Chifukwa chiyani mita ikuwonetsa zosiyana kuchokera ku zala zosiyanasiyana?

Poyesa shuga wamagazi ndi glucometer m'malo osiyanasiyana (zala zakumanja ndi kumanzere), nthawi zambiri timawona zizindikiro zosiyanasiyana. Chifukwa chiyani?

Magazi a glucose amatha kusintha miniti iliyonse ndipo amasiyanasiyana kwambiri m'malo osiyanasiyana a thupi. Nthawi zambiri timatha kuwona kusiyana kwa +/- 15-20% pakati pa miyeso ndipo izi, monga lamulo, zimawerengedwa kuti ndi cholakwika chovomerezeka cha glucometer. Tikapeza kusiyana kwakukulu muzotsatira, muyenera kulabadira izi:

• Ukhondo ndi kukhulupirika kwa zingwe zoyesa

• Njira zopezera dontho la magazi

• Kugwiritsa ntchito magazi ngati dontho la magazi

Ngati mumagwiritsa ntchito mita yomwe imafuna encoding, onetsetsani kuti Chip yomwe ili ndi codeyo yaikidwa ndikugwirizana ndi code pa chubu cha mizere yoyesera yomwe mumagwiritsa ntchito.

Popeza kuti zingwe zoyeserera zimakhudzidwa kwambiri ndi mpweya, chinyezi, ndi kutentha kwambiri, onetsetsani kuti mwatseka chophimba cha chubu nthawi yomweyo mutatenga mzere woyezera pamenepo. Osasungira zingwe zoyeserera mgalimoto (chifukwa cha kusintha kwa kutentha), komanso m'bafa (chifukwa chinyezi kwambiri) kapena pafupi ndi zenera lokhala ndi dzuwa. Mutha kuonanso mizere yoyesera kuti mupeze momwe mungagwiritsire ntchito njira yothetsera, yomwe ingagulidwe ku malo ogulitsira, malo apaderadera, kapena malo othandizira.

Nthawi zina zimakhala zofunikira kubwereranso kuzomwe mudaphunzira poyambira kugwiritsa ntchito mita. Onetsetsani kuti mukusamba ndi kupukuta manja musanayeze shuga. Gwiritsani ntchito chipangizo chopyolera (lancet) chokhala ndi kuya kocheperako, koma kokwanira kupeza magazi ofunikira pazida zomwe mumagwiritsa ntchito.

Mutha kuyimbira malo othandizira makasitomala kuti mupeze nambala yaulere ngati muli ndi mafunso kapena nkhawa posankha chida chanu ndi zingwe zoyesa. Oyimira kampani akhoza kukuthandizani kupeza chidziwitso komanso kuthana ndi mavuto ambiri. Mwachitsanzo, m'malo ena othandizira, ndizotheka kuyang'ana glucometer ndikuwongolera njira yaulere (koma pogwiritsa ntchito zingwe zanu). Pakachitika vuto, musintha mita yatsopano. Komabe, ndibwino kuyang'ana tsatanetsatane ndi oimira payekhapayekha.

Momwe mungadziwire molondola chida chake

Poyerekeza zizindikiro zomwe zapezeka kunyumba ndi deta ya zida zina kapena kusanthula kwa labotale, muyenera kudziwa chifukwa chake mita ikuwonetsa zosiyana. Zinthu zambiri zimatha kuyambitsa zotsatira za muyeso.

Makamaka, ngakhale osanthula ngati Accu Chek angalakwitse ngati wodwalayo sakugwira chida kapena kuyesa molondola. Muyenera kukumbukira kuti mita iliyonse ili ndi zolakwika, muyenera kudziwa mukamagula momwe chipangizocho chilili komanso ngati chitha kukhala cholakwika.

Komanso, kulondola kwa chipangizocho kumadalira kusinthasintha kwa magawo amthupi ndi zamankhwala am'magazi m'njira ya hematocrit, acidity, ndi zina zambiri. Magazi otengedwa kuchokera ku zala ayenera kuwunikiridwa mwachangu, chifukwa patapita mphindi zochepa amasintha kapangidwe kazinthuzi, zomwe zimapangitsa kuti deta ikhale yolakwika, ndipo palibe chifukwa chochiwunikira.

Ndikofunikira kuyeserera magazi koyenera kunyumba mukamagwiritsa ntchito mita. Kusintha kwa magazi kumachitika kokha ndi manja oyera ndi owuma, simungagwiritse ntchito kupukuta konyowa ndi zinthu zina zaukhondo kuti muchiritse khungu. Ikani magazi pachifuwa choyesera mutalandira kale.

Kuyesedwa kwa shuga sikungachitike mu zotsatirazi:

• Ngati venous kapena seramu imagwiritsidwa ntchito m'malo mwa magazi a capillary,
• Ndi kusunga kwa magazi kwa capillary kwa nthawi yopitilira 20-30 mphindi,
• Ngati magazi amawungika kapena kuvala (ndi hematocrit ochepera 30 ndi oposa 55 peresenti),
• Ngati wodwala ali ndi matenda oopsa, chotupa chowopsa, edema yayikulu,
• Ngati munthu watenga ascorbic acid woposa 1 gramu pakamwa kapenanso kudzera m'mitsempha, siimawonetsa zotsatira zake.
• Pokhapokha ngati mita yosungidwa kwambiri kapena kutentha kwambiri,
• Ngati chipangizocho chili pafupi ndi gwero lamphamvu yamagetsi yamagetsi kwa nthawi yayitali.

Pulogalamu yomwe mwangogula silingagwiritsidwe ntchito ngati njira yoyesera sinayesedwe. Komanso, kuyesa kachipangizo ndikofunikira ngati batire yatsopano yaikidwa. Kuphatikiza chisamaliro muyenera kutengedwa ndi zingwe zoyeserera.

Zingwe zoyesa sizingagwiritsidwe ntchito kuwunikira milandu zotsatirazi:

1. Ngati tsiku lotha ntchito lomwe lasonyezedwa pakukhazikitsa zinthu zatha,
2. Kumapeto kwa moyo wamasewera mutatsegula phukusi,
3. Ngati nambala ya caligant siyikugwirizana ndi code yomwe ili pabokosi,
4. Ngati zitha kusungidwa padzuwa pomwepo ndikuwonongeka.

Zomwe zotsatira za glucometer zimasiyana

Mita ya shuga kunyumba ingakupusitseni. Munthu amakumana ndi zosokoneza ngati malamulo ogwiritsira ntchito satsatiridwa, osaganizira momwe angayang'anire komanso zinthu zina zingapo. Zomwe zimayambitsa kusowa kwa chidziwitso zimagawidwa muzachipatala, ogwiritsa ntchito komanso mafakitale.

Zolakwika za ogwiritsa ntchito zimaphatikizapo:

• Kusagwirizana ndi zomwe wopanga akupanga pokonza mizere yoyesera. Chipangizo chaching'ono ichi sichitha kusokonezeka. Ndi kutentha kosasungika kolakwika, kupulumutsa mu botolo lotsekeka bwino, tsiku lotha litatha, mphamvu zachilengedwe za ma reagents zimasinthika ndipo mizere imatha kuwonetsa zabodza.
• Kusamalira bwino chipangizocho. Mamita sanasindikizidwe, kotero fumbi ndi uve zimalowa mkati mwa mita. Sinthani kulondola kwa zida ndi kuwonongeka kwamakina, kutulutsa kwa batri. Sungani chipangizocho pang'onopang'ono.
• Kuyesedwa molakwika. Kupanga kusanthula pamunsi pa 12 kapena kupitirira madigiri 43, kuipitsidwa kwa manja ndi chakudya chomwe chili ndi glucose, kumawononga zotsatira zake.

Zolakwa zamankhwala zili pakugwiritsa ntchito mankhwala ena omwe amakhudza kapangidwe ka magazi. Ma electrochemical glucometer amawona kuchuluka kwa shuga potengera ma oxidation a plasma ndi ma enzymes, kusunthidwa kwa elekitoni ndi omwe amavomereza ma elekitironi kuma microelectrodes. Njirayi imakhudzidwa ndi kudya kwa Paracetamol, ascorbic acid, Dopamine. Chifukwa chake, mukamagwiritsa ntchito mankhwalawa, kuyezetsa kumatha kupereka zotsatira zabodza.

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.

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

Zipangizo zina zimawunikira zotsatira zake osati mmol / l, ogwiritsa ntchito ogula aku Russia, koma mu mg / dl, zomwe ndizofanana ndi miyezo ya azungu. Zowerengedwa zikuyenera kutanthauziridwa molingana ndi njira zotsatsira zotsatirazi: 1 mol / l = 18 mg / dl.

Ma laboratori amayesa shuga, onse ndi capillary ndi venous magazi. Kusiyana pakati pa kuwerengera koteroko kumakhala mpaka 0,5 mmol / L.

