Malangizo a Glucometer

* Mtengo m'dera lanu ungasiyane

• Kufotokozera
• maluso aukadaulo
• ndemanga

Contour Plus glucometer ndi chipangizo chatsopano, kulondola kwake kuchuluka kwa glucose ndikuyerekeza ndi labotale. Zotsatira zake ndizokonzekera pambuyo pa masekondi 5, zomwe ndizofunikira pakuwonetsa hypoglycemia. Kwa wodwala yemwe ali ndi matenda ashuga, kutsika kwakukulu kwa glucose kumatha kubweretsa zovuta, zomwe ndi hypoglycemic coma. Kusanthula molondola komanso mwachangu kumakuthandizani kuti mupeze nthawi yofunika kuti muchepetse vuto lanu.

Zenera lalikulu ndi zowongolera zazing'ono zimapangitsa kuti zitheke bwino kuyeza anthu omwe ali ndi vuto lowoneka. Glucometer imagwiritsidwa ntchito m'mabungwe azachipatala kuti aziona momwe alili odwala omwe ali ndi matenda osokoneza bongo komanso kuwunika mozama kuchuluka kwa glycemia. Koma glucometer sagwiritsidwa ntchito pofufuza matenda a shuga.

Kutanthauzira kwa mita ya Contour Plus

Chipangizocho chimatengera ukadaulo wapamwamba. Amabowola dontho limodzi lamwazi ndikutulutsa chizindikiro cha shuga. Dongosolo limagwiritsanso ntchito FAD-GDH enzyme (FAD-GDH), yomwe imangogwira ndi glucose. Ubwino wa chipangizocho, kuwonjezera pa kulondola kwambiri, ndi izi:

"Mwayi wachiwiri" - ngati mulibe magazi okwanira pamizere yoyeserera, mita ya Contour Plus ikatulutsa mawu omveka, chithunzi chapadera chidzawonekera pazenera. Muli ndi masekondi 30 kuti muwonjezere magazi kumizere yoyeserera yomweyo,

Tekinoloje ya "No coding" - musanayambe ntchito, simukuyenera kulowa kachidindo kapena kukhazikitsa chip, chomwe chitha kuyambitsa zolakwika. Mukakhazikitsa chingwe choyesera padoko, mita imakhomedwa (kusanjidwa) basi,

Kuchuluka kwa magazi poyesa shuga m'magazi ndi 0.6 ml yokha, zotulukazo zakonzeka mumasekondi 5.

Chipangizocho chili ndi chophimba chachikulu, komanso chimakupatsani mwayi wokhazikitsa zikumbutso zamagetsi mukatha kudya, zomwe zimathandiza kuyeza shuga m'magazi panthawi yovuta.

Maluso Aukadaulo a Contour Plus Meter

pa kutentha kwa 5-45 ° C,

chinyezi 10-93%,

kuthamanga kwa mlengalenga pamtunda wa makilomita 6.3 pamwamba pa nyanja.

Kuti mugwire ntchito, mumafunika mabatire a 2 lithiamu a 3 volts, 225 mA / h. Zokwanira machitidwe a 1000, omwe amafanana ndi chaka choyeza.

Mitundu yonse ya glucometer ndi yaying'ono ndipo amakulolani kuti muzikhala pafupi nthawi zonse:

Mafuta a m'magazi amayeza mulingo kuyambira 0,6 mpaka 33.3 mmol / L. Zotsatira zokwana 480 zimasungidwa zokha mumaganizo a chipangizocho.

Magetsi amagetsi a chipangizocho amagwirizana ndi zofunikira zapadziko lonse lapansi ndipo sangathe kusokoneza kayendedwe kazinthu zina zamagetsi ndi zida zamankhwala.

Contour Plus itha kugwiritsidwa ntchito osati pokhapokha, komanso mumachitidwe apamwamba, omwe amakupatsani mwayi kukhazikitsa mawonekedwe amodzi, ikani mayina apadera ("Asanachitike Chakudya" ndi "Pambuyo Chakudya").

Zosankha Contour Plus (Contour Plus)

Mu bokosilo muli:

Chida chopyoza chala cha Microllet Next,

5 maluwa osabala

mlandu wa chipangizocho,

Khadi lolembetsa chipangizocho,

nsonga yopeza dontho la magazi kuchokera kwina

Zingwe zoyesa siziphatikizidwa, zimagulidwa zokha. Wopangayo satitsimikizira ngati zingwe zoyeserera ndi mayina ena zidzagwiritsidwa ntchito ndi chipangizocho.

Wopangayo amapereka chitsimikizo chopanda malire pa Glucometer Contour Plus. Zikaoneka zovuta, mita imasinthidwa ndi zofanana kapena zosagwirizana mu mawonekedwe ndi mawonekedwe.

Malamulo Ogwiritsira Ntchito Kunyumba

Musanatenge glucose muyeso, muyenera kukonzekera gluceter, lancets, strips test. Ngati mita ya Kontur Plus inali kunja, ndiye kuti muyenera kudikirira mphindi zochepa kuti kutentha kwake kuzilingane ndi chilengedwe.

Musanaunike, muyenera kusamba m'manja ndikwapukuta. Kutenga magazi ndi kugwira ntchito ndi chida kumachitika motere:

Malinga ndi malangizowo, ikani ma Microllet lancet mumalonda a Microllet Next.

Chotsani mzere woyezera kuchokera ku chubu, ndikuyika mu mita ndikuyembekezera chizindikiro. Chizindikiro chokhala ndi lingwe lonyentchera ndi dontho la magazi liyenera kuwonekera pazenera.

Kanikizani cholimba mwamphamvu kumbali ya chala chamanja ndikudina batani.

Thamanga ndi dzanja lanu lachiwiri kuyambira pachala chala mpaka kumapazi komaliza ndikulowetsa mpaka mutatuluka magazi. Osalimbikira pad.

Bweretsani mitayo pamalo owongoka ndikukhudza nsonga ya Mzere wa dontho kuti mulowe magazi, kudikirira kuti mzere woyezera ubwere (chizindikiro chidzawoneka)

Pambuyo pa chizindikirocho, kuwerengera kwachiwiri kwachiwiri kumayamba ndipo zotsatira zake zimawonekera pazenera.

