Inzwi-inowedzera insulin pump (SAP) inobatanidza teknolojia ye insulini pombi uye inoramba iine glucose monitoring sensor inotumira kuverenga kweglucose kune munhu akapfeka chigadzirwa. Iyo inofungidzirwa kuva danho rinokosha mukugadzirwa kwepascreas.
Iko Sensor-Augmented Pump Yakasiyana Sei neInstulin Pumps Inozivikanwa?
Indumisi inonzi insulin yemapumpa inopa mudzidzi kuenderera mberi kwekuyerera kwekuita kwenguva shoma insulin yakaratidzwa kuvandudza glucose kutungamirirwa nevanhu vakawanda.
Kuwedzerwa kwechirwere cheglucose chinopfuurira kushanda muchero ne insulin pump kwave kuri kufambira mberi kukuru. Izvi zvinobvumira mushumiri kuti ave nekuverenga, nguva yakakwana-kuverenga glucose iyo inosimudzira kukwanisa kuongorora glucose, kunyanya paunenge uchisarudza zvisungo zvinosanganisira kudya, kurovedza muviri, uye kurwara-zuva .
Automated Insulin Suspension Kudzivirira Hypoglycemia
Izvi zvinobvumira insulin kuendesa kunomiswa pakarepo kusvika kwemaawa maviri apo kuenderera mberi kweglucose kutarisa kunoona kuti glucose level yakawa uye kune ngozi ye hypoglycemia. Chidzidzo che2013 muAustralia chechipiri varwere vane chirwere cheshuga chirwere cheshuga chakagumisa kuti izvi zvakaderedza chiyero chakakura uye chakanaka che hypoglycemia episodes kana ichienzaniswa nehuwandu hwe insulin pump therapy. Izvi zvinofungidzirwa kuti ndeimwe danho kuenda kune pancreas yekuvaka.
Bolus Calculator
Pumps-augmented pumpin anouyawo nechimwe chinonzi bolus calculator.
Mushandisi anopa nhamba yemakrohydrates musarudzo inoda kutora, uye iyo pombi inotora zvikamu zvinokwana zve insulini inofanira kushandiswa kuvhara iyo carbs.
Kutarisana neAntificial Pancreas
Pumps-augmented pump is an advance from standard insulin pump but not yet perfected to the point where insulin can be dispensed automatically based on reading glucose.
Izvi zvinoda mharidzo yakarurama inogadzirisa kutaurirana pakati pe sensor uye pombi.
Vatsvakurudzi vachiri kushanda pachirongwa ichi uye vanotarisira kuti dambudziko iri rinogadziriswa mukati memakore akawanda. Kana izvozvo zvichiitika, tinogona kuva nekutanga yekuvhara-loop chirongwa chekutarisira chirwere cheshuga chechirwere .
Chivharo chinoputika chinoreva kuti pombi yaizoita sepascreas yepachikafu - inogona kuverenga glucose uye inoparadzira chaiyo ye insulin inodiwa kuti ichengetedze gorosi yepamusoro.
Zvidzidzo zveSensor-Kunowedzera Insulin Pump Therapy
I STAR 3 yekuongorora yakatarisa kana pampu inowedzera-inokonzerwa yakaita zviri nani mukuderedza Hemoglobin A1C kune vose vakuru uye vanachiremba vane chirwere cheshuga chisina kukodzera chetachiona chirwere cheshuga, pasina kuwedzerwa kwe hypoglycemia yakasimba. Chidzidzo chacho chakawana 1.0% chinoreva kupera kweAIC kune vanhu vakuru kubvira pakutanga kusvika kune rimwe gore, izvo zvakange zvakapetwa kanomwe pane huri nani hunoonekwa nevarwere vachishandisa injections zuva nezuva. Zvigumisiro zvaive zviri nani kune avo vaipfeka masero avo kupfuura 81% yenguva.
Muchikamu chekuenderera mberi kwekudzidza, vakaona kuti kupfeka sensor inopfuura 40% yenguva yaidiwa kuchengetedza maA1C zvakabatsirwa. Vakuru vangave vakanyanya kuvhara sensor kwenguva yakareba uye kuwana A1C zviri nani.
Chiyero chezviitiko zvakanyanya zvehupirglycemia hazvina kusiyana pakati pemapoka, uye kwakanga kusina kusiyana kwehuwandu hwekuwedzera.
Sources:
Richard M. Bergenstal, MD, uye. al. "Sensor-Augmented Pump Therapy yeA1C Kuchengetedza (STAR 3) Zvidzidzo zvidzidzo kubva pamakore matanhatu ekuenderera mberi kwemwedzi." Iabetes Kutarisira November 2011 vol. 34 no. 11 2403-2405.
Trang T. et. al. "Chiitiko cheSensor-Inowedzera Insulin Pump Kurapa uye Yakashandura Insulin Kusimudzika vs Standard Insulin Pump Therapy paHypoglycemia Muvarwere Nechirwere Cheshuga Chirwere Cheshuga" Randomized Clinical Trial. " JAMA. 2013; 310 (12): 1240-1247. doi: 10.1001 / jama.2013.277818.
Eda Cengiz, uye. al. "Chizvarwa chetsva chechirwere chirwere cheshuga: glucose sensor-yakawedzera insulini inopomesa utachiona." Nyanzvi Rev Med Devices. 2011 Jul; 8 (4): 449-458.