Zolakwika zimatha kuchitika popanda kusamala zitsanzo za biomaterial. Simuyenera kudalira zotsatira pomwe:

• Mzere woipitsidwa ngati sunasungidwe mumawu ake osindikizidwa oyambira kapena kuphwanya malo osungira,
• Lancet yosakhala yosabala yomwe imagwiritsidwa ntchito mobwerezabwereza
• Mzere watha, nthawi zina muyenera kuyang'ana tsiku lotha ntchito kuti litseguke ndi lotseka,
• Zoyera m'manja zosakwanira (ziyenera kutsukidwa ndi sopo, zouma ndi tsitsi)
• Kugwiritsa ntchito mowa pothana ndi malo opumira (ngati palibe njira zina, muyenera kupatula nthawi yoti nyengo isanthe),
• Kusanthula munthawi ya mankhwala a maltose, xylose, immunoglobulins - chipangizochi chikuwonetsa zotsatira zopindulitsa.

Izi zingwe ziyenera kukumbukiridwa mukamagwira ntchito ndi mita iliyonse.

Odwala ena amadabwa komwe amayang'ana kuti mita ikhale yolondola atazindikira kuti zida zosiyanasiyana zimawonetsa mawonekedwe osiyanasiyana. Nthawi zina mawonekedwewa amafotokozedwa ndi magawo omwe chipangizocho chimagwira. Ma unit ena opangidwa ku EU ndi USA akuwonetsa zotsatira m'mayunitsi ena. Zotsatira zawo ziyenera kusinthidwa kukhala zigawo zomwe zimagwiritsidwa ntchito ku Russian Federation, mmol pa lita imodzi pogwiritsa ntchito matebulo apadera.

Pang'ono pang'ono, malo omwe magaziwo adatengedwa akhoza kukhudza umboni. Kuwerengetsa kwamitsempha yama venous kumatha kutsika pang'ono kuposa kuyesa kwa capillary. Koma kusiyanaku sikuyenera kupitilira 0,5 mmol pa lita. Ngati kusiyanasiyana ndikofunika kwambiri, kungakhale kofunikira kuti muwone kuyang'ana kwa mita.

Komanso, mozindikira, zotsatira za shuga zimatha kusintha pamene njira yosanthula ikuphwanyidwa. Zotsatira zimakhala zapamwamba ngati tepi yoyesa idadetsedwa kapena nthawi yake yatha. Ngati malo opumira sanasambitsidwe bwino, lancet yosabala, ndi zina zotere, mwina zimasochera.

Kusiyana pakati pa kuwerengera kwa zida zapanyumba ndi kuwunika mu labotale

Mu Laboratories, matebulo apadera amagwiritsidwa ntchito kuti azindikire kuchuluka kwa shuga, omwe amapereka mfundo zamagazi athunthu a capillary.

Zipangizo zamagetsi zimasanthula plasma. Chifukwa chake, zotsatira za kusanthula kwakunyumba ndi kufufuza kwa labotale ndizosiyana.

Kuti mumasulire chizindikiro cha plasma kukhala mtengo wamagazi, onaninso. Pazomwezi, chithunzi chomwe chinapezedwa pa kusanthula ndi glucometer chimagawidwa ndi 1.12.

Kuti wowongolera nyumba awonetse phindu lofanana ndi labotale, ayenera kuyatsidwa. Kuti mupeze zotsatira zoyenera, amagwiritsanso ntchito tebulo loyerekeza.

Ngati mawonedwe azizindikiro za chipangizochi achitidwa molingana ndi tebulo, malingaliro ake azikhala motere:

• musanadye 5.6-7, 2,
• mutatha kudya, mutatha maola 1.5-2, 7.8.

Ambiri mwa mayeso amakono a glucose amakono ogwiritsira ntchito nyumba amatha kudziwa kuchuluka kwa shuga ndi magazi a capillary, komabe, mitundu ina imapangidwa kuti ikhale ndi magazi onse a capillary, ndi ena - a capillary plasma. Chifukwa chake, pogula glucometer, choyamba, onani mtundu wa kafukufuku womwe chida chanu chimachita.

Van touch Ultra (One Touch Ultra): menyu ndi malangizo ogwiritsira ntchito mita

Pakuwongolera kuchuluka kwa shuga m'magazi a shuga, chida chamakono, chosavuta kugwiritsa ntchito - satellite glucose mita, imakhala wothandiza kwambiri. Pali mitundu yosiyanasiyana ya chipangizochi. Chodziwika kwambiri ndi Satellite Express kuchokera ku kampani yotchuka ya Elta. Njira yoyendetsera imathandizira kudziwa kuchuluka kwa shuga m'magazi a capillary. Malangizowa athandizira kumvetsetsa zovuta zonse zogwiritsira ntchito mita.

OneTouch Ultra glucometer ndi chida chosavuta poyesa shuga wa magazi amunthu kuchokera ku kampani yaku Scottish Life Life. Komanso, chipangizochi chithandiza kudziwa cholesterol ndi triglycerides. Mtengo wapakati wa chipangizochi Van Touch Ultra ndi $ 60, mutha kugula mugulitsidwe apadera pa intaneti.

Chifukwa cha kulemera kwake komanso kukula kwake kocheperako, mita ya OneTouch Ultra ndiyosavuta kunyamula mchikwama chanu ndikugwiritsa ntchito kulikonse kuti mupeze kuchuluka kwa glucose anu. Lero ndi chimodzi mwazida zodziwika bwino zomwe odwala matenda ashuga ambiri amagwiritsa, komanso madokotala kuti achite maphunziro olondola popanda kuchita mayeso mu labotale. Kuwongolera koyenera kumakupatsani mwayi wogwiritsa ntchito mita ya anthu azaka zilizonse.

Kukhudza komwe kumakhala ndi glucometer imodzi ndikothandiza chifukwa sikumatsekeka, chifukwa magazi samalowa. Mwachiwonekere, Van Touch Ultra amagwiritsa ntchito nsalu yonyowa pokonza kapena nsalu yofewa yokhala ndi chowunikira pang'ono kuti ayeretse pansi ndikusamalira chida. Mankhwala okhala ndi zakumwa zoledzeretsa kapena zothetsera m'misempha sizikulimbikitsidwa.

Momwe mungayang'anire mita kuti ikhale yolondola kunyumba: njira

Kuti muwone kudalirika kwa zotsatira zomwe zimapezeka panthawi yoyesedwa magazi ndi glucometer, sikofunikira kuti mubweretse chipangizochi. Onani kulondola kwa chipangizocho mosavuta kunyumba ndi yankho lapadera. M'mitundu ina, zinthu zotere zimaphatikizidwa.

Magetsi owongolera amakhala ndi kuchuluka kwa glucose kosiyanasiyana kosiyanasiyana, zinthu zina zomwe zimathandizira kuwona kulondola kwa zida. Malamulo Akugwiritsa:

• Ikani gawo loyesa mu cholumikizira cha mita.
• Sankhani njira "yankho lolamulira".
• Gwedezani madzi akumwa ndikuwukolowola.
• Fananizani zotsatirazi ndi zomwe zatchulidwa m'botolo.

Malinga ndi ziwerengero zamankhwala, mchaka chimodzi, miyeso 1 miliyoni miliyoni ya glucose imatengedwa ku Russia. Mwa awa, 200 miliyoni amagwera machitidwe a akatswiri m'mabungwe azachipatala, ndipo pafupifupi biliyoni imodzi amayamba kudziyimira pawokha.

Kuyeza kwa glucose ndiye maziko a matenda ashuga onse, osati kokha: mu Unduna wa Zadzidzidzi ndi ankhondo, m'masewera ndi m'malo ophunzirira, m'nyumba zosungirako okalamba komanso zipatala za amayi, njira yofananira ndiyofunika.

Kodi mita ndi yolondola motani ndipo imatha kuwonetsa shuga m'magazi molakwika

ikhoza kupanga zolakwika. DIN EN ISO 15197 imalongosola zofunikira za zida zowunikira nokha za glycemia.

Malinga ndi chikalatachi, kulakwitsa pang'ono kumaloledwa: 95% yazoyimira zitha kukhala zosiyana ndi chizindikiro, koma osapitirira 0.81 mmol / l.

Mlingo womwe chipangizocho chikuwonetsa zotsatira zoyenera zimatengera malamulo a momwe amagwirira ntchito, mtundu wa chipangizocho, ndi zinthu zakunja.

Opanga amati zosiyanazi zimatha kukhala 11 mpaka 20%. Kulakwitsa koteroko sikokulepheretsa chithandizo cha matenda ashuga opambana.

