Ndi mita iti yosankhira munthu yemwe ali ndi matenda a shuga a 2?
Matenda a shuga a Mtundu Wachiwiri amatchedwa "wopha anthu mwakachetechete." Sitha kukopa chidwi kwa nthawi yayitali, ndipo ngakhale chizindikiro chimodzi chodwala, chomwe chikuwonetsedwa mwa wodwala, chiyenera kukhala chifukwa chodandaula kwambiri. Amakhulupirira kuti kukulira mtundu wa matenda ashuga amtundu wa 2 kumachitika chifukwa chobadwa nacho, komanso moyo wina wopanda thanzi. Kunenepa kwambiri, kagayidwe kachakudya matenda, kusokonekera kwa kulankhulana pakati pa maselo - zonsezi zimatha kudzetsa matenda.
Monga lamulo, odwala omwe apezeka ndi mtundu wachiwiri wa matenda osokoneza bongo sakhazikitsidwa mwachangu. M'malo mwake, madokotala amati apange lamulo kuti aziwunikira nthawi zonse moyo wawo komanso kuchuluka kwa shuga, komanso kumakakumana ndi akatswiri. Komabe, pantchito yatsopano, zidawonetsedwa kuti kudziyang'anira sikumawonjezera moyo wa odwala omwe ali ndi matenda amtundu wa 2 chifukwa cha thanzi lawo.
Komanso, zotsatira za phunziroli zikusonyeza kuti kudziyang'anira sikungakhale chizolowezi choperekedwa kwa odwala omwe ali ndi vutoli. Odwala ambiri omwe sagwiritsa ntchito insulin amagwiritsa ntchito glucometer, mita yamagazi. Komabe, kuthekera kwa njira yotereyi ndikadali nkhani yotsutsana pakati pa akatswiri.
Katrina Donahue ndi Laura Young a University of North Carolina ku Chapel Hill anachita kafukufuku pomwe akatswiri 15 akugwira ntchito ku North Carolina adagwira nawo kafukufukuyu. Onse, 750 odwala omwe ali ndi mtundu wachiwiri wa matenda ashuga komanso osalandira insulin adayamba kugwira ntchito.
Avereji ya zaka zomwe ophunzira amatenga nawo kafukufuku anali zaka 61, nthawi yayitali ya matendawa inali zaka 8. 75% ya odzipereka nthawi zonse amayeza kuchuluka kwa shuga m'magazi.
Odwala adagawika m'magulu atatu. Ophunzira kuchokera koyambirira sanagwiritse ntchito glucometer, ophunzira kuchokera kwachiwiri adawunikanso kamodzi patsiku. Odzipereka ochokera pagulu lachitatu osati magawo a glucose okha, komanso adalandira "ndemanga" yowonjezereka kuchokera pa mita.
Phunziroli, ophunzira adawunika kuchuluka kwa hemoglobin ya glycated, popeza chizindikiro ichi chimawonetsa kuchuluka kwazomwe zimayang'anira shuga. Kuphatikiza apo, asayansi adasanthula moyo wokhudzana ndiumoyo wa anthu odzipereka. Magawo onsewa adawunika chaka chonse.
Kusiyanitsa kwakukulu m'moyo wamtundu pakati pa ophunzira ochokera m'magulu onse atatuwa sikunapezeke. Ponena za kuchuluka kwa hemoglobin ya glycated, kumayambiriro kwa ntchito m'magulu omwe amayeza kuchuluka kwa shuga tsiku lililonse, kusintha kwina kudadziwika. Komabe, pomaliza phunziroli, kusiyana pakati pamaguluwo kunatha kukhala kwakukulu.
Phunziroli silinadziwitse kuchuluka kwa kudziletsa pazovuta zina zamankhwala, mwachitsanzo, ndikuyambitsa kwa mankhwala atsopano kapena kusintha kwa mlingo wa mankhwala omwe waperekedwa kale. Kuphatikiza apo, olemba phunziroli amadziwa kuti zotsatira za ntchitoyi sizikugwira ntchito kwa odwala omwe amalandira insulin.
Komabe, kuweruza ndi zotsatira za phunziroli, kuchuluka kwa shuga kwamankhwala sikuwonetsedwa kwa odwala ambiri omwe ali ndi vuto la matenda ashuga a 2 omwe samamwa insulin.
Ndani amafunikira mita ya shuga?
Ngati tizingolankhula mwatsatanetsatane za amene ayenera kuganiza pogula chipangizochi, ndikofunikira kuzindikira magulu angapo a anthu otere. Izi ndi:
- odwala omwe amatenga insulini kuti jekeseni
- odwala omwe apezeka ndi matenda a shuga a 2,
- anthu okalamba
- ana
Kutengera ndi izi, zikuwonekeratu kuti glucometer ya mwana ndi yosiyana pang'ono ndi chipangizo chomwe anthu okalamba amagwiritsa ntchito.
Poyamba, lingalirani za momwe mungasankhire glucometer kwa odwala matenda ashuga. Inde, zida zambiri zimapangidwira odwala omwe amapezeka ndi matenda a shuga a 2. Zida zoterezi zimagwiritsidwa ntchito kunyumba ndipo zitha kuthandiza kudziwa kuchuluka kwa cholesterol m'magazi, ndipo, mwachidziwikire, kudziwa kuchuluka kwa triglycerides.
Kusanthula koteroko ndikofunikira kwambiri kwa anthu omwe ali ndi vuto lalikulu kwambiri la thupi, komanso omwe ali ndi vuto la mtima komanso matenda a mtima. Mwanjira ina, yemwe ali ndi metabolic syndrome. Mwa zida zonse pamsika, chida choyenera kwambiri pamenepa ndi Accutrend Plus. Zowona, mtengo wake sotsika mtengo.
