Timazindikira kuchuluka kwa glycemia kunyumba - momwe mungayezere shuga?
Chida chomwe chimayeza shuga chimatchedwa glucometer. Pali mitundu yambiri ya chipangizochi chomwe chimasiyana mwatsatanetsatane mwaukadaulo ndi zina zowonjezera. Kulondola kwa zidziwitso kumadalira kulondola kwa chipangizocho, chifukwa chake, kusankha, ndikofunikira kuyang'ana pa zabwino, mawonekedwe ogwiritsira ntchito, komanso kuwunika kwa madokotala ndi odwala.
Odwala matenda ashuga ayenera kudziwa! Shuga ndiwabwinobwino kwa aliyense.Kukwanira kumwa makapu awiri tsiku lililonse musanadye ... Zambiri >>
Kuyeza shuga la magazi ndikusanthula kofunikira komwe kumawonetsa njira ya matenda ashuga komanso momwe wodwalayo alili. Koma kuti zotsatira zake zitheke kukhala zolondola momwe zingathere, kuwonjezera pa kugwiritsa ntchito glucometer yolondola, wodwalayo ayenera kutsatira malamulo angapo osavuta akamagwira magazi ndikusanthula.
Zochita za algorithm
Kuchita zochitika zina, mutha kukhala otsimikiza za kuwunikaku. Kuyeza kwa shuga m'magazi kuyenera kuchitika pamalo opanda phokoso, chifukwa kuthamangitsidwa kwa mtima kumatha kusokoneza kudalirika kwa zotsatira zake.
Nayi chitsanzo cha zinthu zomwe muyenera kuchita kuti mupeze zolondola:
- Sambani m'manja ndi sopo pansi pamadzi.
- Pukuleni ndi thaulo, pomwe simukupaka khungu kwambiri.
- Chitani jakisoni ndi mowa kapena antiseptic wina (izi sizofunikira, pokhapokha kuti jakisoni ichitidwe ndi singano yotayika kapena cholembera).
- Gwedezani pang'ono ndi dzanja lanu kuti muwonjezere magazi.
- Kuphatikiza apo, pukutani khungu m'malo mwakudzodzera mtsogolo ndi nsalu yosalala kapena ubweya wa thonje.
- Pangani cholembera pamalo a chala, chotsani dontho loyamba lamwazi ndi chidebe kapena thonje louma.
- Ikani dontho la magazi pachiwaya ndikuyesani ndikuyika mu glucometer yomwe ikuphatikizidwa (muzinthu zina, magazi asanayike, mzere woyezera uyenera kuyikiridwa kale mu chipangizocho).
- Dinani kiyi kuti musanthule kapena mudikire kuti chotsatira chiziwonetsedwa pazenera kuti chingachitike ndi chipangizocho.
- Lembani zamtengo wapatali mu diary yapadera.
- Chitani jakisoni ndi antiseptic iliyonse ndipo mutatha kuyanika, muzisamba m'manja ndi sopo.
Kodi ndibwino liti kuyeza shuga komanso kangati?
Chiwerengero chofunikira chazo patsiku kwa wodwala chitha kuuza dokotala wokha. Izi zimakhudzidwa ndi zinthu zambiri, zomwe munthu amatha kufotokozera matendawo, kuuma kwa nthawi yake, mtundu wa matenda komanso kupezeka kwa matendawa. Ngati, kuwonjezera pa mankhwala a shuga, wodwalayo akamwa mankhwala a magulu ena, ayenera kufunsa dokotala wa endocrinologist za momwe amathandizira ndi shuga. Pankhaniyi, nthawi zina ndikofunikira kusintha zina munthawi ya phunziroli (mwachitsanzo, kuyeza glucose musanamwe mapiritsi kapena pambuyo poti nthawi yayitali munthu atamwa.
Kodi ndibwino liti kuyeza shuga? Pafupifupi, wodwala yemwe ali ndi shuga wambiri, yemwe amamwa mankhwala enaake ndipo akudya, amafunika shuga wambiri wokha patsiku. Odwala omwe ali pakusankhidwa kwa mankhwalawa amayenera kuchita izi pafupipafupi, kuti adotolo azitha kutsatira momwe thupi limaperekera mankhwala ndi zakudya.
Njira zamagetsi zomwe zimafotokozedwa mwatsatanetsatane m'magazi ndizotsatira:
- Kusala kudya pambuyo pogona.
- Pafupifupi mphindi 30 mutadzuka, musanadye chakudya cham'mawa.
- Maola awiri mutatha kudya chilichonse.
- Patatha maola 5 mutabadwa jakisoni wochepa.