Ndipempha upangiri (Zizindikiro zosiyanasiyana)

Charoite Novembara 14, 2006 10:51

Mu Marichi 2006, thupi 'lidandisangalatsa' ndi matenda otsekemera. Ndili ndi glucometer - One Touch Ultra, ndimayetsa mulingo wa shuga tsiku lililonse ndipo ndinayamba kuzindikira kuti zizindikiro zomwe zimatengedwa kuchokera ku zala zosiyanasiyana ndizosiyana. Mwachilengedwe, zing'onozing'onozi zimakhala pafupi ndi mtima. Kodi ndizolumikizidwa ndi kayendedwe ka glucometer, kodi mumatha kukhala ndi zida zingapo mnyumba? Kodi alipo amene anali ndi izi?

Theark »Nov 14, 2006 11:48 AM

Charoite »Nov 14, 2006 12:00

Theark Novembala 14, 2006 3:13 p.m.

Vichka Novembara 14, 2006 3:22 p.m.

Fedor Novembara 14, 2006 3:42 p.m.

Charoite »Nov 14, 2006 4:28 PM

Zikomo chifukwa cha mayankho, ndiyesetsa kutenga zomwezo kuchokera chala chimodzi.

Fedor, koma zotsatira zake zimasiyana m'njira yochepetsera kapena kuwonjezeka?

Theark »Nov 14, 2006 4:38 pm

ludmila »Nov 14, 2006 9:23 p.m.

Charoite »Nov 15, 2006 10:13

Elena Artemyeva Novembala 15, 2006 4:34 p.m.

Charoite »Nov 15, 2006 5:01 p.m.

Connie Novembala 20, 2006 8:51 AM

Kodi mukudziwa chifukwa chake magazi nthawi zambiri amachotsedwa kuchokera ku chala cha mphete? Chifukwa sichimalumikizidwa ndi zotengera za dzanja. Chifukwa chake ogwira ntchito zamankhwala adandifotokozera. Ine.e. ngati nthendayo ilowa chala, ndiye kuti chala chokha ndi chomwe chimadulidwa, osati dzanja lonse. Chifukwa chake, amayesetsa kuti asatenge magazi kuchokera pachala cholozera, chifukwa ndi wantchito. Chifukwa cha kulumikizidwa uku komanso, monga momwe ndikuwonekera kwa ine, mitengo yosiyanasiyana ya kayendedwe ka magazi, Zizindikirozo zimatha kusiyana, koma kufalikira ndi ngakhale 0.8 mmol. zotsatira zoyenera kwambiri. Poyerekeza magwiridwe a One Touch ndi AccuChek, kufalikira kunali 0.6 mmol.

ludmila Novembara 20, 2006 10:05

Marina hudson »Disembala 17, 2006 6:00 pm

Ndidawerenga m'mawu anzeru kuti asanayeze, palce iyenera kupangidwa popanda kuchitapo kanthu kwa stagnates pogona, etc., kodi nzoona.

Funso lina dzulo dzulo idamenyedwa ndi Uyin nkhuku, zobiriwira, magalasi awiri a vinyo oyera - m'mawa Zizindikiro 4.6.
Dzulo panali nkhuku, koma m'malo mwa vinyo, mowa 1 (0.33) - ndipo m'mawa - 11.4. Ndipo monga momvetsetsa. Kodi chakudya ndi zizindikiro ndizosiyana?

Madokotala amati shuga dolan pang'ono 1.1 - 6.6, koma izi sizokhudza odwala matenda ashuga, koma ngati akudwala, ndiye kuti chidendene cha dollen chimamatira kuzizindikiro zomwe zili pafupi ndi zabwinobwino kapena ayi. Ndani akutulutsa shuga 6.6 ??

Kodi ndingakhulupirire mita?

Ngakhale pali mitundu yambiri yosiyanasiyana, mfundo zogwiritsira ntchito iliyonse mwazomwezi sizisintha. Kuti chipangizocho chizichita nthawi zonse muyezo woyenera ndikupereka zotsatira zodalirika, ndikofunikira kwa wodwalayo kuti asunge malamulo ena ogwiritsira ntchito chipangizocho.

Mamita amayenera kusungidwa malinga ndi zofunikira za malangizo ogwiritsira ntchito. Chipangizocho chimasungidwa kutali ndi malo okhala ndi chinyezi chambiri. Kuphatikiza apo, chipangizocho chimayenera kutetezedwa kwathunthu kuti chiwonekere kutentha ndi kutentha kochepa kwambiri.

Zakudya zowonjezera mwanjira yamiyeso yoyeserera ziyenera kusungidwa nthawi yokwanira. Pafupifupi, moyo wa alumali wa mizere yotere sutsala miyezi itatu mutatsegula phukusi.

Musanagwiritse ntchito muyeso, muyenera kusamba m'manja mosamala. Ma singano opaka pakhungu ayenera kugwiritsidwa ntchito kutaya kokha.

Kuti mutenge zotsalira, muyenera kusankha zala kapena malo akhungu pakhungu. Kuchita za shuga m'madzi am'magazi kumachitika m'mawa popanda kanthu.

Pakufunsa ngati mita ikhoza kukhala yolakwika, yankho ndi inde, lomwe nthawi zambiri limakhudzana ndi zolakwika zomwe zimapangidwa pakuwunikira. Pafupifupi zolakwika zonse zimatha kugawidwa m'magulu awiri akuluakulu:

• zolakwika za ogwiritsa ntchito
• zolakwa zamankhwala.

Zolakwika za ogwiritsa ntchito ndikuphwanya luso la kugwiritsa ntchito chipangizochi komanso zowonjezera, ndipo zolakwika zamankhwala ndizomwe zimachitika mwanjira zapadera ndi kusintha kwa thupi panthawi yoyeza.

Zolakwitsa zazikulu za ogwiritsa ntchito

Kodi ma glucometer ndi olondola motani zimadalira momwe magawo oyesera adapangidwira ntchito yawo.

Zotsalazo ndi chipangizo chovuta kwambiri komanso chosatetezeka. Ndizosagwira molakwika zomwe zimatsogolera ku mfundo yoti ma glucometer amawonetsa zotsatira zosiyana.

Kuphwanya malamulo osungirako kulikonse kumabweretsa kusintha kwa magawo a physico-mankhwala m'dera lamalo a reagents, omwe amatsogolera pakupotoza zotsatira.

Musanatsegule mapaketi ndi mizera yotheka, muyenera kuphunzira malangizo omwe aperekedwa ndikuwasunga motsatira zomwe zikufunika.

Zolakwika zomwe ogwiritsa ntchito ambiri ndi izi:

1. Kuphwanya kosungidwa kwa mizere yoyeserera, kumachita ndi kutentha kochepa kwambiri, komwe kumabweretsa kuwonongeka kwawo, chifukwa chomwe chimakhala chosatheka kudziwa chizindikiro chodalirika. Kugwiritsa ntchito kotheka kotereku kumabweretsa kuti mita ikhoza kuchepetsa kapena kuchulukitsa zotsatira za kusanthula.
2. Vuto linanso ndi kusungitsa zingwe m'botolo lotsekedwa mwamphamvu.
3. Zotsatira zosadalirika zitha kutsimikiziridwa ndi chipangizocho pogwiritsa ntchito zingwe zoyeserera ndi nthawi yosungirako yomwe yatha.

Zotsatira zolakwika zitha kutsogoleredwa ndikuphwanya malamulo oyang'anira chipangizo chamagetsi. Choyambitsa chovuta kwambiri ndi kuipitsidwa kwa chipangizocho. Chipangizocho sicholimba, chomwe chimakwiyitsa kufumbi komanso fumbi zina mwa izo. Kuphatikiza apo, kugwiritsa ntchito mosasamala kwa chipangizocho kungawononge makina.

Popewa kuwonongeka kwa chipangizocho, chizisungidwa mwapadera, pachifukwa ichi, chopangidwa, chomwe chimabwera ndi mita.

Zolakwika zazikulu zamankhwala

Zolakwika zamankhwala zimachitika pakumala popanda kuganizira mtundu wapadera wa thupi, komanso ngati kuwunikirako kumachitika popanda kuganizira kusintha kwa thupi. Zolakwika zofala kwambiri mgululi ndizochulukirapo popanda kuganizira kusintha kwa hematocrit ndi kapangidwe kazinthu zamagazi.

Zolakwika pakugwiritsidwa ntchito kwa chida zimachitikanso ngati, munthawi ya kuyeza kuchuluka kwa shuga, wodwala amamwa mankhwala ena.

Kuphatikizika kwa magazi kumaphatikizapo madzi a m'magazi ndi zinthu zomwe zimapangidwa momwemo. Kusanthula, magazi onse a capillary amagwiritsidwa ntchito. Ma Reagents amalumikizana ndi shuga m'magazi a plasma, ndipo sangathe kulowa m'magazi ofiira a m'magazi. Nthawi yomweyo, maselo ofiira a m'magazi amatha kuyamwa kuchuluka kwa glucose, komwe kumayambitsa kukayikira kwa zizindikiro zomaliza.