Koma, ngati tizingolankhula za momwe tingasankhire chida cha mtundu 1 wa shuga ndikutenga insulin ndi jakisoni, ndikofunikira kudziwa kuti amapanga kafukufuku wamagazi awo pafupipafupi. Chifukwa chake, kugwiritsa ntchito mapilo kumathamanga mwachangu. Ndi matenda awa, kafukufukuyu akuyenera kuchitika kangapo kanayi, kapena kasanu patsiku. Ngati chiwopsezo chachitika kapena kuwonongeka kwa nthendayi kwachitika, ndiye kuti izi zikuyenera kuchitika pafupipafupi.
Pokhudzana ndi zomwe tanena pamwambapa, zikuwonekeratu kuti musanagule chipangizocho, ndikofunikira kuwerengera zingwe zomwe mukufuna pamwezi umodzi. Mwa njira, pamlingo waboma, chiphuphu china chimaperekedwa mukamagula mita ya glucometer ndi mankhwala a anthu odwala matenda ashuga, chifukwa chake onetsetsani kuti mwawunika dokotala wanu ndikuwona komwe kungagulidwe chipangizochi pamtengo wotsika.
Kodi mungasankhe bwanji?
Ngati tirikunena za momwe mungasankhire glucometer kwa odwala omwe ali ndi matenda amtundu woyamba, ndiye muyenera kufotokozera bwino zomwe chipangizochi chikuyenera kukhala nacho.
Chifukwa chake, kusankha kwa glucometer kumakhazikitsidwa ndi magawo monga:
- Kulondola kwa tanthauzo la deta.
- Kukhalapo kwa ntchito ya mawu.
- Pamafunika zinthu zochuluka motani pochita kafukufuku m'modzi.
- Pakufunika nthawi yayitali bwanji kuti muwunikenso chimodzi.
- Kodi pali ntchito yopulumutsa deta.
- Ndikotheka kudziwa kuchuluka kwa ma ketoni m'magazi a wodwala.
- Kukhalapo kwa zolemba zokhudza chakudya.
- Ndikotheka kusinthitsa zingwe.
- Kukula kwake ndi chimodzi.
- Kodi wopanga amatulutsa chitsimikiziro pa chipangizo chawo.
Mwachitsanzo, chizindikiro choyamba chimathandizira kudziwa mita yosankha, electrochemical kapena Photometric. Zonsezi ndi inayo zikuwonetsa zotsatira zake komanso kulondola komweku. Zowona, zakale ndizosavuta kugwiritsa ntchito. Mwachitsanzo, kuti mupange phunzirolo, mumafunikira zolemba zochepa, ndipo zotsatira zake siziyenera kuwunikidwa ndi diso.
Koma, ngati mungasankhe mtundu wachiwiri wa chipangizocho, ndiye kuti zotsatira za kusanthula zikufunika kufufuzidwa pamanja, mwachitsanzo, kuti muwone mtundu wa Mzere ndi diso.
Zambiri posankha glucometer
Ponena za gawo lachiwiri la mndandanda womwe uli pamwambapa, zida zoterezi ndizoyenera kwambiri kwa odwala omwe ali ndi mavuto amaso. Amasankhidwanso ndi anthu achikulire. Kupatula apo, kuwonetsa zotsatira mu liwu la iwo nthawi zambiri ndiyo njira yokhayo yomwe ingadziwire shuga lanu lamagazi.
Ndime yachitatu siyosafunanso kwenikweni monga momwe zidalili ziwiri zapitazo. Mwachitsanzo, ngati matenda ashuga amapezeka mwa mwana kapena munthu wachikulire, ayenera kusankha glucometer, yomwe imaphatikizapo kugwiritsa ntchito magazi ochepa. Pankhaniyi, zosaposa 0.6 μl zakuthupi ndizokwanira, motero, kupumula kumakhala kochepa kwambiri ndipo kuchira msanga.
Ponena za kuchuluka kofunikira kwa nthawi yowerengera, nthawi zambiri zimatenga masekondi asanu mpaka khumi. Zikuwonekeratu kuti zotsatira zake mwachangu komanso molondola, zimakhala bwino.
Zokhudza kukumbukira kwa chipangizocho, ndikufunikiranso kudziwa kuti ichi ndichinthu chothandiza kwambiri. Koma, sichachidziwikire chofunikira kwambiri chomwe chisamaliro chimalipira panthawi yogula.
Chida chomwe chimakulolani kudziwa ma ketoni m'magazi ndi chofunikira kwa odwala omwe amafunika kudziwa kupezeka kwa ketoacidosis koyambirira.
Komanso, akatswiri ambiri amapereka malangizo pazinthu ngati izi pamene muyenera kudziwa momwe mungasankhire glucometer kunyumba kwanu, yomwe ndiyothandiza kwambiri pa chipangizocho, chomwe chimapereka kwa zolemba. Inde, pankhaniyi, mutha kuwunika molondola kuchuluka kwa magawo a shuga musanayambe kudya kapena mukatha kudya.
Pali zida zamakono zomwe zimapereka kukhalapo kwa bluhlaza, kotero kuti kafukufuku wofufuza akhoza kutaya nthawi yomweyo ku kompyuta kapena chipangizo china.
Zizindikiro zina zonse ndi zothandiza, koma amafunikanso kupereka chidwi. Ngakhale, kwenikweni, chipangizocho chimasankhidwa potengera zomwe zili pamndandanda.
