Aychek: malongosoledwe ndi malingaliro pa gluceter wa Aychek

Pafupifupi 90% ya anthu omwe amapezeka ndi matenda ashuga ali ndi matenda amtundu wa 2. Awa ndi matenda afala kwambiri omwe mankhwalawa sangagonjetse. Popeza kuti m'masiku a Ufumu wa Roma, kudwala komwe kumakhala ndi zofanana ndi kale kufotokozedwa kale, matendawa adakhalapo kwanthawi yayitali, ndipo asayansi adazindikira njira zamatenda okha m'zaka za zana la 20. Ndipo uthenga wokhudza kukhalapo kwa matenda ashuga a mtundu 2 udawonekeranso mu zaka 40 zapitazi - zolemba zokhudzana ndi kukhalapo kwa matendawa ndi a Himsworth.

Sayansi yapanga, ngati sichinthu chosintha, ndiye njira yayikulu kwambiri yochizira matenda ashuga, koma mpaka pano, atakhala pafupifupi pafupifupi faifi la zana la makumi awiri ndi limodzi, asayansi sakudziwa momwe matendawa amakhulukira. Pakadali pano, amangowonetsa zinthu zomwe "zithandiza" matendawa kuwonekera. Koma odwala matenda ashuga, akapezeka kuti ali ndi vuto lotere, sayenera kutaya mtima. Matendawa amatha kusungidwa, makamaka ngati pali othandizira mu bizinesi iyi, mwachitsanzo, glucometer.

Ai Chek mita

Gawo la Icheck glucometer ndi chipangizo chonyamulika chopangidwa poyeza shuga. Izi ndi zida zosavuta kwambiri.

Mfundo za zida:

1. Ntchito yaukadaulo yozikidwa pa teknoloji ya biosensor ndiyokhazikitsidwa. The makutidwe ndi okosijeni a shuga, omwe ali m'magazi, amachitidwa ndi zomwe zimachitika ndi enzyme glucose oxidase. Izi zimathandizira kuti pakhale mphamvu inayake yamakono, yomwe imatha kuwulula zamtunduwu mwakuwonetsa zofunikira zake pazenera.
2. Gulu lirilonse la magulu oyesa ali ndi chip chomwe chimasuntha chidziwitso kuchokera ku magulu omwewo kupita kwa owerenga pogwiritsa ntchito encoding.
3. Mapulogalamu pazida samaloleza kuti wopangirayo ayambe kugwira ntchito ngati zingwezo sizinaikidwe molondola.
4. Zingwe zoyeserera zimakhala ndi chingwe chodalirika choteteza, kuti wogwiritsa ntchito asadandaule za kukhudza kogwira, osadandaula za zotsatira zolakwika.
5. Magawo olamulira a chizindikirocho atatha kutengeka ndi mtundu wa kusintha kwa magazi, ndipo pomwepo wosuta amadziwitsidwa za kulondola kwa kusanthula kwake.

Ndiyenera kunena kuti gluceter wa Aychek ndiwodziwika kwambiri ku Russia. Izi zikuchitikanso chifukwa chakuti mchikhalidwe cha boma chothandizidwa, anthu omwe ali ndi matenda ashuga amapatsidwa zakumwa zaulere za glucometer iyi kuchipatala. Chifukwa chake, nenani ngati makina anu amagwira ntchito kuchipatala chanu - ngati ndi choncho, pali zifukwa zambiri zogulira Aychek.

Ubwino Woyesa

Musanagule ichi kapena chida chimenecho, muyenera kudziwa zabwino zomwe zili ndi, chifukwa chake nchoyenera kugula. Aychek yemwe amatsimikizira za bio ali ndi zabwino zambiri.

Ubwino 10 wa Aychek glucometer:

1. Mtengo wotsika mtengo
2. Chitsimikizo chopanda malire
3. Zilembo zazikulu pazenera - wosuta amatha kuwona popanda magalasi,
4. Mabatani awiri akuluakulu owongolera - kuyenda kosavuta,
5. Mphamvu yokumbukira mpaka muyeso wa 180,
6. Kudzimitsa kwadzidzidzi kwa chipangizocho pakatha mphindi zitatu kuti musagwiritse ntchito,
7. Kutha kulunzanitsa deta ndi PC, smartphone,
8. Kulowetsedwa magazi mwachangu mumiyeso ya Aychek - 1 imodzi yokha,
9. Kutha kupeza mtengo wapakati - kwa sabata, awiri, mwezi ndi kotala,
10. Kugwirizana kwa chipangizocho.

Ndikofunikira, mwachilungamo, kunena za mphindi za chipangizocho. Zoyimira zochepa - nthawi yochita zowerengera. Ndi masekondi 9, omwe amasuntha ma glucometer amakono kwambiri mwachangu. Pakatikati, ochita mpikisano wa Ai Chek amatha mphindi 5 kumasulira zotsatira. Koma ngakhale kuti izi ndizofunika ndizochepa kuti wosuta azisankha.

Zina zatsatanetsatane

Mfundo yofunika posankha ingatengedwe ngati chitsimikizo monga mulingo wamagazi wofunikira pakuwunika. Omwe ali ndi ma glucometer amatcha ena oimira njirayi kukhala "ma vampires" mwa iwo okha, chifukwa amafunikira gawo lovuta la magazi kuti alowetse mzere wowonetsa. 1.3 μl ya magazi ndi yokwanira kuti wofufuzayo apange muyeso wolondola. Inde, pali owunikira omwe amagwira ntchito ndi mlingo wotsikirapo, koma mtengo wake ndi wokwanira.

Makhalidwe a woyeserera:

• Kutalika kwa miyeso yoyezedwa ndi 1.7 - 41.7 mmol / l,
• Kuunika kumachitika ndi magazi athunthu,
• Njira yofufuzira Electrochemical,
• Kutsatsa kumachitika ndikumayambitsa chip yapadera, chomwe chimapezeka mumitundu yatsopano iliyonse yamayeso,
• Kulemera kwa chipangizocho ndi 50 g.

Phukusili limaphatikizapo mita yokha, kuboola pang'onopang'ono, 25 lancets, chip ndi code, 25 strips 25, batire, buku ndi chophimba. Chitsimikizo, ndikofunikanso kupanga chiphokoso, chipangizocho chiribe, popeza sichidziwika.

Zimachitika kuti mizere yoyeserera sikubwera konse pakusintha, ndipo ikufunika kugulidwa payokha.

