"Ndine cyborg tsopano!" - Liam Zibidi waku Australia, wopanga mapulogalamu achichepere, injiniya wa blockchain/Fullstack ndi wolemba, alengeza monyadira, pamene akudziwonetsera yekha pamasamba ake. . Kumayambiriro kwa Ogasiti, adamaliza ntchito yake ya DIY yopanga chipangizo chovala, chomwe mopanda manyazi adachitcha "pancreas yokumba." M'malo mwake, tikulankhula za pampu yodzilamulira yokha ya insulin, ndipo cyborg yathu sinatenge njira yophweka muzinthu zina za chilengedwe chake. Werengani zambiri za lingaliro la chipangizocho ndi matekinoloje otseguka omwe adadalira pambuyo pake m'nkhaniyi.
mafanizo kusiyapo chithunzi cha chipangizo amatengedwa kuchokera
Matenda a shuga kwa dummies
Liam ali ndi matenda a shuga a mtundu woyamba.
Ngati ndizolondola, ndiye kuti mawu oti "shuga" amatanthauza gulu la matenda omwe akuchulukirachulukira - kutulutsa mkodzo, koma kuchuluka kwa odwala omwe ali ndi matenda a shuga (DM) ndikokulirapo, ndipo dzina lalifupi lazika mizu mobisa ku DM. Kalelo m'zaka za m'ma Middle Ages, odwala ambiri odwala matenda ashuga adawona kukhalapo kwa shuga mumkodzo wawo. Panadutsa nthawi yayitali kuti insulini ya mahomoni (yomwe idakhalanso mapuloteni oyamba otsatizana m'mbiri) ndi gawo lake mu pathogenesis ya matenda a shuga.
Insulin ndiye hormone yofunika kwambiri yomwe imayang'anira kagayidwe kazinthu zambiri, koma zotsatira zake zazikulu ndi metabolism yamafuta, kuphatikiza shuga "wamkulu" - shuga. Pa kagayidwe ka glucose m'maselo, insulin ndi, tikulankhula, ndi molekyulu yowonetsa. Pali mamolekyu apadera a insulin receptor pamwamba pa maselo. "Atakhala" pa iwo, insulin imapereka chizindikiritso choyambitsa zochitika zam'magazi: selo limayamba kunyamula shuga mkati mwa nembanemba yake ndikuyipanga mkati.
Njira yopangira insulini tingaiyerekezere ndi ntchito ya anthu ongodzipereka amene anabwera kudzamenyana ndi chigumula. Mulingo wa insulini umatengera kuchuluka kwa shuga: m'pamenenso kuchuluka kwa insulini kumakwera poyankha. Ndikubwerezanso: ndi kuchuluka kwa minofu komwe kuli kofunikira, osati kuchuluka kwa mamolekyu, omwe amafanana mwachindunji ndi shuga, chifukwa insulini yokha siyimangirira ku glucose ndipo siyimagwiritsidwa ntchito pa metabolism yake, monga momwe odzipereka samamwa zomwe zikubwera. madzi, koma amange madamu otalika kwina. Ndipo ndikofunikira kusunga mulingo wina wa insulini pamwamba pa maselo, komanso kutalika kwa madamu osakhalitsa m'malo osefukira.
Zikuwonekeratu kuti ngati palibe insulin yokwanira, ndiye kuti kagayidwe ka glucose kamasokonekera; simalowa m'maselo, ndikudziunjikira m'madzi achilengedwe. Ichi ndi matenda a shuga. M'mbuyomu, panali mawu osokoneza akuti "odalira insulini / shuga wodziyimira pawokha," koma ndi zolondola kwambiri kuziyika motere: mtundu woyamba wa shuga ndikusowa kwa insulin (chifukwa chake nthawi zambiri ndi kufa kwa maselo a kapamba); Type 1 shuga mellitus ndi kuchepa kwa momwe thupi limayankhira pamlingo wa insulin yake (zifukwa zonse sizimamveka bwino komanso ndizosiyanasiyana). Mtundu woyamba - pali odzipereka ochepa ndipo alibe nthawi yomanga madamu; Type 2 - madamu otalika bwino, koma odzaza mabowo kapena omangidwa modutsa.
Vuto losintha pamanja
Mitundu yonse iwiri, monga zikuwonekera, imayambitsa kuchuluka kwa shuga kunja kwa maselo - m'magazi, mkodzo, zomwe zimakhudza thupi lonse. Tiyenera kukhala ndi moyo powerenga ΠΈ mu syringe ndi mbale, motero. Koma simungathe kuwongolera pamanja zomwe thupi lenilenilo likuchita. Munthu ayenera kugona, ndipo pamene akugona, mlingo wa insulini ukupitirizabe kugwa; munthu akhoza, chifukwa cha zochitika za tsiku ndi tsiku, osadya pa nthawi yake - ndiyeno mlingo wake wa shuga umatsika mothandizidwa ndi insulin yosungidwa bwino. M'malo mwake, moyo umadzipeza uli mumsewu wa malire a glucose, kupitirira pomwe pali chikomokere.