- Pambuyo pochita zolimbitsa thupi (masewera olimbitsa thupi, ntchito zapakhomo).
- Asanagone.
Odwala onse, mosasamala kanthu za kuopsa kwa njira ya matenda ashuga, ayenera kukumbukira zinthu zikafunika kuyeza magazi osakhazikika. Momwe mungadziwire kuti muyeso uyenera kuchitidwa mwachangu? Zizindikiro zowopsa zimaphatikizapo kupsinjika kwa psychoemotional, kusakhala bwino ndi thanzi, kugona kwambiri, thukuta lozizira, chisokonezo chamalingaliro, kukhumudwa kwa mtima, kusazindikira.
Kodi ndizotheka kuchita popanda zida zapadera?
Ndizosatheka kudziwa kuchuluka kwa shuga popanda glucometer, koma pali zizindikiro zina zomwe zingasonyeze molakwika kuti zimakwezeka. Izi zikuphatikiza:
- ludzu ndi pakamwa lowuma kosalekeza
- zotupa pakhungu,
- kuchuluka kwa chakudya ngakhale chakudya chokwanira,
- kukodza pafupipafupi (ngakhale usiku),
- khungu lowuma
- kukokana mu minofu ya ng'ombe
- kufooka ndi kufooka, kutopa kwambiri,
- ukali ndi kusokonekera,
- mavuto amawonedwe.
Koma zizindikirochi sizachidziwikire. Amatha kuwonetsa matenda ena ndi zovuta zina mthupi, kotero simungathe kungodalira. Kunyumba, ndibwino komanso kosavuta kugwiritsa ntchito chipangizo chonyamula chomwe chimatsimikiza kuchuluka kwa glucose m'magazi ndikuwunika kwapadera kwake.
Kutsimikiza kwa shuga m'magazi sikungakhale kopanda tanthauzo ngati pakadakhala kuti palibenso mfundo zina zokhazikitsidwa zomwe ndizachikhalidwe kuyerekezera zotsatira zake. Kwa magazi kuchokera chala, chizolowezi chotere ndi 3.3 - 5.5 mmol / L (venous - 3.5-6.1 mmol / L). Mukatha kudya, chizindikiro ichi chimakwera ndipo chimatha kufika pa 7.8 mmol / L. Maola ochepa chabe mwa munthu wathanzi, kufunika kwake kumabweranso kwazonse.
Mulingo wa shuga kwa omwe ali ndi matenda ashuga atha kukhala osiyanasiyana, zimatengera mtundu wamatenda, mawonekedwe amthupi ndi chithandizo chomwe asankhidwa, kupezeka kwa zovuta, zaka, ndi zina zambiri. Ndikofunikira kuti wodwalayo ayesetse kukhala ndi shuga pamlingo womwe unatsimikiziridwa pamodzi ndi adokotala. Kuti muchite izi, muyenera kuyeza chizindikiro ichi pafupipafupi komanso molondola, komanso kutsatira zakudya ndi chithandizo.
Tanthauzo lililonse la shuga lamwazi (zotsatira zake) amalembedwa mu diary yapadera. Ili ndi buku lolemba pomwe wodwala samalemba zonse zomwe adazipeza, komanso chidziwitso china chofunikira:
- tsiku ndi nthawi ya kusanthula,
- Papita nthawi yochuluka bwanji kuchokera pa chakudya chomaliza,
- Zakudya zake,
- kuchuluka kwa insulin yomwe ingamwe kapena piritsi lomwe watengedwa (muyenera kutchulanso mtundu wa insulini yomwe idalowetsedwa pano),
- ngati wodwalayo adachitapo masewera olimbitsa thupi izi zisanachitike,
- zambiri zowonjezera (kupsinjika, kusintha mu nthawi yathanzi).
Momwe mungayang'anire mita kuti mukhale ndi thanzi labwino?
Kuwunikira kuti mupeze kuchuluka kwa shuga m'magazi kumawerengedwa kuti ndi kolondola ngati phindu lake limasiyana ndi zotsatira zomwe zimapezeka ndi ma labaporeti a ultraprecise osapitilira 20%. Pakhoza kukhalapo tini ya zosankha pakuyesa mita ya shuga. Zimatengera mtundu weniweni wa mita ndipo zimatha kusiyana kwambiri pazida zamakampani osiyanasiyana. Koma pali njira zina zomwe sizili zachindunji zomwe zingagwiritsidwe ntchito kumvetsetsa momwe zowerengedwa za chipangizocho ziliri zowona.
