6 mawonedwe opanga shuga
Mu matenda a shuga a mtundu uliwonse, wodwala matenda ashuga amayenera kuchita pafupipafupi kuyezetsa magazi ake pogwiritsa ntchito glucometer. Chida ichi choyeza shuga mthupi chimakupatsani mwayi wowunika momwe zinthu ziliri kunyumba.
Kuyeza glucose sikutenga nthawi yambiri ndipo kungachitike kulikonse, ngati pakufunika. Anthu odwala matenda ashuga amagwiritsa ntchito chipangizocho kuti azitsatira momwe akuwonera ndikuwunika kuyipa kwakanthawi kuti akonze dongosolo la mankhwalawo.
Popeza glucometer ndi Photometric ndi electrochemical, kuyesedwa kumachitika ndi njira yofotokozedwera malangizo, kutengera mtundu wa chipangizocho. Ndikofunikanso kuganizira zaka za wodwalayo, mtundu wa matenda osokoneza bongo, kupezeka kwa zovuta, nthawi yakudya yomaliza, kutsatira masewera olimbitsa thupi komanso kudya.
Chifukwa chiyani shuga wa magazi amawayeza?
Kuphunzira kwa shuga m'magazi a shuga kumakupatsani mwayi wodziwa matendawa panthawi yoyambira ndikuchitapo kanthu panthawi yothandizira. Komanso, adotolo potengera dokotalayu ali ndi mwayi wodana ndi matendawa.
Pogwiritsa ntchito kuyezetsa kwa shuga wamagazi, wodwala matenda ashuga amatha kudziwa momwe mankhwalawo amathandizira komanso momwe matendawa amayendera. Amayi oyembekezera amayesedwa kuti azindikire kapena kulamula matenda ashuga. Phunziroli likuwonetseranso kupezeka kwa hypoglycemia.
Pozindikira matenda a shuga, kuchuluka kwa shuga kumachitika kangapo masiku angapo, ndipo nthawi zosiyanasiyana masana amasankhidwa. Kupatuka pang'ono pazomwe zimachitika nthawi zonse kumaloledwa ndi mankhwala ngati wodwala watenga chakudya kapena kuchita masewera olimbitsa thupi. Ngati zizindikirazo zikuchuluka kwambiri, izi zikuwonetsa kukula kwa matenda oopsa, omwe amatha kukhala ndi shuga.
Chizindikiro choyenera chimaganiziridwa ngati glucose afika gawo lotsatirali:
- Zizindikiro za shuga pamimba yopanda kanthu - kuyambira 3.9 mpaka 5.5 mmol / lita,
- Maola awiri mutatha kudya - kuyambira 3,9 mpaka 8.1 mmol / lita,
- Maola atatu kapena kuposerapo mutatha kudya, kuchokera pa 3,9 mpaka 6.9 mmol / lita.
Matenda a shuga amapezeka ngati mita ya glucose iwonetsa manambala:
- Pambuyo pa maphunziro awiri pamimba yopanda kanthu pamasiku osiyanasiyana, chizindikirocho chimatha kuchoka pa 7 mmol / lita imodzi kapena kupitirira,
- Patatha maola awiri mutadya, zotsatira za kafukufukuyu zimaposa 11 mmol / lita,
- Mwakuwongolera mwachisawawa shuga ndi glucometer, mayesowo amawonetsa oposa 11 mmol / lita.
Ndikofunikanso kulingalira za zomwe zilipo mu mawonekedwe a ludzu, kukodza pafupipafupi, komanso chilakolako chokwanira. Ndi kuwonjezeka pang'ono kwa shuga, adokotala amatha kudziwa kupezeka kwa prediabetes.
Zizindikiro zosakwana 2.2 mmol / lita imodzi zimapezeka, zizindikiro za insulinoma zimatsimikiza. Zizindikiro za hypoglycemia zingathenso kukulitsa chotupa cha pancreatic.
Mitundu ya mita ya shuga
Kutengera mtundu wa shuga, madokotala amalimbikitsa kugula glucometer. Chifukwa chake, ndikazindikira mtundu wa matenda a shuga 1, kuyezetsa magazi kumachitika katatu konse patsiku. Izi ndizofunikira kuwunika mkhalidwe waumoyo wa insulin.
Anthu odwala matenda ashuga a mtundu 2 amayeserera kangapo, ndikokwanira kuchititsa maphunziro khumi pamwezi.
Kusankhidwa kwa chipangizocho kumadalira ntchito zoyenera ndikuzindikira kuti shuga ayesedwa pati. Pali mitundu ingapo ya glucometer, yomwe imagawidwa malinga ndi njira yoyezera.
- Njira yodziwunikira yojambula zithunzi imagwiritsa ntchito mapepala a litmus akhathamiritsidwa mwapadera reagent. Masewera a glucose akagwiritsidwa, pepala limasintha mtundu. Kutengera ndi zomwe zalandiridwa, pepalali likufanizidwa ndi sikelo. Zipangizo zoterezi zitha kuonedwa ngati zolondola, koma odwala ambiri akupitilizabe kuzigwiritsa ntchito.
- Njira yama electrochemical imakupatsani mwayi woyesa molondola, ndikulakwitsa pang'ono. Mizere yoyesera yodziwira kuchuluka kwa shuga m'magazi imakhala yolumikizika ndi reagent yapadera yomwe imatulutsa shuga. Mulingo wamagetsi omwe amapangidwa panthawi ya makutidwe ndi okosijeni amayeza.
- Palinso zida zatsopano zomwe zimagwiritsa ntchito njira ya kafukufuku ya spectrometric. Mothandizidwa ndi laser, kanjedza limawoneka ndikuwonetsa. Pakadali pano, kugula mita yotereyi ndi okwera mtengo kwambiri, motero safunikira kwambiri.
Mitundu yambiri yama glucometer omwe amapezeka pamsika ndi cholinga chowunika kuchuluka kwa shuga m'magazi.
Palinso zida zomwe zimaphatikiza ntchito zingapo nthawi imodzi, zomwe zimatha kuyesa cholesterol kapena kuthamanga kwa magazi.
Momwe mungayesere ndi glucometer
Kuti mupeze zotsatira zodalirika za kafukufuku wamagulu a shuga, magazi ena ayenera kugwiridwa. Pamaso kusanthula, manja ayenera kutsukidwa bwino ndi sopo ndikuwuma ndi thaulo yoyera.
Singano imayikidwa pachilala chaboola ndipo chovala chotchinga chimachotsedwa pamenepo. Chipangizocho chimatseka, pambuyo pake wodwalayo amatumphukira masika mpaka momwe angafunire.
Mzere woyezera umachotsedwa pamlanduwu ndikuyikidwa mu socket ya mita. Mitundu yambiri yamakono imayamba pambuyo pa ntchito iyi.
- Zizindikiro za nambala ziyenera kuwonekera pa chipangizocho, ziyenera kuyang'anidwa ndi zomwe zikuwoneka phukusi ndi zingwe zoyeserera. Izi zitsimikiza kuti chipangizocho chikugwira ntchito moyenera.
- Choboolera-chimayikidwa mbali ya chala ndipo batani limakanikizidwa kuti lipange. Magazi ochepa amachotsedwa chala, omwe amawaika pamalo apadera pa mzere woyeza.
- Pambuyo masekondi angapo, zotsatira zoyesedwa zitha kuwonekera pakuwonetsedwa kwa mita. Pambuyo pa opareshoni, gawo loyesa limachotsedwa ndikutayidwa, patapita masekondi angapo chipangizocho chimazimiririka zokha.
Kusankha chida choyesera
Muyenera kusankha chida, poyang'ana kwambiri munthu yemwe adzagwiritse ntchito chipangizocho. Kutengera ndi magwiridwe antchito ndi kuwoneka bwino, ma glucometer amatha kukhala a ana, okalamba, nyama, komanso odwala omwe amawunikira thanzi lawo.
Kwa okalamba, chipangizocho chimayenera kukhala cholimba, chosavuta kugwiritsa ntchito, popanda kukhazikitsa. Mamita amafunikira chiwonetsero chachikulu chokhala ndi zizindikiro zomveka, ndikofunikanso kudziwa mtengo wazakudya. Ofufuza oterowo akuphatikizapo Contour TS, Van Tach Select Easy glucometer, Satellite Express, VanTouch Verio IQ, Blue VanTach Select.
Sitikulimbikitsidwa kugula zida zokhala ndi zingwe zazing'ono zoyesera, sizingakhale zovuta kwa anthu okalamba kuzigwiritsa ntchito. Makamaka, muyenera kuyang'anira mwapadera kuthekera kwa kugula zinthu. Ndikofunika kuti mitsempha yoyesera ndi malupanga agulitsidwa mumsika wapafupi ndipo sayenera kupita kudera lina la mzindawo.