Zowonjezera za mita ya Contour Plus

Kuchuluka kwa magazi pa mzere woyeserera kungakhale kosakwanira nthawi zina. Chipangizocho chidzatulutsa beep iwiri, chikwangwani chopanda kanthu chidzawonekera pazenera. Pakadutsa masekondi 30, muyenera kubweretsa mzere wamagazi ndikuthira magazi.

Zida za chipangizo Contour Plus ndi:

kuzimitsa pompopompo ngati simuchotsa chingwe choyesera padoko mkati mwa mphindi 3

kuyimitsa mita mutachotsa tepe loyesa padoko,

kutha kuyika zilembo pamiyeso musanadye kapena musanadye chakudya chamakono,

magazi pakuwunika atengedwa m'manja mwa dzanja lanu, dzanja lamkati, magazi othandizira amatha kugwiritsidwa ntchito kuchipatala.

Mu chipangizo chosavuta Contour Plus (Contour Plus) mutha kupanga makonda anu. Zimakupatsani mwayi wokhazikitsa glucose ochepa komanso otsika kwambiri. Mukalandira kuwerenga kosayenerana ndi mfundo zoyambira, chipangizocho chimapereka chizindikiro.

Mumayendedwe apamwamba, mutha kukhazikitsa zilembo zokhudzana ndi muyeso musanadye kapena mutatha kudya. Muzolemba, simungathe kuwona zotsatira, komanso kusiya ndemanga zowonjezera.

Ubwino wazida

• • Mita ya Contour Plus imakulolani kuti musunge zotsatira za miyeso 480 yomaliza.

• imatha kulumikizidwa ndi kompyuta (pogwiritsa ntchito chingwe, sichinaphatikizidwe) ndikusamutsa deta.

  mumachitidwe apamwamba, mutha kuwona mtengo wapakati masiku 7, 14 ndi 30,

  shuga atakwera pamwamba pa 33.3 mmol / l kapena pansi pa 0.6 mmol / l, chizindikirochi chikuwonekera pazenera.

  kusanthula kumafunikira magazi ochepa,

  kuponyedwa polandila dontho lamwazi kungachitike m'malo ena (mwachitsanzo, m'manja mwanu),

  njira yodzadza ndi magazi ndi magazi,

  malo opumira ndi ochepa komanso amachiritsa mwachangu,

  kukhazikitsa zikumbutso za nthawi yake panthawi zosiyanasiyana mukatha kudya,

  kusowa kofunikira kukonzera glucometer.

  Mamita ndiosavuta kugwiritsa ntchito, kupezeka kwake, komanso kupezeka kwa zinthu ndizambiri m'mafakitore ku Russia.

  Malangizo apadera

  Odwala omwe ali ndi vuto losakanikirana la kufalikira, kuwunika kwa glucose kuchokera chala kapena malo ena sikothandiza. Ndi zizindikiro zamankhwala zodandaula, kuchepa kwakukulu kwa kuthamanga kwa magazi, hyperosmolar hyperglycemia komanso kuchepa mphamvu kwa madzi m'thupi, zotsatira zake zimakhala zopanda vuto.

  Musanayeze shuga wamagazi omwe amachokera m'malo ena, muyenera kuonetsetsa kuti palibe zotsutsana. Magazi oyesedwa amatengedwa kuchokera kuchala chokha ngati kuchuluka kwa shuga kumakhala kotsika, pambuyo pa kupsinjika ndi motsutsana ndi matendawa, ngati palibe malingaliro olakwika a kuchepa kwa shuga. Magazi otengedwa kuchokera m'manja mwathu sioyenera kufufuza ngati amadzimadzi, amasintha mwachangu kapena kufalikira.

  Mphete, zida zopangira, zingwe zoyesera zimapangidwa kuti zizigwiritsa ntchito payekha ndikuwononga kwachilengedwe. Chifukwa chake, ayenera kutayidwa monga amafotokozera malangizo a chipangizocho.

  RU № РЗН 2015/2602 Lachitatu 07/20/2017, № РЗН 2015/2584 pa 07/20/2017

  ZOPHUNZITSIRA NDIPONSE. PATSANI POPANDA KUTI MUZISUNGA BWINO KUTI MUZISINTHA APA APA NDIPONSO MUWERENGE PAMODZI.

  I. Kupereka zolondola zofananira ndi labotale:

  Chipangizochi chimagwiritsa ntchito ukadaulo wamagetsi angapo, womwe umataya magazi kangapo ndikupanga zotsatira zolondola.

  Chipangizocho chimapereka kudalirika pamikhalidwe yovuta:

  kutentha kutentha kosiyanasiyana 5 ° C - 45 °

  chinyezi 10 - 93% rel. chinyezi

  kutalika pamlingo wamadzi - mpaka 6300 m.

  Mzere woyeserera umagwiritsa ntchito enzyme yamakono yomwe singagwirizane ndi mankhwala, omwe amapereka miyeso yolondola mukamatenga, mwachitsanzo, paracetamol, ascorbic acid / vitamini C

  Glucometer imachita kukonza zodziwikiratu ndi zotsatira za hematocrit kuchokera 0 mpaka 70% - izi zimakupatsani mwayi wolondola kwambiri ndi hematocrit yosiyanasiyana, yomwe imatha kutsitsidwa kapena kuwonjezeka chifukwa cha matenda osiyanasiyana

  Kuyeza kwa mfundo - electrochemical

  II Kupereka magwiridwe:

  Chipangizochi chimagwiritsa ntchito ukadaulo "Popanda kukhazikitsa". Tekinoloje iyi imalola kuti chipangizochi chizikhazikitsidwa nthawi iliyonse yomwe chingwe choyesa chimayikidwa, potero chimachotsa kufunikira kwa kulowa kwa code code - gwero la zolakwika. Palibenso chifukwa choti muthe kuwononga nthawi kuti mulowetse nambala kapena kachidindo kalozera / Mzere, Palibe kakhodi zofunika - palibe kulowetsera kwa zolemba zanu

  Chipangizocho chili ndi ukadaulo wofufuza njira yachiwiri yomwe ingakupatseni magazi, omwe amakupatsani mwayi kuti muthiridwe magazi mzere womwewo momwe gawo loyambirira la magazi silinali lokwanira - simuyenera kugwiritsa ntchito gawo loyesa. Ukadaulo wachiwiri wa Chance umapulumutsa nthawi ndi ndalama.