Choyamba, miyeso ingapo yotsatizana ingathe kuchitika pazida zomwezo ndi kusintha kwa nthawi kwa mphindi 5 mpaka 10. Zotsatira zake ziyenera kukhala zofanana (± 20%). Kachiwiri, mutha kufananizira zotsatira zomwe zimapezeka mu labotale ndi zomwe zimapezeka pazida zogwiritsa ntchito nokha. Kuti muchite izi, muyenera kupereka magazi pamimba yopanda kanthu mu labotale ndikupita ndi glucometer nanu.
Mutatha kuwunikira, muyenera kuyerekezeranso chida chonyamula ndikujambulira mtengo, ndipo mutalandira zotsatira kuchokera ku labotale, fanizirani izi. Mphepete yolakwitsa ndi yofanana ndi njira yoyamba - 20%. Ngati ndichokwera, ndiye kuti chipangizocho sichikugwira ntchito ndendende, ndibwino kupita nacho ku malo othandizirako kuti mudziwe ngati pali vuto lililonse.
Momwe mungayang'anire shuga kunyumba?
Njira zamasiku ano zakuyeretsa phindu la lactin m'magazi zimalola kuti njirayi ichitike tsiku lililonse kunyumba popanda kupita ku chipatala. Njira zingapo ndizodziwika, zomwe sizitanthauza kupezeka kwa maluso apadera.
Zowona, zida zopatula zizifunikabe. Mutha kugwiritsa ntchito mizera ya tester kuyeza kukhalapo kwanu kwa glucose.
Izi ndi zosavuta komanso zotsika mtengo. Malo ogulitsa mankhwala amagwiritsa ntchito mitundu ingapo ya oyesa pogwiritsa ntchito njira imodzi.
Maluso apadera amayenera kugwiritsidwa ntchito pa mzere, womwe, chifukwa cha kugwa kwa magazi, amasintha mtundu. Mulingo pazomwe amapaka umalola kuti wodwala azindikire shuga.
Madokotala akuwonetsa zingapo zomwe zingapangidwe koyenera. Nazi izi:
- kusamba m'manja ndi sopo. Maburashi amatsukidwa ndikupukutidwa bwino kuti chinyontho chisalowe mu mzere wowonera, mwina zotsatira zake sizikhala zolondola,
- zala ziyenera kukhala zotentha kuti magazi azituluka. Kuti tichite izi, timawotchedwa ndi kusamba ndi madzi ofunda kapena kutikita minofu,
- chala chakhola chimakhala chodzaza ndi zakumwa zoledzeretsa kapena chida china, ndipo nthawi imaperekedwa kuti pamwamba poti ziume, zomwe zimalepheretsa madzi kuyesedwa,
- kuponyera chala kumayenera kunyamulidwa pang'ono mpaka kumbali kuti muchepetse kupweteka, kenako ndikutsitsa mkono kuti mutulutse magazi muchilonda posachedwa,
- ikani chingwe pachilonda ndikuonetsetsa kuti nthaka yake yonse, yomwe imachiritsidwa ndi ma reagents, yokutidwa ndi magazi,
- ikani ubweya wa thonje kapena chidutswa cha ubweya pachilonda, chomwe kale chimanyowetsedwa ndi antiseptic,
- pambuyo pa 40-60 masekondi, zotsatira zake zimayendera.
Zingwe zoyesesa ndi njira yabwino kwambiri yodziyesera yokha ya lactin yamagazi osagwiritsa ntchito glucometer, ngakhale zotsatira zake sizikhala zolondola 100%.
Momwe mungadziwire shuga yapamwamba komanso yotsika ndi zizindikiro?
Pakanalibe zida zodziwira phindu la shuga, mutha kungoyang'ana momwe thupi lanu lilili.
Zowonadi, nthawi zina ndizizindikiro zazikulu zomwe zimawonetsa kuti wodwala akuwonjezeka kapena kuchepa kwa shuga m'magazi, zomwe zimaloleza kuchitapo kanthu panthawi yake kuti athetse matenda.
Chifukwa chake, ndi hyperglycemia, munthu amakumana:
- kukodza pafupipafupi,
- kuyabwa kosasangalatsa kwa khungu,
- kumva kwamphamvu njala
- ludzu losaletseka
- masomphenya osalala
- kumva mseru
- kugona kwambiri.
Chizindikiro chachikulu cha matenda otere ndi ludzu lamphamvu, lomwe limatsatiridwa ndi kupuma pakamwa. Kuwonjezeka kwa lactin kumabweretsa kuwonongeka kwa mitsempha. Vutoli limatchedwa madokotala neuropathy.
Wodwalayo adanenanso zowawa m'miyendo, kumverera koyaka, "tsekwe", kufooka. Milandu ingapo imatsogolera kuonekera kwa zilonda zam'mimba, kuzimiririka kwa miyendo.