Mita imayatsidwa ndikuwongoleredwa kuti igwirizane ndi kuchuluka kwa maselo ofiira a magazi. Ngati hematocrit isintha, ndiye kuti kuchuluka kwa shuga m'magazi ofiira kumasinthanso, ndipo izi zimakhudza kulondola kwa zotsatira zake.

Kusintha kwa kapangidwe kazinthu kazinthu ndimagazi kumakhala ndikuwatsitsa ndi okosijeni kapena kaboni dayokisaidi, triglycerides ndi urea. Zinthu zonsezi, zomwe zili mkati mwake zimasochera kuchoka pazomwe zili, zimakhudza kwambiri kulondola kwa chipangizocho.

Kuphatikiza apo, kusowa kwamadzi ndikofunikira kwambiri pakukula kwa glucose m'thupi. Mphamvu yamankhwala pakuwonetsa mashuga amwazi ndikusintha kuchuluka kwa shuga m'magazi mothandizidwa ndi mankhwala monga:

• Paracetamol
• Dopamine,
• Acetylsalicylic acid ndi ena.

Kuphatikiza apo, kudalirika kwa zotsatira zomwe zimapezeka panthawi yomwe njirayi imakhudzidwa ndi chitukuko cha ketoacidosis mthupi.

Tebulo lotanthauzira zotsatira za glucometer zomwe zidapangidwira kusanthula shuga kwamadzi m'magazi

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. Mutu H1:

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

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.

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.

Miyezo ya shuga ya capillary

Ngati mawonedwe azizindikiro za chipangizochi achitidwa molingana ndi tebulo, malingaliro ake azikhala motere:

• musanadye 5.6-7, 2,
• mutatha kudya, mutatha maola 1.5-2, 7.8.

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.

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, matundu ena oyesera amafunikira. Zotsatira zake ziyenera kufufuzidwa kawiri ndi njira zomwe zimatsitsidwa kuti muchepetse shuga.

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

1. Manja manja asanafike pama sampu amayenera kutsukidwa bwino ndi sopo ndikuwuma ndi thaulo.
2. 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.
3. 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.
4. 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.
5. Mukamaliza kukwapula, pukuta droplet yoyamba kutuluka. Sikoyenera kusanthula chifukwa imakhala ndi madzi ambiri ophatikizana.
6. Chotsani dontho lachiwiri pa mzere woyesera, kuyesera kuti musamamenye.

Zipangizo zamakono zama glucose zimasiyana ndi zomwe zimatsogolera momwe zimapangidwira chifukwa sizoyatsidwa ndi magazi athunthu, koma ndi madzi a m'magazi. Kodi izi zikutanthauza chiyani kwa odwala omwe amadziyang'anira pawokha ndi glucometer? Kuwerengera kwa plasma kwa chipangizocho kumakhudza kwambiri zomwe chipangizocho chikuwonetsa ndipo nthawi zambiri zimayambitsa kuwunika kolakwika kwa zotsatira zakusanthula. Kuti mudziwe zomwe zili zenizeni, matebulo otembenuka amagwiritsidwa ntchito.

Zomwe zotsatira za kusanthula kwa shuga m'magazi zimatha kusiyanasiyana ndi milingo ya zasayansi

Nthawi zambiri zimachitika kuti muyeso umachitika shuga m'magazi kugwiritsa ntchito chida chapaderamagazi shuga mita zimasiyana kwambiri ndi zizindikiro zomwe zimapezeka mukamagwiritsa ntchito glucometer ina kapena kuchokera pazofunikira zomwe zimachitika mu labotale. Koma musanachimwe pakuyenda kolondola kwa mita, muyenera kutengera kulondola kwa njirayi.

Tiyenera kudziwa kuti kusanthula glycemia kunyumba, komwe lero kwakhala kofala kwa anthu ambiri omwe ali ndi matenda ashuga, amafunika kuwongolera koyenera, chifukwa Chifukwa chobwereza-bwereza njira iyi yomwe ikuwoneka ngati yosavuta, kuwongolera tsatanetsatane wa kukhazikitsidwa kwake kungafooketse. Chifukwa chakuti "zinthu zazing'ono" zimanyalanyazidwa, zotsatira zake sizingakhale zoyenera kuwunika. Kuphatikiza apo, ziyenera kukumbukiridwa kuti muyezo wa shuga wamagazi ndi glucometer, monga njira ina iliyonse yofufuzira, ili ndi zisonyezo zina zogwiritsidwa ntchito ndi zolakwika zovomerezeka. Poyerekeza zotsatira zomwe zapezeka pa glucometer ndi zotsatira za chida china kapena data yamulebhu, zinthu zingapo ziyenera kukumbukiridwa.

Amadziwika kuti zotsatira za kafukufuku wa glycemia wogwiritsa ntchito glucometer zimakhudzidwa ndi:

1) kukhazikitsa koyenera kwa njira yogwirira ntchito ndi chipangizocho zingwe zoyeserera,

2) kukhalapo kwa cholakwika chovomerezeka cha chipangizocho,

3) kusinthasintha kwakuthupi ndi zinthu zamwazi m'magazi (hematocrit, pH, etc.),

4) kutalika kwa nthawi pakati pa kutenga zitsanzo zamagazi, komanso nthawi yanthawi yayitali pakati pa kutenga magazi ndi kuyesedwa pambuyo pake mu labotale.

5) kukhazikitsa koyenera kwa njira yopezera dontho la magazi ndikugwiritsira ntchito kuyesa mzere,

6) calibration (kusintha) kwa chipangizo choyezera kutsimikiza kwa shuga m'magazi athunthu kapena plasma.

Zofunika kuchita kuti zitsimikizike kuti zotsatira za kuyesedwa kwa magazi ndi glucometer ndizodalirika momwe zingatheke?

1. Pewani kuphwanya kosiyanasiyana kwa njira yogwirira ntchito ndi chipangizocho ndi zingwe zoyesa.

Glucometer ndi njira yosavuta yoyezera shuga wamagazi m'magazi athunthu omwe amagwiritsa ntchito mayeso amodzi. Pazoyeserera ntchito ya Mzere ndi mphamvu ya glucose ya glucose-oxidative, yotsatiridwa ndi kutsimikiza kwa electrochemical kapena Photochemical pakutsimikiza kwa izi, kuchuluka. shuga wamagazi.

Kuwerengera kwa mita kuyenera kuonedwa ngati chidziwitso ndipo nthawi zina kumafuna kutsimikiziridwa ndi njira yantchito!

Chipangizocho chikutha kugwiritsidwa ntchito pochita zamankhwala pamene njira za labotale sizikupezeka, pakafukufuku wofufuza, pazochitika zadzidzidzi ndi zikhalidwe zam'munda, komanso pakugwiritsa ntchito payekha pa ntchito yoyang'anira ntchito.

Mamita sayenera kugwiritsidwa ntchito kudziwa shuga:

- mu seramu yamagazi,

- m'magazi a venous,

- m'magazi a capillary pambuyo posungira kwakanthawi (kupitilira mphindi 20-30),

- ndi kuchepa kwambiri kapena kukhathamiritsa kwa magazi (hematocrit - osakwana 30% kapena kupitirira 55%),

- odwala omwe ali ndi matenda oopsa, zotupa zoyipa ndi edema yayikulu,

- mutatha kugwiritsa ntchito ascorbic acid woposa gramu 1.0 kudzera pakamwa (izi zimapangitsa kuti zizindikirazo zizikulirakulira),

- ngati machitidwe osungira ndikugwiritsa ntchito sanaperekedwe mu malangizo ogwiritsira ntchito (nthawi zambiri kutentha kwa malo: kosungirako - kuchokera + 5 ° С mpaka + 30 ° С, kugwiritsa ntchito - kuchokera + 15 ° С mpaka + 35 ° С, madontho otentha) - kuchokera 10% mpaka 90%),

- pafupi ndi magwero amagetsi amagetsi (ma foni am'manja, uvuni wama microwave, etc.),

- osayang'ana chipangizocho pogwiritsa ntchito chingwe chowongolera (njira yothetsera), mutasintha mabatire kapena mutakhala nthawi yayitali yosungirako (njira yotsimikizirira imaperekedwa mu malangizo ogwiritsira ntchito).

Magulu Oyesa a Glucometer sayenera kugwiritsidwa ntchito:

- tsiku lotha litasonyezedwa pamapake awo,

- itatha nthawi yogwiritsa ntchito mizere yoyesera kuyambira pomwe phukusi lidatsegulidwa,

- ngati nambala yoyimira sigwirizana ndi kukumbukira kwa chipangizocho ndi nambala yomwe yasonyezedwa pakukhazikitsa mizera yoyeserera (njira yokhazikitsira kachidindo koyenera imaperekedwa mu malangizo ogwiritsira ntchito),

- ngati machitidwe osungira ndikugwiritsa ntchito sanaperekedwe mu malangizo ogwiritsira ntchito.

