Bamka insulin-ku-baahinta (SAP) wuxuu isku daraa teknoolojiyada bamka insulin-ta oo leh dareen-celin joogto ah oo sonkorta leh oo gudbiya gulukooska guluukha qofka u xidhan qalabka. Waxaa loo tixgeliyaa inay tahay tallaabo muhiim ah oo ku saabsan horumarinta xayawaanka macmalka ah.
Sidee Nooca Biyaha Isku-Dhaafka ah u Baahan Meelaha Kala-duwanaanta Insulin?
Bambooyinka insulin ee caadiga ah ayaa siinaya isticmaalaha iyada oo si joogta ah u socota insulin gaaban oo lagu muujiyay in kor loogu qaado maaraynta glucose dad badan.
Ku darida dareeraha joogtada ah ee gulukooska ee joogtada ah si uu ugu shaqeeyo tandem oo leh bamka insulin ayaa horey u soo qaaday. Tani waxay u oggolaaneysaa in uu isticmaalo si joogto ah, oo wax loo aqbalo, marka la barbar dhigo gulukooska guluukoosta, kaas oo kor u qaadaya awoodda lagu xakameyn karo gulukooska, gaar ahaan go'aamada ku saabsan cuntada, jimicsiga iyo maareynta xanuunka .
Joojinta insulin-yada ee la isugeeyey si looga hortago cudurka hypoglycemia
Qalabkani wuxuu u oggolaanayaa dhalidda insulin in ay si toos ah u hakiso ilaa laba saacadood marka kalkaaliyaha gulukoosta ee joogtada ah uu ogaado in heerka gulukoosku hoos u dhacay oo ay jirto halista hypoglycemia. Daraasad 2013 ah oo Australia ah oo ka kooban 95 bukaan oo qaba sonkorowga nooca 1 ayaa soo gabagabeeyey in tani ay hoos u dhigtay heerka xanuunka 'hypoglycemia epidodes' oo qiyaasta daaweynta insulin-ta caadiga ah. Tani waxaa loo maleynayaa inay tahay tallaabo kale oo loo maro xameetada macmalka.
Xisaabiyaha Bolus
Mashiinka dareeraha-dheellitirka ayaa sidoo kale la yimid muuqaal loo yaqaanno kalkus calculus.
Isticmaalayaasha waxay soo saartaa tirada karbohidraatka ee isticmaala isticmaale ahaan, iyo mishiinku wuxuu xisaabiyaa unugyada u dhigma insulinta ee loo isticmaalo in lagu daboolo geedaha.
Ku dhaji beeryaro dabiici ah
Mashiinka dareeraha-dheellitirka ah waa horay uga soo jeeda insulin-ta caadiga ah laakiin weli ma dhicin meesha ay insulintu si toos ah u bixin karto iyada oo ku saleysan akhriska gulukooska.
Tani waxay u baahan tahay algorithm sax ah oo isku xirta xiriirka ka dhexeeya dareeraha iyo bamka.
Cilmi baadhayaashu wali waxay ka shaqeynayaan algorithm waxayna filayaan in dhibaatadan lagu xalliyo dhawr sano gudahood. Marka taasi dhacdo, waxaan lahaan karnaa nidaamka ugu horreeya ee loo xiray si loo maareeyo macaanka nooca 1aad .
Goob-dhowid micnaheedu waa in mashiinku uu u dhaqmo sida beeryaraha macmalka ah - wuxuu akhrin doonaa gulukooska wuxuuna bixiyaa qiyaas saxan oo insulin ah oo loo baahan yahay si loo ilaaliyo heerka sonkorta xasilloon.
Cilmi-baarista Insulin Pump Therapy
Daraasadda STAR 3 waxay eegtay haddii mashiinka dareeraha-korriinka uu ku fiicnaaday yareynta Hemoglobin A1C ee bukaanka qaangaarka ah iyo bukaanka carruurta qaba cudurka macaanka nooca 1 ee aan macquul ahayn, iyada oo aan la kordhineynin hypoglycemia. Daraasadu waxay heshay 1.0% macneheedu waa AIC hoos u dhigista dadka qaangaadhka ah illaa hal sano, taas oo afar jeer ka fiicnayd ka soo raynta bukaanka ee isticmaala duritaanka maalin kasta. Natiijooyinka waxay ku fiicnaadeen kuwii dhuubay dareenkooda in ka badan 81% waqtiga.
Marka la eego marxaladda sii socota ee daraasadda, waxay xuseen in xirashada dareenka in ka badan 40% waqtiga loo baahan yahay si loo ilaaliyo faa'iidooyinka A1C. Dadka waaweyn waxay u badan tahay inay xirxiraan dareeraha waqti dheer iyo si ay u helaan faa'iidada A1C.
Qiyaasta dhacdooyinka hypoglycemia-du ma kala duwanaan kooxaha dhexdooda, mana jirin wax isbeddel ah oo ku yimaada miisaanka.
Ilaha:
Richard M. Bergenstal, MD, et. al. "Daaweynta Badeecada ee Dhiig-bixiyaha ah ee loogu talagalay dhimista A1C (Natiijooyinka Daraasada STAR 3) laga bilaabo marxaladda muddada lixda bilood ah." Yaboohda Daryeelka Nofembar 2011 34 maya. 11 2403-2405.
Trang T. et. al. "Saameynta Insulin Pump Therapy iyo joojin insulin-ka-joojin ah ee daaweynta Insulin Pump Therapy on Hypoglycemia ee bukaan-socodka qaba nooca 1-Sonkorowga Dhibaatada Isku-dhafan ee Clinic." JAMA. 2013; 310 (12): 1240-1247. doi: 10.1001 / jamaayo.277818.
Eda Cengiz, et. al. "Maaraynta jimicsiga cusub ee sonkorowga: sonkorta dareeraha 'insulin pumps'. Khabiirada Caqli-celinta Khabiirka ah. 2011 Jul; 8 (4): 449-458.