Kuwunikira kwa Glucometer: Chowonera Pazovuta ndi Kuwerenga

Kuchokera munkhaniyi muphunzira momwe mungasinthire mita molondola. Mungamubwererenso umboni wake ngati atakonzeka kusanthula plasma, osatinso magazi a capillary. Momwe mungagwiritsire ntchito tebulo lotembenuza ndikutanthauzira zotsatira kukhala manambala ogwirizana ndi ma labotale, popanda iwo.

Magazi atsopano a glucose samadziwikanso shuga ndi dontho la magazi athunthu. Masiku ano, zida zamtunduwu ndizopangidwira pakuwunika kwa plasma. Chifukwa chake, kawirikawiri deta yomwe chipangizo choyesera shuga panyumba chimatanthauzira sichimatanthauziridwa ndi anthu odwala matenda ashuga. Chifukwa chake, popenda zotsatira za phunziroli, musaiwale kuti shuga ya plasma ndi 10-11% kuposa magazi a capillary.

Kwa zaka zambiri ndakhala ndikuphunzira za zovuta za DIABETES. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsa odwala matenda ashuga mellitus. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 100%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipilira mtengo wonse wa mankhwalawo. Ku Russia ndi mayiko a CIS odwala matenda ashuga kale atha kupeza mankhwala ZAULERE .

Chifukwa chiyani kugwiritsa ntchito matebulo?

M'mabotolo, amagwiritsa ntchito matebulo apadera omwe zizindikiro za plasma zimawerengeredwa kale m'magazi a shuga a capillary. Kuwerenganso zotsatira zomwe zimawonetsedwa ndi mita zitha kuchitidwa palokha. Pazomwezi, chizindikiro pa polojekiti chimagawidwa ndi 1.12. Choyimira chotere chimagwiritsidwa ntchito kuphatikiza matebulo omasulira zizindikiro zomwe zapezeka pogwiritsa ntchito zida zodziwonera za shuga.

Miyezo yam'magazi a plasma (osatembenuka)

Nthawi zina adotolo amalimbikitsa kuti wodwala azigwiritsa ntchito kuchuluka kwa shuga m'magazi. Kenako umboni wa glucometer suyenera kutanthauziridwa, ndipo zovomerezeka zikhale motere:

• pamimba yopanda kanthu m'mawa 5.6 - 7.
• Maola 2 atatha munthu kudya, chizindikiro sichiyenera kupitirira 8.96.

Momwe mungayang'anire momwe zida zanu zilili zolondola

DIN EN ISO 15197 ndi muyezo womwe umakhala ndi zofunikira pakuziyang'anira wekha zida za glycemic. Malinga ndi icho, kulondola kwa chipangizochi ndi motere:

- kupatuka pang'ono kumaloledwa pamlingo wa glucose mpaka 42 mmol / L. Amaganiziridwa kuti pafupifupi 95% ya miyeso idzasiyana ndi muyezo, koma osaposa 0.82 mmol / l,

- pazofunikira zazikulu kuposa 4.2 mmol / l, cholakwika cha zotsatira 95 zilizonse siziyenera kupitilira 20% ya mtengo weniweni.

Samalani

Malinga ndi WHO, chaka chilichonse padziko lapansi anthu 2 miliyoni amafa chifukwa cha matenda ashuga komanso zovuta zake. Pokhapokha pakhale thandizo loyenerera la thupi, shuga imabweretsa zovuta zosiyanasiyana, pang'onopang'ono kuwononga thupi la munthu.

Mavuto ambiri omwe amakonda ndi awa: matenda ashuga a m'mimba, nephropathy, retinopathy, zilonda zam'mimba, hypoglycemia, ketoacidosis. Matenda a shuga amathanso kuyambitsa kukula kwa zotupa za khansa. Pafupifupi nthawi zonse, wodwala matenda ashuga amwalira, akulimbana ndi matenda opweteka, kapena amasintha kukhala munthu wolumala.

Kodi anthu odwala matenda ashuga amatani? Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsiratu matenda ashuga.

Pulogalamu ya Federal "Health Health Nation" ikuchitika, mkati mwa momwe mankhwalawa amaperekedwa kwa aliyense wokhala ku Russian Federation ndi CIS ZAULERE . Kuti mumve zambiri, onani tsamba lovomerezeka la MINZDRAVA.

Kuwona kwa zida zomwe zapezeka kuti zidziyang'anire za shuga ziyenera kufufuzidwa nthawi ndi nthawi m'mabotolo apadera. Mwachitsanzo, ku Moscow izi zimachitika pakatikati poyang'ana shuga m'magazi a ESC (pa Moskvorechye St. 1).

Kusinthika kololedwa pamitengo ya zida pali izi: pazida zamakampani a Roche, omwe amapanga zida za Accu-cheki, cholakwika chovomerezeka ndi 15%, ndipo kwa ena opanga chizindikiro ichi ndi 20%.

Likukhalira kuti zida zonse zimasokoneza zotsatira zenizeni, koma mosatengera mita yayitali kwambiri kapena yotsika kwambiri, odwala matenda ashuga ayenera kuyesetsa kukhalabe ndi glucose osaposa 8 masana .. Ngati zida zodziyang'anira nokha za shuga ziziwonetsa chizindikiro cha H1, izi zikutanthauza kuti shuga ndi yochulukirapo 33.3 mmol / L. Kuti mupeze zolondola, maulalo ena oyesa amafunika. Zotsatira zake ziyenera kufufuzidwa kawiri ndi njira zomwe zimatsitsidwa kuti muchepetse shuga.