2. Mukuyenera kudziwa kuti mita-glucometer iliyonse imakhala ndi cholakwika chovomerezeka.

Malinga ndi zomwe za WHO zikuchitika, zotsatira za kuyesedwa kwa shuga m'magazi zomwe zimagwiritsidwa ntchito pogwiritsa ntchito chipangizo chogwiritsira ntchito (kunyumba) zimawerengedwa kuti ndizolondola ngati zingagwere pakati pa + / 20% yazotsatira zakuwunika kumene pogwiritsa ntchito zida , komwe chosankha mosamalitsa wa labotale amatengedwa, chifukwa kupatuka kwa +/- 20% sikutanthauza kusintha kwamankhwala. Chifukwa chake:

- palibe magawo awiri wamagazi, ngakhale wopanga mmodzi ndi mtundu umodzi, sangapereke zotsatirazi nthawi zonse,

- njira yokhayo yowunika kulondola kwa glucometer ndikufanizira zotsatira zomwe zapezeka mukamagwiritsa ntchito ndi zotsatira za labotore yothandizira (ma labotale oterewa, monga lamulo, mabungwe azachipatala apamwamba kwambiri), osati ndi glucometer ina.

3. Zomwe zili ndi shuga m'magazi zimakhudzidwa ndi kusinthasintha kwakuthupi ndi zamankhwala amwazi m'magazi (hematocrit, pH, gel, etc.)

Maphunziro oyerekezera a shuga wamagazi amayenera kuchitidwa pamimba yopanda kanthu komanso osagwirizana ndi zomwe zimatchulidwa (m'mabuku ambiri a shuga, kuchuluka kwa shuga m'magazi amachokera ku 4.0-5.0 mpaka 10,0.0.0 mmol / l).

4. Zotsatira zakuwunika kwa glycemia zimatengera kutalika kwakutali pakati pa kutenga zitsanzo zamagazi, komanso nthawi yayitali pakati pa kutenga zitsanzo zamagazi ndi kuyesedwa kwina kwa ma laboratori.

Ma sampuli am'magazi amayenera kutengedwa nthawi yomweyo (ngakhale m'mphindi khumi ndi zisanu kusintha kwakukulu kwa glycemia m'thupi kumatha kuchitika) komanso chimodzimodzi (kuyambira chala ndipo makamaka kuchokera kuchomanga kamodzi).

Kuyesedwa kwa labotale kuyenera kuchitika mkati mwa mphindi 20-30 mutatenga zitsanzo zamagazi. Kuchuluka kwa glucose pamwambo wamagazi wotsalira firiji kumachepera ora limodzi ndi 0,389 mmol / L chifukwa cha glycolysis (njira yopanga shuga ndi maselo ofiira amwazi)

Mungapewe bwanji kuphwanya njira yopangira dontho la magazi ndikugwiritsa ntchito lingaliro loyesa?

1. Sambani manja anu ndi sopo kwinaku mukumawotha pansi pa madzi ofunda.

2. Pukutsani manja anu ndi thaulo yoyera kuti pasakhale chinyontho pa iwo, pang'onopang'ono mukuwasula bwino kuchokera m'chiuno mpaka kumanja.

3. Tsitsani chala chanu chaching'ono cha magazi pansi, ndikuchigwadira bwino kuti magazi ayambe kuyenda bwino.

. Pogwiritsa ntchito chida chakudulira chala, pukutani khungu ndi mowa pokhapokha ngati simungathe kusamba m'manja bwinobwino. Mowa, umasokoneza khungu, umapangitsa kupweteka kwambiri, komanso kuwonongeka kwa maselo am'magazi ndikutuluka kwakuthupi kumabweretsa chidwi.

5. Kanikizani chida chopyoza chala mwamphamvu kuti musunthe kudutsa pakhungu ndi lancet, kuonetsetsa kuya kwakuya komanso kupweteka pang'ono.

6. Kuboola chala chake pambali, kusinthanitsa zala kuti muvulaze.

7. Mosiyana ndi malingaliro am'mbuyomu, pakalipano, kutsimikiza kwa shuga m'magazi, palibe chifukwa chofunikira kupukuta dontho loyamba la magazi ndikugwiritsa ntchito wachiwiri wokha.

6. Tsitsani chala chanu pansi, kumukulitsa ndi kusesa, mpaka kugwetsa mafowo. Ndi kukakamira kwakukulu kwa chala cha pakamwa, madzi am'madzimadzi amatha kutulutsidwa limodzi ndi magazi, zomwe zimayambitsa chidwi.

7. Kwezani chala chanu mu mzere woyeretsa kuti dontho lizikokedwa momasuka ku malo oyeserera ndi kuphimba kwathunthu (kapena kudzaza capillary). Mukamawaza magazi "ndi gawo loonda pamalo oyeserera ndikugwiritsa ntchito dontho la magazi, zowerengera zimasiyana ndi omwe apezeka ndikutsika dontho.

8. Mukalandira dontho la magazi, onetsetsani kuti malo opumira sawasokoneza.

5. Zotsatira za kuyesa kwa glycemia zimayendetsedwa ndikuwongolera (kusintha) kwa chipangizo choyeza.

Madzi a m'magazi ndiye gawo lake lamadzimadzi lomwe limapezeka pambuyo pakupanga ndikuchotsa maselo amwazi. Chifukwa cha kusiyana kumeneku, kuchuluka kwa glucose m'magazi athunthu nthawi zambiri kumakhala 12% (kapena 1,12 nthawi) poyerekeza ndi plasma.

Malinga ndi malingaliro a mabungwe apadziko lonse a anthu odwala matenda ashuga, mawu akuti "glycemia kapena shuga m'magazi" tsopano amadziwika kuti akutanthauza kuchuluka kwa shuga m'magazi am'magazi, ngati palibe zowonjezera kapena kusungunuka, komanso kuwerengera kwa zida zodziwira shuga m'magazi (onse ogwira ntchito komanso ntchito) Ndi chizolowezi kuwerengera ndi plasma. Komabe, ena mwa ma glucose mita pamsika masiku ano akadali ndi vuto lonse la magazi. Kuti muyerekeze zotsatira za kudziwa glucose wamagazi pamamita anu ndi zotsatira zama labotor, muyenera choyamba kusamutsa zotsatira za labotale ndikuyimira dongosolo la mita yanu (Gome 1).

Gome 1. Kuyanjana kwa shuga pamagazi athunthu ndi madzi a m'magazi

Magazi Athunthu a Magazi Athunthu Magazi a Magazi Athunthu Magazi a Magazi Amwazi

2,0 2,24 9,0 10,08 16,0 17,92 23,0 25,76

3,0 3,36 10,0 11,20 17,0 19,04 24,0 26,88

4,0 4,48 11,0 12,32 18,0 20,16 25,0 28,00

5,0 5,60 12,0 13,44 19,0 21,28 26,0 29,12

6,0 6,72 13,0 14,56 20,0 22,40 27,0 30,24

7,0 7,84 14,0 15,68 21,0 23,52 28,0 31,36

8,0 8,96 15,0 16,80 22,0 24,64 29,0 32,48

Njira yofananizira zotsatira za shuga m'magazi omwe amapezeka pa glucometer ndi zotsatira za labotale (posanena kuti awonongeke ndikuwonetsetsa njira zomwe zingatenge ndikuwerengera magazi).

1. Onetsetsani kuti mita yanu siikhala yodetsedwa ndipo code pamamita ikufanana ndi code kwa mizere yoyesera yomwe mukugwiritsa ntchito.

2. Yesani mayeso ndi Mzere (njira yothetsera) pa mita iyi:

- ngati mwalandira zotsatira zakupatula malire, nenani ndi wopanga,

- ngati zotsatira zake zili m'malo osiyanasiyana - chipangizocho chitha kugwiritsidwa ntchito kutsimikiza shuga m'magazi.

3.Dziwani momwe mita yanu yamagazi ndi zida zama labotale zomwe zimagwiritsidwa ntchito poyerekeza zimayatsidwa, i.e. omwe magazi a magazi amagwiritsidwa ntchito: magazi am'madzi kapena magazi athunthu a capillary. Ngati zitsanzo zamagazi omwe agwiritsidwa ntchito phunziroli sizikugwirizana, ndikofunikira kuti ziwonetsenso zomwe zikuwoneka mu njira imodzi yogwiritsidwa ntchito pa mita yanu.

Poyerekeza zotsatira zomwe zapezedwa, munthu asayiwale za zolakwika zovomerezeka za +/- 20%.

