Uru na ọghọm nke nfuli insulin maka ọrịa shuga

A maara nke ọma na ụgwọ ọrụ ọrịa shuga na-ebelata ihe ize ndụ nke ịmalite ọrịa na nsogbu na-arịa ọrịa shuga mellitus (anya, akụrụ, wdg). N'ọtụtụ ụmụaka na ndị nọ n'afọ iri na ụma nwere ọrịa shuga, ịbanye na pọmpụ insulin yana mbelata na nguzigharị nke glucose n'ọbara, ya bụ, na-eduga n'ịbelata ọbara ọgbụgba glycated.

Tebụl 1. Uru Ejiri Nrụpụta insulin

Uru ọzọ nke nfuli insulin bụ belata ihe ize ndụ nke hypoglycemia. N'ime ụmụaka, hypoglycemia bụ nsogbu na-adịkarị ma nke siri ike. Mgbe ị na-eji ọgwụ mgbapụta mmiri, a na-ebelata ọnụ ọgụgụ nke hypoglycemia nke ukwuu. Nke a bụ n'ihi na ọgwụ ọgbụgba ọkụ na-enye gị ohere ịhazi insulin n'ime obere akụkụ, nke na-enye gị ohere ị doseụ insulin n'ụzọ ziri ezi, dịka ọmụmaatụ, maka obere nri dị obere na ụmụaka.

Dọkịta na ndị nne na nna nke nwatakịrị ahụ nwere ohere ịhazigharị ntọala profaịlụ insulin ha dịka ọ dị mkpa. Iji profaịlụ basal nwa oge nwere ike belata ọnụ ọgụgụ nke hypoglycemia n'oge mgbatị anụ ahụ, enwere ike iji ya rụọ ọrụ nke ọma ma ọ bụrụ na ọrịa ma ọ bụ obere glycemia na-enweghị nkọwa n'ụbọchị.

N'iji mgbapụta ahụ, ị ​​ga-eme obere obere inpa. Ọ dị mfe ịgbakọ na nwatakịrị nwere ọrịa shuga na-anata opekata mpe ise ugboro kwa ụbọchị (inje atọ nke insulin obere maka nri ndị dị mkpa yana ntụtụ abụọ nke insulin gbasaa n'ụtụtụ na mgbede) na-anata inje 1820 kwa afọ. N'ihe banyere ọgwụ mgbapụta, ọ bụrụhaala na agbanwere catheter kwa ụbọchị atọ, a na-ebelata ọnụ ọgụgụ a na injections catheter 120 kwa afọ. Nke a nwere ike ịdịkarị ụmụaka mkpa n'ihi ụjọ nke inje.

Mgbe ị na-eji mgbapụta, ọ dị mfe inye insulin. Iji gosipụta insulin chọrọ, ọ zuru ezu iji gosipụta insulin na-elekọta ma tinye ya site na ịpị bọtịnụ. Enweghị mkpa maka nkwadebe ọzọ nke saịtị ịgba ahụ, nke nwere ike jikọta ya na ahụ erughị ala, ọkachasị ma ọ bụrụ na ọ dị mkpa ịbanye insulin n'ụlọ. Iji njikwa akara ụfọdụ ụdị mgbapụta ga-eme ka ịbanye ndị ọzọ insulin n'ụzọ na-enweghị ike, ọ nweghịkwa onye ga-ama na gị ma ọ bụ nwa gị nwere ọrịa shuga.

Imirikiti ụmụaka na-achọ ọ bụghị naanị obere ọgwụ insulin, kamakwa obere nzọụkwụ maka ịgbanwe dose a. Iji maa atụ, ọ bụrụ otu nkeji nke insulin maka nri ụtụtụ ntakịrị, yana 1.5 - ọtụtụ. Nnukwu ibu nke nchịkwa insulin (0.5 IU ma ọ bụ karịa) nwere ike itinye aka na mgbanwe dị ukwuu na glucose ọbara n'ụbọchị. Mgbe ụfọdụ ndị nne na nna nke ụmụaka na-etolite insulin iji nwee ike itinye uche dị ala iji nwetatụ insulin insulin.

Nke a nwere ike ibute nnukwu njehie na nkwadebe na ojiji nke ọgwụ insulin. Modelsfọdụ ụdị mgbapụta ọgbara ọhụrụ na-ekwe ka a na-enye insulin ya na izizi nke 0.01 U, nke na -eme ka usoro ọgwụgwọ dị mma na ịdị mfe nke usoro iji nweta ogo glucose ọbara dị mma. Na mgbakwunye, na enwere agụụ na-ejighi ike na ụmụaka, enwere ike kee mkpụmkpụ insulin n'ime ọtụtụ obere onunu.

Ihe mgbapụta ọgbara ọhụrụ nwere ike bute insulin ugboro iri ise karịa mkpịsị odee.

Otu n'ime nsogbu mgbe ị na-eji sirinji ma ọ bụ sirinji sirinji - Nke a bụ mmetụta dị iche na ntinye insulin. Ya mere, n’agbanyeghi otu insulin na carbohydrates riri, glucose ọbara nwere ike ịdị iche. Nke a bụ n'ihi ọtụtụ ebumnuche, gụnyere ọrụ enweghị insulin n'oge a na-enye ya n'ọtụtụ ebe.

Mgbe ị na-eji pọmpụ, a na-agbanye insulin n'otu ebe ruo ọtụtụ ụbọchị, yabụ na nsonaazụ ya na-edo edo karịa. Ihe a na-akpọ mgbanwe nke ihe (ihe na-adịghị mma n’ụbọchị dị iche) nke insulins agbatịkwuru nwekwara ike ịbụ ihe kpatara mmụba a na-akọwaghị na glucose ọbara.