Nawonso, hypoglycemia imawonekera:
- mutu
- kutopa kosalekeza
- kumverera kwa nkhawa
- njala yayikulu
- kuchuluka kwa mtima - tachycardia,
- masomphenya osalala
- thukuta.
Kuchepetsa kwambiri phindu la glucose nthawi zina kumapangitsa wodwala kuti asamagwire kapena kupezeka ndi zinthu zosayenera zofanana ndi mowa kapena kuledzera.
Chizindikiro chilichonse chodabwitsachi chimayenera kukhala chifukwa chakuchezera kwakadokotala.
Glucometer Algorithm
Chifukwa cha ukadaulo wamakono komanso kuyenda kosasunthika kwa kupita patsogolo masiku ano, ndizotheka kuyeza milingo ya lactin mokwanira bwino. Pachifukwa ichi, ndikokwanira kugula mita yamtundu (mthumba) - glucometer ku pharmacy.
Kuti mupeze zotsatira zoyenera za 100%, muyenera kutsatira zotsatirazi:
- werengani malangizowo mosamala,
- Mbale yodulira malalanje imayikidwa mu zitsulo za chipangizocho,
- chingwe choyesera chimayikidwa mu chubu choteteza
- kuwonetsera kwa chipangizochi kukuwonetsa nambala yomwe iyenera kukhala yofanana ndi chubu ndi mizere yoyesera,
- Pukuta chala ndi chala ndi mowa, ulole kuti ziume,
- pogwiritsa ntchito lancet, pangani jakisoni ndikufinya dontho limodzi lamwazi m'munda wamiyeso ya lalanje,
- zotsatira zomwe zimawonekera ndikuwonetsedwa ndikufanizira ndi mtundu wazenera loyang'ana kumbuyo lomwe limakhala kumbuyo kwa mayesowo ndi mtundu wa mitundu yomwe ikupezeka pa chomata. Mtundu uliwonse umafanana ndi kuchuluka kwa shuga.
Zotsatira zowonjezereka kapena kuchepetsedwa zimawonetsa mwayi wokhala ndi hyperglycemia kapena hypoglycemia, motero.
Oyesa magazi a m'magazi
Matenda a shuga amawopa mankhwalawa, ngati moto!
Muyenera kungolemba ...
Chida choyezera shuga popanda kuchotseredwa ndi maloto a kuchuluka kwa odwala matenda ashuga. Ndipo zida zoterezi zimagulitsidwa masiku ano, komabe, mtengo wake "kuluma", zomwe zimapangitsa kuti zisawonekere kwa anthu wamba. Mitundu ina imasowa chitsimikiziro cha Russia, zomwe zimapangitsanso kupezeka kwawo.
Komabe, ndizotchuka kwambiri:
- Mistletoe A-1,
- Glukotrek,
- Glusens
- Freestyle Libre Flash,
- TCGM Symphony,
- Accu chekeni.
Masiku ano, mita yatchuka kwambiri, zomwe zomwe akufuna zimangokhala mbali zingapo. Ndi thandizo lawo, mutha kukhazikitsa phindu la cholesterol, uric acid ndi hemoglobin. Zowona, malingaliro awo ochitira amakhalabe amagwirizanitsidwa ndi kuboola chala.
Kuti chotsatira chomaliza chikhale cholondola monga momwe mungathere, muyenera kutsatira mosamalitsa malangizo omwe adadza ndi chipangizocho.
Kuyesa kwa shuga mkodzo kunyumba
Kuti muchite mayesowa, mumangofunika mkodzo watsopano komanso wopanda magazi. Musanakwaniritse zowonongera, ziyenera kusakanizidwa bwino.
Kudziwa kufunika kwa lactin mumkodzo kumachitika m'njira zingapo:
- mkodzo umasonkhanitsidwa mumtsuko wowuma, woyera,
- Mzere umamizidwa ndi mbali ndi zida zake.
- madzi otsalawo amachotsedwa ndi pepala lososefedwa,
- kuwunika kwa zotsatirapo kumachitika pambuyo pa masekondi 60 poyerekeza mtundu womaliza ndi zitsanzo phukusi.
Kuti pakhale kudalirika kowunikira, moyo wa alumali ndi malo osungirako a mizere yoyeserera uyenera kuyang'aniridwa.
Kodi ndikofunikira kangati kuyeza glycemia mu mtundu 1 ndi mtundu 2 wa shuga?
Anthu ambiri omwe ali ndi matenda a shuga amayesa shuga m'mawa m'mawa asanadye. Komabe, madokotala salimbikitsa kuchita izi.