Njira imodzi yothetsera vutoli inali zida zamakono zomwe zidalowa m'malo mwa ma syringe - mapampu a insulin. Ichi ndi chipangizo chomwe chimagwiritsa ntchito singano yomwe imalowetsedwa mosalekeza kuti ipange insulini yokha. Koma kubweretsa koyenera kokha sikutsimikizira chithandizo cholondola cha insulin popanda chidziwitso cha kuchuluka kwa shuga. Uwu ndi mutu wina wa madotolo ndi akatswiri azasayansi yazachilengedwe: kuyezetsa mwachangu ndikulosera kolondola kwamphamvu kwa insulin ndi milingo ya shuga. Mwaukadaulo, izi zidayamba kukhazikitsidwa mwanjira yowunika mosalekeza shuga - machitidwe a CGM. Izi ndi zida zosiyanasiyana zomwe zimawerengera mosalekeza deta kuchokera ku sensa yomwe imayikidwa pansi pa khungu nthawi zonse. Njirayi ndiyosapweteka komanso yowoneka bwino kwa ogwiritsa ntchito kuposa yakale. , koma yotsirizirayi ndi yolondola kwambiri ndipo ikulimbikitsidwa kuti igwiritsidwe ntchito ngati mlingo wa shuga udakali "wotsika" kwambiri kapena mwanjira ina umasintha mofulumira pakapita nthawi.
Ulalo wapakatikati mu dongosolo lino ndi munthu - nthawi zambiri wodwala yekha. Imasintha kagayidwe ka insulini kutengera kuwerengera kwa glucometer komanso momwe akuyembekezeredwa - kaya wadya maswiti kapena akukonzekera kudumpha nkhomaliro. Koma motsutsana ndi maziko amagetsi olondola, munthu amakhala cholumikizira chofooka - bwanji ngati atagona ali ndi hypoglycemia yayikulu ndikutaya chikumbumtima? Kapena adzachita mwanjira ina yosayenera, kuiwala / kuphonya / kukhazikitsa chipangizocho molakwika, makamaka ngati akadali mwana? Zikatero, anthu ambiri amaganiza zopanga makina oyankha - kuti chipangizo cholowetsa insulin chikhale cholunjika ku zomwe zimachokera ku masensa a glucose.
Ndemanga ndi gwero lotseguka
Komabe, vuto limayamba nthawi yomweyo - pali mapampu ambiri ndi ma glucometer pamsika. Kuphatikiza apo, izi ndi zida zonse zazikulu, ndipo zimafunikira purosesa wamba ndi mapulogalamu omwe amawawongolera.
Zolemba zasindikizidwa kale pa HabrΓ© [, ] pamutu wophatikiza zida ziwiri kukhala dongosolo limodzi. Kuwonjezera pa kuwonjezera mlandu wachitatu, ndikuwuzani pang'ono za ntchito zapadziko lonse zomwe zimagwirizanitsa zoyesayesa za okonda omwe akufuna kusonkhanitsa machitidwe ofanana okha.
Ntchito ya OpenAPS (Open Artificial Pancreas System) idakhazikitsidwa ndi Dana Lewis waku Seattle. Kumapeto kwa 2014, iye, yemwenso ali ndi matenda a shuga 1, adaganiza zoyesanso chimodzimodzi. Atayesa ndi kufotokoza mwatsatanetsatane chipangizo chake, pamapeto pake adachipeza , yomwe imalongosola mwatsatanetsatane momwe mungagwirizanitse mita yanu ya CGM ndi mpope, muzosiyana zosiyanasiyana kuchokera kwa opanga osiyanasiyana, ndi zipangizo zofunika zapakatikati, mapulogalamu a mapulogalamu pa Github, ndi zolemba zambiri kuchokera ku gulu lomwe likukula la ogwiritsa ntchito. Chofunikira kwambiri chomwe OpenAPS ikugogomezera ndikuti "tikuthandizani ndi malangizo atsatanetsatane, koma muyenera kuchita chilichonse nokha." Chowonadi ndi chakuti zochitika zoterezi ndi gawo limodzi lotalikirana ndi zilango zazikulu kuchokera ku FDA (American Food and Drug Administration, yomwe ulamuliro wake umaphatikizapo mankhwala onse ndi mankhwala). Ndipo ngati sangakuletseni kuthyola zida zovomerezeka ndikuziphatikiza kukhala makina apanyumba kuti muzigwiritsa ntchito nokha, ndiye kuti kuyesa kulikonse kukuthandizani kupanga kapena kugulitsa kudzalandira chilango chokhwima. Lingaliro lachiwiri, koma lofunika kwambiri la OpenAPS ndi chitetezo cha makina opangira kunyumba. Zolemba mu fomu ndipo momveka bwino, ma aligorivimu mwatsatanetsatane cholinga chake ndi kuthandiza wodwalayo osati kudzivulaza.
