'akari da cewa jinin ku yana ƙaruwa ko raguwa. (Wannan wani lokacin ana kiransa tsarin 'rufaffiyar madauki').

Tukwici don amfani

Bayan lokaci, zaku sami kwanciyar hankali ta amfani da famfin insulin. Wadannan nasihun na iya taimakawa:

• Insauki insulin a lokutan da aka saita don kar a manta da allurai.
• Tabbatar yin waƙa da yin rikodin matakan sikarin jininka, motsa jiki, yawan carbohydrate, allurai masu ƙwanƙwasa, da ƙoshin gyara kuma sake nazarin su kowace rana ko mako. Yin hakan zai taimaka muku inganta haɓakar glucose ta jini.
• Yi magana da mai baka game da hanyoyi don kauce wa yin nauyi lokacin da ka fara amfani da fanfo.
• Idan kuna tafiya, tabbatar da tattara ƙarin kayan aiki.

Yakamata ka kira mai baka idan:

• Kuna da matakan low ko hawan glucose mai yawa
• Dole ne ku ci abun ciye-ciye tsakanin abinci don kauce wa ƙananan matakan glucose na jini
• Kuna da zazzabi, tashin zuciya, ko amai
• Rauni
• Kuna buƙatar yin tiyata
• Kuna da ƙimar nauyi wanda ba a bayyana ba
• Kuna shirin haihuwa ko ɗaukar ciki
• Kuna fara jiyya ko magunguna don wasu matsaloli
• Ka daina amfani da famfon ka na tsawan lokaci

Ci gaba da jigilar insulin mai cutarwa; CSII; Ciwon sukari - insulin famfo

• Injin insulin
• Injin insulin

Diungiyar Ciwon Suga ta Amurka. 9. Hanyoyin magani na maganin glycemic: Ka'idodin Kula da Lafiya a Ciwon-suga - 2020. Ciwon suga. 2020; 43 (Gudanar da 1): S98-S110. PMID: 31862752 pubmed.ncbi.nlm.nih.gov/31862752/.

Aronson JK. Insulin. A cikin: Aronson JK, ed. Hanyoyin Meyler na Magunguna. 16th ed. Waltham, MA: Elsevier; 2016: 111-144.

Atkinson MA, Mcgill DE, Dassau E, Laffel L. Rubuta ciwon sukari na 1 mellitus. A cikin: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Littafin Williams na Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: babi na 36.

Cibiyar Nazarin Ciwon Suga ta Duniya da Cutar Kula da Lafiya da Koda. Insulin, magunguna, & sauran maganin ciwon suga. www.niddk.nih.gov/health-information/diabetes/overview/insulin-medicines-treatments. An sabunta Disamba 2016. An shiga Nuwamba 13, 2020.

• Magunguna masu ciwon suga