Wodwala matenda ashuga ayenera kuchita zinthu zotsatirazi:
- kukhalapo kwa thanzi labwino - pakakhala kukayikira kukwera kapena kuchepa kwa mtengo wa lactin m'magazi,
- mwachitsanzo, matenda, pakakhala kutentha kwa thupi.
- musanayendetse galimoto
- musanayambe kuchita masewera olimbitsa thupi komanso musanayambe kuchita masewera olimbitsa thupi. Njirayi ndiyofunika makamaka mukamachita masewera amtundu wina watsopano.
Inde, wodwala safuna kuchita kusanthula kwa 8-10 pa tsiku. Ngati malingaliro a zakudya azitsatiridwa, ndi mankhwala omwe amamwa mapiritsi, ndiye kuti mutha kuyeza mayeso am shuga kangapo pa sabata.
Momwe mungadziwire mtundu wa matenda ashuga mwa kuyesa ndi zizindikiro?
Aliyense wodwala matenda ashuga amadziwa kuti gawo lalikulu la matenda ashuga 1 ndikusintha kwamphamvu kwa ma lactin m'magazi - kuyambira ochepa mpaka okwera kwambiri.
Chizindikiro chofananira cha matenda "okoma" ndikuchepetsa kwambiri thupi.
Mwezi woyamba kubadwa kwa matenda, wodwala amatha kutaya 12-15 kg.Izi zimabweretsa kuchepa kwa ntchito ya anthu, kufooka, komanso kugona.
Ndi matendawa, matenda a anorexia amayamba kukhazikika, chifukwa cha ketoacidosis. Zizindikiro za matendawa zimasonyezedwa ndi nseru, kusanza, fungo labwino la zipatso kuchokera pamlomo wamkati komanso kupweteka pamimba.
Koma matenda amtundu Wachiwiri nthawi zambiri samakhala ndi ziwonetsero zomveka ndipo nthawi zambiri amapezeka mwangozi chifukwa chofufuza magazi opanda kanthu m'mimba. Chenjezo liyenera kukhala loyang'anitsitsa khungu ndi maliseche.
Dokotala yekha ndi omwe angakhazikitse mtundu weniweni wa matenda ashuga mwa wodwala ndipo atangoyambitsa, kuphunzira mayeso okhazikitsidwa a labotale.
Momwe mungayang'anire zizindikiro: kupewa hyperglycemia ndi hypoglycemia
Kuti thupi lisadwale ndi hyperglycemia kapena hypoglycemia, njira zina zodzitetezera ziyenera kuchitidwa.
Madokotala amatanthauza njira zodzitetezera:
- kutsatira mfundo zonse za mankhwala a insulin, osalola kukula kapena kuchepa kwa phindu la shuga,
- kutsatira zakudya zotchulidwa
- siyani zinthu zonse zoledzeretsa,
- yang'anirani shuga
- pewani zovuta
- osalola zochulukitsa.
Komabe, ndikuwonongeka kwakukhalitsa paumoyo wabwino, chisamaliro chodzidzimutsa chimayenera kutchedwa yomweyo.
Makanema okhudzana nawo
Malangizo okhudza momwe magazi angayeretsere magazi kunyumba:
Pafupipafupi mwa zitsanzo mungadziwike molingana ndi chizindikiro cha payekha chokhazikitsidwa ndi adokotala. Chilichonse chomwe chimasankhidwa, muyenera kudziwa malangizo omwe aphatikizidwa kuti agwiritse ntchito momwe mungathere ndikuwonetsetsa.
Musanagwiritse ntchito chipangizocho, muyenera kudziwa malo opumira, onetsetsani kuti muli ndi mankhwala. Zithandizanso kudziwa kuti shuga imayamba kukhala m'mabanja amodzi.
Pachifukwa ichi, ngati kholo limodzi likuvutika kale ndi matenda "okoma", ndiye kuti thanzi la mwanayo liyenera kuyang'aniridwa kuyambira kubadwa kwake.
Kodi ndi ma glucose amitundumitundu ati omwe alipo?
Mitundu iwiri yokha ya zida zodziwira ndende ya shuga yakhala ikupangidwa ndipo imagwiritsidwa ntchito kwambiri - mita za photometric ndi electrometric. Zoyambirira zimakhudzana ndi zomwe zidapita, komabe ndizosowa mitundu. Chomwe ntchito yawo ndi iyi: pamunsi pa gawo loyeserera la dontho la magazi osagawika limagawidwa mofananamo, lomwe limalowa mu mgwirizano wamakanizo ndi reagent womwe umagwiritsidwa ntchito pamenepo.