Uru ọzọ nke nfuli insulin bụ ọdịmma ka mma.

Ndị nne na nna nke ụmụaka nwere usoro insulin na-arụ ọrụ na-akọkarị Mbelata dị ukwuu na nchekasị metụtara ọrịa shuga ma e jiri ya tụnyere ndị nne na nna ụmụaka nwere ọgwụ insulin siri ike.

Ihe mgbapụta ahụ anaghị arụ ọrụ maka gị! Ihe ga - esite n'i pumpomi insulin ga - agbakwasị ụkwụ etu ị si edozi shuga na diabetesụọ insulin. Enweghi ihe omuma nke ihe omuma nke oria n’onwe ya, nyocha onwe onye mgbe nile, enweghi ike ijikwa mgbaputa, nyocha ihe ya na ime mkpebi banyere idozi uzo nwere ike ibute ketoacidosis na onodu ojoo na glucose obara, ya mere, oke obara n’aru gi.

Ọdịmma ọghọm nke ọgwụ insulin

Ọ bụrụ na n'ihi ihe ụfọdụ, nke anyị ga-atụle n'okpuru, insulin akwụsịla ịbanye n'ahụ ahụ, ọkwa glucose ọbara na-ebili ngwa ngwa ma ketones na-apụta ngwa ngwa (mgbe awa 2-4 gachara). Ma mgbe awa 3-5 ga-ada nke ọma, ọgbụgbọ na-apụta, nke chọrọ ntinye ozugbo. Enwere ike igbochi mmepe nke ketoacidosis ma ọ bụrụ na ndị nwere ọrịa shuga maara otu esi akpa àgwà n'otu ọnọdụ (hyperglycemia, ọdịdị nke ketones, wdg), ma soro iwu maka igbochi ketoacidosis.

Tebụl 2. Nsogbu Jiri insulin Pulu

N'ezie, nsogbu dị mkpa mgbe ị na-eji ọgwụ insulin agwọ ọrịa bụ ụgwọ ya. Ego a na-enweta maka mmiri mgbapụta dị ka nnukwu ọgwụ insulin ọdịnala. A ga-akwụ ụgwọ ọ bụghị naanị maka ịzụta mgbapụta ahụ, kamakwa maka ịzụta ihe oriri maka ya (tankị, usoro infusion). Iji rụọ ọrụ nke nyochaa ogologo oge nke glucose na oge, ọ dị mkpa iji ihe mmetụta pụrụ iche, nke bụkwa ihe a na-eri eri ma na-ejikarị ya ụbọchị 6.

N'ebe mgbapụta ahụ, ihe ize ndụ nke ketoacidosis nwere ike ịdị elu, ma enwere ike igbochi mmepe ya ma ọ bụrụ na ndị nwere ọrịa shuga na-agbaso ụkpụrụ iwu maka igbochi ketoacidosis.

Ọdịda ezughi oke nke abụba dị ala nwere ike ịbụ nsogbu mgbe ị na-eji nfuli, ọkachasị ụmụaka. Maka iwebata catheter, agịga kwesịrị ibu karịa ka ịgba ọgwụ insulin ọgwụgwọ ọdịnala. Izu oke abụba na-ezughị ezu nwere ike ibute na - edenye ndị na - akụta catheters yana ihe ize ndụ nke ịmalite ketoacidosis. Iji belata ihe egwu nke ụta cannula, a na-ejikarị mpaghara buttock ka itinye catheter, ebe abụba subcutaneous ka mma karịa n'ime afọ. A na-ejikwa catfita Teflon, nke etinyere n’akuku, ma ọ bụ nchara, nke na-egbochi ịgbanye ihe na catheter.

N'ime ụfọdụ ndị mmadụ, ọrịa nwere ike ibute n'ebe a na-etinye catheter. Ọtụtụ mgbe, a na-achọpụta nke a site na iji dochie anya usoro ịgba ume, ịdị ọcha ezughi oke ma ọ bụ ọchịchọ nke ọnya ọnya nje (furunculosis, wdg). Ọ bụrụ na itinye ma ọ bụ mbufụt n'ime nwụnye nke catheter, enwere ike iji usoro ndị ọzọ. Peoplefọdụ ndị mmadụ nwere ike ihu lipodystrophy na saịtị nke catheter ahụ.

Iji gbochie mmepe nke lipodystrophy, ọ dị mkpa ịgbanwe agbanwe mgbe niile ebe iwebata set infusion, dị ka emere insulin ọgwụgwọ ọdịnala. Ọzọkwa, anụ ahụ ụmụntakịrị na-eto eto nwere ike imetụ akụrụngwa ederede a na-etinye aka iji dozie kateetị, na nke a, ị nwere ike họrọ ụdị infusion ọzọ ma ọ bụ jiri usoro nnabata ọzọ.

Otu n'ime ihe kpatara mmebi nke inye insulin ahụ n’arụ nwere ike ịbụ mkpu sitere na insulin.

Nke a na - abụkarị site n'iji sistemụ infusion ogologo oge ma ọ bụ mebie ọnọdụ nchekwa insulin, ọ bụrụ na ekpughere igwe mgbapụta ma ọ bụ usoro ọgbụgba ọkụ dị oke ma ọ bụ nke dị ala. Dịka ọmụmaatụ, n'oge oyi, tube nke sistemụ nwere ike isi n'okpuru uwe yana insulin dị n'ime ya na-ajụ oyi, n'oge anwụ n'okpuru mmetụta nke ìhè anyanwụ, insulin na tank ma ọ bụ tube nwere ike ị overụbiga ọkụ ma na-etikwa mkpu.

I.I. Nna nna nna, V.A. Peterkova, T.L. Kuraeva D.N. Laptev