Huwandu hweHarley St Vanachiremba vanopa mukana kune chirwere cheshuga insulin pombi.
Varwere vazhinji vanonetsekana kuwana mapombi e insulin paNHS asi aya anowanikwa zviri nyore kuburikidza nemhando dze Harley St diabetes makiriniki.
Iyo ichangoburwa inowanikwa mberi mukuunza insulin ndeye insulin pombi. Insulin pombi inoumbwa nepombi reservoir yakafanana neiyo ye insulin cartridge, pombi inoshandiswa nebhatiri, uye komputa chip inobvumira mushandisi kudzora huwandu chaihwo hwe insulin inounzwa.
Yakakura sei pombi ye insulin?
Parizvino, pombi dziri pamusika dzinenge saizi ye standard communications beeper.
Iyo pombi ye insulin inoshanda sei?
Iyo pombi yakanamatira kune yakaonda yepurasitiki chubhu (infusion set) iyo ine cannula yakapfava (kana tsono yepurasitiki) pamagumo ayo insulin inopfuura. Iyi cannula inoiswa pasi peganda, kazhinji padumbu. Iyo cannula inoshandurwa mazuva maviri ega ega. Iyo tubing inogona kubviswa kubva papombi paunenge uchigeza kana kushambira. Iyo pombi inoshandiswa kuenderera mberi nekutakura insulin, 24 maawa pazuva. Huwandu hwe insulin hwakarongwa uye hunoitwa pamwero wenguva dzose (basal rate). Kazhinji, huwandu hwe insulin hunodiwa mukati menguva 24 maawa anosiyana zvichienderana nezvinhu zvakaita sekurovedza muviri, chiitiko chebasa, uye hope.
Iyo insulin pombi inobvumira mushandisi kuronga akawanda akasiyana ma basal mareti kubvumidza kuchinja kwemararamiro. Pamusoro pe, mushandisi anogona kuronga pombi kuendesa bolus (muyero mukuru we insulin) panguva yekudya kuvhara izvo zvakawandisa zvinodiwa zvekupinda kwemacarbohydrate.
Yakajairika sei pombi ye insulin?
Over 50,000 vanhu vane chirwere cheshuga pasi rose vari kushandisa insulin pombi. Huwandu uhu huri kukura zvakanyanya sezvo midziyo iyi ichiva diki uye yakawanda-inoshandiswa mushandisi. Insulin pombi inobvumira kudzora shuga yeropa uye kushanduka kwehupenyu uku uchideredza mhedzisiro yeshuga yeropa. (hypoglycemia). Parizvino, pombi ndiyo mudziyo wepedyo pamusika kune artificial pancreas. Munguva pfupi yapfuura, mhando itsva dzepombi dzakagadzirwa dzisingadi tubing, saizvozvo – iyo insulin yekuburitsa mudziyo inoiswa zvakananga paganda uye chero shanduko inodiwa pakuunza insulin inoitwa kuburikidza nePDA senge mudziyo unofanirwa kuchengetwa mukati 6 tsoka yemhando ye insulin yekuburitsa mudziyo, uye inogona kupfekwa muhomwe, yakachengetwa muchikwama, kana patabletop paunenge uchishanda.
Pamwe chinonyanya kunakidza hunyanzvi mupombi tekinoroji kugona kushandisa pombi mu tandem neiyo nyowani glucose inonzwa tekinoroji.. Glucose sensors yakavandudza zvakanyanya mumakore mashoma apfuura, uye isarudzo yevarwere kuti vawane humwe ruzivo rwemaitiro avo eglucose mhinduro kuti vagadzirise imwe nzira yekurapa yega. Chizvarwa chitsva che sensors chinobvumira kuti nguva chaiyo yeglucose ipiwe kumurwere. Iyo inodyarwa sensor inotaurirana isina waya neyakakura-peja mudziyo une skrini. Chishandiso chinochengetwa padhuze ne sensor kuti ibvumire kuendesa data, zvisinei, inogona kuva mafiti mashoma kubva uye ichiri kugamuchira ruzivo rwekufambiswa. Zvichienderana nemuenzaniso, skrini inoratidza kuverenga kweglucose yeropa, tambo yekuverenga nekufamba kwenguva, uye chiyero chinogona kuchinja muhuwandu hweglucose. Masensor anogona kugadzirirwa kugadzira a “beep” kana shuga yeropa iri mumhando inosarudzwa seyakanyanya kana yakaderera. Vamwe vanogona kupa yambiro beep kana kudonha kweshuga yeropa kuri kuitika nekukurumidza.
Kutora zvinhu danho rimwe mberi, kune imwe sensor iyo inyowani kumusika iyo yakagadzirirwa kutaurirana zvakananga ne insulin pombi. Nepo pombi haisati yapindura zvakananga kune ruzivo kubva kune sensor, zvinoita “chikumbiro” mhinduro kubva kumurwere kana pane chido chekugadzirisa maererano nemaitiro akarongwa kuti aone. Chinangwa chikuru cheiyi tekinoroji ndecheku “vhara loop” nokuramba uchinzwa zvinodiwa nomuviri, uyezve kupindura nekupa muyero wakakodzera we insulin. Nepo tekinoroji iyi iri mamwe makore mashoma mukugadzira, matanho ari munzira iyi anoramba achikura.