- Zowoneka bwino komanso zowoneka bwino, zida zoyesera kuchuluka kwa shuga m'magazi ndizoyenera kwa achinyamata. Zipangizo zoterezi zimaphatikizapo VanTouch Ultra Easy, Accu Chek Performa, Accu Chek Mobile, VanTouch Verio IQ.
- Pazolinga zopewera, tikulimbikitsidwa kugwiritsa ntchito mita ya Kontur TS ndi VanTach Select Easy. Zipangizo zonsezi sizifunikira kulumikizidwa; ndizabwino kwambiri komanso molondola. Chifukwa cha kukula kwawo kophatikizana, amatha kugwiritsidwa ntchito ngati kuli kofunikira kunja kwanyumba.
- Pochiza ziweto ndi matenda ashuga, muyenera kusankha chida chomwe chimafuna magazi ochepa kuti ayesedwe. Zipangizozi ndi monga Contour TS mita ndi Accu-Chek Perform. Izi zimatha kuonedwa ngati zabwino kwa ana kuti azionanso kuchuluka kwa shuga m'magazi.
Kanemayo munkhaniyi akuwonetsa momwe mita ya shuga m'magazi imagwirira ntchito kudziwa shuga.
Zamkatimu
Kuchita masewera olimbitsa thupi, chakudya, mankhwala, kupsinjika, ndi zinthu zina zambiri zomwe zingakhudze gawo ili, kotero kuyeza kwamawonekedwe a shuga kumakupatsani mwayi wolimbana ndi matendawa, kutsata kusinthasintha kulikonse komwe kumachitika pazifukwa zosiyanasiyana. Kuphatikiza apo, kukhalabe ndi shuga m'magazi pamlingo woyenera kumapangitsa kuti munthu athe kupewa mavuto ambiri azaumoyo omwe amayambitsidwa ndi matenda ashuga kapena hypoglycemia. Glucometer ndi chida chimodzi chothandiza kwambiri pakuwunika matendawa.
Kwenikweni, ma glucometer onse ndi ofanana. Ikani gawo loyesa mu chipangizocho. Kenako kwezani chala chanu ndi singano kapena lancet ndikuyika dontho la magazi anu pamzerewu. Ndipo dikirani kuti kuwerenga kuoneke pazenera. Kusiyana kwakukulu ndi mtengo, kukumbukira kwa zida ngati izi, kulondola kwa muyeso (izi ndizofunikira posankha kuchuluka kwa insulin) komanso kutalika kwa nthawi yoyesa. Koma posachedwa, makina atsopano ayamba kuwoneka omwe ali osiyana ndi ena onse.
Ma glucometer osiyanasiyana ndiabwino, koma tikuwonetsani zida zingapo zochepa, zodziwika bwino komanso zofunikira, komanso zatsopano, opanga omwe adagwiritsa ntchito matekinoloje amakono kuti zida zoterezi zizigwiritsidwa ntchito mosavuta.
ACCU-CHEK Aviva
Ichi ndi chimodzi mwazitsanzo za mzere wautali wa ma Roche glucometer omwe ali ndi dzina lodziwika kuti Accu-Chek, lomwe limadziwika ndi kugwiritsa ntchito mosavuta komanso kuthamanga kwa miyeso (5 sec).
Chipangizo chaching'ono (magawo 69x43x20 mm, kulemera kwa 60 g) chimadziwika ndi ntchito zake zolimba, kuphatikiza: kuyang'ana pazenera, kuthekera kuyika zolemba zomwe zimawonetsa chakudya chisanachitike kapena chikatha, muyeso unapangidwa, kulumikizana ndi kompyuta, kukumbukira kwakukulu kwa miyeso 500, kuwerengetsa kwapakati pama glucose pafupifupi 1, masabata awiri kapena mwezi, kukhalapo kwa koloko ya alamu yomwe ikukumbutsani kufunika koti mupeze muyeso. Kuphatikiza apo, dongosololi limatha kuzindikira mizere yomwe yatha.
Aviva imazindikira kuchuluka kwa shuga kuchokera dontho la magazi laling'ono ngati 0,6 μl, zomwe zikutanthauza kuti miyezo imeneyi si yopweteka monga momwe idaliri posachedwapa. Makamaka ngati mugwiritsa ntchito chipangizo cholumikizira cha Accu-Chek Multiclix, chomwe chingasinthe kuzama kolowera lancet.
Batire lomwe linamangidwa limakhalabe ndi miyezo 2,000.
Chipangizocho chimatha kugwira ntchito ndi ntchito yotsogola yosankhidwa ya Accu-Chek.
Mtengo: $ 13.99 (Amazon.com)
IHealth Smart Glucometer
iHealth Smart Glucometer
iHealth Smart Glucometer yawonjezera pamzere wautali wazida zamankhwala osiyanasiyana za iHealth zolumikizidwa ndi foni yamakono, ndipo imalola anthu odwala matenda ashuga kuti azilamulira mosavuta shuga ya magazi awo nthawi iliyonse, kulikonse. Chipangizocho (ndipo iyi ndi mtundu wachiwiri wa chipangizochi) chimatha kutumiza zidziwitso popanda kugwiritsa ntchito iHealth MyVitals, kulola owerenga kuti alembe mpaka kuwerenga kwa 500 kokha mu chipangacho chokha komanso zochulukirapo pakusungidwa kwa mtambo. Wogwiritsa ntchito amatha kuwona momwe kuchuluka kwa shuga m'magazi, kukhazikikitsira zikumbutso zakufunika kochita zinthu kapena kumwa mankhwalawo, komanso kuthandizira tsiku lakumapeto kwa mayeso.
Zotsatira zake zimawonetsedwa pazenera la LED kwa masekondi 5 ndikusamutsidwa zokha kudzera pa Bluetooth kupita ku chipangizo cha iOS. Mwanjira iyi, dontho la magazi lokhala ndi kuchuluka kwa 0,7 μl kokha limagwiritsidwa ntchito pakuwunika.
Malinga ndi CNET (Okutobala, 2013), adalowa m'mamita atatu apamwamba kwambiri a glucose omwe amagwiritsa ntchito foni yam'manja
IQuickIt Saliva Analyzer
iQuickIt Saliva Analyzer
iQuickIt Saliva Analyzer ndi glucometer amene amayesa kuchuluka kwa shuga osati mwa kuyesa kwa magazi, koma mwa kuwongolera malovu. Omwe amapanga chipangizochi, akugwira ntchito limodzi ndi foni yamakono, amakhala ndi cholinga chochepetsa ululu panthawi yoyeza. Mamita sankagulitsidwe ndipo akuyesedwa. Chipangizocho ndi chosiyana chifukwa chimakupatsani mwayi kuti muyeza osati shuga, komanso mulingo wa acetone m'malovu a odwala matenda ashuga. Acetone imawoneka m'malo a anthu odwala matenda ashuga ngati matendawa ali pachimake, mu matenda ashuga a ketoacidosis, omwe amatha kupha.
Pankhaniyi, ngati, mwachitsanzo, kuchuluka kwa shuga ndi 550, ndipo kuwunika kwa malovu kumawonetsa kukhalapo kwa acetone, foni yam'manja yomwe idalandira chidziwitso kuchokera kwa wopikisanayo imatumiza uthenga kwa wodwalayo kuti akafunse chithandizo mwachangu, pomwe uthenga womwewo umatumizidwa kwa abale ake a wodwalayo ndi / kapena kwa asing'anga.
Mtengo wa chipangizocho sunadziwikebe.
Glucovation yochokera ku California yakhazikitsa njira ya SugarSenz yowunikira shuga wamagazi, omwe angagwiritsidwe ntchito ndi onse odwala matenda ashuga komanso anthu athanzi. Monga machitidwe ena ofanana ndi odwala matenda ashuga, chipangizocho chimangamira (kumamatira) pakhungu ndipo nthawi ndi nthawi modziyimira pawokha popanda kupweteka kuti mulandire magazi ena ngati muyeza. Malinga ndi omwe akupanga izi, dongosololi silikukhudzanso magazi kuchokera chala. Shuga imayezedwa pakompyuta pogwiritsa ntchito ukadaulo wopangidwa ku Glucovation.
Sensor imatha kugwira ntchito kwa masiku 7 popanda kusokonezedwa ndikufalitsa ziwerengero kwa smartphone kapena masewera olimbitsa thupi mphindi zisanu zilizonse, kulola kuwunika kwenikweni momwe chakudya kapena masewera olimbitsa thupi amakhudzira kagayidwe. Nthawi yomweyo, zovuta za metabolic zovuta zimasinthidwa mumapulogalamu kukhala zitsulo zomwe ndizomveka kwa wogwiritsa ntchito.