Kuyambira tsiku lopangira, timizerezo ndioyenera chaka chimodzi ndi theka, koma ngati mwatsegula kale zosunga, ndiye kuti sizingagwiritsidwe ntchito kwa miyezi yopitilira 3.

Sungani zigawo mosamala: siziyenera kuyatsidwa ndi kuwala kwa dzuwa, kutentha kochepa komanso kwambiri, chinyezi.

Mtengo wa Aychek glucometer uli pa ma ruble 1300-1500.

Momwe mungagwirire ntchito ndi chida cha Ay Chek

Pafupifupi kafukufuku aliyense wogwiritsa ntchito glucometer amachitika m'magawo atatu: kukonzekera, zitsanzo za magazi, ndi njira yakeyinso. Ndipo gawo lililonse limayenda molingana ndi malamulo ake.

Kukonzekera ndi chiyani? Choyamba, awa ndi manja oyera. Pamaso pa njirayi, asambe ndi sopo ndi youma. Kenako yambitsani kutikita minofu mwachangu komanso mopepuka. Izi ndizofunikira kusintha magazi.

Shuga Algorithm:

1. Lowetsani mzere wozungulira mu tester ngati mwatsegula cholaula chatsopano,
2. Ikani lancet kuti mubole, sankhani zozama zopumira
3. Gwirizanitsani chida chopyoza chala chala, ndikanikizani batani lotsekera,
4. Pukutani dontho loyamba la magazi ndi swab ya thonje, mubweretse lachiwiri ku gawo lowonetsera pa Mzere,
5. Yembekezerani zotsatira,
6. Chotsani mzere wogwiritsidwa ntchito pachidacho, chitayeni.

Kukhomerera chala ndi mowa musanagwire kapena ayi. Kumbali imodzi, izi ndizofunikira, kusanthula kwa Laborator kumayendetsedwa ndi izi. Kumbali inayi, sizovuta kuvuta, ndipo mudzamwa mowa wambiri kuposa momwe ungafunikire. Itha kupotoza zotsatira za kusanthula kumunsi, chifukwa kafukufuku wotere sangakhale wodalirika.

Free Ai Check Maternity Glucometer

Zowonadi, m'malo ena azachipatala, oyesa Aychek amatha kupatsidwa magawo ena azimayi apakati mwaulere, kapena amagulitsidwa kwa odwala achikazi pamtengo wotsika kwambiri. Chifukwa chiyani Pulogalamuyi cholinga chake ndi kupewetsa matenda ashuga.

Nthawi zambiri, matendawa amawonekera mu gawo lachitatu la mimba. Vutoli la matenda amenewa ndi kusokonekera kwa mahomoni m'thupi. Pakadali pano, zikondamoyo za amayi amtsogolo zimayamba kubalanso insulin katatu - izi ndizofunikira mwakuthupi kuti thupi likhale ndi shuga lokwanira. Ndipo ngati thupi la mkazi silingathe kuthana ndi mawu osinthika otero, ndiye kuti mayi woyembekezera amakula ndi matenda osokoneza bongo.

Inde, mayi wapakati wathanzi sayenera kupatuka motero, ndipo pali zinthu zingapo zomwe zingayambitse. Uku ndiye kunenepa kwambiri kwa wodwala, komanso prediabetes (mathero a shuga), komanso chibadwa chamtsogolo, komanso kubadwa kwachiwiri kubadwa mwana woyamba kubadwa ali ndi thupi lolemera. Palinso chiopsezo chachikulu cha matenda amiseche kwa amayi oyembekezera omwe ali ndi polyhydramnios.

Ngati matendawa apezeka, azimayi oyembekezera ayenera kumwa shuga wa magazi kangapo pa tsiku. Ndipo apa pakubuka vuto: amayi ochepa oyembekezera mopanda kuwonerera angakumane ndi malingaliro amenewo. Odwala ambiri ali ndi chitsimikizo: shuga ya amayi apakati imadutsa yokha ikatha kubereka, zomwe zikutanthauza kuti kuchititsa maphunziro a tsiku ndi tsiku sikofunikira. "Madokotala ali otetezeka," akutero odwala. Kuti muchepetse izi, mabungwe ambiri azachipatala amapereka amayi oyembekezera omwe ali ndi glucometer, ndipo nthawi zambiri awa ndi ma Aychek glucometer. Izi zimathandizira kulimbikitsa kuwunika kwa omwe ali ndi matenda ashuga, komanso mphamvu zakuchepetsa zovuta zake.

Momwe mungayang'anire kulondola kwa Ai Chek

Kuti muwone ngati mita ikugona, muyenera kupanga miyeso itatu motsatizana. Monga mukumvetsetsa, zoyesedwa siziyenera kukhala zosiyana. Ngati ndizosiyana kotheratu, ndiye kuti njira yabwino. Nthawi yomweyo, onetsetsani kuti muyezo watsatira malamulowo. Mwachitsanzo, musayeze shuga ndi manja anu, pomwe kirimuyo adathira dzulo dzulo. Komanso, simungathe kuchita kafukufuku ngati mwangobwera kuchokera kuzizira, ndipo manja anu sanatenthe.

Ngati simukukhulupirira muyeso wambiri, pangani maphunziro awiri amodzi: imodzi mu labotale, yachiwiri mutangochoka mu chipinda cha labotale ndi glucometer. Fananizani zotsatirazi, ayenera kukhala ofanana.

Ndemanga za ogwiritsa ntchito

Kodi eni ake a pulogalamu yotsatsira ija amati chiyani? Zambiri zopanda tsankho zimapezeka pa intaneti.

Gluceter wa Aychek ndi amodzi mwamamita omwe ali odziwika kwambiri mumtengo wa mitengo kuchokera ku ruble 1000 mpaka 1700. Izi ndi umboni wosavuta kugwiritsa ntchito womwe umafunikira kuti ubatizidwe ndi mikwingwirima yatsopano iliyonse. Pulogalamuyo imakonzedwa ndimagazi athunthu. Wopangayo amapereka chitsimikizo cha moyo wake pazida. Chipangizocho ndichosavuta kuyendera, nthawi yokonza deta - masekondi 9. Mlingo wodalirika wa zizindikiro zoyesedwa ndi wapamwamba.

