Pahu Insulina

ʻO ka pauma insulin kahi mea liʻiliʻi e lawe i ka insulin ma o kahi paipu liʻiliʻi (catheter). Hoʻomoʻa ka mea i ka insulin mau i ka lā a me ka pō. Hiki iā ia ke hāʻawi i ka insulin me ka wikiwiki (bolus) ma mua o ka ʻai ʻana. Hiki i nā pauma insulini ke kōkua i kekahi poʻe me ka maʻi kō i ka nui o ka kaohi i ka mālama ʻana i ka glucose toto.

ʻO ka hapa nui o nā pauma insulin e like me ka nui o ke kelepona liʻiliʻi, akā hoʻomau ka liʻiliʻi o nā hiʻohiʻona. Hāpai nui ʻia lākou i ke kino me ka hoʻohana ʻana i kahi kāʻei, kāʻei, ʻeke, a i ʻole he kāʻei. ʻO kekahi mau hiʻohiʻona i kēia manawa ua uea ʻole.

Nā pauma kuʻuna e hoʻokomo i kahi pahu insulin (cartridge) a me ka catheter. Hoʻokomo ʻia ka catheter me kahi kui kele ma lalo pono o ka ʻili i loko o nā mea momona. Mālama ʻia kēia i kahi mea paʻa paʻa. Hoʻohui ka tubing i ka catheter i kahi pauma i loaʻa kahi hōʻike uila. ʻAe kēia i ka mea hoʻohana e polokalamu i ka hāmeʻa e lawe i ka insulin e pono ai.

Pauma ʻūhū kau pono ʻia i ke kino me ka waihona wai a me nā paipu ma loko o kahi pahu liʻiliʻi. Hoʻonohonoho kahi polokalamu uila uila ʻokoʻa i ka lawe ʻana o ka insulin mai ka pauma.

Hele mai nā pauma me nā hiʻohiʻona e like me ka pale ʻana i ka wai, touchscreen, a me nā leka no ka manawa hana a me ka hiki i ka reservoir insulin. Hiki i kekahi mau pauma ke hoʻohui a kamaʻilio paha me kahi mea ʻike e nānā i nā pae glucose koko (ka hoʻomau ʻana o ka glucose). ʻAe kēia iā ʻoe (a i kekahi mau hihia paha i ka pauma) e hoʻōki i ka lawe ʻana o ka insulin inā e emi haʻahaʻa ana ka glucose koko. E kamaʻilio me kāu kauka mālama ola e pili ana i kahi pump kūpono iā ʻoe.

HOW INSULIN PUMPS HANA

Hāʻawi kahi pauma insulin i ka insulina i ka kino. Hoʻohana maʻamau ka hāmeʻa i ka insulin wikiwiki wale. Hiki iā ia ke hoʻolālā ʻia e hoʻokuʻu i nā mahele like ʻole o ka insulin ma muli o kāu pae kō glucose. ʻEkolu ʻano o nā lāʻau insulina:

• Mahele lāʻau basal: Hāʻawi ʻia kahi liʻiliʻi o ka insulin i ka lā a me ka pō. Me nā pauma hiki iā ʻoe ke hoʻololi i ka nui o ka insulin basal i hāʻawi ʻia i nā manawa like ʻole o ka lā. ʻO kēia ka pōmaikaʻi ʻoi loa o nā pumps ma luna o ka insulin i hoʻouka ʻia no ka mea hiki iā ʻoe ke hoʻopilikino i ka nui o ka basal insulin āu e loaʻa nei i nā manawa like ʻole o ka lā.
• Palapala Bolus: ʻO kahi mahele kiʻekiʻe o ka insulin i ka wā ʻai ke piʻi aʻe ke kō kō ma muli o nā haʻalako i ka meaʻai. ʻO ka hapa nui o nā pauma he wizard 'bolus' e kōkua i ka helu ʻana i ka mahele bolus e pili ana i kāu pae glucose glucose a me ka pāʻina (nā kolamu o ka momona) āu e ʻai nei. Hiki iā ʻoe ke polokalamu i ka pauma e hāʻawi i nā maʻa bolus i nā ʻano like ʻole. ʻO kēia kahi mea ʻoi aku ma mua o ka injected insulin no kekahi poʻe.
• ʻO kahi hoʻoponopono a i ʻole kahi huina kōkua e pono ai.