Zenera la akaunti ya Nightscout
Ntchito ina , amalola ogwiritsa ntchito kukweza deta kuchokera ku zipangizo zawo za CGM kusungirako mitambo mu nthawi yeniyeni kudzera pa foni yamakono, wotchi yanzeru ndi zipangizo zina, komanso kuyang'ana ndi kukonza deta yolandiridwa. Pulojekitiyi ikufuna kugwiritsa ntchito chidziwitso komanso chosavuta kugwiritsa ntchito deta, komanso ili ndi malangizo atsatanetsatane, mwachitsanzo, ma glucometer okhala ndi mafoni okhala ndi OS imodzi kapena ina ndi mapulogalamu ofunikira ndi ma transmitters apakatikati.
Kuwona kwa data ndikofunikira kuti mudziwe kusinthasintha kwa tsiku ndi tsiku kwa shuga m'moyo wanu ndikuwongolera momwe mungadyere komanso momwe mumadya, potumiza zidziwitso m'mawonekedwe osavuta ku foni yam'manja kapena wotchi yanzeru, kulosera zam'magazi a glucose posachedwa, komanso Kuphatikiza apo, izi zitha kuwerengedwa ndikusinthidwa ndi pulogalamu ya OpenAPS. Izi ndi zomwe Liam amagwiritsa ntchito pantchito yake. Pazolemba za KDPV - zambiri zake kuchokera pamtambo, pomwe "foloko" yofiirira kumanja ndi milingo ya glucose yomwe idanenedweratu ndi OpenAPS.
Liam's Project
Mukhoza kuwerenga za polojekitiyi mwatsatanetsatane muzolemba zofananira pa blog yake, ndingoyesa kufotokoza momveka bwino komanso momveka bwino.
The Hard imaphatikizapo zida zotsatirazi: pampu ya insulin ya Medtronic yomwe Liam anali nayo poyamba; CGM (glucometer) FreeStyle Libre yokhala ndi sensa ya NFC; olumikizidwa kwa izo ndi MiaoMiao transmitter, yomwe imatumiza deta kuchokera pakhungu la NFC sensa kupita ku foni yamakono kudzera pa Bluetooth; Intel Edison microcomputer ngati purosesa yowongolera dongosolo lonse pogwiritsa ntchito Open APS; Explorer HAT ndi chowulutsira wailesi cholumikiza chomaliza ndi foni yam'manja ndi pampu.
Bwalolo latha.
Zida zonse zidawononga Liam β¬ 515, kupatula pampu yomwe anali nayo m'mbuyomu. Analamula zinthu zake zonse ku Amazon, kuphatikizapo Edison yemwe anasiya. Komanso, masensa a subcutaneous a CGM Libre ndi okwera mtengo - ma euro 70 pachidutswa chilichonse, chomwe chimakhala kwa masiku 14.
Mapulogalamu: choyamba, kugawa kwa Jubilinux Linux kwa Edison ndikuyika OpenAPS pa izo, zomwe wolemba chipangizocho, malinga ndi iye, adavutika nazo. Chotsatira chinali kukhazikitsa kusamutsa kwa data kuchokera ku CGM kupita ku foni yam'manja komanso kumtambo, komwe adayenera kupereka chilolezo chopanga xDrip application (ma euro 150) ndikukhazikitsa Nightscout - idayenera "kukwatiwa" ndi OpenAPS kudzera pamapulagini apadera. . Panalinso mavuto ndi ntchito ya chipangizo chonsecho, koma gulu la Nightscout linathandiza Liam kupeza nsikidzi.
Inde, zingawoneke kuti wolembayo wasokoneza kwambiri ntchitoyi. Intel Edison yemwe adasiya kwa nthawi yayitali adasankhidwa ndi Liam ngati "yowonjezera mphamvu kuposa Raspberry Pi." Apple OS idawonjezeranso zovuta ndi laisensi yamapulogalamu komanso mtengo wofanana ndi foni yam'manja ya Android. Komabe, zomwe adakumana nazo ndizothandiza ndipo zidzawonjezeranso ntchito zambiri zofananira za zida zopangidwa kunyumba, zomwe zidapangidwa kuti zithandizire kwambiri moyo wa anthu ambiri ndi ndalama zochepa. Anthu omwe amazolowera kwambiri kudalira mphamvu zawo komanso luso lawo.
Liam akuti matenda a shuga amtundu woyamba adamupangitsa kukhala wopanda ufulu, ndipo chida chomwe adapanga ndi njira yopezeranso chitonthozo chamalingaliro pathupi lake. Ndipo kuwonjezera pa kuyambiranso moyo wake wanthawi zonse, kupanga makina opopera a insulin otsekeka chinali chinthu champhamvu chodziwonetsera yekha. "Ndi bwino kuwongolera kagayidwe kanu ndi JS code kusiyana ndi kupita kuchipatala," akulemba.
Source: www.habr.com