  Chipangizocho chili ndi mitundu iwiri yothandizira - chachikulu (L1) komanso chotsogola (L2)

  Zolemba pa chipangizochi pogwiritsa ntchito Basic (L1):

  Zambiri pazambiri komanso kuchuluka kwa masiku 7. (HI-LO)

  Kuwerengera mwachangu kwa pafupifupi masiku 14

  Memory okhala ndi zotsatira za miyeso yaposachedwa 480.

  Zida za chipangizo mukamagwiritsa Advanced mode (L2):

  Makumbukidwe oyesedwa okonzekera 2,5, 2, 1.5, maola 1 mukatha kudya

  Kuwerengera mwachangu kwa pafupifupi masiku 7, 14, 30

  Memory okhala ndi zotsatira za miyeso 480 yomaliza.

  Zolemba “Asanadye” komanso “Mukadya”

  Kuwerengera mwachangu kwa pafupifupi musanadye kapena masiku 30.

  Chidule cha mfundo zapamwamba komanso zotsika masiku 7. (HI-LO)

  Makonda anu apamwamba komanso otsika

  Kukula kwamphamvu kwa dontho la magazi ndi 0.6 μl kokha, ntchito yodziwira "kufukiza"

  Pafupifupi kupweteka kosasunthika kozama kusintha moyenera pogwiritsa ntchito kuboola kwa Microlight 2 - Kuboola mosaponda kumachiritsa mwachangu. Izi zimathandizira kuvulala kochepa nthawi zambiri.

  Kuyeza nthawi masekondi 5 okha

  Tekinoloje ya "kuchoka kwina" magazi ndi lingaliro loyesa - Mzere wokha umayamwa magazi ochepa

  Kuthekera kotenga magazi kuchokera kwina (njira, phewa)

  Kugwiritsa ntchito mitundu yonse ya magazi (ochepa, venous, capillary)

  Tsiku lotha ntchito kuti mizere yoyeserera (yowonetsedwa pamapaketi) sizitengera nthawi yomwe mukutsegulira botolo ndi zingwe zoyeserera,

  Zizindikiro zodziwika zokha pazomwe zimatengedwa ndi njira yothetsera kuwongolera - mauthengawa sawerengedwa pakuwerengera kwa zizindikiro zapakatikati

  Doko losamutsa deta ku PC

  Kukula kwa miyeso 0.6 - 33.3 mmol / l

  Milandu yamagazi

  Battery: mabatire awiri a lithiamu a 3 volts, 225mAh (DL2032 kapena CR2032), opangidwa ngati miyezo pafupifupi 1000 (chaka chimodzi ndi mphamvu yogwiritsira ntchito)

  Makulidwe - 77 x 57 x 19 mm (kutalika x mulitali x x)

  Chitsimikizo chopanda malire

  Contour Plus glucometer ndi chipangizo chatsopano, kulondola kwake kuchuluka kwa glucose ndikuyerekeza ndi labotale. Zotsatira zake ndizokonzekera pambuyo pa masekondi 5, zomwe ndizofunikira pakuwonetsa hypoglycemia. Kwa wodwala yemwe ali ndi matenda ashuga, kutsika kwakukulu kwa glucose kumatha kubweretsa zovuta, zomwe ndi hypoglycemic coma. Kusanthula molondola komanso mwachangu kumakuthandizani kuti mupeze nthawi yofunika kuti muchepetse vuto lanu.

  Zenera lalikulu ndi zowongolera zazing'ono zimapangitsa kuti zitheke bwino kuyeza anthu omwe ali ndi vuto lowoneka. Glucometer imagwiritsidwa ntchito m'mabungwe azachipatala kuti aziona momwe alili odwala omwe ali ndi matenda osokoneza bongo komanso kuwunika mozama kuchuluka kwa glycemia. Koma glucometer sagwiritsidwa ntchito pofufuza matenda a shuga.

  Chithunzithunzi cha Contour Plus mita

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

  Mukapezeka ndi matenda a shuga, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga m'magazi. Kuti muchite izi, pali chipangizo chotchedwa glucometer. Amasiyana, ndipo wodwala aliyense amatha kusankha yomwe ili yabwino kwa iye.

  Chida chimodzi chodziwika poyesa shuga m'magazi ndi Bayer Contour Plus mita.

  Chipangizochi chimagwiritsidwa ntchito kwambiri, kuphatikizira kuchipatala.

  Zosankha ndi zosankha

  Chipangizocho chili ndi kulondola kokwanira mokwanira, komwe kumatsimikiziridwa poyerekeza glucometer ndi zotsatira za kuyesedwa kwa magazi.

  Poyesa, dontho la magazi kuchokera m'mitsempha kapena ma capillaries limagwiritsidwa ntchito, ndipo kuchuluka kwachilengedwe sikofunikira. Zotsatira za phunziroli zikuwonetsedwa pazowonetsera chipangizochi pambuyo pa masekondi 5.

  Makhalidwe akulu a chipangizocho:

  • kukula kochepa ndi zolemera (izi zimakupatsani mwayi woti munyamule nanu muchikwama chanu kapenanso mthumba lanu),
  • kuthekera kozindikiritsa zizindikiritso za 0.6-33.3 mmol / l,
  • kupulumutsa miyeso 480 yomaliza pamakumbukiridwe a chipangizocho (osati zotsatira zokha zomwe zikuwonetsedwa, komanso tsiku ndi nthawi),
  • kukhalapo kwa mitundu iwiri yogwira - yoyamba ndi yachiwiri,
  • kusowa kwa phokoso lalikulu pakugwira ntchito kwa mita
  • kuthekera kogwiritsa ntchito chipangirochi kutentha kutentha kwa madigiri 5-45,
  • chinyezi pakugwiritsa ntchito chipangizochi chitha kukhala pamtunda kuchokera 10 mpaka 90%,
  • gwiritsani mabatire a lithiamu mphamvu,
  • kuthekera kukhazikitsa mgwirizano pakati pa chipangizochi ndi PC pogwiritsa ntchito chingwe chapadera (chidzafunika kugulidwa padera ndi chipangizocho),
  • kupezeka kwa chitsimikiziro chopanda malire kuchokera kwa wopanga.

  Bokosi la glucometer limaphatikizapo zinthu zingapo:

  • chipangizocho ndi Contour Plus,
  • kuboola (Microlight) kulandira magazi kuti ayesedwe,
  • mipando isanu (Microlight),
  • mlandu wonyamula ndi kusunga,
  • malangizo ogwiritsira ntchito.