Hiki iā ʻoe ke polokalamu i ka nui o ka mahele lāʻau e like me kāu pae kō kō i nā manawa like ʻole o ka lā.

ʻO nā keu pono o ka hoʻohana ʻana i ka pauma insulin e komo pū me:

• ʻAʻole pono e hoʻokomo i ka insulin
• ʻOi aku ka discrete ma mua o ka hoʻopili ʻana i ka insulin me kahi syringe
• ʻOi aku ka lawe ʻana o ka insulina ʻoi aku ka pololei (hiki ke hāʻawi i nā hakina o nā anakuhi
• Hiki ke kōkua me ke kaohi ʻana o ke kō glucose i loko
• ʻOi aku ka nui o nā loli i ke kiʻekiʻe o ke kō glucose
• Loaʻa ka hopena i ka hoʻomaikaʻi A1C
• Liʻiliʻi hou aʻe nā māhele o ka hypoglycemia
• ʻOi aku ka maʻalahi me kāu papaʻai a me kāu hoʻoikaika kino
• Kōkua i ka mālama ʻana i ka hanana wanaʻao '(ke ala ala kakahiaka i nā pae glucose koko)

Nā mea maikaʻi ʻole o ka hoʻohana ʻana i nā pauma insulin:

• Hoʻonui i ka makaʻu o ka loaʻa kaumaha
• Hoʻonui i ka makaʻu o ka ketoacidosis diabetic inā ʻaʻole holo pono ka pauma
• Ka makaʻu o ka maʻi ʻili a i ʻole ka ukiuki ma ka pūnaewele noi
• Pono e hoʻopili i ka pauma i ka hapanui o ka manawa (e laʻa me ke kahakai a i ʻole ka hale hoʻoikaika kino)
• Pono e hana i ka pauma, e hoʻololi i nā paila, hoʻonohonoho i nā lāʻau, a pēlā aku
• ʻO ke kau ʻana i ka pauma e maopopo leʻa i ka poʻe ʻē aʻe he maʻi diabetes kou
• Hiki iā ia ke lawe i kahi manawa e kiʻi i ka hang o ka hoʻohana ʻana i ka pauma a mālama pono iā ia
• Pono e nānā i kāu mau kō kō kō i nā manawa he nui i ka lā a helu i nā haʻuki
• Pipiʻi

Pehea e hoʻohana ai i ka pauma

Kōkua kāu kime diabetes (a me ka mea hana pauma) iā ʻoe e aʻo i nā mea āpau āu e ʻike ai e hoʻohana pono i ka pauma. Pono ʻoe e ʻike pehea e:

• E mālama i nā pae kō kō (e ʻoi aku ka maʻalahi inā hoʻohana pū i kahi monitor glucose mau)
• Heluhelu i nā haʻihaʻi
• E hoʻonoho i nā kumu basal a me nā bolus a hoʻolālā i ka pauma
• E ʻike i nā ʻōkuhi e hoʻolālā ai i kēlā me kēia lā e pili ana i ka nui a me ke ʻano o nā meaʻai i ʻai ʻia a me nā hana kino i hana ʻia
• E ʻike pehea e helu ai i nā lā maʻi ke hoʻolālā ʻana i ka hāmeʻa
• Hoʻohui, kāpae, a hoʻohui hou i ka hāmeʻa, e like me ka wā o ka ua a me ka hana ikaika
• Hoʻoponopono i nā kiʻekiʻe o ke kō glucose kiʻekiʻe
• ʻIke pehea e nānā ai a hōʻalo i ka ketoacidosis diabetic
• ʻIke pehea e hana ai me nā pilikia pauma a ʻike i nā hewa maʻamau

E hoʻomaʻamaʻa kāu hui mālama ola iā ʻoe e nānā i kāu mau kō kō i ke koko e hoʻomaʻalahi i nā kau.