Malangizo kwa anthu okalamba
Zikuwonekeratu kuti ma bioanalysers osiyanasiyana, komanso ma glucometer onyamula, ndi otchuka kwambiri pakati pa odwala okalamba. Zimangofunika kwa munthu wokalamba yemwe ali ndi matenda a shuga.
Ndiponso, munthawi iyi, ndikofunikanso kufotokozera kuti ndi gawo liti la anthu okalamba lomwe limawerengedwa kuti ndi labwino kwambiri. Zikuwonekeratu kuti ichi chikuyenera kukhala chida chosavuta kugwiritsa ntchito, koma nthawi yomweyo imodzi yomwe idzawonetse zotsatira zabwino kwambiri.
Kutengera izi, glucometer yopambana kwambiri kwa okalamba ili ndi izi:
- yosavuta komanso yosavuta kugwiritsa ntchito,
- chikuwonetsa zotsatira zolondola kwambiri,
- Amasiyana pakulimba komanso kudalirika,
- zachuma.
Kuphatikiza pa magawo omwe awonetsedwa m'zigawo zam'mbuyomu, anthu achikulire ayenera kulabadira izi.
Dziwani kuti odwala okalamba ndiosavuta kusankha zida zomwe zimakhala ndi skrini yayikulu, pomwe zotsatira zake zimawonekera bwino. Muyenera kugula zida zomwe sizikuphatikiza zolemba, komanso kugwiritsa ntchito tchipisi tating'ono.
Ndikofunikanso kusankha glucometer yomwe sikutanthauza kuti ikhale yambiri. Kupatula apo, monga mukudziwa, mitengo yawo siyotsika mtengo. Motere, mitundu yotchuka kwambiri yazida ndizoyenera, pali zingwe zokwanira mu pafupifupi mankhwala onse.
Akatswiri ambiri amalangiza anthu okalamba kuti azisamala ndi zida zosavuta, ndiye kuti, momwe mulibe ntchito kuti mupeze zotsatira kapena luso lolumikiza ndi kompyuta, komanso kulumikizana ndi bluetooth. Ngati mutsatira malangizowa, mutha kusunga ndalama zambiri pakugula kwanu.
Mita iti yosankhira mwana?
Choyimira chofunikira chomwe chimasamalilidwa nthawi zonse pomwe mita yamagasi a magazi imagulidwira ana ndi kuzama kwa kubaya kwa chala cha mwana. Ndizachidziwikire kuti ndibwino kugula zida zomwe magazi ochepa amafunikira.
Mwa mitundu yodziwika bwino, zolembera za Accu-Chek Multclix zimadziwika kuti ndizabwino kwambiri. Zowona, iyenera kugulidwa payokha kuchokera ku chipangacho chokha.
Nthawi zambiri, mita yamagazi a ana imakhala yodula kuposa odwala okalamba. Mwanjira iyi, mtengo umasiyanasiyana kuchokera ma ruble mazana asanu ndi awiri mpaka atatu.
Komanso, pakusankhidwa, ndikofunikira kukumbukira kuti si mwana aliyense amene adzachite kafukufuku payokha. Chifukwa chake, ngati pakufunika kuti mwana azidzifufuza yekha, chipangizocho chimayenera kukhala chosavuta kuyendetsa. Ngati akuluakulu azichita izi, ndiye kuti muyenera kugwiritsa ntchito chipangizocho ndi ntchito yayitali kwambiri, yomwe mutha kuchititsa maphunziro angapo ofanana. Ndikofunikira kuti zolakwika za mita ndizochepa.
Inde, kuti mugule bwino, ndibwino kuti muyambe mwakambirana ndi dokotala kuti mudziwe momwe angagwiritsire ntchito kwambiri mwana. Nthawi zonse muyenera kuyang'ana luso lanu pazachuma.
Malangizo posankha glucometer afotokozedwa mu kanema munkhaniyi.
Ndi glucometer iti yomwe mungasankhe munthu yemwe ali ndi matenda a shuga a 2: nuances
Matenda a shuga a Type 2 akuyamba kukhala vuto lalikulu komanso lalikulu kwa anthu, chifukwa kuchuluka kwawoko kukukula mwachangu. Izi ndizofunika kuwunika pafupipafupi kwa zizindikiro za glycemia mwa odwala omwe ali ndi matenda amtunduwu. Chifukwa chake, funso loti glucometer yosankhira munthu wodwala mtundu wa 2 matenda a shuga ayamba kukhala yofunika kwambiri kumagawo osiyanasiyana a anthu.
Mitundu ya matenda ashuga
OCHITSA AMBUYE! Ndi chida chapadera ichi, mutha kuthana ndi shuga ndikukhala ndi moyo mpaka kukalamba. Kawiri kudwala matenda ashuga!
Pazisankho zoyenera zoyeza shuga, dokotala ndi wodwala ayenera kuganizira mtundu wa matenda. Izi ndichifukwa choti mitundu iwiri ya shuga imasiyanitsidwa - mitundu yoyamba ndi yachiwiri. Pankhaniyi, yachiwiri ikhoza kukhala yodalira insulin, ndiye kuti, pakapita nthawi imatha kupeza zofunikira zonse za mtundu woyamba wa matenda.
Makina okhawo otukuka amakhalanso osiyana, ndipo chithunzi ndi chithandizo cha mankhwalawo chimakhala chofanana kwambiri.