  Zingwe zoyesera za chipangizochi ziyenera kugulidwa payokha.

  Ntchito Zogwira Ntchito

  Zina mwazinthu zomwe zikuyenda mu chipangizo Contour Plus zikuphatikiza:

  1. Njira zambiri zofufuzira. Gawoli limatanthawuza kuwunika kambiri pa zitsanzo zomwezo, zomwe zimapereka kulondola kwakukulu. Ndi muyeso umodzi, zotsatira zake zimatha kukhudzidwa ndi zinthu zakunja.
  2. Kukhalapo kwa enzyme GDH-FAD. Chifukwa cha izi, chipangizocho chimangokonza zomwe zili ndi glucose. Pakakhala kuti zilibe, zotsatira zake zitha kupotozedwa, chifukwa mitundu ina yamagulu azakudya idzawerengedwa.
  3. Tekinoloje "Chachiwiri Chance". Ndikofunikira ngati magazi pang'ono adayikidwa pachiyeso chowerengera phunzirolo. Ngati ndi choncho, wodwalayo atha kuwonjezera biomaterial (ngati sipangadutse masekondi 30 kuchokera pachiyambipo).
  4. Tekinoloje "Popanda kukhazikitsa". Kukhalapo kwake kumatsimikizira kusowa kwa zolakwika zomwe zimatheka chifukwa cha kuyambitsa kwa cholakwika cholakwika.
  5. Chipangizochi chimagwira ntchito mosiyanasiyana.Mumachitidwe a L1, ntchito zazikuluzikulu za chipangizocho zimagwiritsidwa ntchito, mukayatsa mawonekedwe a L2, mutha kugwiritsa ntchito zina zowonjezera (kusintha kwanu, kuyika zolembera, kuwerengera kwa zizindikiro zapakati).

  Zonsezi zimapangitsa kuti glucometer iyi ikhale yabwino komanso yogwira ntchito. Odwala amakwaniritsa osati kungodziwa zambiri za kuchuluka kwa shuga, komanso kuti apeze zowonjezera zina molondola kwambiri.

  Momwe mungagwiritsire ntchito chipangizocho?

  Mfundo yogwiritsa ntchito chipangizocho ndi mtundu wa zochita zotere:

  1. Kuchotsa mzere woyeserera kuchokera phukusi ndikukhazikitsa mita mu socket (imvi kumapeto).
  2. Kukonzeka kwa chida chogwiritsira ntchito kumayesedwa ndi chizindikiritso chomveka komanso mawonekedwe a chizindikiro chokhala ngati dontho la magazi pawonetsero.
  3. Pulogalamu yapadera yomwe muyenera kupangira pamutu pa chala chanu ndikumaphatikizira pa gawo la gawo loyesa. Muyenera kudikirira chizindikiro cha mawu - zitatha izi muyenera kuchotsa chala chanu.
  4. Magazi amalowa m'malo owonekera. Ngati sikokwanira, chizimba chokwanira chidzamveka, kenako mutha kuwonjezera dontho lina la magazi.
  5. Pambuyo pake, kuwerengera kumayenera kuyamba, pambuyo pake zotsatira zake zidzawonekera pazenera.

  Zosaka zojambulidwa zimangolembedwa zokha mu kukumbukira kwa mita.

  Malangizo a kanema ogwiritsa ntchito chipangizocho:

  Kodi pali kusiyana kotani pakati pa Contour TC ndi Contour Plus?

  Zida zonsezi zimapangidwa ndi kampani imodzi ndipo zimakhala zofanana.

  Kusiyana kwawo kwakukulu kukufotokozedwa pagome:

  Kugwiritsa ntchito ukadaulo wosiyanasiyanaindeayi Kukhalapo kwa enzyme FAD-GDH mumayeso oyesaindeayi Kutha kuwonjezera biomaterial pamene ikusowaindeayi Njira zopitilira muyesoindeayi Nthawi yotsogola5 mas8 sec

  Kutengera izi, titha kunena kuti Contour Plus ili ndi maubwino angapo poyerekeza ndi Contour TS.

  Maganizo a odwala

  Popeza taphunzira zowunikira za Contour Plus glucometer, titha kunena kuti chipangizocho ndi chodalirika komanso chosavuta kugwiritsa ntchito, chimagwira ntchito mwachangu ndipo ndicholondola pakuwona mulingo wa glycemia.

  Ndimakonda mita iyi. Ndayesa zosiyana, kuti nditha kufananiza. Ndizolondola kuposa zina ndipo ndizosavuta kugwiritsa ntchito. Kukhala kosavuta kwa oyamba kumene kuyidziwa bwino, popeza pali malangizo mwatsatanetsatane.

  Chipangizocho ndichabwino kwambiri komanso chosavuta. Ndidasankhira amayi anga, ndimayang'ana china chake kotero sizovuta kuti azigwiritse ntchito. Ndipo nthawi yomweyo, mitayo iyenera kukhala yapamwamba kwambiri, chifukwa thanzi la wokondedwa wanga limadalira. Contour Plus ndizomwezo - zolondola komanso zosavuta. Sichifunika kuyika manambala, ndipo zotsatira zake zikuwonetsedwa zazikulu, zomwe ndizabwino kwambiri kwa anthu akale. China china ndi kukumbukira kwakukulu komwe mungathe kuwona zotsatira zaposachedwa. Chifukwa chake nditha kuwonetsetsa kuti amayi anga ali bwino.

  Mtengo wapakati wa chipangizocho Contour Plus ndi ma ruble 900. Zitha kusintha pang'ono m'magulu osiyanasiyana, komabe zimakhalabe zademokalase. Kuti mugwiritse ntchito chipangizochi, mufunika zigamba zoyesa, zomwe zitha kugulidwa ku malo ogulitsa mankhwala kapena ogulitsa kwambiri. Mtengo wama seti 50 wopangira ma glucometer amtunduwu ndi ma ruble 850.

  Masewera olondola a glucose mita Contour kuphatikiza - kufotokoza ndi malangizo

  Matenda a shuga ndi matenda omwe akupezeka masiku ano ochulukirachulukira. Mosakayikira, kuchuluka kwa odwala padziko lonse lapansi kukukulirakulira, ndipo asayansi akuneneratu za njira ina yowopsa yazachipatala iyi. Ndi matenda a shuga, kagayidwe kakang'ono ka glucose kamawonongeka. Kwa maselo onse, shuga ndiye gawo lalikulu lamphamvu.