Izi zowunikira nthawi zambiri zimagawidwa m'magulu azachipatala aku Russia pamtengo wotsika kapena kwaulere. Nthawi zambiri, magulu ena a odwala amalandila mzere waulere chifukwa chake. Dziwani zambiri zatsatanetsatane m'makiriniki a mzinda wanu.

Mawonekedwe a mita ya Icheck

Ambiri odwala matenda ashuga amasankha Aychek ku kampani yotchuka DIAMEDICAL. Chipangizochi chimaphatikiza kugwiritsa ntchito mosavuta komanso kwapamwamba kwambiri.

• Mawonekedwe abwino ndi mawonekedwe ang'onoang'ono zimapangitsa kuti chikhala chosavuta kugwira chida m'manja mwanu.
• Kuti mupeze zotsatira za kusanthula, magazi amodzi okha amafunika.
• Zotsatira za kuyesedwa kwa magazi zimawonekera pazomwe chida chikuwonetsa masekondi asanu ndi anayi pambuyo pakupereka magazi.
• Bokosi la glucometer limaphatikizapo cholembera chobowola komanso zingwe zoyeserera.
• Chotupa chophatikizidwa ndi zida chimakhala chakuthwa kwambiri chomwe chimakupatsani mwayi wopumira pakhungu popanda kupweteka komanso mosavuta.
• Zingwe zoyeserera ndizokulirapo kukula, kotero ndikoyenera kuyiyika mu chipangizocho ndikuchotsa pambuyo poyesa.
• Kupezeka kwa malo apadera oyeserera magazi kumakupatsani mwayi woti musagwiritse chingwe choyesa m'manja mwanu pakayesedwa magazi.
• Zingwe zoyezetsa zimatha kutenga magazi ofunika.

Choyimira chilichonse chatsopano chovala chimakhala ndi chip. Mamita amatha kusunga zotsatira za mayeso zaposachedwa mu malingaliro ake ndi nthawi ndi tsiku la phunzirolo.

Chipangizocho chimakulolani kuwerengera kuchuluka kwa shuga mumagazi kwa sabata, masabata awiri, masabata atatu kapena mwezi.

Malinga ndi akatswiri, ichi ndi chipangizo cholondola kwambiri, zotsatira za kusanthula kwake ndizofanana ndi zomwe zidapezedwa chifukwa cha kuyesedwa kwa labotale magazi a shuga.

Ogwiritsa ntchito ambiri amazindikira kudalirika kwa mita ndi kupepuka kwa njira yoyezera shuga m'magazi pogwiritsa ntchito chipangizocho.

Chifukwa chakuti magazi ochepa amafunikira panthawi yophunzira, njira zowerengera magazi zimachitika popanda kupweteka komanso mosamala kwa wodwalayo.

Chipangizocho chimakulolani kuti musamutse deta yonse yomwe mwapeza kuti ikwaniritse kompyuta yanu pogwiritsa ntchito chingwe chapadera. Izi zimakuthandizani kuti muike zizindikiritso patebulo, lembani zenera pakompyuta ndikuisindikiza ngati pakufunika kuwonetsa dokotala kafukufukuyu.

Zingwe zoyeserera zimakhala ndi mauthenga apadera omwe amachotsa kuthekera kwa cholakwika. Ngati mzere woyezera sunayikiridwe bwino mu mita, chipangizocho sichitha. Mukamagwiritsa ntchito, malo owongolera akuwonetsa ngati pali magazi okwanira osinthidwa ndi kusintha kwa utoto.

Chifukwa chakuti zingwe zoyeserera zimakhala ndi gawo linalake lodzitchinjiriza, wodwalayo amatha kukhudza gawo lililonse la mzere popanda kuda nkhawa kuti akuphwanya zotsatira za mayeso.

Zingwe zoyezetsa zimatha kutengamo magazi onse ofunikira kuti muwoneke mphindi imodzi yokha.

Malinga ndi ogwiritsa ntchito ambiri, ichi ndi chipangizo chotsika mtengo komanso choyenera pakuyeza tsiku lililonse shuga. Chipangizocho chimathandizira kwambiri moyo wa anthu odwala matenda ashuga ndipo chimakupatsani mwayi wolamulira panokha nthawi iliyonse komanso nthawi iliyonse. Mawu omwewo akhoza kuperekedwa kwa glucometer komanso foni yamakono.

Mamita ali ndi chiwonetsero chachikulu komanso chosavuta chomwe chimawonetsa anthu omveka bwino, izi zimapereka mwayi kwa okalamba ndi odwala omwe ali ndi vuto lowona kugwiritsa ntchito chipangizocho. Komanso, chipangizocho chimayendetsedwa mosavuta pogwiritsa ntchito mabatani awiri akulu. Chowonetsa chimagwira ntchito kukhazikitsa wotchi ndi tsiku. Magawo omwe amagwiritsidwa ntchito ndi mmol / lita ndi mg / dl.

Mfundo za glucometer

Njira yama electrochemical yoyezera shuga wamagazi imachokera pa kugwiritsa ntchito ukadaulo wa biosensor. Monga sensor, ma enzyme glucose oxidase amachita, omwe amayesa magazi kuti apeze zomwe zili ndi beta-D-glucose mmenemo.

Glucose oxidase ndi mtundu wa choyambitsa cha oxidation wamagazi m'magazi.

Pankhaniyi, mphamvu yamakono ikuka, yomwe imafikitsa deta ku glucometer, zotsatira zomwe zapezedwa ndi kuchuluka komwe kumawonekera pazowonetsera chipangizidwe mu mawonekedwe akusanthula kumabweretsa mmol / lita.

Malangizo a Icheck Meter

1. Nthawi yoyezera ndi masekondi asanu ndi anayi.
2. Kusanthula kumangofunika 1.2 μl yokha ya magazi.
3. Kuyesedwa kwa magazi kumachitika kuyambira pa 1.7 mpaka 41.7 mmol / lita.
4. Mita ikagwiritsidwa ntchito, njira yoyezera yamagetsi imagwiritsidwa ntchito.
5. Makumbukidwe a chipangizocho akuphatikiza miyezo 180.
6. Chipangizochi chimakhala ndi magazi athunthu.
7. Kukhazikitsa kachidindo, mzere wa code umagwiritsidwa ntchito.
8. Mabatire omwe amagwiritsidwa ntchito ndi mabatire a CR2032.
9. Mamita ali ndi miyeso 58x80x19 mm ndi kulemera 50 g.