Ngati thanzi lanu silikugwirizana ndi zotsatira zakudziyang'anira nokha wamagazi m'magazi ngakhale kuti mumatsatira mosamala malangizo onse omwe amaperekedwa mogwirizana ndi malangizo ogwiritsira ntchito glucometer, muyenera kufunsa dokotala ndikufotokozera kufunika koyezetsa magazi!

Chifukwa chomwe kuwerengera kwa glucose pama gluceter akhoza kusiyana ndi ma laborator

Njira yoyezera shuga imakhala yopindulitsa ndipo nthawi zina imachitika moyenera. Kuphatikiza apo, munthu samangokhala ndi chidwi ndi "zokhumudwitsa" monga tsiku lotha kumaliza kwa mayeso, momwe zimakhalira ndi mzere wopitilira mayeso ndi nambala yolowetsedwa mu mita, kukonza mita pambuyo pobwezeretsa, kunyenga kutengera kutengera kudya, manja oyera ndi zina zotero. Ndipo kenako zotsatira zake sizingakhale zolondola. Kuphatikiza apo, kugwiritsa ntchito nthawi yayitali kunyumba, pakhoza kukhala zolakwika zazing'ono. Ndipo izi sizikugwira ntchito pa glucometer okha. Zambiri zosanthula zingakhale nazo

Mphamvu ya izi:

1. Kusintha kwatsiku ndi tsiku m'ziwonetsero zamagazi, zamagazi osiyanasiyana (chiŵerengero cha zinthu zofananira ndi plasma, pH, osmolarity).

2. Momwe njira zowunikira zimachitikira molondola, momwe glucometer ndi chingwe choyesera chimagwiritsidwira ntchito, njira yogwiritsira ntchito dontho la magazi kumunsi.

3. Chida chilichonse chili ndi malire cholakwika pakuwunika. Muyenera kudziwa ngati chipangizocho chikuyatsidwa ndi magazi athunthu, chifukwa cha madzi a m'magazi. Zipangizo tsopano zonse zimakhala ndi magazi kapena magazi a m'magazi. (Satellite tsopano ndi chida chokhacho chomwe chimayeza glycemia ndi magazi a capillary, ena onse ndi plasma).

4. Ndikofunikira kuganizira nthawi yomwe kulumikizidwa kwa nyumbayo ndi mpanda wotsatira wogwirira ntchito patapita kanthawi. Makhalidwe azisiyanasiyana. Makhalidwewa sangasiyane kwambiri chifukwa cha nthawi, koma chifukwa cholakwitsa pa chipangizocho (chomwe ndi + / + 20% pama labotale onse).

Anthu omwe ali ndi glucometer pakugwiritsa ntchito amadziwa kuti zomwe amazitsatira ndizosiyana ndi zomwe zimapezeka mu labotale. Ndipo mita ya glucose yoyandikana nayo ingawonetse zotsatira zina. Palibe chodabwitsa pamenepa. Koma mulimonsemo, muyenera kudziwa momwe mungapangire kuyezetsa magazi kwa shuga. Zomwe muyenera kulabadira:

1. Sambani m'manja ndi madzi ofunda musanachitike. Kenako ayenera kupukuta ndi thaulo.

2. Finyani chala pang'ono komwe mukayambirako. Izi ndizofunikira kuti magazi azithamanga komanso magazi azituluka.

3. Ngati wodwala agwiritsa ntchito chipangizo kubaya khungu, ndiye kuti simungathe kugwiritsa ntchito antiseptic. Imagwiritsidwa ntchito ndiye ngati palibe zofunikira kusamba m'manja. Komanso mowa ukhoza kusokoneza umboni ukalowa m'magazi.

4. Ikani chidacho mwamphamvu pakhungu, kanikizani kuponya chala ndi lancet. Dontho la magazi liyenera kuwoneka nthawi yomweyo. Izi zikapanda kuchitika, mutha kupukusa chala chanu pang'ono. Musatengeke kwambiri. Kupanda kutero, madzimadzi a intercellular ayamba kumasulidwa. Izi zikuchititsa kusintha kwa mfundo (kuchepa). Dontho loyamba liyenera kuchotsedwa (kuchuluka kwa glucose m'magazi a interellular komanso m'magazi a capillary ndikosiyana, pakhoza kukhala zolakwika). Ndipo ngakhale lamulo ili nthawi zambiri limanyalanyazidwa, dontho lachiwiri lokha liyenera kubweretsedwa mzere woyezera.

5. Kenako muyenera kubweretsa chala chanu ndi dontho la magazi kumunsi kuti dontho likokedwe kumalo oyesedwa. Ngati mumisilira magazi mzere, kubweretsanso magaziwo poyesa, ndiye kuti kuwerenga sikungakhale kolondola.

6. Pambuyo pa njirayi, chidutswa cha ubweya wa thonje louma chitha kupakidwa pachala.

Dziwani kuti nthawi zambiri kunyenga kumachitika pa zala za dzanja. Ndiwothandiza aliyense. Koma, sampling ya magazi imachitidwanso kuchokera kumakutu, m'manja, ntchafu, miyendo yotsika, nkono, ndi phewa. Koma malo awa ali ndi zovuta zina. Zikatero, ma glucose mita ayenera kukhala ndi zipewa zapadera za AST. Inde, ndipo zida zopyoza khungu zimalephera mwachangu, singano ndizosemphana, kuthyoka. Aliyense angathe kudzisankhira malo abwino. Mulimonsemo, kusanthula kuchokera m'malo osiyanasiyana ampanda kumakhala kosiyana. Ukamachita bwino mitsempha yamagazi, ndizotheka zotsatira zake zimakhala zolondola. Malo oyenera kuyeretsa magazi akadali zala. Zala zonse 10 zitha kugwiritsidwa ntchito popereka magazi!

Kuyandikira kwa iwo ndi kufunikira kwa kusanthula kwake kudzakhala manja ndi makutu.

Miyezo yoyeserera imatengera nthawi yayitali pakati pa zitsanzo za magazi kunyumba ndi kuchipatala. Ngakhale patadutsa mphindi 20, zosiyana zimatha kusintha. Ngati magazi amatengedwa nthawi yomweyo kuchokera kumalo amodzi, ndiye kuti zitha kukhala zofanana. Zolakwika! Ma glucometer ali ndi cholakwika. Ndipo kokha ngati glucometer omwe amagwiritsidwa ntchito. Mu ma labotale, phunziroli liyenera kuchitidwa mukamaliza njira yotenga magazi kuti awunikidwe. Kupanda kutero, pakapita nthawi, phindu la shuga mu sampuli limatsika. Malinga ndi zotsatira za zomwe ndimasamba ndikuwerengetsa izi zimapangidwa.

Mita iliyonse imayenera kuwerengedwa (imasinthidwa kale - ngati ndi madzi a m'magazi kapena magazi)! - kukhala ndi makonzedwe ena. Magazi amakhala ndi madzi am'magazi (gawo lamadzi) komanso zinthu zofanana. Mwa kusanthula, glucose m'magazi athunthu ndi ochepa poyerekeza ndi plasma. Malinga ndi malingaliro a endocrinologists, shuga m'magazi amatanthauza kuchuluka kwake mu plasma.

Kusintha glucometer kumachitika plasma. Zonse !! Glucometer amayesa shuga m'magazi a capillary, koma kenako amasinthidwa kukhala plasma kapena ayi! Koma muyenera kudziwa kuti zida zina zitha kupakidwa magazi athunthu. Zonsezi zimadziwika mu malangizo ogwiritsira ntchito glucometer.

Kuti muthane ndi glucometer wa wodwala payekha, muyenera kuchita izi:

1. Mndandanda wazida zoyesa ukugwirizana ndi code pa chipangizocho, palibe zowonongeka pamamita, sizolakwika.

2. Kenako, kuyesedwa ndi chingwe chowongolera kuyenera kuchitika pa mita.

3. Ngati munthawi imeneyi njirazi zili kunja kwa malo oyenera, muyenera kulankhulana ndi wopanga.

4. Ngati chilichonse chili mgulu lenileni, ndiye kuti mita ingagwiritsidwenso ntchito.

Kodi tingatani kuti zotsatira za kuwunikaku zikhale zolondola? Choyamba, muyenera kuchita dongosolo lolondola la zitsanzo za magazi kuti muzipenda. Gluceter ndi zida zoyesera kuchuluka kwa shuga (shuga) m'magazi a capillary kwa odwala. Kugwiritsa ntchito molumikizana ndi chingwe chogwiritsa ntchito kamodzi. Zizindikiro zake ndizowonetsa, nthawi zina zimafuna kutsimikiziridwa mu labotale (liti?). Mamita amatha kugwiritsidwa ntchito ngati njira zopangira ma labotale sizipezeka, pakuyesa kwa chipatala, pakugwiritsa ntchito payekha ndi odwala omwe ali ndi matenda a shuga. (Ndikadachotsa mawuwa!)