Zotsatira zake, kusintha kwamtundu kumachitika, ndipo kukula kwake kwamtundu, kumadalira mwachangu zomwe zili m'magazi. Makina omwe adamangidwa mu mita amawunikira zokha kutembenuka komwe kumachitika ndikuwonetsa ma digito ofanana pazowonetsera.
Pulogalamu yamagetsi ya electrometric imawerengedwa kuti ndi njira yoyenera kwambiri pazida za Photometric. Pakutero, mzere woyezera ndi malovu a biomaterial nawonso amalumikizana, pambuyo pake kuyezetsa magazi kumachitika. Udindo wofunikira pakupanga chidziwitso umaseweredwa ndi kuchuluka kwa magetsi, zomwe zimatengera kuchuluka kwa shuga m'magazi. Zomwe zalandilidwa zalembedwa pa polojekiti.
M'mayiko ena, ma glucometer osavomerezeka amagwiritsidwa ntchito mosasamala, omwe safuna kuti pakhungu pakhungu. Kuyeza kwa shuga wamagazi, malinga ndi opanga, kumachitika, chifukwa cha chidziwitso chopezeka pamaziko a kugunda kwa mtima, kuthamanga kwa magazi, kapangidwe ka thukuta kapena minofu yamafuta.
Magazi a shuga Algorithm
Glucose imayang'aniridwa motere:
- Choyamba muyenera kutsimikizira magwiridwe antchito a chipangizocho, kuyang'ana kuti chiwonekere pazinthu zonse zowonetsera, kukhalapo kwa kuwonongeka, kukhazikitsa gawo loyenera - mmol / l, etc.
- M'pofunika kuyerekezera kukhomera pazomangira zoyeserera ndi glucometer yowonetsedwa pazenera. Ayenera kufanana.
- Ikani chingwe choyera chotsalira (bowo pansi) chida. Chizindikiro cha droplet chizawonekera pazowonetsera, kuwonetsa kuti ali okonzeka kuyesa magazi kwa shuga.
- Zimafunikira kuyika singano ya aseptic mu buku locheperako (loboola) ndikusintha malembedwe ozama kufika pamlingo woyenera: makulidwe akhungu, okwera kwambiri.
- Mukakonzekera koyambirira, muyenera kusamba m'manja ndi madzi ofunda ndi sopo ndikuwaphwetsa mwachilengedwe.
- Manja akayamba kuuma, ndikofunikira kwambiri kuchita kutikita minofu kwakanthawi pang'ono kuti magazi aziyenda bwino.
- Kenako munthu wocheperako amabweretsedwa kwa mmodzi wa iwo, napyozedwa.
- Dontho loyamba la magazi lomwe limapezeka pamwamba pa magazi liyenera kuchotsedwa pogwiritsa ntchito chida cha thonje. Ndipo gawo lotsatira silikufinyidwa pang'ono ndikufikitsika kumayeso oyika kale.
- Ngati mita yakonzeka kuyeza mulingo wa madzi a m'madzi a plasma, imapereka chizindikiro, pambuyo pake kafukufukuyu adzayamba.
- Ngati palibe zotsatira, muyenera kutenga magazi kuti mukonzenso ndi mzere watsopano.
Kuti mupeze njira yoyenera yofufuzira kuchuluka kwa shuga, ndibwino kugwiritsa ntchito njira yotsimikiziridwa - kumadzaza zolembazo pafupipafupi. Ndikofunika kulemba zambiri mwazomwezo: zisonyezo za shuga zomwe zapezeka, nthawi yayikulu ya muyeso uliwonse, mankhwala ndi zinthu zomwe zikugwiritsidwa ntchito, mtundu wina waumoyo, mitundu ya zochitika zolimbitsa thupi zomwe zachitika, ndi zina zambiri.
Kuti punction ibweretse zomverera zosasangalatsa, muyenera kutenga magazi osati kuchokera pakati penipeni pa cholembera, koma kuchokera kumbali. Sungani zida zonse zamankhwala muchikuto chosavomerezeka. Mamita sayenera kunyowa, kuzirala kapena kuwotha. Malo abwino pokonza ikhale malo otsekeramo okhala ndi kutentha kwa chipinda.
Panthawi ya njirayi, muyenera kukhala mumkhalidwe wokhazikika, popeza kupsinjika ndi nkhawa zimatha kukhala ndi zotsatira pa mayeso omaliza.