Icheck glucometer itha kugulidwa pa malo ogulitsa aliwonse kapena kuyitanitsidwa mu sitolo yapaintaneti kuchokera kwa wogula wodalirika. Mtengo wa chipangizocho ndi ma ruble 1400.

Seti ya mayeso makumi asanu yogwiritsira ntchito mita ikhoza kugulidwa kwa ma ruble 450. Ngati tiwerenga mtengo wamiyezi yonse ya mizere yoyesera, ndiye kuti titha kunena kuti Aychek, ikagwiritsidwa ntchito, amachepetsa mtengo wowunikira kuchuluka kwa shuga m'magazi.

Katemera wa Aychek glucometer akuphatikizapo:

• Chipangizo chokha choyeza kuchuluka kwa shuga m'magazi,
• Kubowola,
• 25 malawi,
• Mzere wolemba
• 25 mizere yoyeserera ya Icheck,
• Milandu yabwino,
• Selo
• Malangizo ogwiritsira ntchito mu Chirasha.

Nthawi zina, zingwe zoyesa siziphatikizidwa, chifukwa chake ziyenera kugulidwa padera. Nthawi yosungirako mizere yoyeserera ndi miyezi 18 kuyambira tsiku lopangira ndi vial yosagwiritsidwa ntchito.

Ngati botolo lili lotseguka kale, moyo wa alumali ndi masiku 90 kuyambira tsiku lotsegula phukusi.

Pankhaniyi, mutha kugwiritsa ntchito ma glucometer popanda zingwe, popeza kusankha zida zopimira shuga ndikwanthawi lero.

Zingwe zoyeserera zimatha kusungidwa pamtunda kuchokera pa madigiri 4 mpaka 32, chinyezi cha mpweya sayenera kupitirira 85%. Kudziwitsidwa ndi dzuwa mwachindunji ndikosavomerezeka.

Zambiri pazabwino ndi zoyipa (+ chithunzi).

Ndine mtundu wa 1 wodwala matenda ashuga wodziwika bwino wazaka zitatu, munthawi iyi ndidayesera mayeso angapo. Zotsatira zake, kusankha kunagwera pa iCheck, monga mtengo wabwino kwambiri wa ndalama. Ubwino ndi kuipa kwake ndi motere.

1.Mtengo wa zingwe zoyeserera. Mtengo, mtengo ndi mtengo. Zingwe zamtchire zimangokhala za Satellite, koma ma lancets sanaphatikizidwe mu kit, ndipo kuchuluka kwa miyeso ya Satellite kumayambitsa madandaulo ambiri. Mtengo wa kulongedza mizere 100 yoyesa + 100 lancets kwa eCheck ndi ma ruble 750 okha.

2. Ming'alu - bwerani ndi mizere. Palibenso chifukwa chogula padera, chilichonse chimaphatikizidwa.

3. Zozungulira ndizoyenera komanso zoyenera kupyoza ambiri.

4. Kuunika kosavuta. Imayesedwa kamodzi konsekonse mndandanda umodzi ndi nambala imodzi. Ingoikani Chip cholumikizidwa ndi nambala ija mu mita ndipo mwatha!

5. Ziwerengero zazikulu pazowonetsa.

6. Wachifundo. Kugwetsedwa kuchokera kutalika kowoneka bwino pa matayiridwewo - kumene kumangokhalidwa.

7. Amayeza kuchuluka kwa plasma, osati magazi athunthu. Malinga ndi kafukufuku waposachedwa, kuchuluka kwa shuga m'madzi a m'magazi kumaonetsa bwino shuga.

8. Miyeso yabwino. Poyerekeza ndi AccuCheck Performa - zotsatira zimayenderana mkati mwa cholakwika.

9. Chitsimikizo cha moyo wazaka 50. Ndipo zosafunikanso, kukonzanso, ngati zalephera, kudzasinthidwa (izi zidafotokozedwa ndi wogulitsa).

10. Pali malingaliro pamene mugula mapaketi a 6 a mizere, ndipo mita ndi yaulere.

1. Nthawi yoyezera ndi masekondi 9, ena amakhala ndi zochepa (masekondi 5). Koma izi sizikusautsa: pomwe iye akuyeza, mumangokhala ndi nthawi yochotsa lancet yomwe munaigwiritsa ntchito.

2. Zoyala zazikulu. Mukamagona thukuta la zidutswa 25 m'thumba la mlandu, limatupa pang'ono. Koma pamtengo wotere ndi chimo kudandaula. PersuCheck Performa yomweyo imakhala ndi zingwe zamtundu wa converver - ng'oma za singano 6, koma zimawononga ndalama zambiri.

3. Kuboola chophweka. Ngakhale zimandikwanira, ndipo ngati mukufuna, mutha kupeza ena, ndizotsika mtengo.

4. Chiwonetsero chophweka cha LCD, minimalistic kwambiri. Koma, kwenikweni, zomwe zikufunika kuchokera pa mita, kupatula tsifiri (pali kukumbukira zotsatira zam'mbuyomu).

5. Zida zazikulu, nsapato za bast. Koma kwa ine izi sizofunikira.

6. Mwina chozizwitsa chokha ndichakuti mumafuna magazi pang'ono, koma ochulukirapo kuposa ma glucometer okwera mtengo (mwachitsanzo, AccuCheck Performa) yomweyo. Ngati palibe magazi okwanira omwe angagwiritsidwe ntchito, zotsatira zake zidzachepetsedwa. Amasankha ndi chizolowezi komanso kulondola, pamtengo wotere mathetiwo siwoipa.

7. Zosadziwika m'mafakitale wamba. Simungathamangira ku pharmacy usiku ndikugula masamba. Koma, popeza ndikonzekera tsogolo, izi sizimandivuta.

Zotsatira zake. Ndimachita kubetcha 5, chifukwa iCheck imandikwana kwathunthu pamtengo komanso mtundu. Ndipo chilichonse mtengo - anayi olimba. Zabwino kwa iwo omwe akufuna kukhala ndi matenda ashuga mosangalala kuyambira pamenepo, kutsata bwino shuga awo, koma sindikufuna kulipira ndalama zambiri pamtundu wozizira ngati AccuCheck (zingwe ndizokwera mtengo nthawi 2-2,5, osawerengera malawi, omwe amakhalanso okwera mtengo kwambiri).