  Thupi limalandira glucose kuchokera ku chakudya, ndipo kenako magaziwo amawatumiza ku maselo. Omwe amagwiritsa ntchito shuga amadziwika kuti ndi ubongo, komanso minofu ya adipose, chiwindi ndi minofu. Ndipo kuti mankhwala alowe m'maselo, amafunikira wochititsa - ndipo iyi ndiye insulin. Ndi m'mitsempha yamaubongo yokha yomwe shuga imalowa m'mayendedwe osiyana.

  Kodi matenda ashuga a 2 amatanthauza chiyani?

  The insulin ya mahomoni imapangidwa ndi maselo ena a pancreatic, awa ndi ma cell a beta a endocrine. Kumayambiriro kwa matendawa, amatha kutulutsa insulin yabwinobwino komanso yowonjezera, koma ndiye kuti dziwe lamapulogalamu olipira limatsika. Ndipo pankhaniyi, ntchito yonyamula shuga mu cell imasokonekera. Likukhalira kuti shuga owonjezera amangokhala m'magazi.

  

  Koma thupi ndi dongosolo lovuta, ndipo sipangakhale chilichonse chapamwamba kwambiri mu metabolism. Chifukwa chake, kuchuluka kwa glucose kumayamba, wina anganene, kumapangidwe a protein. Chifukwa chake, zipolopolo zamkati zamitsempha yamagazi, minyewa yamanjenje imapunduka, ndipo izi zimakhudza kugwira ntchito kwawo. Ndi shuga (ndipo, molondola kwambiri, glycation) ndiye woyambitsa wamkulu wa zovuta.

  Ndipo ngakhale ndi kuchuluka kwambiri kwa mahomoni, omwe amapezeka kumayambiriro kwa matendawa, hyperglycemia imapezeka. Vutoli limamangirira zolakwika zama cell receptors. Vutoli limadziwika ndi kunenepa kwambiri kapena kutengera kwa majini.

  Popita nthawi, zikondwerero zimatha, sizingathenso kupanga mahomoni moyenera. Ndipo panthawiyi, matenda ashuga amtundu wa 2 amasinthidwa kukhala mtundu wodalira insulini. Izi zikutanthauza kuti chithandizo chokhala ndi mapiritsi sichimabweretsa zotsatira, ndipo sichitha kutsitsa shuga. Wodwala pakadali pano amafuna kubweretsa insulin, yomwe imakhala mankhwala akuluakulu.

  Zomwe zimapangitsa kuti shuga ipite patsogolo

  Ndikofunikira nthawi zonse kuti munthu adziwe chifukwa chake izi zinachitika? Zomwe zidayambitsa matendawa, zidatenga nthawi yayitali bwanji, ndiye kuti iyeyo ndiye amachititsa kuti matendawa atukuke? Masiku ano, mankhwala amatha kudzipatula moyenera pazovuta zomwe zimatchedwa kuti matenda ashuga. Palibe amene anganene 100% yomwe idayambitsa matendawa. Koma madotolo akuyenera kupereka lingaliro lomwe likuthandizira matendawa.

  Zoopsa kwambiri za anthu odwala matenda ashuga zimawonekera mu:

  • Anthu opitilira 40
  • Odwala onenepa
  • Anthu amakonda kudya kwambiri (makamaka zakudya zochokera nyama),
  • Achibale a odwala matenda ashuga - koma matendawa siabadwa, komanso chibadwa, ndipo matendawa amawonekera pokhapokha ngati pali zina zomwe zingayambitse matenda,
  • Odwala omwe ali ndi gawo lochepa kwambiri la masewera olimbitsa thupi, pomwe minyewa yake imakhala yokwanira kulimbikitsa kutulutsa kwa glu mu cell,
  • Amayi oyembekezera - gestational matenda a shuga samapezeka mwa amayi m'malo mwake, koma mwayi wokhala nawo wobadwa pambuyo pake ndiwokwera,
  • Anthu omwe amakhala ndi nkhawa zambiri m'maganizo - izi zimakwiyitsa kukula kwa mahomoni opanga magazi omwe amachititsa kuchuluka kwa glucose komanso zimapangitsa kuti metabolism ithe.

  Masiku ano, madokotala amati mtundu wa shuga wachiwiri si matenda obadwa nawo, koma matenda. Ndipo ngakhale munthu atakhala kuti ali ndi cholowa cholemetsa, ndiye kuti kulephera kwa chakudya chamafuta sikungayambike ngati adya bwino, amawunika kulemera kwake, amakhala wolimba mokwanira. Pomaliza, ngati munthu amakhala ndi mayeso okonzekera nthawi zonse, akamadutsa mayeso, izi zimachepetsa nawonso kuyambika kwa matendawa kapena kunyalanyaza zinthu zoopseza (mwachitsanzo, prediabetes).

  Kodi glucometer ndi chiyani?

  Anthu odwala matenda ashuga ayenera kuwongolera shuga la magazi moyo wawo wonse. Izi ndizofunikira popewa kugwidwa, kupewa zovuta, ndipo, pomaliza, kusintha moyo. Pafupifupi ma glucometer onse ndi oyenera anthu omwe ali ndi matenda ashuga a 2. Pali zida zina zomwe zimawonjezera kuchuluka kwa cholesterol yathunthu m'magazi, kuchuluka kwa uric acid ndi hemoglobin.

  Zachidziwikire, zida zoterezi ndizokwera mtengo, koma kwa odwala matenda ashuga omwe ali ndi matenda opatsirana amakhala oyenera.

  M'tsogolo muli ma glucometer osalumikizana (osasokoneza).

  

  Samafunikira kukwapula (kutanthauza kuti si zoopsa), sagwiritsa ntchito magazi popenda, koma nthawi zambiri amatuluka thukuta. Palinso ma glucometer omwe amagwira ntchito ndi ma discrimal secretions, awa ndi magalasi omwe amadzimadzi achiberekedwe a ogwiritsa ntchito amapeza, ndipo pamaziko a izi amawunikira.

  Zotsatira zimaperekedwa kwa smartphone.

