Kuti mudziwe kuchuluka kwa shuga mumkodzo, mumagwiritsa ntchito magwiridwe apadera a glucose. Izi zimakuthandizani kuti muyesere shuga kunyumba, osafuna thandizo la madokotala.

Zida izi zimapangidwa ndi pulasitiki, zomwe zimakupatsani mwayi kuti mupende mkodzo wa glucose pogwiritsa ntchito openda. Pulasitiki imathandizidwa ndi ma reagents omwe akukhudzidwa pakuwunika. Mukamagwiritsa ntchito njira iyi kuyeza shuga mumkodzo, palibe chifukwa chogwiritsira ntchito zida zowonjezera.

Ngati malamulo onse omwe atchulidwa mu malangizo amawerengedwa, zotsatira za shuga mu mkodzo zimakhala ndi zolondola 99%. Kuti mudziwe kuchuluka kwa glucose, ndikofunikira kugwiritsa ntchito mkodzo watsopano wokha komanso wopanda pakati, womwe umasakanizidwa mosamala isanachitike phunziroli.

Kuwonjezeka kwa glucose mu mkodzo makamaka kumalumikizidwa ndi kuchuluka kwazomwe zimachitika m'magazi, zomwe zimayambitsa glucosuria. Ngati pali shuga mumkodzo, izi zikuwonetsa kuti glucose wamagazi ndi 8-10 mmol / lita ndi okwera.

Kuphatikizira kuchuluka kwa shuga m'magazi kungayambitse matenda otsatirawa:

Matenda a shuga
Pachimake kapamba
Matenda a shuga
Hyperthyroidism,
Matenda a shuga
Poizoni wa morphine, strychnine, phosphorous, chloroform.

Nthawi zina glucosuria amatha kuonedwa chifukwa cha kugwedezeka kwamphamvu kwa azimayi pa nthawi yoyembekezera.

Momwe mungayesere shuga mumkodzo

Kuti mupeze shuga mumkodzo, mudzafunika mizere yoyesera ya Glucotest, yomwe ingagulidwe ku pharmacy iliyonse kapena kuyitanitsa malo ogulitsira pa intaneti.

Kutulutsa mkodzo kumachitika mu chidebe choyera komanso chowuma.
Mzere woyeserera uyenera kumizidwa mkodzo ndikutha komwe mafagents amayikidwa.
Pogwiritsa ntchito pepala loposeredwa, muyenera kuchotsa mkodzo wotsalira.
Pambuyo masekondi 60, mutha kuwunika zotsatira zoyeserera mkodzo wa shuga. Mzere woyeserera, reagent imakhala yokhala ndi mtundu winawake, womwe uyenera kufananizidwa ndi deta. Zowonetsedwa pa phukusi.

Ngati mkodzo uli ndi mpweya wambiri, centrifugation iyenera kuchitidwa kwa mphindi zisanu.

Zizindikiro zimayenera kuyesedwa mphindi zochepa mutatha kugwiritsa ntchito mkodzo kwa ma reagents, apo ayi idathayo imakhala yotsika kwambiri kuposa yoona. Kuphatikiza musadikire kuposa mphindi ziwiri.

Popeza pamenepa chizindikirocho chidzadutsa.

Zingwe zoyeserera zitha kugwiritsidwa ntchito kuti mupeze shuga mumkodzo:

Ngati zikuwoneka kuti mumapezeka mkodzo tsiku ndi tsiku,
Mukamachita mayeso a shuga mukutumikira kwa theka la ola.

Mukamayesa shuga mu mkodzo wa theka la ola, muyenera:

Chotsani chikhodzodzo
Imwani 200 ml yamadzi,
Pambuyo pa theka la ola, pangani mkodzo kuti muwone shuga mkati mwake.

Ngati zotsatira zake zili 2% kapena zochepa, izi zikuwonetsa kupezeka kwa shuga mkodzo wambiri osakwana 15 mmol / lita.

Momwe mungagwiritsire ntchito zingwe zoyeserera

Zingwe zoyesedwa zimagulitsidwa m'masitolo amakankhira 25, 50 ndi 100 zidutswa. Mtengo wawo ndi ma ruble 100-200, kutengera kuchuluka kwa mikwingwirima. Pogula, muyenera kulabadira tsiku lotha ntchito.

Ndikofunikanso kutsatira malamulo osungira kuti zotsatira zoyesedwa zitheke. Moyo wapamwamba kwambiri wa alumali wamizeremizere mutatsegula phukusi siwapitilira mwezi.

Glucotest iyenera kusungidwa mumtsuko wapulasitiki, womwe umakhala ndi desiccant yapadera, yomwe imakupatsani mwayi kuti mumwe chinyezi chilichonse chamadzimadzi chikalowa mchidebe. Katemera amayenera kusungidwa m'malo amdima ndi owuma.

Kuti muyese kugwiritsa ntchito Glucotest, muyenera:

Kwezani cholembera chizindikirocho ngati mkodzo ndipo mutatha masekondi angapo, pezani.
Pakatha mphindi imodzi kapena ziwiri, ma reagenti amapaka utoto womwe akufuna.
Pambuyo pake, muyenera kuyerekezera zotsatira ndi zomwe zasonyezedwa pamaphukusowo.