Mtengo wa chipangizocho ndi pafupifupi $ 150, mtengo wa zomvera zosinthika ndi $ 20.
GlySens adapanga njira yowunikira ma glucose omwe amatha kugwira ntchito mpaka chaka chimodzi osafuna kubwezeretsedwa. Dongosolo limakhala ndi magawo awiri. Imeneyi ndi sensor yomwe imawoneka ngati chivindikiro kuchokera m'botolo la mkaka, wocheperako, womwe umalowetsedwa pansi pakhungu pakhungu. Imalumikiza popanda zingwe yolandirira zakunja, chomwe chimakhala chaching'ono kuposa foni yam'manja. Wolandirayo akuwonetsa kuchuluka kwa shuga, zomwe zapezeka m'mbiri yakale, momwe akuchitira, ndikuwonetsa zochenjeza m'mene kuchuluka kwa shuga kwamwazi kwadutsa. Amaganiziridwa kuti mtsogolomo wolandila adzasinthidwa ndi kugwiritsa ntchito foni yam'manja.
Mwa kapangidwe, kachitidwe kameneka ndi kofanana ndi makina ofananira apansi omwe amapezeka kale pamsika (DexCom, Medtronic, Abbott). Kusiyana kwakukulu ndikuti masensa omwe ali m'makina omwe adalipo amafunikira kuti azisinthidwa kangapo patsiku ndipo amatha kukhalabe osakhalapo sabata limodzi.
Kampaniyi yachita kale mayeso opambana mwa odwala asanu ndi mmodzi omwe amagwiritsa ntchito mtundu woyamba wa chipangizocho. Ngakhale kuti pamalumikizidwe amenewa sensa inali pafupi kukula kawiri kuposa momwe zinawonera, pafupifupi odwala onse omwe amachita nawo mayesowa patapita nthawi anangoiwalako za sensor yokhazikitsidwa, opanga akuti.
Mosiyana ndi machitidwe opikisana, GlySens sensor imayang'anira kuchuluka kwa mpweya, chifukwa chomwe imapeza kukhazikika kwake kosiyana. Glucose ndi oksijeni zimachoka mumtsempha wamagazi ndikulowa mu membrane, yomwe imakwirira masanjidwe amagetsi owunikira. Nembanemba imakulungidwa ndi puloteni yomwe imalumikizana ndi mpweya. Poyeza kuchuluka kwa mpweya wotsalira pambuyo pochita ndi puloteniyo, chipangizochi chimatha kuwerengetsa kuchuluka kwa enzymatic reaction, motero, kuchuluka kwa shuga.
Mtengo wa chipangizochi sunadziwikebe, koma, malinga ndi omwe akupanga, sizikhala zapamwamba kuposa mtengo wa glucometer omwe alipo.
Mita magazi shuga
Chaka chilichonse, anthu amafunika kukayezetsa ndi mayeso osiyanasiyana, kuphatikizapo shuga m'thupi.Mukanyalanyaza malangizowo, pamakhala chiopsezo chotenga matenda oopsa - matenda ashuga mellitus (DM).
Kenako mudzayenera kuyesa mayeso pafupipafupi ndipo chipangizo chapadera choyeza shuga panyumba chidzakhala choyenera kuchita izi, mtengo wake umasiyana kuchokera ku ruble 500 mpaka ma ruble 8000, umatchedwa glucometer, mtengo wake umatengera kuchuluka kwa ntchito.
Pali mitundu yosiyanasiyana ya zida, chifukwa bajeti yochepa ndiyotheka kupeza njira yotsika mtengo.
Kuphatikiza pa odwala omwe ali ndi matenda ashuga, chipangizochi chitha kuperekedwanso kwa anthu athanzi lathunthu omwe ali ndi chiyembekezo cha matendawa. Akatswiri apanga njira zingapo zomwe zingakhale zothandiza kusankha mita yabwino kwambiri ya shuga ndikugawa m'magulu:
- Odwala omwe amadalira insulin (mtundu 1 wa shuga),
- Odwala osadalira insulini (mtundu 2 wa shuga),
- Anthu okalamba
- Ana.
Gulani chida choyeza
Anthu ambiri omwe adakumana ndi vuto la matenda ashuga sadziwa dzina la chipangizocho chomwe chikuwonetsa shuga, kuti ndi ndalama zingati.
Pachifukwa ichi, odwala amayamba kuchita mantha, chifukwa ndi matenda ashuga, muyenera kuyang'anira kuchuluka kwa shuga mthupi lanu moyo wanu wonse.
Odwala ambiri pakatha miyezi 1-2 amakhala atazolowera ndipo amayamba kuchita zinthu zina pa nthawi yake, ndipo nthawi zina amaiwala kuti akudwala.
Kusankhidwa kwa mita ya shuga m'magazi a matenda a shuga a 2 ndikwabwino, mutha kusankha njira yoyenera kuchitira kunyumba kwanu pamtengo wabwino. Odwala ambiri ndi anthu okhwima ndipo alibe zofunika zapadera za glucometer.
Zipangizo zoyezera glucose mu mtundu 2 wa shuga ndizothandizanso kudziwa kuchuluka kwa cholesterol ndi triglycerides, chifukwa mayesowa amafunikira anthu omwe ali onenepa kwambiri komanso omwe ali ndi matenda amtima. Izi matendawa amakhudza anthu ambiri odwala matenda ashuga.
Mwa oyesa otchuka kwambiri, Accutrend Plus ikhoza kusiyanitsidwa, yomwe, kuwonjezera pa ntchito yayikulu, imayendetsa njira zina za metabolic. Ngakhale kuti pakati pa mitundu yosiyanasiyana ya ma glucometer ogwiritsira ntchito kunyumba, ndi amodzi okwera mtengo kwambiri, koma ndi matenda amtundu wa 2 palibe chifukwa choyesera kawiri kawiri, kotero kuti zingwe zoyeserera zimagwiritsidwa ntchito pang'onopang'ono.
Ndikosavuta kusankha chida chofufuzira shuga m'magazi a matenda ashuga 1, chifukwa muyenera kugwiritsa ntchito mankhwalawa osati nthawi 1-2, koma mpaka katatu patsiku ndipo muyenera kuganizira osati mtengo wa chipangizocho, komanso mtengo wa zomwe mungathe kudya.
Izi zimaphatikizapo zingwe zoyeserera ndi ma nozzles (otchedwa lancets), opangira zida zopyoza.
M'madera ena a Russian Federation, pali mapulogalamu omwe amapereka insulini yaulere ndi zinthu za glucometer, chifukwa chake muyenera kudziwa zambiri kuchokera kwa dokotala.
Kusankha kachipangizo kokhala ndi matenda a shuga 1
Munthu yemwe amadalira insulin ayenera kusankha chida chomwe chimayeza glucose, poyang'ana njira zake:
- Mtundu wa zida. Masiku ano, ogulitsa amalengeza ma electrochemical glucometer, omwe safuna zambiri zachilengedwe ndipo ayenera kudikirira masekondi 5 mpaka zitawonekera pazenera. Pankhaniyi, muyenera kusamala, chifukwa pali mtundu wina wa chipangizo chotsimikizira kuchuluka kwa shuga m'magazi, ndipo mtengo wake umakhala wochepera masiku ano. Glucometer yotere imagwiritsa ntchito njira yojambulira poyeserera kuchuluka kwa shuga, muyenera kuwunika mtundu wa Mzere woyeretsa ndi diso kuti mumve zotsatira zake,
- Kukhalapo kwa kuwongolera mawu. Pa magawo apamwamba a shuga, pali zovuta ndi masomphenya, chifukwa chake muyenera kusankha chipangizo choyezera shuga zamagazi ndi ntchitoyi,
- Mlingo wofunikira wa kuboola. Chala chidzafunika kukonzedwa ndi lancet kuti chikhale cholumikizira. Woyesa ndi kuya kwa 0,6 μl ndibwino pano, makamaka mawonekedwe awa ndi othandiza pankhani ya mwana,
- Nthawi yosanthula. Mitundu yamakono imasanthula kwenikweni masekondi (masekondi 5-7),
- Kusunga chidziwitso mukatha kugwiritsa ntchito. Ntchitoyi ndi yothandiza kwa anthu omwe amalemba zonse zolembedwa papepala lina, komanso kwa madotolo kuti ayang'ane momwe mankhwalawo amathandizira komanso nthawi yamatendawa.
- Lumikizani kompyuta. Mitundu yatsopano kwambiri ili ndi izi, ndipo odwala adzaona kuti ndizothandiza, chifukwa mutha kutaya zotsatira zakale pa PC,
- Kusanthula kwa matupi a ketone. Ntchitoyi siyikupezeka pazida zonse, koma ingakhale yowonjezera popewa ketoacidosis,
- Kumvetsetsa. Musanagwiritse ntchito, mutha kusankha musanagwiritse ntchito menyu musanayambe kugwiritsa ntchito kapena mutayesa mayeso.