  Koma njira ngati imeneyi ikupezeka kwa anthu ochepa okha odwala matenda ashuga. Chifukwa chake, muyenera kukhala okhutira ndi zida zomwe, monga kusanthula kuchipatala, zimafuna kupyoza chala. Koma iyi ndi njira yotsika mtengo, yotsika mtengo ndipo koposa zonse, wogula ali ndi mwayi wochita kusankha.

  Bioanalyzer Feature Contour Plus

  Kuwunika kumeneku kumapangidwa ndi Bayer, wopanga wodziwika bwino mu gawo lake. Chida chazida chimadziwika ndi kulondola kwakukulu, chifukwa chimagwiritsa ntchito ukadaulo wowunikira ma sampuli amwazi. Izi, mwanjira, zimapangitsa chidwi kwa madokotala kugwiritsa ntchito chipangizocho pamene akutenga odwala.

  Mwachilengedwe, maphunziro ofananitsa adachitika: ntchito ya mita ikufanizidwa ndi mpanda woyesera magazi kuchipatala. Kafukufuku awonetsa kuti Contour Plus imagwira ntchito ndi cholakwika pang'ono.

  Ndiwosavuta kwa wogwiritsa ntchito kuti mita iyi imagwira ntchito m'njira yayikulu kapena yapamwamba. Kulembeka kwa chipangizocho sikofunikira. Tchati chili kale ndi cholembera.

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

  

  Chidziwitso chofunikira chazida:

  • Gululi limafuna dontho lonse lam magazi kapena lamkati,
  • Kuti zotsatira zake zizikhala zolondola, mulingo wa 0,6 μl wamagazi ndi wokwanira,
  • Yankho pazenera likuwonetsedwa pambuyo pa masekondi 5 okha,
  • Mitengo yamitundu yoyesedwa ikuchokera pa 0.6 mpaka 33.3 mmol / l,
  • Chikumbukiro cha glucometer chimasunga zidziwitso pazomaliza 480,
  • Glucometer yaying'ono ndi yaying'ono, siyani kulemera 50 g,
  • Mutha kusanthula kulikonse
  • Chipangizocho chikutha kuwonetsa makonda apakatikati,
  • Chipangizocho chikutha kugwira ntchito ngati chikumbutso,
  • Mutha kuyika chosinthira ndikukwera komanso kutsika.

  Chipangizochi chimatha kulumikizana ndi kompyuta, yabwino kwambiri kwa iwo omwe amagwiritsidwa ntchito kusunga zidziwitso pamalo amodzi.

  Anthu ambiri amasamala za funso: mita ya Contour kuphatikiza - mtengo wake ndi chiyani? Sichikukwera - ma ruble 850-1100, ndipo ndiwofunikanso pakugwiritsa ntchito chipangizocho. Mizere yamtunda wa Contour kuphatikiza mtengo wake ungakhale wofanana ndi wophatikizira womwewo. Komanso, mu setiyi - 50 ma strips.

  Zolemba paphunziro kunyumba

  Mzere wa kuyeserera uyenera kuchotsedwa phukusi pakukhazikitsa nsonga ya imvi mu zitsulo za chipangizocho. Ngati muchita chilichonse molondola, chipangizocho chimatsegulira ndikupereka chizindikiro. Chizindikiro cha mzere ndi dontho la magazi owoneka bwino chiziwonetsedwa pazenera. Chifukwa chake mita yakonzekera ntchito.

  Momwe mungagwiritsire ntchito mita ya Contour Plus:

  1. Sambani ndi kupukuta manja anu kaye. Choboola chaching'ono chimapangidwa ndi cholembera chobowola chala chisanafike.
  2. Mapeto oyeserera a mzere woyeserera amayesedwa mopepuka pa magazi, amawayamwa mwachangu pamalo oyeserera. Gwirani bala mpaka phokoso likulira.
  3. Ngati kumwa kwa magazi sikokwanira, wopenda adzakudziwitsani: polojekiti mudzawona chithunzi chosakwanira. Kwa theka la miniti, muyenera kulowa kuchuluka kwakusowa kwa madzi obwera.
  4. Kenako kuwerengera kudzayamba. Pakatha pafupifupi masekondi asanu, muwona zotsatira za kafukufuku pazowonetsera.

  Kodi magawo amkate ndi chiyani?

  Nthawi zambiri, endocrinologist imapereka wodwala wake kuti azisunga zolemba zina. Ili ndi buku lowerengera pomwe mawu ofunika amalembedweratu, osavuta kwa odwala matenda ashuga. Madeti, zotsatira za miyeso, chizindikiro cha chakudya. Makamaka, adokotala nthawi zambiri amafunsa kuti asonyeze m'buku ili osati zomwe wodwala adya, koma kuchuluka kwa chakudya m'magawo a mkate.

  Chigawo cha mkate ndi, munganene, supuni yoyezera yowerengera chakudya. Chifukwa chake, pa mkate umodzi tengani mankhwalawa okwana 10-12 g. Ndipo dzinali limachitika chifukwa limapezeka mgawo umodzi wa mkate makumi awiri ndi zisanu.

  

  Chiyeso ngati chimenecho ndichofunikira kwa odwala omwe ali ndi matenda ashuga a 1. Anthu odwala matenda ashuga amtundu wachiwiri ayenera kuyang'ana kwambiri zopezeka tsiku ndi tsiku zopatsa mphamvu komanso kusayerekeza kwa chakudya cham'thupi nthawi zonse zopumira / nkhomaliro / zokhwasula-khwasula. Koma ngakhale zitakhala chimodzimodzi, kusinthidwa kwina kwa zinthu zina, kuzindikira kuchuluka kwa XE sikulepheretsa.

  Ndemanga za ogwiritsa ntchito

  Glucometer Contour kuphatikiza - ndemanga, pempho lotere limatha kukwaniritsidwa nthawi zambiri, ndipo ndizomveka. Osangotsatsa zotsatsa komanso malangizo a chipangizocho nthawi zonse amakhala osangalatsa, komanso malingaliro enieni a iwo omwe adapeza pakuyesera.

  Contour Plus glucometer ndi njira yotsika mtengo yomwe khalidwe lake limayamikiridwa kale ndi ogwiritsa ntchito ambiri. Imagwirizana ndi miyezo yapadziko lonse lapansi, ndiyamakono ndipo imagwirizana ndi machitidwe ofunikira chimodzimodzi. Chisankho ndichanu!