Hoʻomau ka hoʻomaikaʻi ʻia ʻana o nā paipu insulin a ua loli nui mai ka wā i hoʻolauna mua ʻia ai.

• Kūkākūkā nā pauma he nui me nā monitors glucose mau (CGM) mau.
• Hōʻike kekahi i kahi 'auto' mode e hoʻololi i ka hopena basal ma muli o ka hoʻonui a hoʻemi ʻana paha o kāu kō kō. (Kuhi ʻia kēia i kekahi manawa he 'loop loop' ʻōnaehana).

NPS ʻlelo Aʻoaʻo no ka hoʻohana

Ma hope o ka manawa, e lilo ʻoe i ʻoluʻolu i ka hoʻohana ʻana i ka pauma insulin. Kōkua paha kēia mau ʻōlelo aʻoaʻo:

• Lawe i kāu insulin i nā manawa i hoʻonoho ʻia no laila ʻaʻole ʻoe e poina i nā lāʻau.
• E nānā pono a hoʻopaʻa i kāu pae kō kō, hoʻoikaika, nā huakalena, nā kōpaka, a me nā ana hoʻoponopono a loiloi iā lākou i kēlā me kēia pule a i ʻole pule. ʻO ka hana pēlā e kōkua iā ʻoe e hoʻomaikaʻi i ke kaohi kō glucose.
• E kamaʻilio me kāu mea lawelawe e pili ana i nā ala e hōʻalo ai i ka loaʻa ʻana o ke kaumaha ke hoʻomaka ʻoe e hoʻohana i ka pauma.
• Inā ʻoe e hele huakaʻi, e hoʻopili pono i nā lako hou.

E kāhea ʻoe i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe nā pae glucose haʻahaʻa haʻahaʻa haʻahaʻa a kiʻekiʻe paha
• Pono ʻoe e ʻai māmā ma waena o nā meaʻai e hōʻalo ai i nā pae glucose koko haʻahaʻa
• He kuni kou, kuha, a luaʻi paha
• He hōʻeha
• Pono ʻoe e loaʻa i kahi ʻoki
• Loaʻa iā ʻoe ka loaʻa o ke kaupaona
• Hoʻolālā ʻoe e hānau pēpē a i ʻole e hāpai
• Hoʻomaka ʻoe i nā lāʻau a me nā lāʻau no nā pilikia ʻē aʻe
• Kū ʻoe i ka hoʻohana ʻana i kāu pauma no kahi manawa lōʻihi

Ke hoʻomau nei ka hoʻokomo ʻana i ka insulin subcutaneous; CSII; Diabetes - nā paukū insulin

• Pahu Insulina
• Pahu Insulina

ʻAhahui Diabetes ʻAmelika. 9. Hoʻopili nā lāʻau lapaʻau i ka mālama glycemic: Nā Koina o ka mālama olakino ma Diabetes-2020. Mālama Diabetes. 2020; 43 (Hōʻawi 1): S98-S110. PMID: 31862752 pubmed.ncbi.nlm.nih.gov/31862752/.

Aronson JK. Insulina. I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier; 2016: 111-144.

Atkinson MA, Mcgill DE, Dassau E, Laffel L. ʻAno 1 diabetes mellitus. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 36.

Pūnaewele Institute of Diabetes a me Digestive a me nā maʻi maʻi puʻuwai. ʻO ka insulin, nā lāʻau, a me nā lāʻau maʻi diabetes. www.niddk.nih.gov/health-information/diabetes/overview/insulin-medicines-treatments. Hoʻohou Kēkēmapa 2016. Loaʻa iā Nowemapa 13, 2020.

• Laau Lapaʻau Diabetes