Yakov Schukin analemba 10 Nov, 2012: 311

Ndilandireni aliyense.
Ndili ndi OneTouch Verio.
Zidutswa ziwiri. Ndimagwiritsa ntchito kawirikawiri.
Monga kapangidwe kake. Makamaka amene ali ndi utoto.
Zingwe zanga ndi zaulere.

Vladimir Zhuravkov adalemba 14 Dis, 2012: 212

Moni, ogwiritsa ntchito forum!
Ndili ndi ma glucometer atatu:
Acu-Chek Active New (Accu-Chek Active), Wopanga Roche (Switzerland) - wogula koyamba, pa upangiri wa dokotala (ndimapeza zingwe za mayeso zaulere).

Popeza mulibe mikwingwirima yaulere yokwanira, funso lidabweranso pogula glucometer yachiwiri yotsika mtengo. Anatsegulira iCheck, Kupanga Diamedical (UK). Mametawa ali ndi mtengo wotsika kwambiri pamsika waku Russia - ma ruble 7.50, okhala ndi mawonekedwe apamwamba kwambiri ku Europe. Kukhazikitsa kwachuma kwatsopano magawo 100 oyesera + ma lance 100 otaya ndalama 7 rubles. mu shopu TestPoloska http://www.test-poloska.ru/.

Mu chipatala chathu, ma strapp a free a Accu-Chek Active New (Accu-Chek Active) sapezeka nthawi zonse, ndiye tsiku lina ndinamugulira chipangizo chimodzi: Contour TS (Contour TS), Manufacturer Bayer (Germany), ruble 614. muchipatala Rigla. Pali zingwe zaulere nthawi zonse. (Mtengo wamilo m'masitolo amachokera ku ruble 590 mpaka 1200). Mwa njira, chida ichi sichimafunikira kuyika konse, sizingatheke kulakwitsa ndi chip kapena chingwe chosunga.

Kwa ma glucometer onse atatu, mizere yoyesera imakhala yovomerezeka, mutatsegula phukusi, nthawi yotsiriza isanachitike phukusi (kwa ena ambiri, osaposa miyezi 3), izi mwina ndizowona kwa iwo omwe amayeza SK 1-2 pa sabata.

Mwina ndinali chabe mwayi, koma ndikuyesera ndi zida zonse zitatu nthawi imodzi, zotsatira zimayenderana 100%.

Mwa zolakwa zomwe zatchulidwa:
Akku-Chek alibe chizindikiro chokwanira chokonzekera kuyeza komanso kutha kwa muyeso.
The Contour TS ili ndi zingwe zazing'ono kwambiri zoyesa, sizabwino kwambiri kutuluka pensulo.
Mwa iChek musapereke mayeso aulere.
Ine panokha sindinapeze zolakwa zina :-):

Kuphatikiza pa kuyesa kwaulere kwa mwezi uliwonse, sindipitilira ruble 1000.

Ndikulakalaka nonse Chisangalalo ndi Thanzi Labwino!

Misha - adalemba 12 Jan, 2013: 211

Masana abwino Ndili ndi mita yosankha imodzi. Pambuyo polemba makalata ndi oyang'anira maboma ndi maboma kwa miyezi isanu ndi umodzi, kenako awiri ena, mayeso amaperekedwa mzidutswa 50. mu mwezi Ndikhala chete za oyang'anira masisitere, iwo sanamvetsetse kuti angapereke mayeso. Ma PC 50. pamwezi, ndizochepera kuposa zomwe zimafunikira, koma ndi choncho. Poganizira phindu la kulumala kwa anthu, mayeso ochulukirapo sanathe. Ndazindikira kuti atakhazikitsidwa ndi mabungwe oyang'anira zaumoyo kukhala maboma, mwachitsanzo, kusamutsa mphamvu kumadera, zinthu zidasintha, ndipo akuwoneka kuti azilabadira zosowa za anthu ambiri. Koma popanda apilo kwa kazembe, nawonso, sakanachita.

Irina adalemba 13 Jan, 2013: 220

Dongosolo lagalimoto - imodzi idaperekedwa kuchipatala, yachiwiri idagulidwira ana. munda ndikungoyendetsa moto (panali kale mlandu pomwe amatenga mita kuti agwire ntchito, pomwe asiya mwana ndi agogo ake). Zolondola kwambiri. Zodabwitsa ndizotheka kukwaniritsa chipukuta, kumenyedwa ndi zasayansi yaku chipatala.
Chowopsa ndi chingwe choyesa chomwe muyenera kugula. Pa iwo m'boma. kupangira mankhwala sachitika. Mu mwezi 3-4 zikwi rubles. masamba.
Ndimakondanso cheke cha Accu. Pakati pa sabata ndinayesa mitundu yosiyanasiyana. Fananizani ndi Contour. Mlongo wina amadwala matenda ashuga. 2 anali mwa atsikana kuchipatala. Ndipo ndikufanizira ndi dokotala. Kusiyanako ndi 0.2-0.5. Madzi abwino a shuga.
Mawu oti kuyitanitsa kukhudza kumodzi kwenikweni ndi mawu osavuta.
koma paiwo timapatsidwa mayeso aulere a ma PC 50. pamwezi.
Pazifukwa izi, ndikugula
Inde, ndinamva ndemanga zabwino za iye
palibe cholakwika chotere. kusiyana komwe kumapangidwira ndikuchokera kwa 0,5 mpaka 4. ndipo nthawi iliyonse imakhala yosiyana.
anaponyera mu zinyalala inde pepani ndalama
Kumapeto kwa Januware timapita kuchipatala.
ndipo Kontur ndi kukhudza kumodzi ndimatenga kupita kuchipatala
Pambuyo ndikugawana zotsatira

Marina Conscicious adalemba 13 Jan, 2013: 214

Ndakhala ndi matenda ashuga kwa nthawi yochepera chaka, koma pazifukwa zina ndidamva koyamba kuti amapanga zingwe kapena zida. Sanasamale zomwe zimayenera kupangidwa.
Ndili ndi mita imodzi ya Acu-Chek Active. Ndimagula zingwe pamayeso apadera a 620 r 50 ma PC, ngakhale amatha kupezeka mu pharmacy wamba ma ruble 800. Kuwona malinga ndi ndondomeko yamitengo yonse, siokwera mtengo kwambiri.
Poona malipoti, palibe zodandaula za mtunduwu, koma ndikufuna kudziwa momwe zimakhalira nthawi yachisanu? Sichosavuta kwambiri kuti masanjidwewo ndi nthawi yake zibwezeretsedwe kuchokera pa kutentha pang'ono. Ndipo ndi zida ziti zomwe zawonongeka pamenepa?
Pazonse, chipangizocho chikundikwanira, pomwe sindimachoka

Elena Volkova adalemba Jan 15, 2013: 116

Ndipo komabe za glucometer.