Momwe mungatenge madzi kuti mupeze kafukufuku

Njira yowunikirayi imakhudzanso kulondola kwa chipangizocho, chifukwa chake muyenera kutsatira malamulowa:

• Manja manja asanafike pama sampu amayenera kutsukidwa bwino ndi sopo ndikuwuma ndi thaulo.
• Zala zozizira zimafunika kuzikongoletsa kuti zizitentha. Izi zitsimikiza kutuluka kwa magazi kufikira zala zanu. Kutikita minofu kumachitika ndi mayendedwe opepuka owongolera kuchokera m'chiwuno kupita kuminwe.
• Pamaso pa njirayi, womwe ukuchitika kunyumba, osapukuta malo opumira ndi mowa. Mowa umapangitsa khungu kuwola. Komanso, musapukute chala chanu ndi nsalu yonyowa. Zida zamadzimadzi zomwe zopukutira zimalembedwa kwambiri zimasokoneza zotsatira zowunikira. Koma ngati muyeza shuga kunja kwa nyumbayo, ndiye kuti muyenera kupukuta chala chanu ndi nsalu.
• Kuboola chala kuyenera kukhala kwakuya kwambiri kuti usakakamize kwambiri chala. Ngati matendawo sakhala ozama, ndiye kuti madzi amadzimadzi am'malo mwake adzawoneka m'malo mwa dontho la magazi a capillary pamalo ovulalawo.
• Mukamaliza kukwapula, pukuta droplet yoyamba kutuluka. Sikoyenera kusanthula chifukwa imakhala ndi madzi ambiri ophatikizana.
• Chotsani dontho lachiwiri pa mzere woyesera, kuyesera kuti musamamenye.

Kulondola kwa chipangizocho

Kuti mumvetsetse kuti mita ndi yolondola motani, muyenera kumvetsetsa zomwe zimapangitsa kuti izi zikhale zolondola. Malinga ndi zidziwitso zachipatala, miyezo ya shuga ya magazi yomwe imapezeka kunyumba imawerengedwa ngati yolondola pakakhala ± 20 peresenti ya ma labotale apamwamba kwambiri.

Amakhulupilira kuti cholakwika cha glucometer chotere sichikhudza kwambiri machitidwe a mankhwalawa, motero ndizovomerezeka kwa odwala matenda ashuga.

Komanso, musanayambe kutsimikizika kwa deta, muyenera kugwiritsa ntchito yankho lolamulira lomwe limaphatikizidwa ndi chipangizocho.

Miyezo ya shuga

• Asanadye m'mawa (mmol / L): 3.9-5.0 kwa wathanzi ndi 5.0-7.2 kwa odwala matenda ashuga.
• Maola 1-2 atatha kudya: mpaka 5.5 wathanzi komanso mpaka 10,0 kwa odwala matenda ashuga.
• Glycated hemoglobin,%: 4.6-5.4 wathanzi komanso mpaka 6.5-7 kwa odwala matenda ashuga.

Palibe mavuto azaumoyo, shuga wamagazi amakhala m'magawo 3.9-5.3 mmol / L. Pamimba yopanda kanthu ndipo atatha kudya, izi ndizofunikira 4.2-4.6 mmol / L.

Zakudya zamafuta ochulukirapo zomwe zimadya shuga mwa munthu wathanzi zitha kukula mpaka 6.7-6.9 mmol / L. Imakwera pamwamba pokha pokha.

Kuti mudziwe zambiri zamagulu a shuga a magazi mwa ana ndi akulu, dinani apa.

Kodi kuchuluka kwa shuga m'magazi mutatha kudya, kufotokozedwa m'nkhaniyi.

Zizindikiro za glucometer za shuga

Ma glucometer amakono amasiyana ndi makolo awo makamaka chifukwa samawerengeredwa ndi magazi athunthu, koma ndi madzi a m'magazi. Izi zimakhudza kuwerengedwa kwa chipangizocho ndipo nthawi zina kumabweretsa kuyesa kosakwanira kwa zomwe zapezeka.

Kufanizira tebulo

Ngati glucometer imapangika m'madzi a m'magazi, ndiye kuti magwiridwe ake azikhala okwera 10-12% kuposa zida zonse zokhala ndi magazi athunthu. Chifukwa chake, kuwerengera kwapamwamba pamilandu iyi kumawerengedwa kuti ndi kwabwinobwino.

Kulondola kwa Glucometer

Kuyeza kwa mamitidwewo kumatha kusintha mulimonsemo - zimatengera chipangizocho.

Mutha kukwaniritsa cholakwika chochepa cha zowerengera za zida potsatira malamulo osavuta:

• Mita iliyonse imafunikira kuunika kwakanthawi kochepa mu labotale yapadera (ku Moscow, ili st. Moskvorechye, 1).
• Malinga ndi muyezo wapadziko lonse lapansi, kulondola kwa mita kumayang'aniridwa ndi miyezo yolamulira. Nthawi yomweyo Kuwerengera 9 mwa 10 sikuyenera kukhala kosiyana oposa 20% (ngati glucose ndi 4,2 mmol / l kapena kuposa) ndipo osapitirira 0.82 mmol / l (ngati kutanthauza kuti shuga ndi ochepera 4.2).
• Musanalembedwe magazi kuti muunikidwe, muyenera kusamba ndi kupukuta manja anu osagwiritsa ntchito mowa ndikupukuta - zinthu zakunja pakhungu zitha kupotoza zotsatira.
• Kuti muchepetse zala zanu komanso kuti magazi azithamanga, muyenera kuchita kutikita minofu.
• Chowombera chizichitika ndi mphamvu zokwanira kuti magazi atuluke mosavuta. Pankhaniyi, dontho loyamba silikuwunikidwa: lili ndi zinthu zambiri zamadzimadzi zamagetsi ndipo zotsatira zake sizingakhale zodalirika.
• Ndikosatheka kupaka magazi pa mzere.