  Kufotokozera ndi Kapangidwe

  Mtengo wapamwamba wa glucose "Contour Plus" ndi moyo wautali wautumiki ndiwotsimikizika ndikupanga kwa Germany. Msonkhano wachipangizowu ukuchitika ku Japan. Zambiri zowerengera zikuwonetsedwa pazenera la mita. Kunja, chipangizocho chikufanana ndi chiwongolero cha TV. Ubwino wa chipangizocho ndikuwongolera kwawo momveka bwino komanso kuchuluka kwake, kotero, ngakhale odwala omwe samawona pang'ono, kuphatikiza okalamba, amatha kutsata shuga.

  Mtengo wa Contour Plus glucometer umapangitsa chipangizocho kupezeka kwa odwala aliwonse. Mutha kugula m'masitolo ma ruble 700. Chipangizocho chili ndi moyo wautali, chinthu chokha chomwe chimafunikira kuchokera kwa wogwiritsa ntchito ndikubwezeretsa batri wamba. Njira yosonkhanitsira zinthu zachilengedwe imasinthika kwambiri chifukwa chakuti chipangizocho chilibe chipangizo chosungidwa komanso pulogalamu yokhazikitsa, yomwe m'mbuyomu idasinthasintha m'malo mwa lancets ndi mizere ya Contour Plus mita.

  Mfundo za glucometer

  Malangizo kwa mita "Contour Plus" amafotokoza mwatsatanetsatane mfundo zomwe zingagwiritsidwe ntchito pa chipangizocho. Dontho la magazi kuchokera pachikuto chala limayikidwa pa mzere woyeserera, kenako Mzerewo umakwezedwa padoko lapadera ndipo kiyi imakanikizidwa kuti ayambe kusanthula ndikupeza zotsatira. Mlingo wa shuga m'mayeso am'madzi oyeserera umatsimikizika pambuyo pa masekondi 8, owerengedwa pansi ndi nthawi. Zotsatira zonse ndi zodalirika, zomwe zawonetsedwa zikuwonetsedwa pamawonekedwe akulu pakuwonetsedwa kwa mita, kuti anthu omwe ali ndi vuto lowona azitha kugwiritsa ntchito chipangizocho.

  Kuyamwa magazi kungachitike popanda chala chokha, komanso kuchokera m'manja, dzanja kapena mkono. Kwa kusanthula, madontho a magazi a 1-2 akukwana - pafupifupi 0,6 μl. Kafukufuku wobwereza sikofunikira, chifukwa zotsatira zomwe zimaperekedwa ndi Contour Plus mita ndizodalirika komanso zowona. Chifukwa cha thupi la ergonomic, mita ndi yabwino m'manja, ndikosavuta kugwiritsa ntchito, ndipo kulondola kwakukulu kwa miyeso kumakuthandizani kuti mufufuze kuchuluka kwa shuga m'magazi.

  

  Ubwino ndi zovuta za glucometer

  Chipangizocho ndi chodalirika ndipo chimakhala ndi ntchito yayitali, chimakhala ndi zabwino komanso zovuta zake. Contour Plus glucometer ndi yosavuta kugwiritsa ntchito, yodalirika, ili ndi miyeso yaying'ono, kapangidwe kowoneka bwino komanso luso lapadera. Chipangizo zamagetsi chopangidwa ndi Germany chomwe chimatsimikizira kumanga kwapamwamba komanso kudalirika. Ubwino wawukulu wa Contour Plus glucometer ndi mtengo wake komanso malangizo ake ogwiritsira ntchito, omwe amafotokoza mwatsatanetsatane komanso mwatsatanetsatane mfundo zoyendetsera chipangizocho ndi njira yake.

  Zabwino

  • Kutalika kwa ntchito.
  • Mtengo wotsika mtengo.
  • Kudalirika komanso kulondola kwa zotsatira.
  • Buku la malangizo lili mu Chirasha.
  • Chophimba choteteza chomwe chimateteza ku kuwonongeka kwa makina ndi zolakwika.
  • Kutha kusunga mayeso a 250 kukumbukira.
  • Kuchepetsa ndi kugwiritsa ntchito.
  • Kampani yotchuka komanso yotchuka yopanga Bayer.
  • Magwiridwe antchito.
  • Ndemanga zabwino za ogwiritsa ntchito.

  

  Zoyipa

  Glucometer ilibe zophophonya, ndipo zonse zimadalira zomwe munthu amakonda.Choyipa chachikulu ndikupeza zotsatira kwakanthaŵi, molumikizana ndi zomwe zina, mitundu yachangu imasankhidwa, kutsimikiza kwa shuga m'magazi komwe kumatenga masekondi 2-3, osati masekondi 8. Ngakhale mita imawonedwa ngati yopanda ntchito, akatswiri ambiri amalimbikitsa kugwiritsa ntchito kwake.

  Kusiyana kwa ma glucose mita "Contour Plus ndi" Contour TS "

  Malinga ndi chitsimikiziro cha wopanga, woyamba wa iwo amagwiritsa ntchito ukadaulo wosiyanasiyana, womwe umatsimikizira kuti zotsatira zake ndi zolakwika mkati mwa 15%. Kuposa 95% ya miyeso yonse imachitidwa ndikupatuka kochepa: kutsimikizira kwa zotsatira kumachitika molingana ndi njira yowonetsera ndi kusanthula kwa shuga.

  Mizere yoyeserera ya Contour Plus glucose imakhala ndi olimira okondera omwe amalola miyeso ngakhale pazovuta za glucose kuzinthu zomwe zimatengedwa. Zinthu zambiri zofala zomwe zingakhudze kulondola kwa miyezo sizimakhudzidwa ndi enzyme FAD-ADH. Zotsatira zimasinthidwa zokha pokhazikika pamlingo wa hematocrit kuchokera 0 mpaka 70%.

  Madontho a magazi amathanso kuwonjezeredwa kumizere yoyeserera ngati magazi okwanira okwanira atengedwa kuchokera koyesera koyamba. Tekinoloji iyi idalandira "Second Chance" kuchokera kwa wopanga.

  

  Mamita amagwira ntchito munjira ziwiri - zoyambira komanso zapamwamba. M'nthawi yoyamba, mutha kudziwa zambiri za kuchuluka kwa shuga m'magazi masiku asanu ndi awiri apitawa, onani kuchuluka kwa shuga m'masiku 14 komanso kukumbukira konse kachipangizidwe - kamakhala ndi zolembedwa pafupifupi 480. Chipangizocho chimagwira ntchito pamalowedwe amenewa ngati muyezo.

