I-insulin pump (SAP) ene-sensor-augmented (SAP) ihlanganisa ubuchwepheshe bepompo ye- insulini nge-sensor eqhubekayo yokuqapha i-glucose esithumela ukufundwa kwe-glucose kumuntu ogqoke idivayisi. Kubhekwa njengesinyathelo esibalulekile ekuthuthukiseni ama-pancreas okufakelwayo.
Impumpu Engenayo Inzwa Ihluke Kanjani Emipompo Yesi-Insulin Ejwayelekile?
Amapompo ajwayelekile ase-insulin ahlinzeka umsebenzisi ngokugeleza okuqhubekayo kwe-insulin encane eyenziwa okwesikhashana ukuthuthukisa ukuphathwa kwe-glucose kubantu abaningi.
Ukwengezwa kwenzwa ye-glucose eqhubekayo yokusebenza nge-insulin pump sekuyisibikezelo esihle. Lokhu kuvumela umsebenzisi ukuba abe nokufunda okuqhubekayo, isikhathi sangempela se-glucose ukuthuthukisa ikhono lokugada i-glucose, ikakhulukazi uma wenza izinqumo ezibandakanya ukudla, ukuvivinya umzimba nokuphathwa kosuku lokugula .
I-Automated Insulin Suspension Yokuvimbela I-Hypoglycemia
Lesi sici sivumela ukuthi ukuthunyelwa kwe-insulini kumiswe ngokuzenzekelayo kuze kube amahora amabili lapho umqapha oqhubekayo weglucose uthola ukuthi izinga le-glucose liwile futhi kukhona ingozi ye-hypoglycemia. Ukufundwa kuka-2013 e-Australia kweziguli ezingama-95 ezine-type 1 yesifo sikashukela siphethe ngokuthi lokhu kunciphise izinga lemikhakha eqondile nelingenangqondo ye-hypoglycemia uma kuqhathaniswa ne-standard insulin pump treatment. Lokhu kucatshangwa ukuthi yisinye isinyathelo esibhekele ama-pancreas okufakelwayo.
I-Bolus Calculator
Amapompu angenwe amandla abuye avele nesici esibizwa ngokuthi i-bolus calculator.
Umsebenzisi ufaka inani lama- carbohydrates umsebenzisi uhlose ukungena, futhi ipompi libala amayunithi ahambelana ne-insulini okufanele asetshenziselwe ukumboza lawo ma-carbs.
Ngaphambi kwePancreas Engenzile
Amapompu akhuphukisiwe ahamba phambili avela emapompo asezingeni elijwayelekile kodwa angakaphelelwanga kuze kube lapho iphutha lokufaka i-insulin ngokuzenzakalelayo ngokususelwa ekufundeni kwegazi.
Lokhu kudinga i-algorithm eqondile eqondisa ukuxhumana phakathi kwenzwa nepompo.
Abacwaningi basasebenza kule algorithm futhi balindele ukuthi le nkinga ixazululwe eminyakeni eminingana. Uma lokho kwenzeka, singaba nesistimu yokuvala i-loop yokuqala yokuphatha isifo sikashukela sohlobo 1 .
I-close-loop isho ukuthi ipompo izothatha njengama-pancreas okufakelwayo - yayizofunda i-glucose iphinde inikeze inani elithile le-insulin edingekayo ukuze kugcinwe izinga eliqinile le-glucose.
Ucwaningo lwe-Sensor-Included Insulin Pump Therapy
Ucwaningo lwesifo se-STAR 3 lubheke ukuthi ngabe ipompi eyongezwayo yenzelwe kangcono ekunciphiseni i-Hemoglobin A1C kokubili iziguli ezindala neziguli ezinezinhlobo ezingasakwazi ukulawulwa yisifo sikashukela sohlobo lwesifo sikashukela, ngaphandle kokwanda kwe-hypoglycemia eqinile. Ucwaningo lwathola ukuthi i-1.0% isho ukunciphisa i-AIC kubantu abadala kusukela kokuqala kuya komunye owodwa, okwakungcono izikhathi ezine kunokuthuthukiswa okubonwa kuziguli ezisebenzisa ukujova nsuku zonke. Imiphumela yaba ngcono kulabo ababegqoke izinzwa zabo ngaphezulu kuka-81% wesikhathi.
Esigabeni sokuqhubeka socwaningo, baphawula ukuthi ukugqoka inzwa engaphezu kuka-40% yesikhathi kwakudingeka ukuze kugcinwe izinzuzo ze-A1C. Abantu abadala babekwazi ukugqoka inzwa isikhathi eside futhi bathole inzuzo engcono ye-A1C.
Izinga lezigameko ezinkulu ze-hypoglycemia azifani phakathi kwamaqembu, futhi kwakungekho umehluko ekuzuzeni isisindo.
Imithombo:
Richard M. Bergenstal, MD, et. al. "Ukwelashwa Kwamapumpu Okungenwa Kwamaphutha Okunciphisa I-A1C (STAR 3) Imiphumela Yokufundwa kusukela esigabeni sokuqhubeka sezinyanga ezingu-6." Iabetes Ukunakekela November 2011 vol. 34 cha. 11 2403-2405.
I-Trang T. et. al. "Umphumela we-Sensor-Incmented Insulin Pump Ukwelapha futhi Wenza I-Insulin Suspension ne-Standard Insulin Pump Therapy ku-Hypoglycemia Kwabeziguli Nge-Type 1 Diabetes A Trial Clinical Trial." I-JAMA. 2013; 310 (12): 1240-1247. i-doi: 10.1001 / jama.2013.277818.
Eda Cengiz, et. al. "Ukuphathwa kwesifo sikashukela esisha esisha: ukuzwa kwe-glucose sensor-augmented therapy." I-Expert Rev Med Devices. 2011 Jul; 8 (4): 449-458.