Usiku wabwino aliyense .. Ndangopeza mtundu wa matenda ashuga a 2 mwezi umodzi wapitawu. Ndinapatsidwa mankhwala oti ndizingodwala kuchipatala. OneTouch Select Ndimakonda koma palibe chofananira.Ndinawerenga ndemanga zonse pamutuwu ndipo ndinali ndi funso: kodi zotsatira zake ndi magazi kapena ndi plasma ndi momwe mungatanthauzire zotsatira zake? Tsopano sindikudziwa kuchuluka kwake kuti ndidziwe. Kodi ndiyenera kuyang'ana mita ya glucose mu labotale ngati zotsatira zake ndi magazi, koma ndili ndi plasma? Januwale. Zikomo.

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Ngati mungasankhe mita kuti mugule, ndiye kuti muli pano ● Glucometer Aychek ICheck ● Zinthu ● Zomwe mwakumana nazo polemba

Glucometer iCheck Aychek Ndinafunika kugula panthawi yapakati. Kufunika kumeneku kunayambitsidwa ndi kupezeka kwa matenda a GDM (gestationalabetes mellitus) atatha kuyesedwa kwa shuga. Kuphatikiza pa zakudya zomwe siziphatikiza chakudya chamaguluchangu, adotolo adalimbikira kuchuluka kwa shuga tsiku lililonse musanadye komanso pambuyo pudya (pambuyo maola 2).

Posankha glucometer, poyambilira ndidatsogozedwa ndi mtengo wa chipangacho. Pamenepo, panali kanthu kena pamaneti a Classics pharmacies ndipo zinali zotheka kugula Accutchek glucometer kwa ma ruble 500 okha. Koma, nditawerengera kuti ndindalama zingati zomwe mungagwiritse ntchito pazowononga, zoyesa mayeso, ndidasintha malingaliro anga kugula. Poyerekeza mtengo wamizere yoyesera, chisankhocho chidagwera pa iCheck Aychek glucometer.

Mu 2015, ndidagula ma ruble 1000. muchipatala pafupi ndi nyumba. Zosadabwitsa, koma mtengo kumeneko kwa pafupifupi zaka ziwiri sunasinthe. Mutha kugula glucometer pa intaneti. Mitengo yamitundu mitundu ya 1100-1300 rubles. Popanda zothetsera - 500-700 ma ruble.

KONZANI SET.

● Bokosi, malangizo atsatanetsatane, chikwama chosungira.

● Madzi a glucose mita. Kamangidwe kosavuta kwambiri.

Ili ndi mabatani awiri okha a M ndi S. Kugwiritsa ntchito M, chipangizocho chimatsegulidwa, chimakupatsani mwayi wowona data kukumbukira, ndikuchita nawo kukhazikitsa tsiku ndi nthawi. Pogwiritsa ntchito batani la S, chipangizocho chimazimitsa, chimayika tsiku ndi nthawi. Komanso ndi chithandizo chake mutha kuyeretsa kukumbukira.

Mamita ali ndi chiwonetsero chachikulu cha LCD chokhala ndi kuchuluka kwakukulu. Pansi pali kagawo kokhazikitsa mzere woyezera. Mbali ili ndi dzenje lolumikiza chingwe cha PC. Bateri ya 3-volt lithiamu imakhala kumbuyo kwa chivindikiro. Wopanga akutsimikizira kuti ziyenera kukhala zokwanira paziyeso 1000.

★ Mutha kusankha gawo la muyeso: mmol / l kapena mg / dl.

Kukumbukira miyeso ya 180 ndi nthawi ndi tsiku.

★ Mutha kuwerengera mulingo wambiri wama glucose 1, 2, 3 ndi 4 milungu.

★ Malipoti akumveka ochepetsetsa kwambiri kapena okwera kwambiri. chizindikiro ndi zolembedwa "Moni" ndi "Lo".

★ Ili ndi mwayi wolumikizana ndi PC kusamutsa deta. Koma chingwe cha zolinga izi chikuyenera kugulidwa padera. Mapulogalamu amafunikiranso.

● Chida cha lancet. Ndilaboola. Kugwiritsa ntchito ndikosavuta: tulutsani mbali yakumtunda, ikani lancet, chotsani chitetezo, screw pamtunda, tambala chida ndikuchotsa chinthu chakumaso kumbuyo. Zonse zomwe mungatenge magazi, zomwe timayika pobowola mbali ya chala, kenako dinani batani la imvi. Pa gawo lomwe silinatsegulidwe pali zizindikiro zapadera posankha mphamvu yopumira. Ngati khungu lakhungu lili loyipa, muyenera kusankha chikhomo chozama.

● Zachikazi. Awa ndi "timitengo" ta pulasitiki ndi singano yomwe timayilowetsa kuboola. Pamwamba ali ndi chipewa choteteza.

● Zingwe zoyeserera. Amasungidwa mu chubu chapadera, pomwe pansi pake pamakhala chinyezi. Mukachotsa Mzere, muyenera kutseka chivundikirocho mwachangu kuti muchepetse kupumira. Ngati simutsatira lamuloli, mutha kuwononga ndikupeza zolakwika.

Pambuyo kutseguka, moyo wa alumali wa mizere yoyeserera ndi masiku 90.

● Mzere wolemba. Ili ndi zambiri zokhudzana ndi gawo lililonse la zingwe zoyeserera. Chithunzi chake chidzakhala chocheperako.

MALANGIZO OTHANDIZA AYCHEK Glucometer.

KUKONZANSO CHOLINGA CHOLEKA NDI AYCHEK.

● Choyamba muyenera kusamba m'manja ndi sopo ndi madzi ofunda, ndikupukuta. Youma zowuma. Chifukwa chake chinyezi chocheperako chimachepetsa magazi ndipo zotsatira zake sizingayesedwe.

Malangizo a chipangizocho, komanso pamasamba a matenda ashuga, sikulimbikitsidwa kupukuta chala ndi mowa, chifukwa

Kuchepetsa chala chanu pang'ono chifukwa chothamangira magazi.