  Mumachitidwe apamwamba, mutha kuwona kuchuluka kwa glucose masiku 7 ndi 30 apitawa. Zosankha zimapezekanso poyika chizindikiritso “mukatha kudya” komanso “musanadye chakudya”, ndipo zotsatira zapakati pazithunzi zotere zitha kufufuzidwa masiku 30 apitawa. Ndikotheka kukhazikitsa alarm ndikumakumbutsa kufunika kokayeza magazi ndi ola limodzi, theka, awiri, ndi maola awiri ndi theka. Njira yapamwamba imakuthandizaninso kusintha momwe mumasinthira ma glucose apamwamba komanso otsika.

  Nthawi yoyesa shuga m'magulu a Mitundu ya Plus ndi TS imasiyanasiyana: masekondi 5 ndi 8, motsatana. Kusiyanako ndikochepa, koma kwa ogwiritsa ntchito kumakhala kofunikira.

  

  Poyerekeza ndi mita ya glucose, "Contour TS" ipambana "Contour Plus", chifukwa yasintha luso komanso kuonjezera magwiridwe antchito. Payokha, ndikofunikira kuzindikira kuti zingwe zoyesera pazida ziwirizi sizisinthana. Zida zonse zimakhala ndi moyo wautali ndipo sizitaya magwiridwe ake.

  Contour Plus mita

  Chipangizocho ndi zinthu zina zili ndi bokosi lolimba, losindikizidwa pamwamba. Ichi ndi chitsimikizo kuti palibe amene watsegula kapena kugwiritsa ntchito mita pamaso pa wogwiritsa ntchito.

  Mwachindunji mu phukusi ndi:

  • mita yokha ndi mabatani awiri omwe adayikidwa,
  • cholembera chopyoza ndi mphuno yapadera kuti ikathe kutenga magazi kuchokera kwina,
  • makatani asanu achikuda okuboola khungu,
  • nkhani yofewa yosamutsa mosavuta zakumwa ndi glucometer,
  • buku la ogwiritsa ntchito.

  

  Malangizo ogwiritsira ntchito

  Muyeso woyamba wodziyimira pawokha wa glucose, tikulimbikitsidwa kuti muwerenge mosamala mawuwo ndikuwonetsetsa kuti zinthu zonse zofunikira zakonzedwa.

  1. Choyamba, kusamba m'manja ndi madzi ofunda ndi sopo kapena gwiritsani thaulo la mowa. Lolani zala kuti ziume kwathunthu.
  2. Ikani lancet mu kuboola mpaka itadina pang'ono komanso chotsani chopukutira mosamala.
  3. Chotsani mzere woyezera kuchokera ku chubu. Mutha kupita nawo kulikonse, chinthu chachikulu ndikuti manja anu ndi oma. Lowani mu mita. Ngati kukhazikitsa kuyenda bwino, chipangizocho chikuwomba.
  4. Pierce chala ndikudikirira dontho la magazi kuti lisonkhanitse, ndikumasanja pang'ono pang'ono kuchokera kumunsi mpaka kumapeto.
  5. Bweretsani mita ndi kukhudza mzere wamagazi. Zowonetsera ziwonetsa kuwerengera. Pambuyo masekondi 5, kuwunika zotsatira kuwonetsedwa pa izo.
  6. Pambuyo pochotsa chingwe ku chipangizocho, chimangozimitsa.
  7. Chitani nkhomayo ndi nsalu yotayirira ndikuchotsa zinthu zomwe zagwiritsidwa ntchito - zimapangidwa kuti zizigwiritsidwa ntchito kamodzi.

  Ukadaulo wa "Second Chance" ukhoza kukhala wothandiza ngati wosuta sawona bwino kapena manja ake akugwedezeka chifukwa cha shuga wochepa. Gulu la Contour Plus glucometer imadziwitsa za kuthekera kothira magazi ochulukirapo popereka siginecha, chithunzi chapadera chidzawala pawonetsero. Simungachite mantha ndi kulondola kwa miyeso ndi njirayi - imakhalabe pamwambamwamba.

  Ndizothekanso kuboola osati chala, koma ziwalo zina za thupi. Kuti muchite izi, mumagwiritsa ntchito pampira wowonjezera wamkati woboola, womwe umaphatikizidwa. Ndikulimbikitsidwa kuboola madera a kanjedza komwe kuli mitsempha yocheperako komanso mbali zina zathupi. Ngati shuga akuganiziridwa kuti ndi wotsika kwambiri, njirayi singagwiritsidwe ntchito.

  Mamita ali ndi mitundu iwiri ya makonda: yokhazikika komanso yapamwamba.

  Zotsirizazi zikuphatikiza:

  • kuwonjezera chakudya chisanafike, chakudya chisanafike, ndi diary
  • kupanga chikumbutso chomveka bwino mukamadya,
  • kuthekera kokuwona mitengo yapakatikati pa masiku 7, 14 ndi 30, ndikuzigawa pazizindikiro zochepa kwambiri komanso zapamwamba kwambiri,
  • Onani zowonjezera ndi zolemba "mukatha kudya".

  Kusiyanitsa "Contour Plus" kuchokera ku "Contour TS"

  Glucometer yoyamba imatha kuwerengetsa kangapo dontho limodzi lamwazi, lomwe limachotsa zolakwika. Zida zake zoyeserera zimakhala ndi ma mediator apadera omwe amakupatsani mwayi kuti muzindikire kuchuluka kwa glucose ngakhale otsika kwambiri. Ubwino wambiri wa Contour Plus ndikuti ntchito yake siyikhudzidwa ndi zinthu zomwe zimatha kupotoza zambiri. Izi zikuphatikiza:

  

  Komanso, kutsimikiza kwa miyezo kungakhudzidwe ndi:

  • bilirubin
  • cholesterol
  • hemoglobin
  • creatinine
  • uric acid
  • galactose, etc.

  Palinso kusiyana pakumagwira kwa ma glucometer awiri molingana ndi nthawi yoyezera - masekondi 5 ndi 8. Contour Plus ipambana potengera magwiridwe antchito, kulondola, kuthamanga ndi kugwiritsa ntchito mosavuta.