Malangizo kwa odwala

Anthu odwala matenda ashuga ayenera kuyang'anitsitsa kuchuluka kwa shuga. Iyenera kusungidwa mkati mwa 5.5-6.0 mmol / L m'mawa pamimba yopanda kanthu ndipo atatha kudya. Kuti muchite izi, muyenera kutsatira zakudya zamafuta ochepa, zomwe zoyambira zimaperekedwa apa.

• Mavuto osokonezeka amakula ngati kuchuluka kwa shuga kwa nthawi yayitali kupitirira 6.0 mmol / L. Chotsikirapo, chimakhala chokwanira kuti munthu wodwala matenda ashuga azikhala moyo wopanda mavuto.
• Kuyambira pa 24 mpaka sabata la 28 la kubereka, ndikulimbikitsidwa kuyesa mayeso okhudzana ndi glucose kuti muchepetse chiopsezo chotenga matenda a shuga.
• Tiyenera kukumbukira kuti kuchuluka kwa shuga m'magazi ndi chimodzimodzi kwa anthu onse, ngakhale atakhala kuti ndi amuna kapena akazi komanso zaka.
• Pakatha zaka 40, tikulimbikitsidwa kupenda hemoglobin kamodzi pa zaka zitatu zilizonse.

Kumbukirani kutsatira zakudya zapadera kungachepetse ngozi yamavuto pamtima, m'maso, impso.

Kusiyana kwake ndi chizindikiro cha labotale

Nthawi zambiri, zida zapakhomo zimayeza shuga m'magazi ndi magazi onse, pomwe ma labotale amagwiritsidwa ntchito pophunzira plasma yamagazi. Plasma ndiye gawo lamadzi lomwe limapezeka magazi atatha kukhazikika ndikuchoka.

Chifukwa chake, mukamayesa magazi athunthu kuti mupeze shuga, zotsatira zake zimakhala zotsika 12 peresenti kuposa plasma.

Izi zikutanthauza kuti kuti tipeze zodalirika zowerengera, ndikofunikira kumvetsetsa zomwe mita ndi zida za labotale zili.

Gome la kuyerekezera zizindikiro

Tapangidwa tebulo lapadera la anthu odwala matenda ashuga, chifukwa chake mutha kudziwa kusiyanitsa pakati pa chinthu wamba ndi chida chogwiritsira ntchito, kutengera chidziwitso ndi mtundu wanji wamagazi omwe amawunika.

Kutengera ndi tebulo loterolo, mutha kumvetsetsa kuti wasanthule uti ayenera kufananizidwa ndi zida zamankhwala, zomwe sizikumveka.

Mukamagwiritsa ntchito labotale ya plillma ya capillary, kuyerekezera kungachitike motere:

• Ngati plasma imagwiritsidwa ntchito powunikira, zotsatira zomwe zapezedwa zimakhala zofanana.
• Mukamachita kafukufuku pa glucometer wamagazi athunthu, zotsatira zake zidzakhala zotsika 12 peresenti kuposa monga mwa labu yachipatala.
• Ngati plasma yochokera m'mitsempha imagwiritsidwa ntchito, kuyerekezera kokha kungachitike ngati wodwalayo ayesedwa pamimba yopanda kanthu.
• Magazi onse a venous mu glucometer samalimbikitsidwa kuti aziyerekeza, popeza phunzirolo liyenera kuchitikira kokha pamimba yopanda kanthu, pomwe chidziwitso pa chipangizochi chidzakhala chotsika ndi 12 peresenti kuposa magawo a labotale.

Ngati kuwunika kwa labotale kwachitidwa ndi magazi a capillary, zotsatira zake zitha kukhala zosiyana:

1. Mukamagwiritsa ntchito plasma mu glucometer, zotsatira zake zidzakhala 12 peresenti.
2. Kuwerengera chipangizo cham'nyumba chonse magazi athu azikhala ndi kuwerenga komwe.
3. Pamene kusanthula kumachitika pogwiritsa ntchito magazi a venous, ndikofunikira kuphunzira pamimba yopanda kanthu. Nthawi yomweyo, zisonyezo zidzakhala zapamwamba 12 peresenti.
4. Pofufuza magazi athunthu, kafukufukuyu amachitika kokha pamimba yopanda kanthu.

Mukamayang'anira labotale pogwiritsa ntchito plasma ya venous, mutha kupeza zotsatirazi:

• Gluceter yokhala ndi plasma imatha kuyesedwa pamimba yopanda kanthu.
• Magazi athunthu akaphatikizidwa mu chipangizo chakunyumba, kafukufukuyu amatha kokha pamimba yopanda kanthu. Nthawi yomweyo, zotsatira zake pa mita zidzakhala zotsika 12 peresenti.
• Njira yabwino yoyerekezera ndi kusanthula kwa plousma.
• Mukapatsidwa magazi ndi venous magazi anu onse, zotsatira zake zimakhala pa 12%.

