Momwe mungayesere shuga m'magazi ndi glucometer

Mphindi 9 Wolemba Lyubov Dobretsova 1437

Malinga ndi ziwerengero, anthu opitilira 7% padziko lonse lapansi ali ndi matenda ashuga, ndipo kuchuluka kwa odwala kukukulirakulira chaka chilichonse. Kuchulukana kotere kwa matenda oopsa a endocrine kumakakamiza anthu ambiri kuti aziona momwe magazi awo aliri.

Kuphatikiza apo, chizindikirochi chimawerengeredwa osati kungoyendetsa matenda omwe alipo, komanso kupewa matendawa munthawi yake komanso kutsimikizika kwachindunji kwa matenda ashuga. Ndiosavuta kuchitira zinthu zina pafupipafupi chifukwa cha kukhazikitsa kwapadera kotchedwa glucometer.

Chida ichi, ndichopulumutsira anthu mamiliyoni, chifukwa sibvute kuchigwiritsa ntchito kunyumba mokha, koma sichosavuta. Kuti mupeze zotsatira zodalirika, ndikofunikira kuyeza shuga wamagazi ndi glucometer, kutsatira malamulo angapo.

Kodi ndi ma glucose amitundumitundu ati omwe alipo?

Mitundu iwiri yokha ya zida zodziwira ndende ya shuga yakhala ikupangidwa ndipo imagwiritsidwa ntchito kwambiri - mita za photometric ndi electrometric. Zoyambirira zimakhudzana ndi zomwe zidapita, komabe ndizosowa mitundu. Chomwe ntchito yawo ndi iyi: pamunsi pa gawo loyeserera la dontho la magazi osagawika limagawidwa mofananamo, lomwe limalowa mu mgwirizano wamakanizo ndi reagent womwe umagwiritsidwa ntchito pamenepo.

Zotsatira zake, kusintha kwamtundu kumachitika, ndipo kukula kwake kwamtundu, kumadalira mwachangu zomwe zili m'magazi. Makina omwe adamangidwa mu mita amawunikira zokha kutembenuka komwe kumachitika ndikuwonetsa ma digito ofanana pazowonetsera.

Pulogalamu yamagetsi ya electrometric imawerengedwa kuti ndi njira yoyenera kwambiri pazida za Photometric. Pakutero, mzere woyezera ndi malovu a biomaterial nawonso amalumikizana, pambuyo pake kuyezetsa magazi kumachitika. Udindo wofunikira pakupanga chidziwitso umaseweredwa ndi kuchuluka kwa magetsi, zomwe zimatengera kuchuluka kwa shuga m'magazi. Zomwe zalandilidwa zalembedwa pa polojekiti.

M'mayiko ena, ma glucometer osavomerezeka amagwiritsidwa ntchito mosasamala, omwe safuna kuti pakhungu pakhungu. Kuyeza kwa shuga wamagazi, malinga ndi opanga, kumachitika, chifukwa cha chidziwitso chopezeka pamaziko a kugunda kwa mtima, kuthamanga kwa magazi, kapangidwe ka thukuta kapena minofu yamafuta.

Magazi a shuga Algorithm

Glucose imayang'aniridwa motere:

1. Choyamba muyenera kutsimikizira magwiridwe antchito a chipangizocho, kuyang'ana kuti chiwonekere pazinthu zonse zowonetsera, kukhalapo kwa kuwonongeka, kukhazikitsa gawo loyenera - mmol / l, etc.
2. M'pofunika kuyerekezera kukhomera pazomangira zoyeserera ndi glucometer yowonetsedwa pazenera. Ayenera kufanana.
3. Ikani chingwe choyera chotsalira (bowo pansi) chida. Chizindikiro cha droplet chizawonekera pazowonetsera, kuwonetsa kuti ali okonzeka kuyesa magazi kwa shuga.
4. Zimafunikira kuyika singano ya aseptic mu buku locheperako (loboola) ndikusintha malembedwe ozama kufika pamlingo woyenera: makulidwe akhungu, okwera kwambiri.
5. Mukakonzekera koyambirira, muyenera kusamba m'manja ndi madzi ofunda ndi sopo ndikuwaphwetsa mwachilengedwe.
6. Manja akayamba kuuma, ndikofunikira kwambiri kuchita kutikita minofu kwakanthawi pang'ono kuti magazi aziyenda bwino.
7. Kenako munthu wocheperako amabweretsedwa kwa mmodzi wa iwo, napyozedwa.
8. Dontho loyamba la magazi lomwe limapezeka pamwamba pa magazi liyenera kuchotsedwa pogwiritsa ntchito chida cha thonje. Ndipo gawo lotsatira silikufinyidwa pang'ono ndikufikitsika kumayeso oyika kale.
9. Ngati mita yakonzeka kuyeza mulingo wa madzi a m'madzi a plasma, imapereka chizindikiro, pambuyo pake kafukufukuyu adzayamba.
10. Ngati palibe zotsatira, muyenera kutenga magazi kuti mukonzenso ndi mzere watsopano.