● Kenako, mugwedezereni wobayayo ndi chodzikongoletsera, khazikitsani mphamvu yolemba, kuti mudzuke.

● Kenako timatenga gawo loyesa, titsekani chubu mwachangu. Ikani Mzere mu mita monga zikuwonetsera pansipa. Poterepa, gawo limangotembenukira, lomwe ndilabwino kwambiri. Chofunikira: mukayatsa chiwonetserochi chikuyenera kukhala cholembedwa "Chabwino" ndi chithunzi cha dontho lonunkha magazi. Pulogalamuyi ndi yokonzeka kugwiritsa ntchito.

● Kuboola chala chanu. Kuchepetsa, kufinya dontho la magazi. M'mayendedwe opita ku mita, osati liwu pamenepa, koma magwero ena amalangizidwa kupukuta dontho loyamba, ndikugwiritsa ntchito lachiwirilo pakuwunika. Sindikudziwa kuti chowonadi chili kuti, koma ndikungoponya kachiwiri.

Ndizofunikanso: munthu sayenera "mkaka" chala kwambiri, chifukwa mwanjira imeneyi madzimadzi am'magazi angatulutsidwe, omwe angakhetse magazi.

● Mzere woyeserera uli ndi bowo kudzanja lamanja. Apa tikuyika dontho lathu kwa izo. Palibe chifukwa chomwe chimakwiriridwira mzere - magazi enieniwo "amamwetsedwera" ndi capillary.

● Kenako mita imayamba “kuganiza”. Nthawi yomweyo, mizere yolandidwa imawonekera pazenera. Ndipo pamapeto pake, pambuyo pa masekondi 9, zotsatira zake zikuwonekera.

Kulemba pa glucometer.

Ndikulankhula za kapangidwe ka seti, ndidatchula za mzere wolemba. Chilombochi chimafunikira polemba ndikusintha mita. Mosalephera, izi zimachitika poyamba kugwiritsa ntchito, komanso musanayambe kugwiritsa ntchito phukusi latsopano lokhala ndi zingwe zoyesa. Mukangotayika, muyenera kutaya chubu kuchokera pansi pawo, komanso mzere - sufunikanso. Kukhazikitsa kwatsopano kulikonse kwamayeso kumakhala ndi mzere wawo. Musanayambe muyeso, ikani izi kuti mulambe. Chifukwa chake, mita imayikidwa batch yatsopano. Ngati izi sizichitika, ziwonetserozo sizikhala zolondola.

Pambuyo poika chingwe chatsopano, khodi imawonekera pazowonetsa yomwe iyenera kufanana ndi code pa Mzere ndi chubu.

Malingaliro anga, ndinalankhula za mfundo zazikuluzikulu. Momwe mungakhazikitsire mita ikufotokozedwa mwatsatanetsatane mu bukhu lobiriwira ilo. Ndikhala chete pa izi, apo ayi zikhala zofanana ndi buku lothandizira. Chifukwa chake, ndimatembenukira kwathunthu ku zomwe ndikakumana nazo.

ZOTHANDIZA ZANGA Zogwiritsa ntchito AYCHEK Glucometer.

Poyamba, ndikufuna kupereka mndandanda wama glucose amisala yokhazikika, omwe ali ndi matenda ashuga komanso prediabetes (oyang'anira, chithunzi changa chakumanzere).

Monga tanenera kale pamwambapa, ndinapezeka kuti ndili ndi GDM. Ndinkayenera kuchita miyeso ya tsiku ndi tsiku. Ndipo zina mpaka kubadwa. Kusala ndi shuga kwakhala kuli bwino. Koma pambuyo kudya pambuyo 2 maola - osati nthawi zonse. Nthawi imeneyo sindinalembe ndemanga ndipo mwatsoka, zolemba zanga zomwe zidatsitsidwa zidatayika koma sindinawone kuti panali malo a zolemba pamalangizo.

Chifukwa chiyani ndidayamba kuyankhula za kujambula? Ndipo zakuti panthawi imeneyo sindinadziwe kwenikweni zomwe zinali kuchitika ndikumatanthauzira molakwika zotsatira zanga. Zonse ndi za kuyesa mita. Glucometer iCheck Aychek

Ndipo izi zikutanthauza kuti muyenera kufananiza zomwe mumapanga osati za 3.5-5.5 mmol / l, koma ndi 3.5-6.1 mmol / l. Pa kuchuluka kwa shuga m'madzi a m'magazi ndi apamwamba kuposa magazi onse. Zachidziwikire, pali malire ena a amayi oyembekezera, koma vuto ndilofanana - sindimadziwa zochenjera zonse. Mwina anakhumudwitsidwa chifukwa cha zotsatira zake pachabe. Ndipo adotolo sanandifotokozerepo pamalungamidwe anga mita.

Malangizo a Aichek ali ndi mbale yosinthira zotsatira za plasma mu zotsatira za magazi ndi izi:

Mwanjira ina, zotsatira zomwe zimapezeka pogwiritsa ntchito iCheck Aychek glucometer ziyenera kugawidwa ndi 1.12 kuti zithetse magazi athunthu. Koma ndikuganiza kuti kuchita izi ndikusankha kwathunthu. Kupatula apo, mutha kungoyerekeza ndi miyezo yolingana ya plasma.

Monga chitsanzo pansipa, miyezo yanga ya glucose ya tsiku limodzi. Manambala ofiira ndi zotsatira zakuwerengera mfundo zamwazi wathunthu. Zikuwoneka kuti, chilichonse chimakwanira muyezo wa madzi a m'magazi ndi magazi.

Akunama kapena akunama? Ili ndiye funso.

Kuti muyankhe funsoli molondola momwe mungathere, muyenera kuyerekeza kuwerengera kwamitunda ndi zotsatira za labotale. Koma si zonse! Bwinobwino, sikungakhale kopepuka kupeza njira yothetsera shuga. Amayikidwa pa strip yoyesa m'malo mwa magazi. Kenako chizindikirocho chimayerekezeredwa ndi zikhalidwe pa chubu.Pambuyo pake, titha kudziwa ngati mita / gawo loyesa likufalitsa chowonadi kapena zabodza, ngati Munchausen. Ndipo ndi mzimu wodekha, konzekerani nkhondo pakati pamagetsi ndi ma labotale.