Yachilendo ntchito mini-maphunziro
Pafupifupi magawo a shuga kwa anthu omwe amadwala matenda ashuga awonetsedwa patebulopo:
Kuchokera pazidziwitso zomwe zawonetsedwa, titha kunena kuti kuwonjezeka kwa glucose ndi chikhalidwe cha okalamba. Mlozera wa shuga mwa amayi apakati umapezekanso; kuchuluka kwake kumayambira 3,3-3.4 mmol / L mpaka 6.5-6.6 mmol / L. Mwa munthu wathanzi, kuchuluka kwa momwe zinthu zimasinthira ndi omwe akudwala matenda ashuga. Izi zikutsimikiziridwa ndi izi:
Gulu Lodwala | Ndende yovomerezeka ya shuga (mmol / L) | |
M'mawa pamimba yopanda kanthu | Maola awiri mutatha kudya | |
Anthu athanzi | 3,3–5,0 | Kufikira pa 5.5-6.0 (nthawi zina mutangomwa chakudya chamafuta, chizindikiro chimafikira 7.0) |
Anthu odwala matenda ashuga | 5,0–7,2 | Mpaka 10,0 |
Magawo amenewa amakhudzana ndi magazi athunthu, koma pali ma glucometer omwe amayeza shuga m'madzi a m'magazi (gawo lamagazi). Munthawi imeneyi, glucose akhoza kukhala wabwinobwino pang'ono. Mwachitsanzo, m'mawa m'mawa mlozera wa munthu wathanzi m'magazi athunthu ndi 3,3-55 mmol / L, ndi plasma - 4.0-6.1 mmol / L.
Tiyenera kukumbukira kuti kuchuluka kwa shuga m'magazi sikuti nthawi zonse kumayambira matenda ashuga. Nthawi zambiri, shuga wambiri amawonedwa motere:
- kugwiritsa ntchito njira yolerera ya pakamwa nthawi yayitali,
- kuwonetsedwa pafupipafupi kupsinjika ndi kupsinjika,
- kusintha kwa thupi lachilendo,
- kusapeza nthawi yopumira komanso kugona,
- ntchito yolimba chifukwa cha zovuta zamanjenje,
- nkhanza za caffeine
- ntchito zolimbitsa thupi
- chiwonetsero cha matenda angapo a endocrine dongosolo monga thyrotoxicosis ndi kapamba.
Mulimonsemo, kuchuluka kwa shuga m'magazi, kumangokhala ndi bar yofananira kwa sabata limodzi, kuyenera kukhala chifukwa cholumikizirana ndi dokotala. Zingakhale bwinoko ngati chizindikirochi chikhala alamu yabodza, m'malo mwa bomba lomwe silikuwoneka.
Poyesa shuga?
Nkhaniyi imatha kufotokozedwa pokhapokha ndi endocrinologist yemwe amakhala ndi wodwala mosalekeza. Katswiri wabwino amasintha kuchuluka kwa mayeso omwe amachitika malinga ndi kuchuluka kwa momwe matenda am'thupi am'pangidwira, zaka komanso kulemera kwa munthu yemwe akuwunikiridwa, machitidwe ake a chakudya, mankhwala omwe amagwiritsidwa ntchito, ndi zina zambiri.
Malingana ndi muyezo wovomerezeka wa matenda a shuga a Type I, kuwongolera kumachitika nthawi zosachepera 4 patsiku lililonse lokhazikitsidwa, komanso kwa mtundu II matenda ashuga - pafupifupi kawiri. Koma nthumwi za magulu onse awiriwa nthawi zina zimachulukitsa kuyeza magazi kwa shuga mwatsatanetsatane zaumoyo.
Pamasiku ena, biomaterial imatengedwa nthawi zotsatirazi:
- kuyambira m'mawa kutacha,
- Mphindi 30 mpaka 40 mutagona,
- Maola awiri mutatha kudya (ngati magazi amuchotsa kuchokera m'chafu, pamimba, pamphumi, mwendo kapena phewa, mawunikowo amasinthidwa maola 2,5 mutatha kudya),
- pambuyo maphunziro aliwonse azolimbitsa thupi (ntchito zapakhomo za m'manja zimaganiziridwa),
- Maola 5 mutatha jakisoni wa insulin,
- musanagone
- pa 2-2 a.m.
Kuwongolera shuga kumafunikira ngati zizindikiro za matenda a shuga ziwoneka - kumva kugona kwambiri, tachycardia, zotupa pakhungu, pakamwa pouma, ulesi, kufooka kwapafupipafupi, kusakwiya. Kukoka pafupipafupi, kukokana m'miyendo, ndi kusawona m'maso kumatha kusokoneza.
Zizindikiro zakuyambira
Kuwona kwa chidziwitso pazomwe zingasunthi zimadalira zinthu zambiri, kuphatikizapo mtundu wa mita yomwe. Sichida chilichonse chomwe chimatha kuwonetsa chidziwitso chowona (apa cholakwika ndichofunika: kwa mitundu ina sichaposa 10%, pomwe kwa ena chimaposa 20%). Kuphatikiza apo, zitha kukhala zowonongeka kapena zosalongosoka.