Ngati venous magazi athunthu atengedwa kuchokera kwa wodwala mu labotale, kusiyana kudzakhala motere:

1. Mita ya gluillamu ya capillary-plasma iyenera kugwiritsidwa ntchito pamimba yopanda kanthu, koma ngakhale zili choncho, maphunziro awa adzakhala okwanira 12 peresenti.
2. Ngati wodwala matenda ashuga apereka magazi athunthu, kufananizira kungachitike pokhapokha pamimba yopanda kanthu.
3. Plasma ya venous ikatengedwa, zotsatira zake pamamita zimakhala 12 peresenti.
4. Njira yabwino ndiyakuti magazi athu onse akagwiritsidwa ntchito kunyumba.

Momwe mungayerekezere bwino deta

Kuti mupeze zizindikiro zodalirika poyerekeza zida za labotale ndi glucometer wamba, muyenera kuganizira momwe mungawongolere chida. Gawo loyamba ndikusamutsira deta ya labotale munthawi yomweyo ngati chipangizo chofanana.

Mukamawerengera glucometer m'magazi athunthu, ndikuwunika kwa plasma, ziwonetsero zomwe zimapezeka mu chipatalachi zimayenera kugawidwa ndi mathemati ndi 1.12. Chifukwa chake, mutalandira 8 mmol / lita, mutagawa, chiwerengerochi ndi 7.14 mmol / lita. Ngati mita ikuwonetsa manambala kuchokera pa 5.71 mpaka 8.57 mmol / lita, omwe amafanana ndi 20 peresenti, chipangizochi chitha kuonedwa kuti ndi cholondola.

Ngati glucometer imayatsidwa ndi plasma, ndipo magazi athunthu amatengedwa ku chipatala, zotsatira za labotale zimachulukitsidwa ndi 1.12. Mukachulukitsa 8 mmol / lita, chizindikiro cha 8.96 mmol / lita chimapezeka. Chipangizochi chitha kuonedwa kuti chikugwira ntchito molondola ngati mtundu wa data womwe wapezeka ndi 7.17-10.75 mmol / lita.

Kuwerengera kwa zida kuchipatala ndi chipangizo chachilendo kumachitika potsatira zitsanzo zomwezo, zotsatira sizifunikira kusinthidwa. Koma ndikofunikira kukumbukira kuti cholakwika cha 20 peresenti chimaloledwa pano. Ndiye kuti, pakulandira kuchuluka kwa 12.5 mmol / lita imodzi mu labotale, mita ya glucose ya kunyumba iyenera kupereka kuchokera 10 mpaka 15 mmol / lita.

Ngakhale cholakwika chachikulu, chomwe nthawi zambiri chimakhala chowopsa, chipangizochi ndicholondola.

Malangizo Olondola a

Palibe chifukwa chomwe mungapangire fanizo la kusanthula ndi zotsatira za maphunziro a ma glucometer ena, ngakhale atakhala ndi opanga zida. Chida chilichonse chimakhala ndi mtundu wina wa magazi, womwe sungafanane.

Mukamachotsa kusanthula, ndikofunikira kudziwitsa dokotala za izi.Ithandizira kudziwa kuchuluka kwamasamba amwazi mu chipangizocho chatsopano, ndipo ngati kuli koyenera, mukonzenso zamankhwala.

Panthawi yopeza deta yofanizira, wodwala ayenera kuonetsetsa kuti mita ndi yoyera. Ndikofunikanso kuonetsetsa kuti manambala agwirizana ndi manambala pamizere yoyesera. Pambuyo pakutsimikizira, kuyesa kumachitika pogwiritsa ntchito njira yowongolera. Ngati chipangizochi chikuwonetsa mu mtundu womwewo, mitayo imapangidwa moyenera. Ngati pali vuto linalake, funsani wopanga.

Musanagwiritse ntchito kusanthula kwatsopano, muyenera kudziwa kuti ndi zitsanzo ziti zamagazi zomwe zimagwiritsidwa ntchito poyeza. Kutengera izi, kuwerengera kwa miyezo kumapangidwa ndipo cholakwikacho chikufotokozedwa.

Maola anayi musanayesedwe magazi. Muyeneranso kuonetsetsa kuti zitsanzo zonse za mita ndi chipatala zidapezeka nthawi yomweyo. Ngati magazi a venous atengedwa, oyeserera ayenera kugwedezeka kuti asakanikirane ndi okosijeni.

Tiyenera kukumbukira kuti ndikusanza, kutsegula m'mimba, matenda, monga matenda ashuga a ketoacidosis komanso kukodza mwachangu, thukuta lambiri, thupi limasowa madzi ambiri. Poterepa, mita imatha kupereka manambala osakwanira omwe sanayang'anire kulondola kwa chipangizocho.

Asanapange magazi, wodwalayo ayenera kusamba ndi kupukusa manja ndi thaulo. Osagwiritsa ntchito zopukutira kapena zinthu zina zakunja zomwe zitha kupotoza zotsatira zake.

Popeza kulondola kumatengera kuchuluka kwa magazi omwe alandilidwa, muyenera kutenthetsa zala zanu ndi kutikitchera kwa manja ndikuwonjezera kutuluka kwa magazi. Kupomako kumachitika mwamphamvu mokwanira kuti magazi azitha kutuluka momasuka kuchokera pachala.

Komanso pamsika, posachedwa, panali ma glucometer popanda mizere yoyesera yogwiritsidwa ntchito kunyumba. Kanemayo munkhaniyi akuthandizani kumvetsetsa momwe mita imayendera.

Kuwunikira kwa Glucometer: Chowonera Pazovuta ndi Kuwerenga

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Anthu ambiri akagula chida chatsopano chowunikira shuga wamagazi pambuyo poyerekeza zotsatira zake ndi magwiridwe azida zam'mbuyomu amazindikira zolakwika. Momwemonso, manambala amatha kukhala ndi tanthauzo losiyana ngati kafukufukuyo adachitika mu labotale.