Mamita aanthu azaka
Sikovuta kusankha mtundu wabwino kwambiri wa glucometer wogwiritsa ntchito kunyumba kwa munthu wokalamba, zomwe ndizofunikira:
- Chosavuta komanso chofufuzira chowunikira,
- Zotsatira zolondola ndikuyendetsa bwino,
- Mtengo wotsika mtengo wa chipangizocho ndi zotsalira zake.
Mosasamala kanthu za momwe mungagwiritsire ntchito mita, munthu wazaka samasamala ngati mulibe chimodzi mwazomwe zidatchulidwa pamwambapa. Pazida zothandizira kudziwa kuchuluka kwa shuga, khungu lalikulu ndi font yayikulu imafunikira kuti muwone molondola zotsatira zomaliza.
Chofunikira chofunikira ndikuwonetsa kuchuluka kwa glucometer poyeza shuga, magazi ndi kuchuluka kwa mayeso ake. Inde, kwa mitundu yachilendo sikophweka kuipeza ndipo mudzathamangira ku malo ogulitsa mankhwala, ndipo kwa okalamba omwe ali ndi matenda ashuga ndizovuta kwambiri.
Zinthu zosafunikira agogo:
- Kutalika kwa nthawi yoyeserera
- Lumikizani kompyuta.
Kuyesa mwana
Ana safunikira ntchito zochulukirapo monga momwe zilembo zachikulire zilili, koma muyenera kulingalira kuti m'modzi wa makolo azichita mayeso.
Ana amakula msanga ndipo kugwiritsa ntchito chipangizocho kumasangalatsa, ndipo popeza wopanga nthawi zambiri amapereka chitsimikizo cha moyo, zimakhala zopindulitsa kwambiri kutenga chipangizocho mtsogolo.
Choyimira chachikulu posankha chida cha ana ndichozama pakupumira. Pachifukwa ichi, kusankha kwa lancet kuyenera kufikiridwa mwachidwi.
Malinga ndi mndandanda wamitengo kuchokera kwa omwe amapanga glucometer, mtengo wazinthu zawo umachokera ku 500 mpaka 5000 rubles. ndi mmwamba. Mukamasankha kumvera kampani yomwe imapanga chipangizochi, chifukwa nthawi zina, chifukwa cha mtunduwo, mtengo wake umakhala wokwera kwambiri, ndipo ntchito zake zimafanana ndi zitsanzo zotsika mtengo. Poyerekeza mtengo wa zida zovuta zoyezera, zomwe zimaphatikizapo kusanthula kwina, zidzakhala zapamwamba kwambiri. Pogula glucometer, maziko ake amaphatikizapo mizere 10 yoyesera, chipangizo chimodzi cha 1 lanceolate, 10 nozzles kwa iyo, mlandu, buku ndi batiri la chipangizocho. Akatswiri amalimbikitsa kugula zinthu zochepa, chifukwa ndi matenda ashuga adzafunika. Kusankha glucometer sikovuta, monga zikuwonekera poyamba, muyenera kuyang'ana momwe mungagwiritsire ntchito chipangizocho, kenako ndikuwona mwayi wazachuma. Mtengo wa tester ndiwoperewera poyerekeza ndi kuwonongera kosalekeza pamiyeso ndi zingwe zam'malo, kotero muyenera kudziwa mtengo wake kuti nthawi yomweyo muzitha kuwerengera mtengo wamtsogolo pasadakhale. Ku UK, adabwera ndi chigamba choyeza glucose Asayansi aku University of Bath ku UK apanga gadget yomwe imatsimikiza kuchuluka kwa shuga m'magazi popanda kubaya khungu. Ngati chipangizocho chikudutsa mayeso onse musanapangidwe ndipo pali iwo amene akufuna kugulitsa nawo ntchitoyi, mamiliyoni a anthu omwe ali ndi matenda ashuga amatha kuiwala za njira zopweteka kosatha ... Chifukwa chiyani zotsatira za glucometer zimasiyana? Odwala ozindikira omwe ali ndi vuto la shuga amadziwa kufunikira kwakayekha pakulamulira shuga m'magazi awo: kupambana kwa chithandizo, thanzi lawo, ndi chiyembekezo chodzakhala ndi moyo wina popanda zovuta zowopsa zimadalira ... Momwe mungasankhire ndikugwiritsa ntchito glucometer ya nyumba yanu moyenera Anthu ambiri padziko lapansi saganizira konse za momwe mulingo wamagazi ulili. Amadya, amamwa zakumwa, komanso njira yabwino yokonzera shuga mu owunikira ... OneTouch Select® Plus Glucometer: tsopano maupangiri amtunduwo athandizira kuwongolera matenda ashuga .. Nthawi zambiri ndi shuga kumakhala kovuta kutanthauzira kuchuluka kwa shuga m'magazi: pamalire am'malire sizikudziwika nthawi zonse kuti zotsatira zake zidagwera pamlingo womwe mukufuna. Kuti muiwale za kusinthaku, zidapangidwa ... FreeStyle Libre yosagwiritsa ntchito magazi a glucose osakhazikitsidwa ku ChinaDiabetes Diagnosis imakhazikitsidwa ndi anthu ochulukirapo padziko lonse lapansi. Koma kuchuluka kwa ngoziyo kuli m'manja mwa odwala - akatswiri abwino kwambiri amapeza bajeti zazikulu zothandizira kukonza maukadaulo atsopano kuti awongolere ... Apple ikugwira ntchito yopanda magazi obwera popanda glucose mitaNgoyang'ana malipoti ena, Apple yalanda gulu la akatswiri 30 ophunzitsa bio padziko lonse lapansi kuti apange ukadaulo wosinthira - chipangizo choyeza shuga magazi osabaya khungu…. Glucometer Optium X Contin: malangizo ogwiritsira ntchito, mtengo, ndemanga Kwa anthu odwala matenda ashuga, odwala amafunika kuyesa magazi nthawi zonse. Pachifukwa ichi, glucometer imagwiritsidwa ntchito, yomwe imakulolani kuyeza kuwerengera magazi kunyumba kapena kwina kulikonse .... Glucose mita Elta Satellite (Satellite): malangizo ogwiritsira ntchito, ndemanga Kampani ya Russia ya Elta kwa zaka zambiri ikugwira ntchito yopanga ma glucometer apamwamba kwambiri, omwe amadziwika kwambiri pakati pa odwala matenda ashuga. Zipangizo zapakhomo ndizosavuta, kugwiritsa ntchito mosavuta ndikwaniritsa zonse zomwe zimagwira ... Magazi a glucose osasokoneza magazi popanda kuphatikiza magazi (Omelon, Glucotrack): ndemanga, Malangizo Kulamulira shuga m'magazi ndiko cholinga chachikulu chomwe chimalepheretsa zovuta zomwe zimachitika kawirikawiri pamaso pa matenda a shuga. Zotere ... Glucometers Fredown: ndemanga ndi malangizo ogwiritsira ntchito FredownGlucometer kuchokera ku kampani Abbott lero atchuka kwambiri pakati pa anthu odwala matenda ashuga chifukwa chaulimi, kupezeka mosavuta komanso kudalirika kwa zida zoyeza shuga. Chaching'ono kwambiri komanso chophatikizika kwambiri ndi mita ... Kuwona magazi anu ndi glucometer kumapangitsa moyo kukhala wosavuta kwa anthu omwe amapezeka ndi matenda a shuga. Njira zotsalira zimasiyanitsidwa ndi zolakwa zambiri ndipo zimawononga nthawi. Mita ndi chipangizo chonyamulira chomwe chimakupatsani mwayi wowunika shuga wa wodwala nthawi iliyonse. Chipangizochi chimatha kudziwa kusintha kulikonse kwaumoyo wa wodwala pakanthawi kochepa. Mamita safuna chidziwitso chapadera kuti mugwiritse ntchito, chitha kugwiritsidwa ntchito kunyumba kapena kwina kulikonse pakufunika. Anthu odwala matenda ashuga azaka zilizonse amatha kugwiritsa ntchito chipangizocho. Miyeso yogwiritsa ntchito glucometer imachitika katatu patsiku. Chipangizo choyezera kuchuluka kwa shuga m'magazi chimatha kukhala chamitundu ingapo:Matenda A shuga
Chipangizo cha electrochemical ndiye chida chamakono kwambiri chomwe chingadziwe kuchuluka kwa shuga m'magazi am'magazi. Kuti mudziwe zowona zake, dontho la magazi limayikidwa pachida chapadera cha chipangizocho, ndipo zotsatira zake zimatha kuwonekera pazenera la mita.