Mtundu woyamba umadalira insulini, chifukwa kapamba satulutsa insulin chifukwa cha kuwonongeka kwake ndi njira za autoimmune. Kuchiza kumaphatikizapo chithandizo chokhala ndi mahomoni - insulin. Jakisoni wake amachitidwa mosalekeza, kangapo patsiku. Kupereka mankhwala okwanira, muyenera kudziwa kuchuluka kwa glycemia.
Mtundu wachiwiri wa matenda a shuga nthawi zambiri umachitika chifukwa cha kuchepa kwa chidwi chomanga minofu, kapena kuchepa kwake. Matendawa amatha nthawi yayitali, nkhokwe zomwe zimapumira zimatha, komanso kuwonjezera pa mankhwala omwe adawerengedwa, pali kufunikanso kwa insulin m'malo mwake monga momwe zimakhalira ndi mtundu woyamba.
Kusankha kwa glucometer kwa wodwala yemwe ali ndi mtundu wina wa matenda ashuga
Poganizira mawonekedwe a odwala oterewa, omwe ndi chizolowezi cha kunenepa kwambiri, limodzi ndi chizolowezi chakukulitsa mavuto amtima, ma glucometer apangidwa omwe amatha kuyeza shuga ndi zizindikiro zina. Amakhala ndi ntchito yodziwitsa cholesterol ndi zigawo zake, makamaka triglycerides.
Izi ndizofunikira kwambiri zomwe madokotala amalimbikitsa kuyang'anira kuwunika konse. Njirayi imachitika chifukwa cha kupezeka pafupipafupi kwa metabolic syndrome, chiopsezo chowonjezeka cha atherosulinosis ndi zovuta zake zonse.
Ngati mulingo wa cholesterol ndi tinthu tating'onoting'ono timasungidwa m'malire oyenera, ndiye kuti chiwopsezo chotere chimachepetsedwa kwambiri. Izi nthawi zambiri zimaphatikizapo masoka akuluakulu a mtima - kupweteka kwam'mimba, inforction ya ischemic, kuwononga ma atherosclerosis a ziwiya zam'munsi. Mulingo woyenerera wa glucose mita pazolinga zotere ndi Accutrend Plus.
Chisankho choyenera cha mita
Choyamba, ziyenera kudziwika kuti kutsindika kumayenera kuyikidwa pakuwoneka kwa chida. Pali ambiri a iwo pamsika, koma ngati mungapeze katundu wofunikira kwambiri, ndiye kuti kusankha ndikosavuta.
Ma Glucometer amakhala ndi ntchito zambiri. Nthawi zambiri anthu amafuna zochuluka kuchokera kuzinthu zotere, koma zina zimafuna kugwiritsa ntchito mosavuta. Tiyenera kudziwa kuti kudalira mitengo yamtengo siikoyenera kusankha.
Werengani komanso njira zopewera shuga.
Njira yodziwira shuga ikhoza kukhala ya Photometric kapena Electrochemical. Njira ya Photometric imatengera kusintha kwa mtundu wa mzere woyeza. Amasintha mtundu wake pakakhudzana ndi magazi. Kutengera izi, zotsatira zimaperekedwa. Njira yama electrochemical imayesa kulimba kwa mphamvu yomwe ikukhalapo chifukwa cha mphamvu ya mankhwala pazinthu zoyeserera ndi magazi.
Ma glulueter omwe amayeza shuga mwa njira yama electrochemical ndi amakono kwambiri komanso osavuta chifukwa magazi ochepa ndi ofunika.
Chala chikamenyedwa, dontho la magazi limadziyimira palokha m'chigawo choyesera, ndipo mita imapereka zotsatira m'masekondi angapo. Palibenso chifukwa choyesera mtundu wa malo oyeserera, monga momwe amachitira zithunzi. Kulondola kwa zida zonsezi ndi zofanana.
Kugwira ntchito kwa zida zosiyanasiyana
Mamita ena aglucose magazi ali ndi ntchito yoyeza matupi a ketone. Chipangizochi ndichofunikira kwa iwo omwe ali ndi matenda ashuga omwe sangawongolere bwino. Izi zitha kuda nkhawa anthu omwe ali ndi mitundu yonse ya zamatenda. Monga lero, pali chida chimodzi chokha chomwe chitha kuzindikira kukhalapo kwa matupi a ketone - Optium X Contin.
Kwa odwala omwe ali ndi vuto lowona, ndipo izi zitha kukhala zovuta za matenda ashuga, kapena matenda opatsirana kapena opezedwa pazifukwa zina, akatswiri apanga chipangizo chokhala ndi mawu a mawu. Poyeza glycemia, amawauza zotsatira zake. Mitundu yotchuka kwambiri ndi SensoCard Plus ndi Clever Chek TD-4227A.
Anthu omwe ali ndi khungu lowoneka bwino la zala zawo, komanso ana aang'ono kapena okalamba, amafunikira zida zozama zomwe zingapangidwe bwino. Nthawi zambiri, mita iyi imatha kutenga magazi ochepa, pafupifupi ma microliters 0,5. Koma munthawi yomweyo, kufalikira kwamkati kuti kuwunikire, kupweteka kwambiri komwe munthu akumva, komanso kusintha kwa khungu kumatenga nthawi yochepa. Izi zili ndi FreeStyle Papillon Mini. Zotsatira zake zitha kufananizidwa, koma adotolo ayenera kupezekanso. Kuunika kumachitika ndi madzi a m'magazi kapena magazi. Dziwani kuti ngati magazi amawerengedwa kuti ndi madzi a m'magazi, ndiye kuti amatalika kwambiri.