Poyang'ana koyamba, zikuwoneka kuti zitsanzo zonse zamagazi kuchokera kwa munthu yemweyo ziyenera kukhala ndi mtengo womwewo polandila zizindikiro mu labotale kapena mita ya shuga m'magazi. Komabe, sizili choncho, mfundo yake ndi yoti zida zilizonse, kaya ndi zamankhwala kapena zogwiritsidwa ntchito kunyumba, zili ndi mawonekedwe osiyana, ndiye kuti, zosintha.

Chifukwa chake, muyezo wa glucose m'magazi umachitika mosiyanasiyana ndipo zotsatira za kusanthula ndizosiyana. Zolakwika za glucometer zingakhale zazikulu bwanji ndipo ndi chipangizo chiti chomwe chiri cholondola kwambiri, ndikofunikira kuyang'ana mwatsatanetsatane.

Glucometer Contour TS: malangizo ndi mtengo wa Contour TS kuchokera ku Bayer

Pakadali pano, ma glucometer ambiri amaperekedwa pamsika ndipo makampani ambiri akuyamba kupanga zida zofananira. Chidaliro chowonjezereka ,achidziwikire, chimayamba chifukwa cha opanga omwe akhala akuchita nawo ntchito kwazaka zambiri kupanga. Izi zikutanthauza kuti malonda awo adutsa kale kuyesa kwa nthawi ndipo makasitomala amakhutitsidwa ndi mtundu wa katundu. Zipangizo zoyesedwa izi zimaphatikizapo mita ya Contour TC.

Chifukwa chake muyenera kugula contour ts

Chipangizochi chili pamsika kwa nthawi yayitali, chipangizo choyamba chidatulutsidwa ku fakitale yaku Japan komweko mchaka cha 2008. M'malo mwake, Bayer ndiopanga ku Germany, koma mpaka pano zopangidwa zake zikusonkhanitsidwa ku Japan, ndipo mtengo wake sunasinthebe.

Chipangizochi chikuyitanitsa ufulu wotchedwa imodzi yapamwamba kwambiri, chifukwa mayiko awiri omwe anganyadire chifukwa cha ukadaulo wawo amatenga nawo mbali pantchito zake ndikupanga, pomwe mtengo wake ukhalabe wokwanira.

Tanthauzo la chidule cha TC

Mchizungu, zilembo ziwirizi zimapangidwa kuti Total Simplicity, pomwe kumasulira mu Chirasha kumamveka ngati "Kuphweka kwathunthu", komwe kumasulidwa ndi nkhawa ya bayer.

Ndipo kwenikweni, chipangizochi ndichosavuta kugwiritsa ntchito. Pa thupi lake pali mabatani awiri akuluakulu, choncho sizivuta kuti wosuta azinena komwe angakanikizire, ndipo kukula kwake sikulola kuphonya. Odwala omwe ali ndi matenda ashuga, maseru nthawi zambiri amakhala ndi vuto, ndipo samatha kuwona kusiyana komwe lingaliro loyeserera liyenera kuyikirako. Opanga adasamalira izi, kupaka doko mu lalanje.

Ubwino wina pakugwiritsa ntchito chipangizocho ndi kusungitsa, kapena, kusapezeka. Odwala ambiri amaiwala kuyika kachidindo kakang'ono ndi mikwingwirima yatsopano iliyonse, chifukwa ambiri mwaiwo amangosowa pachabe. Sipadzakhala vuto lotere ndi Vehicle Contour, popeza palibe chosungira, ndiye kuti, zolongedza zatsopano zimagwiritsidwa ntchito pambuyo pa chimodzi cham'mbuyo popanda zowonjezera zina.

Kuphatikiza kwotsatira kwa chipangizochi ndikufunika kwa magazi ochepa. Kuti adziwe molondola kuchuluka kwa shuga, gluceter wa bayer amafunika kokha 0,6 μl ya magazi. Izi zimakuthandizani kuti muchepetse kuzama kwa kuboola khungu ndipo ndi mwayi wabwino womwe umakopa ana ndi akulu omwe. Mwa njira, pakugwiritsidwa ntchito kwa ana ndi akulu onse, mtengo wa chipangizocho sichisintha.

The contour ts glucometer idapangidwa kuti zotsatira za kutsimikiza sizimadalira kupezeka kwa chakudya monga maltose ndi galactose m'magazi, monga momwe malangizowo akunenera. Ndiye kuti, ngakhale pali ambiri aiwo m'magazi, izi sizitengeredwa pamapeto pake.

Ambiri amadziwa malingaliro ngati "magazi amadzimadzi" kapena "magazi akhungu." Magazi awa amatsimikiziridwa ndi phindu la hematocrit. Ma hematocrit amawonetsa kuchuluka kwa zinthu zomwe zimapangidwa m'magazi (leukocytes, mapulateleti, maselo ofiira a magazi) ndi voliyumu yathunthu. Pamaso pa matenda ena kapena njira za pathological, mulingo wa hematocrit umatha kusinthasintha onse m'njira yowonjezereka (ndiye magazi amayamba) ndikuwongolera kuchepa (zakumwa zamagazi).