Gluometeter ya photometric sichigwiritsidwa ntchito kawirikawiri masiku ano, popeza njira iyi yoyezera shuga amayamba kutha. Madontho ochepa a magazi a capillary amathandizira poyesa zingwe, zomwe patapita kanthawi kochepa ndi shuga mu mtundu wosintha wamagazi.
Raman glucometer amayang'ana pamwamba pakhungu mothandizidwa ndi laser wophatikizidwa ndikupereka zotsatira zake. Pakadali pano, zida zotere zikukonzedwa ndipo posachedwa aliyense athe kuzigwiritsa ntchito.
Palinso zida zapadera zolankhulira anthu omwe ali ndi vuto lowona. Olumala osawerengeka amawerengera zolemba pogwiritsa ntchito kachidindo ka Braille pamanja pamayeso. Ma glucometer oterowo ndi okwera mtengo kuposa zida wamba, koma amathandizira kwambiri moyo wa anthu omwe ali ndi matenda osokoneza bongo omwe ali ndi vuto losaona.
Ma glucometer osasokoneza amatha kudziwa kuchuluka kwa shuga m'magazi amunthu mwa ma radiation ya infrared. Chipangizochi chosalumikizana ndi chinthu chimagwira pafupi ndi khutu momwe chimakhalira, chimatembenuza chidziwitso ndikupereka zotsatira zake ku mita.
Palibe zingwe zoyesera, singano kapena zingwe zofunikira pakugwiritsa ntchito. Chovuta pazida zotere si zoposa 15 peresenti.
Kuphatikiza apo, glucometer wosalumikizana nayeyo akhoza kukhala ndi chipinda chapadera chomwe chiziwonetsa adokotala kuti magazi atha kugwa kwambiri.
Zida Zam'mwazi
Masiku ano, pali vuto lalikulu m'gawo laumoyo wa anthu - mliri wa matenda ashuga. Pafupifupi 10% ya anthu amadwala matendawa.
Matenda a shuga ndi matenda oopsa a endocrine ndipo amakhala osakhalitsa.
Ngati sanachiritsidwe, matendawa amakula mosiyanasiyana ndipo amatsogolera pamavuto am'kati mwa mtima, kwamanjenje ndi kwamikodzo.
Kuti muchepetse kupita patsogolo kwa matendawa, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga m'magazi kuti athe kuwongolera panthawi yake ndi mankhwala. Ndi chifukwa chaichi kuti chipangizo choyeza shuga m'magazi - glucometer, chikonzedwe.
Matenda a shuga amapezeka chifukwa cha kupezeka kwa hyperglycemia - kuchuluka kwa shuga m'magazi. Maziko othandizira odwala matenda ashuga ndikuwonetsetsa kuchuluka kwa shuga m'magazi komanso kugwiritsa ntchito mankhwala ena mwapadera.
Kodi muyeso wa shuga ndi uti?
Mita ya shuga yamagazi ndiyofunikira m'malo osiyanasiyana osati kokha kwa odwala omwe ali ndi matenda a endocrine, komanso kwa anthu omwe akutsogolera moyo wathanzi.
Kuwongolera ntchito ya thupi ndikofunikira makamaka kwa osewera omwe amalimbitsa zakudya zawo mpaka ma kilocalories angapo.
Zida zosiyanasiyana zimagwiritsidwa ntchito poyesa kuchuluka kwa shuga m'magazi, kuchokera ku zida zama labotale zomwe zimawonetsa zotsatira molondola monga momwe zingathekere, kupanga ma glucose am'manja opindika.
Munthu wathanzi amafunikiranso kuwongolera shuga. Kuti muwunike bwino, miyezo 3-4 pachaka ndi yokwanira. Koma odwala matenda ashuga amayambanso kugwiritsa ntchito chipangizochi tsiku lililonse, ndipo nthawi zina kangapo patsiku. Ndi kuwunikira kosalekeza manambala komwe kumakupatsani mwayi wokhala ndi thanzi labwino komanso munthawi yoyenera kusintha shuga.
Momwe shuga amamuyezera
Kodi mita ya glucose ndi chiyani? Chida choyeza shuga m'magazi chimatchedwa glucometer. Masiku ano, zida zosiyanasiyana zoyezera shuga zagasi zapangidwa.
Openda ambiri ndiwowononga, ndiye kuti amakulolani kuyeza kuchuluka kwa shuga m'magazi, komabe, zida zamakono zatsopano zimapangidwa zomwe sizowukira.
Mwazi wamagazi amayezedwa m'magawo apadera a mol / L.
Chida chamakono cha glucometer
Wothandizana naye
Socates Companion ndiwosiyana ndi anzawo - ndi glucometer osasokoneza. Zowona, ilipo pakadali pano ngati mtundu wogwira ntchito komanso kuti anthu omwe akhala akumva ludzu kuti adikire kwakanthawi. Omwe akupanga chipangizochi adatha kupanga ukadaulo watsopano watsopano wowayeza shuga - osagwiritsa ntchito jakisoni wowawa pakufunika koyeserera magazi. Mwa kungolowetsa khutu ku khutu lake, wogwiritsa ntchitoyo amatha kudziwa bwino zomwe zili mu masekondi angapo.
Kufufuza kothekera kwa kuyeza kuchuluka kwa shuga mthupi m'njira yosagwiritsa ntchito kwakhala kukuchitika kwazaka pafupifupi 20 ndipo mpaka pano kuyesa konse kwatsirizidwa popanda kuchita bwino, popeza kulondola kwa miyeso kunasiya zambiri kuti zikwaniritsidwe. Ukadaulo wothandizidwa ndi Socates Companion kuthetsa vutoli, kampaniyo imati.
Pakadali pano, chipangizochi chikuyembekezera boma kuti ligwiritsidwe ntchito ku United States ndipo sichinagulitsidwe.
Mtengo wa chipangizochi sichikudziwikanso.
Mfundo zoyendetsera zida zamakono
Kutengera njira ya kupenda kuchuluka kwa glucose, mitundu ingapo ya ma glucose omwe amawunikira amatha kusiyanitsidwa. Onse osanthula amatha kugawidwa mwamagetsi komanso osasokoneza. Tsoka ilo, ma glucometer omwe salowerera sapezeka kuti agulitsidwe.
Onsewa amakumana ndi mayeso azachipatala ndipo ali pakufufuza, komabe, ndiwowongolera popititsa patsogolo endocrinology ndi zida zamankhwala. Kwa owerengera osasinthika, magazi amafunikira kuti alumikizane ndi gawo la mayeso a glucose.
Openda wopenda
Optical biosensor - machitidwe a chipangizocho amatengera kutsimikiza kwa kuwala kwa plasma resonance. Kusanthula kuchuluka kwa glucose, chip chapadera chimagwiritsidwa ntchito, mbali yakumalumikizana nayo yomwe pali chosanjikiza chagolide.
Chifukwa cha kusayenda bwino kwachuma, owunikira awa sagwiritsidwa ntchito kwambiri.
Pakadali pano, kuti azindikire kuchuluka kwa glucose pazosanthula zotere, mawonekedwe a golide adasinthidwa ndi mawonekedwe ochepa thupi, omwe amathandizanso kulondola kwa sensor chip tenfold.
Kapangidwe kachipangizo ka sensor chip pamagawo ozungulira kumachitika mwachangu ndikukulola kutsimikiza kwa kuchuluka kwa shuga m'magazi a zinthu monga thukuta, mkodzo ndi malovu.
Pulogalamu ya Electrochemical
Electrochemical glucometer imagwira ntchito posintha mtengo womwe ulipo pakali pano mogwirizana ndi mseru wa glycemia. Kuchita kwa electrochemical kumachitika pamene magazi alowa m'chiwonetsero chapadera mu mzere woyeserera, pambuyo pake amperometry imachitika. Openda amakono ambiri amagwiritsa ntchito njira yama electrochemical yozindikira kuchuluka kwa shuga m'magazi am'magazi.
Chingwe cha syringe ndi chipangizo cha glucose - ma satellite osasinthika a wodwala matenda a shuga
Zofunika kwa glucometer
Kuphatikiza pa chipangizo choyezera - glucometer, mizere yapadera yoyeserera imapangidwa kuti glucometer iliyonse, yomwe, itatha kulumikizana ndi magazi, imayikidwa mu dzenje lapadera mu analyzer.
Zipangizo zambiri zogwirana ndi manja zomwe zimagwiritsidwa ntchito podziyang'anira nokha anthu omwe ali ndi matenda osokoneza bongo ali ndi vuto lapadera pazomwe amapanga, zomwe zimakupatsani kuboola khungu popanda kupweteka momwe mungathere kukhudzana ndi magazi.