Nthawi yowunikira ndi chinthu chofunikira kwambiri chomwe chitha kudziwa msanga mtundu wa vuto la kagayidwe kazakudya ngati pali vuto lalikulu. Mpaka pano, pali ma glucometer omwe amatha kupanga zotsatira zosakwana 10 masekondi. Mbiri imawonedwa ngati zida monga OneTouch Select ndi Accu-Chek.
Odwala ena amakhala ndi ntchito yofunika kukumbukira. Amathandizanso madotolo kudziwa zambiri zolondola zokhudza odwala awo. Izi zitha kusinthidwa kukhala pepala, ndipo ena mwa mita amatha kuyanjanitsidwa ndi foni kapena kompyuta, momwe zotsatira zonse zimasungidwa. Nthawi zambiri kukumbukira okwanira 500 miyezo. Opangawo adapereka chikumbukiro kwambiri ndi Accu-Chek Performa Nano.
Werengani komanso momwe shuga imapezeka.
Zina mwazida zimakulolani kuti musunge ziwerengero padera, ndiye kuti, mutha kulowa zotsatira musanadye. Oyimira odziwika bwino omwe ali ndi izi ndi Accu-Chek Performa Nano ndi OneTouch Select.
Nthawi zambiri, odwala amafuna kudziwa kuchuluka kwawo kwa shuga panthawi yayitali. Koma kuganizira zotsatira zonse pamapepala kapena ndi cholembera ntchito yovuta. Dongosolo ili ndilothandizanso kwambiri kwa omwe amapita ku endocrinologist kusankha chithandizo cha hypoglycemic. Accu-Chek Performa Nano ali ndi ziwerengero zabwino kwambiri.
Kuyika ma encode test kumakhalanso kofunikira kwa glucometer. Ili mu chilichonse cha iwo, koma ena amafunika kulowa nawo manambala pamanja, ena amagwiritsa ntchito chip china, ndipo ena amakhala ndi zolemba zokha. Ndi iye amene ali wosavuta kwambiri, popeza wodwalayo safunika kuchita chilichonse posintha mizere yoyesera. Mwachitsanzo, Contour TS ili ndi izi.
Kwa anthu omwe samayesa kuchuluka kwa shuga, ndipo nthawi zambiri amaphatikiza odwala matenda ashuga amtundu wa 2, ntchito yosungirako mizere ndiyofunika kwambiri. Nthawi zambiri zimasungidwa pafupifupi miyezi itatu. Koma ngati pali chikhalidwe chotere cha glucometer, moyo wa alumali umachulukira pafupifupi nthawi 4, ndiye kuti mpaka chaka. Mtengo wa ma CD amtunduwu woyeserera umakhala wokwera kuposa chubu wamba, chifukwa chake mfundo iyi iyenera kukumbukiridwa posankha chida.
Ntchito yosungirako imapezeka pazida monga Optium X Contin ndi Satellite Plus.
Sikuti mita iliyonse imapatsidwa kulumikizana ndi kompyuta ndi foni. Nthawi zambiri zimafunikira kuti athe kuchita zodziwunika za matenda a shuga mothandizidwa ndi ma diaries apadera, omwe ali ndi ntchito zosiyanasiyana zowerengera ndi kusanthula. Nthawi zambiri kuposa ena, mutha kulumikiza zida kuchokera ku Kukhudza Kumodzi mpaka pa kompyuta.
Mtundu wa batri ulinso chimodzi mwazofunikira pakusankha glucometer. Kutsegulanso, kupezeka kwa mabatire ena ndi kupezeka kwawo kumsika kuyenera kukumbukiridwa. Komanso, achikulire, omwe nthawi zambiri amakhala ndi matenda amtundu wa 2 komanso mavuto ammaso komanso otetemera, ayenera kuyang'anira makina okhala ndi chinsalu chachikulu, zingwe zazikulu zoyesa.
Ngakhale zili choncho, kusankha nthawi zonse kumakhala kwanu. Chinthu chachikulu posankha chida chotere ndi chosavuta komanso chogwiritsa ntchito, chifukwa ngati ndizovuta kugwiritsa ntchito mita, odwala ambiri amangosiya kuyigwiritsa ntchito pamoyo wawo watsiku ndi tsiku.
Ndi mita iti yosankhira munthu yemwe ali ndi matenda a shuga a 2?
Ambiri ali ndi chidwi ndi funso la momwe mungasankhire glucometer kunyumba. Nthawi zambiri kufunikira kotere kumachitika ngati munthu ali ndi matenda ashuga ndipo muyenera kuyang'ana kuchuluka kwa shuga m'magazi ake.
Inde, odwala ena amanyalanyaza lamuloli, izi, zimayambitsa kuwonongeka m'moyo wabwino. Zotsatira za kusasamala koteroko ku thanzi lake, wodwalayo atha kukumana ndi zovuta zamatenda osiyanasiyana.
Pofuna kupewa zoterezi zikuchitika, muyenera kuyeza kuchuluka kwa shuga m'magazi anu.Kwa ichi, chipangizo chapadera chimagwiritsidwa ntchito - glucometer. Komabe, posankha chida ichi muyenera kuganizira zingapo zomwe zimakhudza kudalirika kwa zotsatirazo.
Ndikwabwino kukambirana ndi dokotala wanu musanakumane, yemwe angakuuzeni momwe mungasankhire glucometer molondola. Mwa njira, chinthu ichi chidzakhala chothandiza osati kwa odwala omwe ali ndi matenda "okoma", komanso kwa anthu ena onse omwe amadera nkhawa thanzi lawo ndipo akufuna kutsimikiza kuti alibe mavuto ndi shuga.
Pansipa tifotokozapo malangizo oyambira omwe amakhudzidwa panthawi yogula.