Sikuti glucometer aliyense ali ndi mawonekedwe oti chizindikiro cha hematocrit sichofunikira, ndipo mulimonsemo, kuchuluka kwa shuga m'magazi kumayesedwa molondola. Glucometer imangotanthauza chida choterocho, chimatha kuyeza molondola ndikuwonetsa glucose yemwe ali m'magazi ndi mtengo wa hematocrit kuyambira 0% mpaka 70%. Mulingo wa hematocrit ungasiyane kutengera mtundu ndi zaka za munthu:

1. azimayi - 47%
2. amuna 54%
3. akhanda - kuyambira 44 mpaka 62%,
4. ana osakwana zaka 1 - kuyambira 32 mpaka 44%,
5. ana kuyambira chaka chimodzi mpaka zaka khumi - kuchokera pa 37 mpaka 44%.

Cons glucometer pot TC

Chida ichi mwina chili ndi drawback umodzi wokha - ndi mayeso ndi nthawi yoyeza. Zotsatira zakuyesa magazi zimawonekera pazenera pambuyo pa masekondi 8. Mwambiri, chiwerengerochi sichabwino kwambiri, koma pali zida zomwe zimazindikira kuchuluka kwa shuga m'masekondi asanu. Kuwerengera kwa zida zotere kumatha kuchitika m'magazi athunthu (otengedwa kuchokera kumunwe) kapena pa plasma (magazi a venous).

Izi zimakhudza zotsatira za kafukufukuyu. Kuwerengera kwa Contour TS glucometer kunachitika mu plasma, chifukwa chake sitiyenera kuyiwala kuti kuchuluka kwa shuga komwe kumapitilira zomwe zili m'magazi a capillary (pafupifupi 11%).

Izi zikutanthauza kuti zotsatira zonse zomwe zapezedwa ziyenera kuchepetsedwa ndi 11%, ndiye kuti, nthawi iliyonse yogawa manambala pazenera ndi 1.12. Koma mutha kutero mwanjira ina, mwachitsanzo, kudzipangira zomwe mukufuna kukhala ndi shuga. Chifukwa chake, pochita kusanthula pamimba yopanda kanthu ndikuyamba kutenga magazi kuchokera chala, manambala amayenera kukhala osiyanasiyana kuyambira 5.0 mpaka 6.5 mmol / lita, chifukwa magazi a venous chizindikiro ichi ndi kuchokera pa 5.6 mpaka 7.2 mmol / lita.

Patatha maola awiri mutatha kudya, shuga wamba sayenera kupitirira 7.8 mmol / lita imodzi ya magazi, komanso osaposa 8.96 mmol / lita imodzi yamagazi. Aliyense ayenera kusankha yekha njira yomwe ingamuthandize.

Yesani mzere wam'magawo a shuga

Mukamagwiritsa ntchito glucometer wa wopanga aliyense, zofunika kwambiri ndizoyesa mayeso. Zida izi, zimapezeka mulingo wapakatikati, osati zazikulu kwambiri, koma zazing'ono, kotero ndizosavuta kwa anthu kuzigwiritsa ntchito ngati zingaphwanye maluso oyendetsa bwino magalimoto.

Zingwezo zimakhala ndi kapangidwe kake ka zitsanzo zamwazi, ndiye kuti, iwo amadzitenga magazi momasuka ndi dontho. Izi zimakuthandizani kuti muchepetse kuchuluka kwa zinthu zofunika kuzisanthula.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Mwachizolowezi, moyo wa alumali wa phukusi lotseguka wokhala ndi mizere yoyeserera sapitilira mwezi umodzi. Kumapeto kwa nthawi, opanga okha sangatsimikizire zotsatira zoyesera, koma izi sizikugwira ntchito pa Contour TC mita. Moyo wa alumali wa chubu lotseguka ndi mikwingwirima ndi miyezi isanu ndi umodzi ndipo kulondola kwa muyeso sikukhudzidwa. Izi ndizothandiza kwambiri kwa anthu omwe safunika kuyeza kuchuluka kwa shuga kawirikawiri.

Mwambiri, mita iyi ndiyosavuta, ili ndi mawonekedwe amakono, thupi lake limapangidwa ndi pulasitiki yolimba, yosagwedezeka. Kuphatikiza apo, chipangizocho chili ndi kukumbukira kukumbukira kwa 250. Asanatumize mita kuti igulitsidwe, kulondola kwake kumayang'aniridwa m'mabotolo apadera ndipo amawerengedwa ngati amatsimikizira ngati cholakwacho sichikukwera kuposa 0,85 mmol / lita yokhala ndi kuchuluka kwa glucose kosakwana 4.2 mmol / lita. Ngati shuga ali pamwamba pa mtengo wa 4.2 mmol / lita, ndiye kuti cholakwika ndi kuphatikiza kapena kutsitsa 20%. Dongosolo lagalimoto limakwaniritsa izi.

Phukusi lililonse lomwe lili ndi glucometer limakhala ndi chipangizo cholumikizira chala cha Microlet 2, malawi khumi, chivundikiro, buku lamalamulo ndi khadi yotsimikizira, pamakhala mtengo wokhazikika kulikonse.

Mtengo wamamita ungasiyane m'masitolo osiyanasiyana ogulitsa pa intaneti, koma mulimonsemo, ndizotsika kwambiri kuposa mtengo wazipangizo zina kuchokera kwa opanga ena. Mtengo wake umachokera ku ruble 500 mpaka 750, ndipo kulongedza mizere 50 kumatengera ma ruble 650.

Kuyeza kwa shuga wamagazi ndi glucometer

Matenda a shuga amawoneka ngati matenda oopsa a zida za endocrine. Komabe, musaganize kuti ndi matenda osalamulirika. Matendawa amawonekera m'magazi a shuga ambiri, omwe mu njira yoopsa amakhudza thupi lathupi lonse, komanso kapangidwe kake ndi ziwalo zake (mitsempha yamagazi, mtima, impso, maso, maselo aubongo).