Zomwe zimagwiritsidwanso ntchito zimaphatikizapo ma cholembera a syringe - ma syringe ena apadera omwe amadzichitira okha omwe amathandizira kumwa insulin pamene ayamba kulowa mthupi.
Monga lamulo, glucometer imayesa kuchuluka kwa glucose m'magazi kudzera mumizere yapadera yomwe imagulidwa mosiyana ndi chida china.
Nthawi zambiri, wopanga aliyense amakhala ndi timikwama tawo, tomwe sioyenera ma glucometer ena.
Poyesa shuga kunyumba, pali zida zapadera. Glucometer mini - pafupifupi kampani iliyonse yomwe imapanga openda shuga wamagazi ili ndi mita yamagazi. Amapangidwa mwapadera. Monga othandizira kunyumba polimbana ndi matenda ashuga.
Zipangizo zamakono kwambiri zimatha kujambula kuwerenga kwa glucose pamtima pawo ndipo pambuyo pake zimasinthidwa kupita ku kompyuta kudzera pa doko la USB.
Mawunikidwe amakono kwambiri amatha kuperekera zidziwitso mwachindunji kwa foni yamakono mu pulogalamu yapadera yomwe imasunga mawerengeredwe ndi kuwunikira zizindikiro
Imituni iti kuti musankhe
Ma glucometer amakono onse omwe amatha kupezeka pamsika ali olondola chimodzimodzi pakuwona kuchuluka kwa glucose. Mitengo yamipangizo imatha kusiyanasiyana.
Chifukwa chake chipangizochi chitha kugulidwa ma ruble 700, ndipo ndizotheka ma ruble 10,000. Ndondomeko yamitengo imakhala ndi "osatumizidwa" mtundu, pangani mtundu, komanso kugwiritsa ntchito mosavuta, ndiye kuti, ergonomics ya chipangacho.
Mukamasankha glucometer, muyenera kuwerenga mosamala makasitomala. Ngakhale kutsatira mosamalitsa komanso mosamalitsa pamalamulo opatsa chilolezo, kuchuluka kwa shuga wamagazi osiyanasiyana kumatha kusiyanasiyana. Yesani kusankha zida zomwe pali ndemanga zabwino, komanso kutsimikiza kwa shuga m'magazi kumatsimikiziridwa.
Komabe, nthawi zambiri matenda ashuga amakhudza anthu okalamba. Makamaka kwa okalamba, zosavuta kwambiri komanso zopanda tanthauzo za glucometer zidapangidwa.
Nthawi zambiri, glucometer ya okalamba imakhazikitsa chiwonetsero chachikulu ndi mabatani kuti ikhale yosavuta komanso yosavuta kugwiritsa ntchito. Mitundu ina ili ndi maikolofoni yapadera yobwereza chidziwitso ndi mawu.
Ma glucometer amakono kwambiri amaphatikizidwa ndi tonometer ndipo ngakhale amakulolani kuyeza cholesterol yamagazi.
Njira ya matenda ashuga komanso kugwiritsa ntchito glucometer
Kufunika kogwiritsa ntchito glucometer pafupipafupi ngati wodwala wapezeka ndi matenda a shuga 1.
Popeza insulin yanu ndiyochepa kwambiri kapena ayi, kuti mupeze kuchuluka kwa insulini, ndikofunikira kuyeza shuga pambuyo chakudya chilichonse.
Mtundu 2 wa shuga, shuga amatha kuyezedwa ndi glucometer kamodzi patsiku, ndipo nthawi zina kangapo. Pafupipafupi kugwiritsa ntchito mita makamaka zimatengera kuopsa kwa matendawa.
Glucose m'madzi am'magazi: kuchuluka kwa shuga kuchokera pachala ndi glucometer komanso pamimba yopanda kanthu malinga ndi tebulo
Anthu omwe amapezeka ndi matenda ashuga ayenera kusintha moyo wawo kotheratu. Kuphatikiza apo, ayenera kuthana ndi zisonyezo zambiri, kudziwa dongosolo la kusanthula, kusamutsa kwamagulu ena a shuga kwa ena. Odwala matenda ashuga ayenera kudziwa zomwe zili m'magazi athunthu komanso m'magazi.
Tithana ndi terminology
Plasma ndiye gawo lamadzi pomwe magazi amapezeka. Zomwe zalembedwa kuchokera ku kuchuluka kwathunthu kwamadzimadzi a thupi sizidutsa 60%. Plasma imakhala ndi madzi 92% ndi 8% yazinthu zina, kuphatikiza mapuloteni, organic ndi mchere.
Glucose ndi gawo lamagazi lomwe limafotokozera zamankhwala okhala ndi chakudya. Ndikofunikira mphamvu, kuyang'anira ntchito ya maselo am'mitsempha ndi ubongo. Koma thupi lake lingagwiritsidwe ntchito kokha pamaso pa insulin. Amamangilira shuga wamagazi ndikuthandizira kukweza ndi kulowa kwa glucose m'maselo.
Thupi limapanga shuga kwakanthawi kochepa mu chiwindi mu mawonekedwe a glycogen komanso njira yosungiramo mawonekedwe a triglycerides (amayikidwa mu minofu yamafuta). Kuzindikirika kwa insulin ndi glucose kumakhudza thanzi la munthu.
Zizindikiro - Choyamba
- Maola 10 mpaka 12 isanakwane chakudya,
- theka la ola pamaso pa mayeso, kupsinjika kulikonse ndi kupsinjika kwakuthupi kuyenera kuthetsedwa.
- kusuta mphindi 30 mayeso aletsedwe.
Kuti akhazikitse matenda anu, zotsatira za kusanthuli zimayesedwa kutengera miyezo ndi malingaliro a WHO omwe apezeka kale.
Kutengera ndi umboni wa glucometer, endocrinologist sangadziwitse matenda, koma zovuta zomwe zapezeka ndizomwe zimapangitsa kuti pakhale maphunziro ena.
Iwo amalimbikitsa kuyang'ana zotere:
- kuyesa kupewa anthu opitirira zaka 45 (chidwi chapadera chimaperekedwa kwa odwala onenepa kwambiri),
- pakakhala zizindikiro za hypoglycemia: mavuto ammaso, nkhawa, kuchuluka kwa chakudya, kusazindikira bwino,
- ndi zizindikiro za hyperglycemia: ludzu losalekeza, kukodza kwambiri, kutopa kwambiri, mavuto amaso, kufooka chitetezo chokwanira,
- kusazindikira kapena kukula kwa kufooka kwambiri: fufuzani ngati kuwonongeka kwachitika chifukwa cha kuphwanya kagayidwe kazakudya,
- omwe adapezeka kuti ali ndi matenda ashuga kapena boma lopweteka: kuwongolera zizindikiro.
Koma kuyeza shuga wokha sikokwanira. Kuyesedwa kwa shuga kumachitika, ndipo kuchuluka kwa hemoglobin ya glycated kumayesedwa. Kusanthula kumakupatsani mwayi wodziwa kuchuluka kwa glucose m'miyezi itatu yapitayo. Ndi chithandizo chake, kuchuluka kwa hemoglobin, yomwe imalumikizidwa ndi mamolekyu a glucose, imatsimikizika. Umu ndi momwe amatchedwa Maillard.
Pokhala ndi shuga wambiri, njirayi imathamanga, chifukwa pomwe kuchuluka kwa hemoglobin kumachuluka. Kuunika kumeneku kumakupatsani mwayi wodziwa momwe mankhwalawo anali othandiza. Pamagwiritsidwe ake, ndikofunikira kutenga magazi a capillary nthawi iliyonse, mosasamala kanthu za kudya.
Kuphatikiza apo, mavuto atapezeka, magazi amatengedwa kuti adziwe C-peptide, insulin. Izi ndizofunikira kukhazikitsa momwe thupi limapangitsira timadzi timeneti.
Norm ndi matenda
Kuti mumvetsetse ngati mukukumana ndi vuto la chakudya chopatsa mphamvu, muyenera kudziwa kuchuluka kwa shuga m'magazi. Koma kunena zomwe zikuwoneka kuti ziyenera kukhala zenizeni pa mita yanu ndizovuta. Inde, gawo limodzi la chipangizocho limapangidwa kuti lipange kafukufuku wamagazi athunthu, ndipo linalo pa plasma yake.
Mu mbeera eyasooka, ebyamagero bijja kubeera bweru, kuba tebiri mu masamu ga mmagazi gaamu. Kusiyanako kuli pafupifupi 12%. Chifukwa chake, muyenera kuyang'ana pazigawo zomwe zatchulidwa mu malangizo a chipangizo chilichonse.
Tiyeneranso kukumbukira kuti malire a zolakwika zanyumba zonyamula katundu ndi 20%.