Mumzinda mwanga, ogulitsa mankhwala osamva sanamvepo zodabwitsa ngati yankho. Mu intaneti amatha kupezeka mosavuta. Komabe, poperekera mtengo zimatengera pafupifupi phukusi latsopanoli la mayeso. Poona izi, tinayamba kulira, ndipo pamodzi ndi iye tinaganiza kuti sitikufunanso. Chifukwa chake, sinditsimikiza kuti 100% yanga ndi glucometer. Nthawi zina zimawoneka ngati ndikunama pang'ono. Koma izi ndi malingaliro anga chabe, osatsimikiziridwa ndi zowona zachitsulo. Kuphatikiza apo, mita iliyonse ili ndi ufulu wokhala ndi cholakwika cha 15-20%. Uko nkulondola.

Koma ndinayesabe. M'mawa pamimba yopanda kanthu, amayeza kuchuluka kwa shuga kunyumba, ndiye amapitanso ku labotale pamimba yopanda kanthu. Nazi zotsatira zake. Osatengera tsiku ndi nthawi yomwe ikuwonetsedwa. Sizinakonzedwe.

Ndipo izi ndizomwe tili nazo: zotsatira za kuyesa kwa glucometer ndi 5.6 mmol / l, zotsatira za labotale ndi 5.11 mmol / l. Kusiyana, kumene, kuli, koma sikukuchitika tsoka. Apa ndikofunikira kuti muganizire zolakwika za mita, komanso kuti miyeso inachitika nthawi yomweyo. Kuyambira pomwe ndimayesa nyumba ndidayesapo kutsuka, kuvala, kuyenda kupita koyimirira ndikuyimirira kupita ku labotore. Ndipo uwu ndi mtundu wina wa zochita. Kuphatikiza apo, kuyenda mu mpweya watsopano. Zonsezi zitha kuthana ndi kuchepa kwamagazi m'magazi.

Zotsatira zake, kuyesaku kunawonetsa kuti ngakhale mita yanga ili pabodza, zili ndi chifukwa. Mulimonsemo, miyezo yodziyimira pawokha ndi njira yowonjezera yowongolera. Nthawi ndi nthawi, mumayenera kupereka magazi kuti akhale ndi shuga mu labotale. Kuphatikiza pa kusanthula kwa shuga, ndimapereka magazi kwa glycated hemoglobin kachiwiri. Izi ndizothandiza kwambiri.

Hemoglobin imapezeka m'maselo ofiira am'magazi omwe amanyamula mamolekyu a oxygen ku ziwalo ndi minyewa. Hemoglobin ili ndi peculiarity - imamangika mosakanikirana ndi glucose pang'onopang'ono yopanda enzymatic reaction (njirayi imatchedwa liwu loyipa la glycation kapena glycation mu biochemistry), ndipo glycated hemoglobin imapangika chifukwa.

Mlingo wa hemoglobin glycation ndiwokwera kwambiri, womwe umakhala wambiri shuga. Popeza maselo ofiira amakhala ndi masiku 120 okha, kuchuluka kwa glycation kumawonekera nthawi imeneyi.

Mwanjira ina, digiri ya "candiedness" imafotokozedwa kwa miyezi itatu kapena kuchuluka kwa shuga m'masiku atatu alionse. Pambuyo pa nthawi imeneyi, maselo ofiira a m'magazi amasintha pang'onopang'ono, ndipo chotsatira chotsatira chidzawonetsa kuchuluka kwa shuga m'miyezi 3 yotsatira ndi zina zotero.

Ndili ndi 5.6% (chizolowezi chimafika pa 6.0%). Izi zikutanthauza kuti pafupifupi shuga m'magazi m'miyezi itatu yapitayi ndi pafupifupi 6.2 mmol / L. Hemoglobin yanga yokhala ngati glycogin ikuyandikira bwinobwino. Chifukwa chake, ndizotheka kuti ndikaganiza kuti mita ya glucose ikakulirakulira, ndimachita pachabe. Ndizoyeneranso kuganizira za chikondi chanu cha maswiti

MISONKHANO.

Ubwino:

● Mayeso ofunika kwambiri a bajeti ndi awa. Kulongedza mizere 50 + lancets 50 kumatenga ma ruble 600-700. Ndipo Akkuchek amene tamutchulayu ali wokwera mtengo pafupifupi kawiri. Ndipo mtengo ndi wa 50 zokha popanda lancet.

Ndimakanabe, "nditakhala" pa tchuthi cha amayi osagwira ntchito koma osagwirabe ntchito, nthawi ndi nthawi ndimagula magalimoto kuti ndikwaniritse kudziletsa, motero mtengo wawo umakhala patsogolo kwa ine.

● Yosavuta kugwiritsa ntchito. Palibe choyerekeza, koma palibe chovuta kugwiritsa ntchito mita iyi. Makamaka pamene miyeso ya tsiku ndi tsiku ikuchitika kale pamakina.

● Chilichonse chomwe mungafune kuyeza shuga chaphatikizidwa kale.

● Posakhalitsa kwambiri - masekondi 9. Zachidziwikire, ngati mungayerekeze nthawi yodikirira ndi Akchekom yemweyo (5 sec.), Ndiye Aychek akuwoneka ngati brake yathunthu. Koma kwa ine ndekha, kusiyana kumeneku sikuwoneka kofunika kwambiri. Zomwe 5, zomwe masekondi 9 - nthawi yomweyo. Ndiye inde, ndiye kuphatikiza.

● Kuchenjera kwa plasma. Chifukwa chakuti ma laboratori ambiri amapereka zotsatira za plasma, ichi ndi chowonjezera - palibe chifukwa chovutikira ndi kutanthauzira.

● Kulembapo kosavuta. Inde, ndikudziwa kuti pali ma glucometer omwe safuna kukhazikitsa konse. Nayi, koma yosavuta - anaika mzere ndipo ndi momwemo.

● Njira yodalirika yoyezera - electrochemical.

● Chitsimikizo cha wopanga chopanda malire. Zosangalatsa komanso zowonda nthawi yomweyo - ndimwalira, ndipo mitayo idakali pansi pa chitsimikizo. Ine panokha sindinawonepo izi.

Kuchepetsa:

● Pano ndilembera kukayikira kwanga kwakanthawi pazotsatira zamiyeso.

Mwambiri, ndikupangira iCheck Aychek glucometer osachepera inde kwa ine ndizofunikira pazomenyera bajeti. Zolakwa zomwe zingatheke, ili ndi vuto la zida zodziwika bwino. Chifukwa chiyani amalipira mtundu?