Ntchito ya odwala matenda ashuga ndikuwongolera glycemia tsiku lililonse ndikuisunga m'malo ovomerezeka mothandizidwa ndi zakudya, mankhwala, komanso mulingo woyenera wolimbitsa thupi. Wothandizira wodwala mu izi ndi glucometer. Ichi ndi chipangizo chonyamulira chomwe mutha kuwongolera kuchuluka kwa shuga m'magazi kunyumba, kuntchito, paulendo waku bizinesi.

Kodi miyambo ya umboni wa glucometer ndi momwe mungawerengere zotsatira za matenda kunyumba, ikufotokozedwa m'nkhaniyi.

Ndi manambala ati am'magazi omwe amawoneka kuti ndi abwinobwino?

Kuti mudziwe kupezeka kwa matenda a zamitsempha, muyenera kudziwa za kuchuluka kwa glycemia. Ndi odwala matenda ashuga, manambala ndiokwera kwambiri kuposa munthu wathanzi, koma madokotala amakhulupirira kuti odwala sayenera kuchepetsa shuga yawo mpaka malire. Zizindikiro zoyenera ndi 4-6 mmol / l. Zikatero, wodwalayo amamva bwino, achotsa matenda a m'mimba, kukhumudwa, kutopa kwambiri.

Mitundu ya anthu athanzi (mmol / l):

• malire ochepa (magazi athunthu) - 3, 33,
• omangidwa (magazi onse) - 5.55,
• m'munsi (mu plasma) - 3,7,
• khomo lakumwamba (mu plasma) - 6.

Ziwerengero zisanachitike komanso pambuyo pake za kuyamwa kwa zinthu zomwe zimapangidwa mthupi zimasiyana ngakhale mwaumoyo, chifukwa thupi limalandira shuga kuchokera kwa chakudya monga zakumwa ndi zakumwa. Munthu akangodya, glycemia imadzuka ndi 2-3 mmol / l. Nthawi zambiri, kapamba amatulutsira insulini m'madzi m'magazi, yomwe imayenera kugawa mamolekyulu am'magazi ku minofu ndi maselo amthupi (kuti apereke mphamvuyi).

Zotsatira zake, zizindikiro za shuga ziyenera kuchepa, ndikusintha mkati mwa maola ena 1-1.5. Poyerekeza ndi za matenda ashuga, izi sizichitika. Insulin siyipangidwa mokwanira kapena mphamvu yake imakhala yofooka, ndiye kuti glucose ochulukayo amakhalanso m'magazi, ndipo minofu yomwe ili pachipale imadwala mphamvu ya njala. Mwa odwala matenda ashuga, glycemia atatha kudya amatha kufikira 10-13 mmol / L ndi mulingo wabwinobwino wa 6.5-7,5 mmol / L.

Kuphatikiza pa mkhalidwe waumoyo, zaka zomwe munthu amapeza akamayeza shuga zimakhudzidwanso ndi zaka zake:

• makanda obadwa kumene - 2,7-4.4,
• mpaka wazaka 5 - 3.2-5,
• ana asukulu ndi akulu osakwana zaka 60 (onani pamwambapa),
• zaka zopitilira 60 - 4.5-6.3.

Mitundu imatha kusintha payekhapayekha, poganizira mawonekedwe a thupi.

Momwe mungayesere shuga ndi mita yamagazi

Glucometer iliyonse imaphatikizapo malangizo ogwiritsira ntchito, omwe amafotokozera momwe amadziwira kuchuluka kwa glycemia. Pakuwombera ndi kugwiritsa ntchito zotsalira zazomera pazofufuza, mutha kugwiritsa ntchito malo angapo (mkono, khutu, ntchafu, ndi zina), koma ndibwino kupyoza pachala. Mu gawo lino, magazi amayenda kwambiri kuposa mbali zina za thupi.

Kudziwa kuchuluka kwa shuga m'magazi ndi glucometer molingana ndi mfundo ndi miyambo yomwe amavomerezedwa kumaphatikizapo izi:

1. Yatsani chipangizocho, ikani chingwe cholowera kuti muone kuti code yomwe ili pa mzere ikugwirizana ndi zomwe zikuwonetsedwa pazenera.
2. Sambani manja anu ndi kupukuta bwino, chifukwa kupeza dontho lililonse lamadzi kungapangitse kuti phunziroli likhale losalondola.
3. Nthawi iliyonse ndikofunikira kusintha gawo lazakudya zopangidwira. Kugwiritsa ntchito komweko malo omwewo kumapangitsa kuti pakhale mawonekedwe a kutupa, kumverera kowawa, kuchiritsa kwa nthawi yayitali. Sichikulimbikitsidwa kuti mutenge magazi kuchokera pachala ndi chala chamtsogolo.
4. Lancet imagwiritsidwa ntchito poboola, ndipo nthawi iliyonse iyenera kusintha kuti isatenge matenda.
5. Dontho loyamba la magazi limachotsedwa pogwiritsa ntchito chikopa chowuma, ndipo chachiwiri chimagwiritsidwa ntchito poyesa mzere m'dera lomwe limagwiridwa ndi mankhwala agengents. Sikoyenera kufinya dontho lalikulu lamwazi kuchokera pachala, chifukwa timadzi tamatumbo timadzatulutsidwanso limodzi ndi magazi, ndipo izi zimabweretsa zosokoneza zenizeni.
6. Munthawi ya masekondi 20 mpaka 40, zotsatira zake zizioneka pa nthawi yoyang'ana mita.