Ngati mita ikutsimikizira za shuga m'magazi athunthu, ndiye kuti mtengo wotsatira uyenera kuchuluka ndi 1.12. Zotsatira zake zikuwonetsa kuchuluka kwa shuga wa m'magazi. Yang'anirani izi mukamayang'ana ma labotale ndi zizindikiro zapakhomo.
Mndandanda wa miyezo ya shuga ya plasma ndi motere:
Pangakhale mavuto ndi digestibility ya glucose, mapangidwe ake azikhala ochepera 6.1 pamagazi a plasma. Pachikhalidwe chofunikira chidzakhala
Kuwerenga kwakeko ndikulondola motani: kwabwino, kusintha kwa tchati
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.
Chifukwa chiyani kugwiritsa ntchito matebulo?
M'mabotolo, amagwiritsa ntchito matebulo apadera omwe zizindikiro za plasma zimawerengeredwa kale m'magazi a shuga a capillary.
Kuwerenganso zotsatira zomwe zimawonetsedwa ndi mita zitha kuchitidwa palokha. Pazomwezi, chizindikiro pa polojekiti chimagawidwa ndi 1.12.
Choyimira chotere chimagwiritsidwa ntchito kuphatikiza matebulo omasulira zizindikiro zomwe zapezeka pogwiritsa ntchito zida zodziwonera za shuga.
Miyezo yam'magazi a plasma (osatembenuka)
Nthawi zina adotolo amalimbikitsa kuti wodwala azigwiritsa ntchito kuchuluka kwa shuga m'magazi. Kenako umboni wa glucometer suyenera kutanthauziridwa, ndipo zovomerezeka zikhale motere:
- pamimba yopanda kanthu m'mawa 5.6 - 7.
- Maola 2 atatha munthu kudya, chizindikiro sichiyenera kupitirira 8.96.
Momwe mungayang'anire momwe zida zanu zilili zolondola
DIN EN ISO 15197 ndi muyezo womwe umakhala ndi zofunikira pakuziyang'anira wekha zida za glycemic. Malinga ndi icho, kulondola kwa chipangizochi ndi motere:
- kupatuka pang'ono kumaloledwa pamlingo wa glucose mpaka 42 mmol / L. Amaganiziridwa kuti pafupifupi 95% ya miyeso idzasiyana ndi muyezo, koma osaposa 0.82 mmol / l,
- pazofunikira zazikulu kuposa 4.2 mmol / l, cholakwika cha zotsatira 95 zilizonse siziyenera kupitilira 20% ya mtengo weniweni.
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 kuti mita ndi yayikulu kwambiri kapena yotsika kwambiri, odwala matenda ashuga ayenera kuyesetsa kukhalabe ndi glucose osapitirira 8 masana.
Ngati zida zodziyang'anira nokha za shuga zisonyeza chizindikiro H1, ndiye kuti izi zikutanthauza kuti shuga ndi woposa 33.3 mmol / l. Kuti mupeze zolondola, matundu ena oyesera amafunikira. Zotsatira zake ziyenera kufufuzidwa kawiri ndi njira zomwe zimatsitsidwa kuti muchepetse shuga.
Momwe mungatenge madzi kuti mupeze kafukufuku
Njira yowunikirayi imakhudzanso kulondola kwa chipangizocho, chifukwa chake muyenera kutsatira malamulowa:
- Manja manja asanafike pama sampu amayenera kutsukidwa bwino ndi sopo ndikuwuma ndi thaulo.
- Zala zozizira zimafunika kuzikongoletsa kuti zizitentha. Izi zitsimikiza kutuluka kwa magazi kufikira zala zanu. Kutikita minofu kumachitika ndi mayendedwe opepuka owongolera kuchokera m'chiwuno kupita kuminwe.
- Pamaso pa njirayi, womwe ukuchitika kunyumba, osapukuta malo opumira ndi mowa. Mowa umapangitsa khungu kuwola. Komanso, musapukute chala chanu ndi nsalu yonyowa. Zida zamadzimadzi zomwe zopukutira zimalembedwa kwambiri zimasokoneza zotsatira zowunikira. Koma ngati muyeza shuga kunja kwa nyumbayo, ndiye kuti muyenera kupukuta chala chanu ndi nsalu.
- Kuboola chala kuyenera kukhala kwakuya kwambiri kuti usakakamize kwambiri chala. Ngati matendawo sakhala ozama, ndiye kuti madzi amadzimadzi am'malo mwake adzawoneka m'malo mwa dontho la magazi a capillary pamalo ovulalawo.
- Mukamaliza kukwapula, pukuta droplet yoyamba kutuluka. Sikoyenera kusanthula chifukwa imakhala ndi madzi ambiri ophatikizana.
- Chotsani dontho lachiwiri pa mzere woyesera, kuyesera kuti musamamenye.
Zochitika Zaposachedwa Za Odwala A shuga
- 1 "Tepi ya digito" - ndi chiyani?
- 2 Kugwiritsa ntchito poyeza shuga
Anthu ambiri amadziwa kuti shuga m'magazi ndi chimodzi mwazofunikira kwambiri. Izi ndizowona makamaka kwa anthu omwe ali ndi matenda amtundu wa 2 kapena mtundu 2.
Asayansi ochokera ku yunivesite, yomwe ili ku California, adapanga ukadaulo wosiyana ndi wina uliwonse womwe umakulolani kudziwa kuchuluka kwa shuga popanda kubaya khungu. Kuti muchite izi, wodwalayo amata tattoo yaying'ono - "digito", yomwe imapereka zotsatira mkati mwa mphindi 10 atayikidwa. M'mbuyomu, ngakhale kuti mankhwala adapita patsogolo pang'ono, madokotala adagwiritsa ntchito ma syringe apadera ndi singano kuti azindikire kuchuluka kwa shuga m'magazi. Komabe, posachedwa, zamankhwala zitha kusiya mchitidwewu, chifukwa pakadali pano paliukadaulo womwe umakulolani kuti mupeze chidziwitso cholondola cha misempha ya magazi popanda jakisoni. Pofuna kutsimikiza kopweteketsa msanga m'magazi a shuga, gulu la asayansi aku America apanga tekinoloje yatsopano - tattoo yakanthawi pang'ono kapena tattoo yachijito. Nkhanizi zidasindikizidwa mu magazini ya ku America yotchedwa Analytical Chemistry. Chipangizochi chinapangidwa ndikuyesedwa ndi A. Bandodkar (wophunzira womaliza maphunziro a labotale ya nano-teknoloji ya University School, yomwe ili ku California).Kuyeserera kunachitika motsogozedwa ndi Pulofesa Joseph Wang. Matenda a shuga a shuga amadziwika ndi kuphwanya kwa ntchito ya endocrine system ya thupi, momwe imachulukana kapena, m'malo mwake, imachepetsa kupanga insulin. Hemeni wa insulin mu mkhalidwe wabwinobwino umakhudzidwa ndi kuyamwa kwa shuga m'thupi. Glucose, ndi gawo lofunikira komanso lofunikira. Ndi kuchuluka kwa shuga, kuwonongeka kwa impso, kutsekeka kwa ntchito yamanjenje ndikusokonekera kwa ziwiya kumapangika. Chifukwa chake, ndikofunikira kwambiri kuwongolera pamlingo wake ndikuwathandiza kupatuka kunthawi zonse. Hyperglycemia ndi kuchuluka kwa shuga m'magazi a munthu. Choyambitsa chachikulu cha hyperglycemia ndi kusowa kwa insulin. Hypoglycemia ndi kuchepa kwa shuga m'magazi. Ndi chizindikiro cha matenda a chiwindi kapena kupezeka kwa chotupa m'thupi. Zonsezi zimatha kuyambitsa khungu, kusokoneza maonekedwe, gangore, matenda amkhungu, dzanzi la miyendo. Pankhaniyi, glucose sangagwiritsidwe ntchito kuwonetsetsa ntchito yofunika kwambiri ya thupi, koma amalowa mwachindunji m'magazi. Anthu omwe ali ndi matenda monga matenda ashuga amayenera kuwunika kawirikawiri magazi awo, kupita kukayezetsa kuchipatala, ndi zina zambiri. Kuti odala azitha kuwona kuchuluka kwa shuga omwe ali m'magazi awo ngakhale popanda kusiya nyumba yawo, amagwiritsa ntchito zida ngati glucometer. Chida kapena zida zoterezi zimatha kusungidwa nanu nthawi zonse ndikusanthula nthawi iliyonse tsiku ndi kulikonse. Kuyeza kwa shuga ndimagazi ndi glucometer kumathandizira kwambiri moyo wa odwala omwe ali ndi matenda ashuga. Njira zina zimatenga nthawi yayitali komanso zimakhala ndi zovuta. Chifukwa cha