Kuti mupeze njira yoyenera yofufuzira kuchuluka kwa shuga, ndibwino kugwiritsa ntchito njira yotsimikiziridwa - kumadzaza zolembazo pafupipafupi. Ndikofunika kulemba zambiri mwazomwezo: zisonyezo za shuga zomwe zapezeka, nthawi yayikulu ya muyeso uliwonse, mankhwala ndi zinthu zomwe zikugwiritsidwa ntchito, mtundu wina waumoyo, mitundu ya zochitika zolimbitsa thupi zomwe zachitika, ndi zina zambiri.

Kuti punction ibweretse zomverera zosasangalatsa, muyenera kutenga magazi osati kuchokera pakati penipeni pa cholembera, koma kuchokera kumbali. Sungani zida zonse zamankhwala muchikuto chosavomerezeka. Mamita sayenera kunyowa, kuzirala kapena kuwotha. Malo abwino pokonza ikhale malo otsekeramo okhala ndi kutentha kwa chipinda.

Panthawi ya njirayi, muyenera kukhala mumkhalidwe wokhazikika, popeza kupsinjika ndi nkhawa zimatha kukhala ndi zotsatira pa mayeso omaliza.

Yachilendo ntchito mini-maphunziro

Pafupifupi magawo a shuga kwa anthu omwe amadwala matenda ashuga awonetsedwa patebulopo:

Kuchokera pazidziwitso zomwe zawonetsedwa, titha kunena kuti kuwonjezeka kwa glucose ndi chikhalidwe cha okalamba. Mlozera wa shuga mwa amayi apakati umapezekanso; kuchuluka kwake kumayambira 3,3-3.4 mmol / L mpaka 6.5-6.6 mmol / L. Mwa munthu wathanzi, kuchuluka kwa momwe zinthu zimasinthira ndi omwe akudwala matenda ashuga. Izi zikutsimikiziridwa ndi izi:

Magawo amenewa amakhudzana ndi magazi athunthu, koma pali ma glucometer omwe amayeza shuga m'madzi a m'magazi (gawo lamagazi). Munthawi imeneyi, glucose akhoza kukhala wabwinobwino pang'ono. Mwachitsanzo, m'mawa m'mawa mlozera wa munthu wathanzi m'magazi athunthu ndi 3,3-55 mmol / L, ndi plasma - 4.0-6.1 mmol / L.

Tiyenera kukumbukira kuti kuchuluka kwa shuga m'magazi sikuti nthawi zonse kumayambira matenda ashuga. Nthawi zambiri, shuga wambiri amawonedwa motere:

• kugwiritsa ntchito njira yolerera ya pakamwa nthawi yayitali,
• kuwonetsedwa pafupipafupi kupsinjika ndi kupsinjika,
• kusintha kwa thupi lachilendo,
• kusapeza nthawi yopumira komanso kugona,
• ntchito yolimba chifukwa cha zovuta zamanjenje,
• nkhanza za caffeine
• ntchito zolimbitsa thupi
• chiwonetsero cha matenda angapo a endocrine dongosolo monga thyrotoxicosis ndi kapamba.

Mulimonsemo, kuchuluka kwa shuga m'magazi, kumangokhala ndi bar yofananira kwa sabata limodzi, kuyenera kukhala chifukwa cholumikizirana ndi dokotala. Zingakhale bwinoko ngati chizindikirochi chikhala alamu yabodza, m'malo mwa bomba lomwe silikuwoneka.

Poyesa shuga?

Nkhaniyi imatha kufotokozedwa pokhapokha ndi endocrinologist yemwe amakhala ndi wodwala mosalekeza. Katswiri wabwino amasintha kuchuluka kwa mayeso omwe amachitika malinga ndi kuchuluka kwa momwe matenda am'thupi am'pangidwira, zaka komanso kulemera kwa munthu yemwe akuwunikiridwa, machitidwe ake a chakudya, mankhwala omwe amagwiritsidwa ntchito, ndi zina zambiri.

Malingana ndi muyezo wovomerezeka wa matenda a shuga a Type I, kuwongolera kumachitika nthawi zosachepera 4 patsiku lililonse lokhazikitsidwa, komanso kwa mtundu II matenda ashuga - pafupifupi kawiri. Koma nthumwi za magulu onse awiriwa nthawi zina zimachulukitsa kuyeza magazi kwa shuga mwatsatanetsatane zaumoyo.

Pamasiku ena, biomaterial imatengedwa nthawi zotsatirazi:

• kuyambira m'mawa kutacha,
• Mphindi 30 mpaka 40 mutagona,
• Maola awiri mutatha kudya (ngati magazi amuchotsa kuchokera m'chafu, pamimba, pamphumi, mwendo kapena phewa, mawunikowo amasinthidwa maola 2,5 mutatha kudya),
• pambuyo maphunziro aliwonse azolimbitsa thupi (ntchito zapakhomo za m'manja zimaganiziridwa),
• Maola 5 mutatha jakisoni wa insulin,
• musanagone
• pa 2-2 a.m.

Kuwongolera shuga kumafunikira ngati zizindikiro za matenda a shuga ziwoneka - kumva kugona kwambiri, tachycardia, zotupa pakhungu, pakamwa pouma, ulesi, kufooka kwapafupipafupi, kusakwiya. Kukoka pafupipafupi, kukokana m'miyendo, ndi kusawona m'maso kumatha kusokoneza.