Ndipo zifukwa zina zopezera zotsatira zabodza nthawi zambiri zimakhala:
- kusasunga malamulo aukhondo (kutsatira njirayi ndi manja akuda),
- kuponyera chala chonyowa,
- kugwiritsa ntchito chingwe chogwiritsidwa ntchito kapena chatha ntchito,
- kulakwitsa kwa mayeso kupita kwa glucometer inayake kapena kuipitsidwa kwawo,
- kulumikizana ndi singano ya lancet, pamwamba pa chala kapena chida chamatope, zonona, mafuta odzola ndi zinthu zina zamadzimadzi zosamalira thupi,
- kusanthula shuga mozama kwambiri kapena kutentha kwambiri,
- Kukakamira kwamphamvu kwa chala cham'manja pamene kufinya magazi.
Ngati zingwe zoyeserera zasungidwa mu chidebe chotseguka, sizitha kugwiritsidwanso ntchito pakafukufuku wa mini. Dontho loyamba la biomaterial liyenera kunyalanyazidwa, chifukwa madzi amtundu wa interellular osafunikira kuti azindikire angalowe mu mgwirizano wamankhwala ndi reagent.
Ndi glucometer uti amene amadziwa kukula kwa shuga?
Mwambiri, mita imasankhidwa ndi dokotala. Nthawi zina zidazi zimaperekedwa kuchotsera, koma nthawi zina, odwala amagula zida zamagetsi popanga okha. Ogwiritsa ntchito makamaka amayamika ma piometri a Accu-Chek-Active / Accu-Chek-Mobile, komanso makina a One Touch Select ndi Bayer Contour TS.
M'malo mwake, mndandanda wa glucometer apamwamba kwambiri sakhala ndi mayina awa, mitundu yapamwamba kwambiri imapangidwa nthawi zonse, yomwe imatha kuthandizidwanso ngati pakufunika. Zofunikira ndiz:
- mtengo
- mawonekedwe amtunduwo (kukhalapo kwa kuwala kwa mzere, kukula kwachithunzithunzi, chilankhulo cha pulogalamu),
- kuchuluka kwa gawo lamagazi ofunikira (kwa ana aang'ono nkofunika kugula zida ndi mtengo wochepera),
- ntchito zina zomangidwa mkati (kuphatikiza ma laputopu, kusungidwa kwazinthu zokhudzana ndi shuga),
- kupezeka kwa singano zoyenera za lancet ndi mizere yoyesa (muma pharmacies omwe ali pafupi ayenera kugulitsidwa omwe amagwirizana ndi glucometer yosankhidwa).
Kuti mumvetsetse mosavuta zomwe zalandira, ndibwino kugula chida ndi magawo anthawi zonse - mmol / l. Zokonda ziyenera kuperekedwa kwa zinthu zomwe zolakwika sizidutsa 10%, makamaka 5%. Magawo amenewa amapereka chidziwitso chodalirika chokhudza kuchuluka kwa shuga m'magazi.
Kuti muwonetsetse momwe katunduyo alili, mutha kugula njira zowongolera ndi kuchuluka kwa shuga mwa iwo ndikuyesa mayeso osachepera atatu. Ngati chidziwitso chomaliza sichikhala kutali ndi chizolowezi, ndiye kuti ndikulimbikitsa kugwiritsa ntchito glucometer yotere.
Momwe mungayang'anire shuga popanda magazi?
Kuyeza shuga m'magazi ndi glucometer sikuti ndi njira yokhayo yomwe ingadziwire zomwe zili ndi shuga m'thupi. Pali zosachepera ziwiri zowunikira. Yoyamba mwa izi, Glucotest, imadalira mphamvu ya mkodzo pazinthu zomwe zimagwira ntchito mwapadera. Pakadutsa pafupifupi mphindi yolumikizana mosalekeza, kusintha kwa chizindikirocho kumasintha. Kenako, mtundu wolandila umayerekezeredwa ndi maselo amtundu wa muyeso ndipo umamalizidwa ndi kuchuluka kwa shuga.
Kupenda kosavuta kwa ma hematological kumagwiritsidwanso ntchito pazomangira zomwezo. Mfundo za kagwiritsidwe ntchito ka njirayi ndi pafupifupi zofanana ndi pamwambapa, magazi okha ndi omwe amakhala ngati biomaterial. Musanagwiritse ntchito mayeso aliwonse awa, muyenera kuphunzira malangizo omwe aphatikizidwa momwe mungathere.