kutsimikiza kwa shuga mwa njira zovomerezeka za labotale ndizochedwa kangapo kuposa kugwiritsa ntchito zida zapadera. Gluceter yosunthika ndi chida chowunikira kuchuluka kwa shuga m'magazi amthupi. Glucometer imatsimikiza kuwonongeka kulikonse kwa wodwalayo makamaka masekondi (kuyambira masekondi 8 mpaka 40). Ndiosavuta kugwiritsa ntchito ndipo itha kugwiritsidwa ntchito kunyumba. Mamita amayenera kufufuzidwa pafupifupi katatu patsiku. Ngakhale zizindikirozi zimawonedwa mosamalitsa ndipo zimatha kusiyanasiyana malinga ndi momwe wodwalayo alili. Glucometer osalumikizana ndi amitundu yosiyanasiyana: 1) electrochemical glucometer, 2) gluometeter yojambulira, 3) Raman glucometer. Electrochemical glucometer ndi imodzi mwazida zapamwamba kwambiri. Amatsimikiza kuchuluka kwa shuga m'madzi a m'magazi. Kuti muchite izi, magazi amamugwiritsa ntchito pamiyeso ya glucometer (ngakhale dontho limodzi ndilokwanira). Zotsatira zake zitha kuwonedwa pazenera. Photometric glucometer imawonedwa ngati chida chatha ndipo sichigwiritsidwa ntchito masiku ano. Kuti mudziwe kuchuluka kwa glucose, magazi a capillary amagwiritsidwa ntchito, omwe amagwiritsidwa ntchito pazida zapadera zoyesa. Pambuyo pake, amasintha mtundu wake ndikuwonetsa zotsatira zake. Raman glucometer amawona kuchuluka kwa shuga pogwiritsa ntchito ma laser omwe adalowetsedwa mu chipangizocho, omwe amapanga khungu. Chida choterocho chikadali chitukuko, koma chapezeka posachedwa kuti chizigwiritsidwa ntchito. Kuphatikiza apo, palinso glucometer yolankhula. Ndizoyenera kwa anthu omwe ali ndi vuto lochepa kapena akhungu omwe ali ndi matenda ashuga. Zizindikiro zapadera zaBraille zimayikidwa pamizere yoyesera ya glucometer ya khungu. Madzi owira a glucose mita amatha kuphatikizidwanso. Mtengo wa chida choterocho ndiwokwera pang'ono kuposa glucometer wamba, koma ndiwothandiza kwambiri kwa anthu omwe ali ndi mavuto amaso ndipo amathandizira kwambiri kuzindikira kwawo. Mafuta a glucose osasokoneza ndi chida chodziwika bwino cha kuchuluka kwa shuga m'magazi am'magazi. Mfundo zoyendetsera mita yotereyi ndizokhazikitsidwa ndi ma radiation ya infrared. Chojambulira chimalumikizidwa kudera la khutu (khutu), chomwe chimasanthula ndikusintha chidziwitso ku mita ndikugwiritsa ntchito cheza. Chida ichi chimatchedwa glucometer yosalumikizana. Kwa iye, palibe chifukwa chogulira mabala apadera oyesera, singano za glucometer kapena malupu. Ili ndi cholakwika cha 15% chokha, chomwe ndi chizindikiro chotsika poyerekeza ndi zida zina. Ngati cholumikizira chapadera, gluceter woterowo amatha kuonetsa dokotala ngati wodwala akayamba kudwala matenda ashuga kapena kuchepa kwambiri m'magazi a shuga. Ma Glucometer agawidwa m'magulu angapo:"Ma tattoo a digito" - ndi chiyani?
Momwe mungayesere shuga m'magazi ndi glucometer?
Mitundu ya matenda ashuga
Mafuta anyama am'magazi
Momwe mungayezere shuga?
Pofuna kuyeza shuga wamagazi ndi glucometer, mudzafunika mowa, zingwe zapadera zoyesa, cholembera kupyoza khungu, ubweya wa thonje ndi glucometer palokha.
1) Sambani ndi kupukuta manja anu bwino lomwe. Konzani zakumwa zoledzeretsa komanso thonje.
2) Kenako nikizani chodzikongoletsera pakhungu, mutasintha kale ndikusokoneza kasupe.
3) Kenako muyenera kuyesa mzere mu chipangizocho, kenako chidzatsegukira chokha.
4) Thonje loviikidwa mu mowa liyenera kulipukutidwa ndi chala ndikugundika ndi cholembera.
5) Mzere woyesa (gawo logwira ntchito) liyenera kuphatikizidwa ndi dontho la magazi. Gawo lantchito liyenera kukhala lodzaza.
6) Ngati magazi afalikira, njirayi ikuyenera kubwerezedwanso.
7) Pakapita masekondi angapo, zotsatira zake ziziwoneka pazenera la mita. Pambuyo pake, chingwe choyesa chimatha kutulutsidwa ndipo chipangizocho chimadzimitsa chokha.
Ndikofunika kudziwa kuchuluka kwa shuga m'mawa pamimba yopanda kanthu kapena pamimba yopanda kanthu. Mukatha kudya, yankho lake silingakhale lolondola.
Musaiwale za kutha kwa nthawi yopumira. Zisungidwa m'malo owuma firiji. Zida zosayesa zoyenera zimapereka yankho lolakwika ndipo sizithandiza pakapita nthawi kuzindikira kuwonongeka kwa wodwalayo.
Kwa odwala omwe amadalira insulin, kuyezetsa kumachitika musanalowe jekeseni aliyense wa insulin. Ndikwabwino kubaya khungu pazala zokhala kumbali ya mapepala, popeza malowa samawoneka ochepera kuposa ena onse. Sungani manja anu malo oyera ndi oyera. Ndikofunikira kuti nthawi zonse musinthe malo opaka khungu. Osagwiritsa ntchito nyambo za munthu wina chifukwa cha glucometer.
Mutha kupeza mzere woyeserera nthawi yomweyo musanafike poyeza shuga. Khodi ya mzere woyeserera ndi mita ikuyenera kufanana. Osabaya khungu kwambiri kuti asawononge minofu. Dontho lalikulu kwambiri la magazi lingasokeretse zotsatira, ndiye kuti simuyenera kungofinya kapena kungotayira gawo loyesa kwambiri kuposa momwe mungayembekezere.
Pafupipafupi shuga
Mtundu woyamba wa shuga wambiri, shuga amayenera kuyeza kangapo patsiku, asanadye, pambuyo panu komanso asanagone.
Mtundu wachiwiri wa matenda a shuga, glucose amayeza kangapo pa sabata munthawi yosiyanasiyana (m'mawa, madzulo, tsiku). Anthu athanzi ayenera kuyeza shuga m'magazi awo kamodzi pamwezi komanso nthawi zosiyanasiyana masana.
Odwala odwala matenda a shuga amawonjezeranso shuga m'magazi ngati pali kuphwanya kwa boma masiku onse.
Zotsatira zake zitha kukhudzidwa ndikusokonekera pakati pa glucometer code ndi mzere woyeserera, manja osasamba bwino, khungu lonyowa, magazi ambiri, kudya koyambirira, etc.
Chovuta pakuyeza kwa glucose ndi zida zapafupifupi 20%. Ngati muyeza shuga ndi zida zosiyanasiyana, ndiye kuti zotsatira zake zimakhala, motsatana, mosiyana. Komanso zolakwika zina zimatha kuonedwa ndi zofooka mu chipangacho chokha kapena kusagwira kwake ntchito. Nthawi zina yankho lolakwika limatha kuperekera kuyesa kwa mita. Zimatengera kapangidwe kake ka ma strage reagent.
Kodi mungasankhe bwanji glucometer?
Mukamagula glucometer, mtengo wake, miyeso, kuchuluka kwa kukumbukira, kuchuluka kwa magwiridwe antchito ndi magawo ena ziyenera kukumbukiridwa. Ndikofunikanso kuganizira momwe mtundu wa matenda ashuga umapangidwira, popeza ma glucometer osiyanasiyana amatha kugwiritsidwa ntchito mosiyanasiyana.
Kwa odwala matenda ashuga amtundu wachiwiri, zida zomwe zingagwiritsidwe ntchito onse kunyumba, kuchipatala kapena m'malo ena aliwonse ndizoyenera. Ndi mtundu woyamba wa matenda ashuga, muyenera kugwiritsa ntchito mita nthawi zambiri, zomwe zikutanthauza kuti mitengo yake izikhala yochulukirapo.
Ndikofunikira kuwerengera pasadakhale kuti ndi ndalama zingati zomwe zidzagwiritsidwe ntchito mwezi uliwonse pakugula zingwe zapadera zoyeserera kapena singano za glucometer.