Zizindikiro zakuyambira

Kuwona kwa chidziwitso pazomwe zingasunthi zimadalira zinthu zambiri, kuphatikizapo mtundu wa mita yomwe. Sichida chilichonse chomwe chimatha kuwonetsa chidziwitso chowona (apa cholakwika ndichofunika: kwa mitundu ina sichaposa 10%, pomwe kwa ena chimaposa 20%). Kuphatikiza apo, zitha kukhala zowonongeka kapena zosalongosoka.

Ndipo zifukwa zina zopezera zotsatira zabodza nthawi zambiri zimakhala:

• kusasunga malamulo aukhondo (kutsatira njirayi ndi manja akuda),
• kuponyera chala chonyowa,
• kugwiritsa ntchito chingwe chogwiritsidwa ntchito kapena chatha ntchito,
• kulakwitsa kwa mayeso kupita kwa glucometer inayake kapena kuipitsidwa kwawo,
• kulumikizana ndi singano ya lancet, pamwamba pa chala kapena chida chamatope, zonona, mafuta odzola ndi zinthu zina zamadzimadzi zosamalira thupi,
• kusanthula shuga mozama kwambiri kapena kutentha kwambiri,
• Kukakamira kwamphamvu kwa chala cham'manja pamene kufinya magazi.

Ngati zingwe zoyeserera zasungidwa mu chidebe chotseguka, sizitha kugwiritsidwanso ntchito pakafukufuku wa mini. Dontho loyamba la biomaterial liyenera kunyalanyazidwa, chifukwa madzi amtundu wa interellular osafunikira kuti azindikire angalowe mu mgwirizano wamankhwala ndi reagent.

Ndi glucometer uti amene amadziwa kukula kwa shuga?

Mwambiri, mita imasankhidwa ndi dokotala. Nthawi zina zidazi zimaperekedwa kuchotsera, koma nthawi zina, odwala amagula zida zamagetsi popanga okha. Ogwiritsa ntchito makamaka amayamika ma piometri a Accu-Chek-Active / Accu-Chek-Mobile, komanso makina a One Touch Select ndi Bayer Contour TS.

M'malo mwake, mndandanda wa glucometer apamwamba kwambiri sakhala ndi mayina awa, mitundu yapamwamba kwambiri imapangidwa nthawi zonse, yomwe imatha kuthandizidwanso ngati pakufunika. Zofunikira ndiz:

• mtengo
• mawonekedwe amtunduwo (kukhalapo kwa kuwala kwa mzere, kukula kwachithunzithunzi, chilankhulo cha pulogalamu),
• kuchuluka kwa gawo lamagazi ofunikira (kwa ana aang'ono nkofunika kugula zida ndi mtengo wochepera),
• ntchito zina zomangidwa mkati (kuphatikiza ma laputopu, kusungidwa kwazinthu zokhudzana ndi shuga),
• kupezeka kwa singano zoyenera za lancet ndi mizere yoyesa (muma pharmacies omwe ali pafupi ayenera kugulitsidwa omwe amagwirizana ndi glucometer yosankhidwa).

Kuti mumvetsetse mosavuta zomwe zalandira, ndibwino kugula chida ndi magawo anthawi zonse - mmol / l. Zokonda ziyenera kuperekedwa kwa zinthu zomwe zolakwika sizidutsa 10%, makamaka 5%. Magawo amenewa amapereka chidziwitso chodalirika chokhudza kuchuluka kwa shuga m'magazi.

Kuti muwonetsetse momwe katunduyo alili, mutha kugula njira zowongolera ndi kuchuluka kwa shuga mwa iwo ndikuyesa mayeso osachepera atatu. Ngati chidziwitso chomaliza sichikhala kutali ndi chizolowezi, ndiye kuti ndi bwino kukana kugwiritsa ntchito glucometer yotere.

Momwe mungayang'anire shuga popanda magazi?

Kuyeza shuga m'magazi ndi glucometer sikuti ndi njira yokhayo yomwe ingadziwire zomwe zili ndi shuga m'thupi. Pali zosachepera ziwiri zowunikira. Yoyamba mwa izi, Glucotest, imatengera mphamvu ya mkodzo pazinthu zomwe zimagwira ntchito mwapadera. Pakadutsa pafupifupi mphindi yolumikizana mosalekeza, kusintha kwa chizindikirocho kumasintha. Kenako, mtundu wolandira umayerekezedwa ndi maselo amtundu wa muyeso ndipo umamalizidwa ndi kuchuluka kwa shuga.

Kupenda kosavuta kwa ma hematological kumagwiritsidwanso ntchito pazomangira zomwezo. Mfundo za kagwiritsidwe ntchito ka njirayi ndi pafupifupi zofanana ndi pamwambapa, magazi okha ndi omwe amakhala ngati biomaterial. Musanagwiritse ntchito mayeso aliwonse awa, muyenera kuphunzira malangizo omwe aphatikizidwa momwe mungathere.