Nthawi zina, kugwiritsa ntchito mita sikothandiza (kungakhale kolakwika):

1. Posankha shuga mu seramu, magazi a venous - pamenepa, ndikuvomereza - sizothandiza.

2. Odwala omwe ali ndi matenda osakhazikika a somatic, omwe ali ndi oncology, matenda opatsirana (kusintha kwa ziwongo za magazi! Nthawi zina, muyeso siwothandiza koma wofunikira !!).

3. Kufufuza kwa magazi a capillary panthawi yosungirako kwotalikirapo (pambuyo pa mphindi 25) (nkhaniyi ikuchokera kuti?).

4. Kuyesedwa kwa magazi kumachitika pambuyo poti wodwala watenga vitamini C (kuwerenga kwake kudzakhala kokulirapo kuposa momwe alili).

5. Kuphwanya kosungira chida - ichi chikuwonetsedwa mu malangizo. Kugwiritsa ntchito mita pafupi ndi gwero la ma radiation yamagetsi (microwave, mafoni am'manja (ndikukayika).

6. Kuphwanya kosungidwa kwa mizera yoyeserera - kuphwanya kwa alumali moyo wakutseguka, chipangizo sichingafanane ndi nambala yomwe ili pakatundu. (Ichi ndi chofunikira kwambiri, muyenera kuchiyambitsa kaye!)

Ndipo pamapeto pake, ziyenera kuzindikirika kuti glucometer aliyense ali ndi zolakwika zina muyezo wa shuga. Malinga ndi malingaliro a WHO, chizindikiro ichi, chomwe chimagwiridwa kunyumba pogwiritsa ntchito glucometer, chimawoneka chodalirika ngati chikugwirizana ndi kuchuluka kwa labotale mkati mwa + - 20%. Chifukwa chake, ngati thanzi lanu silikugwirizana ndi zomwe zili pamamita ndipo mumalipira malinga ndi malamulo onse, ndiye muyenera kufunsa dokotala. Adziwonetsa wodwalayo kukayezetsa mu labotale ndipo ngati kuli koyenera, adzakonza chithandizo.

Matenda a shuga ndi matenda omwe amafunika kuyang'aniridwa pafupipafupi.

Chifukwa chake, odwala ambiri amagwiritsa ntchito glucometer kuwunika shuga.

Njira imeneyi ndi yovomerezeka, chifukwa muyenera kuyeza glucose kangapo patsiku, ndipo zipatala sizingakupatseni kuyesedwa kotere. Komabe, pakapita nthawi, mita imayamba kuwonetsa mawonekedwe osiyanasiyana. Zomwe zimayambitsa zolakwika zamakina zimakambirana mwatsatanetsatane m'nkhaniyi.

Choyamba, ziyenera kudziwika kuti glucometer singagwiritsidwe ntchito pozindikira. Chida chonyamulirachi chimapangidwira miyezo ya shuga ya kunyumba. Ubwino ndikuti mutha kupeza umboni musanadye komanso mutatha kudya, m'mawa ndi madzulo.

Zolakwika za glucometer zamakampani osiyanasiyana ndizofanana - 20%. Malinga ndi ziwerengero, mu 95% yamilandu yolakwika imapitilira chizindikiro ichi. Komabe, sikulakwitsa kudalira kusiyana pakati pa zotsatira zoyesedwa pachipatala ndi zina zapakhomo - kotero kuti muulule kuwonekera kwa chipangizocho. Apa muyenera kudziwa lingaliro limodzi lofunikira: kusanthula kwa labotale pogwiritsa ntchito madzi a m'magazi (gawo lamadzi lomwe limatsalira pambuyo poti maselo a magazi), ndipo m'magazi athunthu zotsatira zake zimakhala zosiyanasiyana.

Chifukwa chake, kuti mumvetsetse ngati shuga ya magazi ikuwonetsa gluceter wanyumba molondola, cholakwikacho chikuyenera kutanthauziridwa motere: +/- 20% ya zotsatira za labotale.

Ngati chiphaso ndi chitsimikizo cha chipangizocho chitha, mutha kudziwa kulondola kwa chipangizocho pogwiritsa ntchito "Control solution". Njirayi imapezeka pokhapokha pakumathandizira, chifukwa muyenera kulumikizana ndi wopanga.

Kuwulula ukwati ndikotheka ndi kugula. Pakati pa glucometer, Photometric ndi electro-mechanical ndizosiyanitsidwa. Mukamasankha chida, pemphani miyezo itatu. Ngati kusiyana pakati pawo kwadutsa 10% - ichi ndi chipangizo chosalakwika.

Malinga ndi ziwerengero, ma photometric ali ndi mitengo yapamwamba yokwana - pafupifupi 15%.

Makalata ochokera kwa Owerenga

Agogo anga akhala akudwala matenda a shuga kwa nthawi yayitali (mtundu 2), koma posachedwapa mavuto atuluka pamiyendo ndi ziwalo zamkati.

Mwangozi ndidapeza nkhani pa intaneti yomwe idapulumutsa moyo wanga. Zinali zovuta kuti ndione chizunzo, ndipo fungo loipa m'chipindacho linali kundiyambitsa misala.

Kupyolela pa zamankhwala, agogo aja adasinthanso momwe akumvera. Ananenanso kuti miyendo yake sikupweteka komanso zilonda zake sizinayende; sabata yamawa tidzapita ku ofesi ya dotolo. Falitsa ulalo wa nkhaniyo

Njira yoyezera shuga ndi glucometer siovuta - muyenera kungotsatira malangizo mosamala.

Kuphatikiza pa chipangizocho, muyenera kukonzekera mayeso (oyenera mtundu wake) ndi ma punctures otayika, otchedwa lancets.

Momwe mungasungire shuga kukhala wabwinobwino mu 2019

Kuti mita igwire ntchito molondola kwanthawi yayitali, ndikofunikira kusunga malamulo angapo osungira:

• Osayandikira pakusintha kwa kutentha (pawindo pansi pa chitoliro).
• pewani kulumikizana ndi madzi,
• nthawi yopanga mayeso ndi miyezi itatu kuyambira pomwe amatsegula phukusi,
• zoyeserera zimakhudza kugwira ntchito kwa chipangizocho,

Kuti muyankhe molondola chifukwa chake mita ikuwonetsa zotsatira zosiyana, muyenera kuchotsa zolakwika chifukwa chosasamala pamayeso. Tsatirani malangizo pansipa:

1. Chala chisanagundidwe, muyenera kuyeretsa manja anu ndi mafuta odzola, dikirani kuyerekezera kwathunthu. Musakhulupilire kuti akupukuta pamutuwu pambuyo pake zotsatira zake zidzapotozedwa.
2. Manja ozizira amafunika kuti aziwotha.
3. Ikani gawo loyeserera mu mita mpaka litadina, liyenera kuyatsidwa.
4. Chotsatira, muyenera kuboola chala chanu: dontho loyamba la magazi siloyenera kuwunika, chifukwa chake muyenera kuponya dontho lotsatira pa Mzere (osamasefa). Sikoyenera kukakamiza malo a jakisoni - madzi ochulukirapo owonjezera amawonekera mwanjira yomwe imakhudza zotsatira.
5. Kenako muyenera kuchotsa mzere kuchokera ku chipangizocho, pomwe icho chimazimitsidwa.

Titha kunena kuti ngakhale mwana amatha kugwiritsa ntchito mita, ndikofunikira kuti abweretse "ku automatism". Ndikofunika kujambula zotsatira kuti muwone zonse za glycemia.

Limodzi mwa malamulo ogwiritsa ntchito metara likuti: ndizosathandiza kuyerekeza kuwerengera kwa zida zosiyanasiyana kuti muwone kulondola. Komabe, zitha kuchitika kuti poyesa magazi nthawi zonse kuchokera pachala cholozera, wodwalayo tsiku lina adzaganiza zotenga dontho la magazi kuchokera chala chaching'ono, "pakuyesa kuyesera." Ndipo zotsatira zake zimakhala zosiyanasiyana, ngakhale zingakhale zachilendo bwanji, chifukwa chake muyenera kudziwa zomwe zimapangitsa shuga osiyanasiyana pazala zosiyanasiyana.

Zotsatirazi zomwe zingayambitse kusiyanasiyana pakuwerengedwa kwa shuga zimatha kusiyanitsidwa:

• makulidwe a khungu la chala chilichonse ndiwosiyana, zomwe zimatsogolera pakuphatikiza kwamadzi amadzimadzi panthawi yopuma,
• ngati mphete yolemetsa ivala chala pachala, kutuluka kwa magazi kungasokonekere,
• katundu pazala ndizosiyana, zomwe zimasintha magwiridwe amtundu uliwonse.

Chifukwa chake, muyeso umachitidwa bwino ndi chala chimodzi, apo ayi zingakhale zovuta kutsatira chithunzi cha matenda athunthu.