Ndi glucometer uti amene angasankhe mtundu wachiwiri wa matenda ashuga?
Anthu omwe ali ndi matenda a shuga a mtundu wachiwiri ayenera kuyang'anitsitsa thanzi. Ndikwabwino kuti muchepetse shuga la magazi ndi chipangizo chapadera.
Mkulu wa glucose amayeza kuyerekeza kuti azitsatira zomwe zimakhazikitsidwa. Zipangizo zimagulitsidwa nthawi zonse ngati zida zazofunikira (zoperewera, ma syringe).
Magazi a glucose osunthika ndi oyenera kugwiritsidwa ntchito mosazungulira kunyumba.
Pa kusanthula komwe mukufuna:
- Finyani dontho la magazi pachifuwa.
- Yembekezani masekondi angapo ndikuwonetsetsa kuchuluka kwa shuga (glycemia).
Mfundo za glucometer: choyamba, mbale imalumikizana ndi biosensor, ndipo zotsatira zake zimatsimikiziridwa ndikuwonetsedwa.
Ngati wodwala safuna kubaya chala, amaloledwa kutenga magazi kuchokera phewa kapena ntchafu.
Anthu odwala matenda ashuga ayenera kuyeza kuchuluka kwa shuga pofuna kupewa komanso kuzindikira panthawi yake zovuta zake.
Kupereka kwa magazi kuchipatala sikuti nthawi zonse kumakhala kovomerezeka komanso koyenera; ndibwino kukhala ndi glucometer yanu kunyumba.
Mitundu ya Matenda A shuga
Pali mitundu iwiri ya matenda a shuga - odalira insulin komanso osadalira insulini. Poyambirira, wodwalayo amakhala ndi zizindikiro:
Kuwonongeka kwa autoimmune kapena ma virus ku kapamba kumadziwikanso ndi mtundu 1 wa shuga, ndipo zotsatira zake ndikusowa kwa insulin m'magazi. Kupanga kwa mahomoni m'thupi sikuchitika konse kapena kumachitika, koma kochepa.
Mtundu wachiwiri wa matenda ashuga, poyambira, insulin synthesis imachitika, ndipo mwa munthu wonyalanyazidwa pali kuperewera kwa zinthu.
Zomwe zimayambitsa chitukuko cha matendawa zitha kukhala motere:
- Kuphwanya kwachilengedwe.
- Zofooka zofooka.
- Zinthu zokhudzana ndi kunenepa, kunenepa kwambiri.
- Kutha kwa zochitika za khungu la beta.
Odwala omwe ali ndi mtundu wachiwiri wa matenda a shuga, Zizindikiro zimadziwika:
- Pakamwa pakamwa ndi ludzu.
- Kulemera.
- Kufooka minofu.
- Kukodza pafupipafupi.
- Kuyenda pakhungu.
Anthu omwe ali ndi matenda a shuga a mtundu wachiwiri ayenera kuganizira mfundo zofunika akafuna chida choyenera.
Zowonjezera
Pali zambiri zomwe odwala matenda ashuga ayenera kulabadira:
- Pamlingo wina wa glycemia (wopitilira 4.2 mmol / l), zida zingakhale ndi zolakwika mpaka 20%.
- Ntchito yokumbukira imakupatsani mwayi kuti musunge zotsatira za miyeso 40-1500 yomaliza, pomwe kuwerenga, tsiku, nthawi zalembedwa. Mtundu wa Accu-Chek Active umakwaniritsa izi.
- Anthu opanda nzeru amagwiritsa ntchito ma glucometer powakumbutsa za kufunika kosanthula.
- Kuyeza kwa glucose kumatha kuchitika mwa electrochemically (poganizira zomwe zikuchitika pano) kapena Photometric (posintha mtundu wamagazi).
- Ndikwabwino kusankha chida chomwe chimavomereza kuchuluka kwa magazi a 0.3-0.6 μl kwa magazi kuti aunikidwe.
Kuti muwone mwatsatanetsatane za mitundu yodziwika ndi malingaliro a momwe mungasankhire mita ya shuga, onani gawo lino.
Moyo wa odwala omwe ali ndi matenda a shuga a 2 amayenda bwino ngati amayang'anitsitsa kuchuluka kwawo kwa shuga ndi mita yamagazi a nyumba ndikufunsira dokotala pazonse.
Momwe mungasankhire chipangizo choyezera shuga?
Kodi mungasankhe bwanji glucometer? Funso ili limakhala lofunika ngati munthu akuyenera kuyeza shuga wamagazi pafupipafupi. Izi zimafunikira nthawi zambiri:
- mwa anthu okalamba
- ana omwe ali ndi vuto la shuga,
- mwa anthu omwe amapezeka ndi matenda a shuga,
- ngati pali zovuta zazikulu za metabolic.
Chipangizochi chimakulolani kuyeza kuchuluka kwa shuga kunyumba. Izi ndizothandiza, chifukwa kuwonjezera pa izi, ndikofunikira kuti mumayesedwe pafupipafupi mu labotale ndikupita kukayezetsa kuchipatala.
Muyenera kugula glucometer kwa munthu aliyense yemwe akuyenera kuwunikira omwe ali ndi thanzi komanso shuga. Zomwe zikugwiritsidwa ntchito popanga chosakanizira cha biochemical kunyumba ndi:
- zovuta zama metabolic,
- kusokonezeka kwa mahomoni mu mphamvu zake ndi kudumphadumpha kwazowonetsa za shuga,
- onenepa kwambiri
- matenda ashuga
- nthawi yapakati (pakakhala kuphwanya koyenera),
- kuchuluka kwa ma ketones mu ana (fungo la acetone mu mkodzo),
- lembani 1 kapena matenda 2 a shuga
- zaka zopitilira 60.