Mukamayang'ana zotsatira, ndikofunikira kulingalira momwe mita ikuyendera. Zida zina zimapangidwa kuti ziyeze shuga m'magazi athunthu, zina mwa plasma. Malangizo akuwonetsa izi. Ngati mita ndi yoyipa ndi magazi, manambala 3.33-5.55 ndi omwe azikhala ofanana. Ndizokhudzana ndi mulingo uwu womwe muyenera kuwunika momwe mumagwirira ntchito. Kuwerengera kwa plasma kwa chipangizocho kukuwonetsa kuti zochulukirapo zidzaonedwa ngati zabwinobwino (zomwe zimakonda magazi ochokera m'mitsempha). Ndi za 3.7-6.

Momwe mungadziwire phindu la shuga ogwiritsa ntchito komanso wopanda matebulo, poganizira zotsatira za glucometer?

Kuyeza kwa shuga wodwala mu labotale kumachitika mwa njira zingapo:

• mutatenga magazi kuchokera kumunwe m'mawa pamimba yopanda kanthu,
• Pa maphunziro a biochemical (limodzi ndi chizindikiro cha transaminase, tizigawo ta protein, bilirubin, elekitirogili, ndi zina zambiri),
• kugwiritsa ntchito glucometer (izi ndizofanana ndi zamankhwala azachipatala zapadera).

Pofuna kuti asatenge pamanja, ogwira ntchito ku labotale amakhala ndi matebulo a makalata pakati pa mulingo wa capillary glycemia ndi venous.Manambala omwewo amatha kuwerengera pawokha, popeza kuwunika kwa shuga m'magazi a capillary kumawerengedwa kuti ndiwowonekera bwino komanso koyenera kwa anthu omwe sadziwa zachilengedwe.

Kuwerengera capillary glycemia, kuchuluka kwa shuga kwa venous kumagawidwa chifukwa cha 1.12. Mwachitsanzo, glucometer yomwe imagwiritsidwa ntchito pozindikira imapangidwa ndi plasma (mumawerengera malangizo). Chojambula chikuwonetsa zotsatira za 6.16 mmol / L. Musaganize mwachangu kuti manambalawa akuwonetsa hyperglycemia, popeza akawerengedwa kuchuluka kwa shuga m'magazi (capillary), glycemia adzakhala 6.16: 1.12 = 5.5 mmol / L, yomwe imawerengedwa kuti ndi chiwerengero chodziwika bwino.

Chitsanzo china: chipangizo chojambulidwa chimawongoleredwa ndi magazi (izi zikuwonezedwanso m'mayendedwe), ndipo malinga ndi zotsatira zakuzindikira, skrini imawonetsa kuti glucose ndi 6.16 mmol / L. Pankhaniyi, simukuyenera kuchita kuwerengetsa, chifukwa ichi ndi chizindikiro cha shuga m'magazi a capillary (mwa njira, chikuwonetsa kuchuluka).

Lotsatira ndi tebulo lomwe othandizira azaumoyo amagwiritsa ntchito kuti ateteze nthawi. Zimawonetsera kulumikizana kwa kuchuluka kwa shuga mu venous (chida) ndi magazi a capillary.

Kodi ma glucose mita ndi olondola motani, ndipo chifukwa chiyani zotsatira zake zimakhala zolakwika?

Kuwona kwa kuyesa kwa glycemic level kumadalira chipangacho chokha, komanso zinthu zingapo zakunja ndikutsatira malamulo ogwiritsira ntchito. Opanga okha amati zida zonse zonyamula shuga za magazi zimakhala ndi zolakwika zazing'ono. Zotsirizazo zimakhala 10 mpaka 20%.

Odwala amatha kukwaniritsa kuti chizindikiro cha chipangizocho chinali ndi cholakwika chaching'ono. Pachifukwa ichi, malamulo otsatirawa akuyenera kusamalidwa:

• Onetsetsani kuti mita ikuyenda kuchokera kwa akatswiri odziwa bwino zaumoyo nthawi ndi nthawi.
• Chongani kulondola kwa kufanana kwa code ya mzere woyezera ndi manambala omwe akuwonetsedwa pazenera la chida chofufuzira ngati atatsegulidwa.
• Ngati mumamwa mankhwala opha tizilombo toyambitsa matenda kapena misozi yonyowa kuti mugwire manja anu musanayesedwe, muyenera kuyembekezera mpaka khungu liume kwathunthu, kenako pokhapokha muzindikire.
• Kukwirira dontho la magazi pamizere yoyeserera sikulimbikitsidwa. Zingwezo zimapangidwa kuti magazi alowe m'malo awo pogwiritsa ntchito mphamvu ya capillary. Ndikokwanira kuti wodwalayo abweretse chala m'mphepete mwa zone yothandizidwa ndi ma reagents.

Kubwezera kwa shuga matenda a shuga kumatheka mwa kusunga glycemia m'njira yoyenera, osati pokhapokha, komanso pambuyo poti chakudya chatha. Onetsetsani kuti mwawunika mfundo zanu zamakomedwe anu, siyani kugwiritsa ntchito chakudya chamafuta ochepa kapena kuchepetsa kuchuluka kwake muzakudya. Ndikofunika kukumbukira kuti kuchuluka kwa nthawi yayitali kwa glycemia (ngakhale mpaka 6.5 mmol / l) kumawonjezera chiopsezo cha zovuta zingapo kuchokera ku ziwonetsero za impso, maso, mtima ndi dongosolo lamanjenje.