Zomwe zimachitika zimasiyana pakadutsa mphindi imodzi kuyesa

Kuyeza shuga ndi glucometer ndi njira imodzi yopitilira muyeso yomwe imafunikira kulondola. Zizindikiro zimatha kusintha mwachangu kwambiri, anthu ambiri omwe ali ndi matenda ashuga ali ndi chidwi ndi chifukwa chomwe mita ikuwonekera mosiyana mphindi. "Zoyipa" zoterezi zimachitika pofuna kudziwa kuti chipangizocho ndi cholondola, koma iyi sinjira yoyenera.

Mapeto ake amakhudzidwa ndi zinthu zambiri, zomwe zambiri zafotokozedwa pamwambapa. Ngati miyeso ikuchitika ndi kusiyana kwa mphindi zochepa pambuyo pa jakisoni wa insulin, ndiye kuti sizingathandize kuyembekezera zosintha: ziwoneka mphindi 10-15 atatha kulowa kwa mahomoni m'thupi. Sipadzakhalanso kusiyana kulikonse ngati mutadya chakudya kapena kumwa kapu yamadzi panthawi yopuma. Muyenera kudikirira mphindi zochepa.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Palibe cholakwika kutenga magazi kuchokera pachala chimodzi ndikusiyana kwa miniti imodzi: kutuluka kwa magazi ndi kuchuluka kwa madzimadzi a interellular zasintha, kotero sizachilendo kuti mita iwonetse zotsatira zosiyanasiyana.

Ngati chipangizo choyeza chamtengo wagwiritsidwa ntchito, ndiye kuti nthawi zina mita imatha kuonetsa zilembo "e" ndi nambala pafupi naye. Chifukwa chake "anzeru" zida zimawonetsa cholakwika chomwe sichimalola miyeso. Ndikofunika kudziwa manambala ndi kuwonongeka kwawo.

Vuto la E-1 likuwoneka ngati vutoli likugwirizana ndi mzere woyesa: molakwika kapena molakwika, lidagwiritsidwa ntchito kale. Mutha kutha kuthetsa izi motere: onetsetsani kuti mivi ndi chizindikiro cha lalanje zili pamwamba, mutatha kugunda kumveka kumveka.

Ngati mita idawonetsa E-2, ndiye kuti muyenera kuyang'anira chidwi ndi cholembera: sizikugwirizana ndi gawo loyesa. Ingoikani ndi imodzi yomwe inali phukusi ndi mikwingwirima.

Zolakwika E-3 zimaphatikizidwanso ndi mbale yodula: yosakhazikika molondola, zambiri sizowerengedwa. Muyenera kuyesanso kuyikanso. Ngati sizikuyenda bwino, mbale yazodulira ndi zingwe zoyeserera zimakhala zosayenera kuyesedwa.

Ngati mukufunika kuthana ndi code ya E-4, ndiye kuti zenera loyezera lidakhala lakuda: ingotsitsani. Komanso, chifukwa chake chikhoza kukhala kuphwanya kukhazikitsa kwa mzere - njirayo ndi yosakanikirana.

E-5 imagwira ngati chiwonetsero cha cholakwika cham'mbuyomu, koma pali zina zowonjezera: ngati kudziyang'anira nokha kumachitika molunjika dzuwa, mukungofunika kupeza malo okhala ndi kuyatsa kwapakati.

E-6 imatanthawuza kuti phula la code lidachotsedwa pamayeza. Muyenera kuchita njira yoyamba.

Khodi yolakwika E-7 ikuwonetsa vuto ndi Mzere: mwina magazi amatuluka msanga, kapena anali kugundika. Zingakhalebe momwe zimakhalira magwero amagetsi amagetsi.

Ngati pulezidenti wa codeyo adachotsedwa pamayeso, mita imawonetsedwa E-8 pawonetsero. Muyenera kuyambiranso njirayi.

E-9, komanso yachisanu ndi chiwiri, imalumikizidwa ndi zolakwika pogwira ntchito ndi Mzere - ndikwabwino kutenga watsopano.

Kuti mufananitse mayeso a glucometer ndi labotale, ndikofunikira kuti kuwerengeka kwa mayeso onse awiri kumagwirizana. Kuti muchite izi, muyenera kuchita masamu osavuta ndi zotsatira.

Ngati mita ndi yoyipa ndi magazi athunthu, ndipo muyenera kuyifanizira ndi plasma calibration, ndiye kuti yotsirizayo iyenera kugawidwa ndi 1.12. Kenako yerekezerani chidziwitso, ngati kusiyana kuli kochepera 20%, muyesowo ndi wolondola. Ngati vutoli ndi losiyana, muyenera kuchulukitsa ndi 1.12, motsatana. Choyimira chake sichimasinthika.

Ntchito yolondola ndi mita imafunikira zochitikira ndi ma pedantry ena, kuti kuchuluka kwa zolakwika kumachepetsedwa mpaka zero. Kulondola kwa chipangizochi kumatengera zinthu zambiri, choncho muyenera kudziwa njira zosiyanasiyana zodziwira zolakwika zomwe zaperekedwa munkhaniyi.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

A Alexander Myasnikov mu Disembala 2018 adapereka chidziwitso chokhudza chithandizo cha matenda ashuga. Werengani kwathunthu

1. 
   Nemilov A.V. Endocrinology, State Publishing House of Corporate and State Farm Literature - M., 2016. - 360 p.
2. 
   Talanov V.V., Trusov V.V., Filimonov V.A. "Zitsamba ... Zitsamba ... Zitsamba ... Zomera Zamankhwala kwa Odwala Atsabola." Brochure, Kazan, 1992, 35 pp.
3. 
   Fedyukovich I.M. Mankhwala ochepetsa shuga masiku ano. Minsk, Universitetskoye Publishing House, 1998, masamba 207, makope 5000
4. Gynecological endocrinology. - M.: Zdorov'ya, 1976. - 240 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Kodi mungasankhe bwanji glucometer pakuyeza?

Mitundu yodziwika bwino kwambiri ya glucometer ndi yomwe amapangidwa ndi opanga ku United States ndi Germany. Mitundu ya opanga awa imadutsa mayeso ambiri kuti mutsimikizire kudziwa magawo, chifukwa chake zowerengera za zida izi zitha kudalirika.

Akatswiri amalimbikitsa kuyang'ana mtundu uliwonse wa chipangizochi kamodzi pamasabata atatu, osadikira zifukwa zapadera zokayikira umboni.

Kuyendera kosasinthidwa kwa chipangizocho kuyenera kuchitika ngati kwatsitsidwa kuchokera kutalika kapena ngati chinyontho chalowa mu chipangizocho. Muyeneranso kuyang'ana kuwonetsetsa kwa miyeso ngati mapaketi okhala ndi mizere yoyeserera adasindikizidwa kwanthawi yayitali.

Poyerekeza ndemanga zambiri, zitsanzo zotsatirazi za glucometer ndizodziwika bwino komanso kudalirika kwa odwala omwe ali ndi matenda osokoneza bongo:

1. BIONIME Yoyenera GM 550 - palibe chilichonse chopanda tanthauzo mu chipangizocho, ndikosavuta kugwira ntchito. Kuphweka kwake kumakopa ogwiritsa ntchito kwambiri.
2. One Touch Ultra Easy - chipangizo chonyamula, chokhala ndi magawo 35. Chipangizocho chili ndi zolondola kwambiri komanso chosavuta kugwiritsa ntchito. Pakuphatikiza magazi, mutha kugwiritsa ntchito osati chala chokha, komanso mbali zina za thupi. Mamita ali ndi chitsimikizo chopanda malire kuchokera kwa wopanga.
3. Accu chek Aktiv - kudalirika kwa chipangizochi kumayesedwa ndi nthawi ndipo kusakwanitsa mtengo kumakupatsani mwayi woti mugule pafupifupi aliyense wodwala matenda ashuga. Zotsatira zake zimawonekera patatha masekondi 5 pazowonetsera zida. Chipangizocho chimakhala ndi kukumbukira kwa muyeso wa 350, womwe umakuthandizani kuti muzilamulira shuga mumagazi.

Glucometer ndiyo chida chofunikira kwambiri pothandizira matenda a shuga. Kuti mupewe kulondola komanso kulondola kwa miyeso, ndikofunikira kuti musangogwira chipangizocho molondola ndikusunga mabatani oyesera pompopompo malinga ndi malangizo, komanso kuti muziyang'ana mabatire a chipangizocho nthawi zonse. Izi ndichifukwa choti mabatire atayamba kutha, chipangizocho chimatha kupereka zolakwika.

Kuti atsimikizire kulondola kwa glucometer, tikulimbikitsidwa kuti zitsanzo zamagazi othandizira anthu azichita pafupipafupi kupenda kuchuluka kwa shuga m'madzi a m'magazi.