Kusankha kwa glucometer kumapangidwa kutengera mtundu wa shuga. Siyanitsani pakati pa matenda omwe amadalira insulin komanso osadalira insulin. Mbali yoyamba, kuwonongeka kwa autoimmune kwa maselo a beta a kapamba, omwe amapanga insulin, kumachitika. Kutengera kuchepa kwake, ma metabolic a metabolism mthupi la munthu amalephera.
Mtundu woyamba wa matenda ashuga, mutha kupanga kuperewera kwa insulin yanu popanga jakisoni. Kuti mudziwe mlingo wofunikira mu vuto linalake, mumafunikira chipangizo choyeza kuchuluka kwa shuga m'magazi. Ndiosavuta kugula mtundu wogwiritsidwa ntchito kunyumba. Chifukwa chake, mutha kuyang'anira kuwerengera kwa glucose nthawi iliyonse.
Palinso mtundu wa 2 shuga mellitus - T2DM. Matendawa amadziwika ndi kuchepa kwa insulin chifukwa cha kapamba, kapena kuchepa kwake. Zolakwika zamtunduwu zimatha kubweretsa:
- zakudya zopanda thanzi
- kupsinjika, nkhawa,
- kusachita bwino kwa chitetezo chathupi.
Kuti mukhale ndi khola lolimba thupi ndi matenda ashuga, muyenera kugula chipangizocho, muzikhala nacho nthawi zonse ndi kupanga milingo yamagazi panthawi. Zosankha zambiri zamamita zimakhala za anthu omwe ali ndi vuto la insulin lachiwiri mtundu.
Mitundu yosiyanasiyana
Mokumana ndi zinthu zambiri zomwe zaperekedwa, funso limabuka - momwe mungasankhire glucometer molondola?
Kwa odwala matenda ashuga amtundu 1, ndikwabwino kuti muthe kukondetsa mitundu yotsiriza ndi mizere yoyesa. Patsiku muyenera kupanga pafupifupi miyezo isanu ndi thanzi labwinobwino, ndi kupitirira 5 wokhala ndi mawonekedwe onenepa. Ndikofunikira kuwerengera kuchuluka kwazomwe zimaperekedwa pamwezi kuti mudziwe kuchuluka kwake. Pali mitundu yomwe imaphatikizira kale insulin ndi chipika cha mayeso. Zosankha zoterezi ndizachuma.
Kwa odwala matenda ashuga amtundu wa 2, tikulimbikitsidwa kusankha glucometer, yomwe, kuphatikiza kuchuluka kwa glucose, imakhalanso ndi kuchuluka kwa triglycerides ndi cholesterol. Izi ndizofunikira kwa odwala omwe ali ndi kunenepa kwambiri, matenda a mtima komanso atherosulinosis. Kuyang'anira pafupipafupi zizindikirozi kumachepetsa chiopsezo cha stroke, myocardial infarction.
Kwa anthu achikulire, njira yabwino kwambiri imasankhidwa osati kungoganizira magwiridwe antchito, komanso ulesi wogwiritsa ntchito. Chida chogwiritsidwa ntchito ndi bwino kusankha ndi mawonekedwe abwino owonekera, mikwingwirima yotakata. Mamita ayenera kukhala osavuta komanso osavuta momwe mungathere.
Nthawi zambiri, mwana amafunikira chida chowunikira magazi ake. Pankhaniyi, njira yayikulu yosankhira kubwezeretsa mwachangu komanso kopweteka. Zolembera zapadera za khungu zomwe zimakhudza pang'ono pakhungu zitha kugulidwa payokha. Zosankha zoyesa kuchuluka kwa ma ketoni zimaperekedwa pamsika wazinthu zapadera. Kusanthula kumeneku kumapereka zotsatira zolondola kuposa poyang'ana mkodzo kuti muone zizindikiro zoyenera.
Ma meters ndi osavuta komanso ogwirira ntchito, ali ndi kukumbukira kwakukulu, mwayi wopeza, nthawi ndi zinthu zina zaluso. Kwa anthu omwe ali ndi vuto la khungu, zida zamakono zopangira mawu zapangidwa.
Madokotala nthawi zambiri amalimbikitsa odwala awo kugula ma glucometer otsatirawa:
- Clever Chek TD-4227A,
- SensoCard Plus,
- One Touch Selekt Simpl,
- Ascensia Entrust (Bayer).
Gulu
Kutengera ndi mfundo zoyendetsera, mitundu ya zida zoyezera zimasiyanitsidwa:
- Electrochemical. Njirayi imakhala ndi chingwe chowonekera, polumikizana ndi magazi, zimachitika kuti shuga apezeka ndikuwoneka ngati pano. Kuyeza mphamvu zake ndi chizindikiro chachikulu chazomwe thupi lili nalo. Mtunduwu ndiwothandiza kugwiritsa ntchito kunyumba, uli ndi cholakwika chochepa kwambiri ndipo umawerengedwa kuti ndiwo wolondola kwambiri pazosankha zachuma.
- Photometric. Mita yotere imagwira ntchito pamlingo wa litmus. Mukakhudzana ndi magazi a capillary, Mzerewo umasintha. Ubwino wa mtunduwu umaphatikizapo kugulitsa, zovuta ndizotheka zolakwitsa. Zotsatira zomaliza zimatsimikizidwa ndi kufanana kwa mtundu mu gawo loyeserera ndi mtundu womwe ukugwirizana kuchokera pagome la zisonyezo.
- Osalumikizana. Chipangizocho chapangidwa kuti chitha kupendedwa osagwiritsa ntchito punction. Ili ndi kulondola kwapamwamba komanso kuthamanga kwa kuzindikira zizindikiro. Mamita ali ndi emitter ya infrared komanso sensor yovuta kwambiri. Pakuyeza, dera laling'ono la khungu limawunikiridwa ndi mafunde oyandikira. Ikawonetsedwa, imagwidwa ndi sensor yogwira, pambuyo pake mini-kompyuta imasanthula deta ndikuwonetsa zotsatira zake pazenera. Kuzindikira kwa mtengo kumadalira pafupipafupi ma molekyulu aminyewa yamagazi. Chipangizochi chimawerengera zamtunduwu ndi kuchuluka kwa shuga.
- Laser Mita imakhomera khungu ndi laser. Njirayi imagwiritsidwa ntchito mopanda kupweteketsa, ndipo malo opumira amachiritsa bwino komanso mwachangu. Kusintha uku ndikothandiza kwambiri kwa ana ashuga. Chidacho chimaphatikizapo:
- charger
- magawo khumi oyesa,
- 10 zoteteza zoteteza
- mlandu.
Kuti mugwiritse ntchito mosavuta komanso kulondola kwambiri muyezo wanu muyenera kulipira ndalama zambiri. Tiyenera kudziwa kuti pakapita nthawi ndikofunikira kugula zowonjezera zamtunduwu.
- Romanovsky.Ma metrewa nawonso ndi ovuta kwambiri. Mwa kusanthula, madzi aliwonse obwera kuchokera mthupi amagwiritsidwa ntchito. Kugwiritsa ntchito matekinoloje aposachedwa poyesa zizindikiro za shuga kumapangitsa kuti chipangizochi chikhale chodula. Mutha kugula mtundu wamtunduwu kuchokera kwa oimira okhawo opanga.
- kuyeza shuga, cholesterol, triglycerides,
- amakulolani kuyang'anira thanzi lonse,
- pewani zovuta za atherosulinosis, kugunda kwamtima.
Mitundu yamtunduwu ndiokwera mtengo onse kutengera chipangizocho pachokha komanso zothetsera.
Mwachidule pazida zina
- Kukhudza Kumodzi. Chipangizo chachikulu kwa okalamba. Ili ndi chinsalu chachikulu, mizera yoyesera chifukwa imakhala yolumikizidwa ndi nambala imodzi. Zimakupatsani mwayi wowonetsa kuchuluka kwa shuga kwa masiku angapo, kuyeza kuchuluka kwa shuga musanayambe kudya, ndikukhazikitsanso mfundo zonse pakompyuta. Chipangizocho ndichosavuta kugwiritsa ntchito ndipo chimakupatsani mwayi wowerengera onse.
- Gamma Mini. Chipangizo chotsika mtengo, palibe zowonjezera. Zabwino kugwiritsa ntchito paulendo, kuntchito, kunyumba. Phukusili lili ndi mizere 10 yoyeserera, 10 lancets.
- Achinyamata Acu. Chipangizocho pamtengo wotsika. Ali ndi kuthekera kowonetsa zambiri m'masiku angapo apitawa. Nthawi yosanthula ndi masekondi 5. Pali kuwerengera kwa magazi athunthu.
- Wellion Calla Mini. Chida chotsika mtengo kwambiri chamtundu wabwino, chili ndi skrini yayikulu, zowonjezera zosiyanasiyana. amawerengera mtengo wapakati masiku angapo. Otsika komanso okwera amadziwika ndi chizindikiro chomveka.
Zinthu Zogwira Ntchito
Nthawi zambiri zimachitika kuti mtundu wosavuta komanso wosavuta kufotokozera suwonetsa cholakwika, kapena pali zovuta pakugwiritsa ntchito. Chomwe chimapangitsa izi ndi kuphwanya kochitidwa pakugwira ntchito.
Zolakwika zofala kwambiri:
- kuphwanya malamulo oyang'anira zosungika. Sizoletsedwa kugwiritsa ntchito mapimidwe oyeserera, kuwapangitsa kuti asinthe mwadzidzidzi kutentha, kusungira chidebe,
- kugwiritsa ntchito molakwika chipangizocho (fumbi, litsiro, madzi kulowa pazinthu za zida, kuchuluka chinyezi mchipindacho),
- kusagwirizana ndi zaukhondo ndi kutentha kwa nthawi yoyezera (kutentha kunja, kutentha, manja akuda,)
- kunyalanyaza malangizo kuchokera pamalangizo.
Tiyenera kukumbukira kuti glucometer yamtundu uliwonse imakonda kwambiri magawo ena. Izi zimaphatikizapo kutentha kwa mpweya ndi chinyezi m'chipindacho, nthawi yayitali pakati pa chakudya, ndi zina. Mtundu uliwonse uli ndi mawonekedwe ake, motero ndikofunikira kuphunzira malangizo mosamala musanagwiritse ntchito. Komabe, pali malamulo wamba. Ndikofunikira:
- muyenera kusunga mita mwachisawawa,
- pewani kuwala kwa dzuwa komanso kutentha kwambiri,
- osagwiritsa ntchito chipindacho m'zipinda zokhala ndi chinyezi chachikulu,
- Sambani m'manja mosamala mayeso, konzekerani zonse zofunika.
Kutsatira izi ndikuwongolera kupititsa muyeso ndikupeza zotsatira zolondola kwambiri.