Ngati munthu ali wathanzi lathunthu ndipo kuchuluka kwa shuga mkodzo sikupitirira zomwe sizingachitike, zingwe zoyeserera sizisintha mtundu.

Ubwino wamiyeso yoyeserera ndi kupezeka kosavuta komanso kosavuta kugwiritsa ntchito. Chifukwa cha kukula kwawo kocheperako, zingwe zoyeserera zitha kutengedwa ndi inu ndikuyesera, ngati kuli kotheka, kulikonse. Chifukwa chake, ndizotheka kuyesa mkodzo kuti mulingo wa shuga mu mkodzo, kuyenda ulendo wautali, osadalira madokotala.

Kuphatikiza ndikuti pakuwunika shuga mu mkodzo, odwala safunika kupita kuchipatala atha kuwonedwa ngati kuphatikiza kwakukulu. Phunziroli litha kuchitidwa kunyumba.

Chida chimodzi chofananira pakupeza shuga mumkodzo ndi chokwanira kwa iwo omwe amafunikira kuyang'anira shuga mumkodzo ndi magazi awo.

Malangizo oyesa shuga

Capillary magazi glucose muyeso algorithm ntchito glucometer.

Cholinga: Dziwani kuchuluka kwa shuga m'magazi ndikuwunika kubwezeretsedwa kwa matenda ashuga.

Zowonetsa: monga adalembera dokotala kuti ayese kubwezera shuga ndi kuwongolera kwa hypoglycemic therapy, kuti adziyang'anire.

Zida:

Glucometer (cheke cha pachaka, iso 15197: 2003)
Zingwe zoyeserera.
Kubaya chogwirira
Zachikazi
Njira yothetsera
Kupukuta

Kukonzekera njirayi:

Chitani mankhwalawa m'manja mwaukhondo.

Konzani chida chofufuzira.

Zimaphatikizapo glucometer, zingwe zoyesera, cholocha choboola chala chala

Musanayeze, onetsetsani kuti code yomwe ili pamtunda wokhala ndi zingwe zoyeserera ikugwirizana ndi code yomwe ikuwonetsedwa ndi mita. Ngati sichoncho, ikonzanso chipangizocho.

Onetsetsani kuti lancet yatsopano yaikidwa mu chipangizo chopyolera chala.

Kuphedwa Kwatsatanetsatane:

Konzani zida zoyeserera.
Sambani ndikusamba m'manja mokwanira.
Ikani Mzere woyeserera mu mita.
Lowetsani chala chakumanja ndi choko, komwe kuli mathero ochepa a mitsempha kuposa pakati pa cholembera.
Mungafunike kufinya chala chanu kuti magazi aoneke. Ngati magazi kulibe ikuwonekera, muyenera kubaya chala chanu kachiwiri.
Pambuyo pakuwoneka magazi, ikani dontho pamtunda woyesera, dikirani masekondi angapo. Nthawi zambiri zotsatira zimawonekera pambuyo pa masekondi 5-10.
Ngati chitsimikizo chikulephera, muyenera kubwereza njirayi kachiwiri kuchokera pagawo lachitatu.

Mapeto a njirayi:

Pakakhala njira yopambana, ndikofunikira kuchotsa magazi pachala ndi chida chopukuta.
Gwirani manja moyera.
Lembani zotsatirazi mu diary.
Chotsani mzere woyezera kuchokera pa mita.
Chotsani lancet yogwiritsidwa ntchito pobowola.
Tayetsani lancet ndi chipangizo choyesera.
Dziwitsani dokotala zamayendedwe ake.

Zambiri pazambiri za njirayi.

Ngati ndi kotheka, sambani m'manja ndi madzi ofunda musanatenge magazi. Izi zimathandizira osati ukhondo, komanso zimawonjezera magazi. Ndi magazi osakwanira, kutenga magazi kumakhala kovuta, chifukwa kupeza dontho la magazi, kupuma kuyenera kukhala mwakuya kwambiri.
Pukuta manja anu bwinobwino. Tsambalo silimakhala lonyowa, chifukwa lamadzimadzi limapukusa magazi, zomwe zimapangitsanso zotsatira zoyenera.
Ndikulimbikitsidwa kugwiritsa ntchito zala zitatu m'manja lirilonse (nthawi zambiri simabowola chala chachikulu ndi chimbudzi).
Kuchira kumakhala kovutirapo kwambiri ngati mutatenga magaziwo osati mwachindunji pakati pa chala, koma pang'ono kuchokera kumbali. Osabaya chala chanu mozama. Mukamafukula mozama, ndikamawonongeka kwambiri minofu, sankhani mozama momwe mungabowole. Kwa munthu wamkulu, izi ndi level 2-3
Osamagwiritsa ntchito lancet yomwe wina adagwiritsa ntchito! Chifukwa dontho limodzi laling'ono lamwazi lomwe latsalira pa chipangizochi, ngati lili ndi kachilombo, lingayambitse matenda.
Finyani dontho loyamba la magazi ndikuchotsa ndi swab youma. Onetsetsani kuti magaziwo amakhalapo-ngati ma dontho ndipo samadzola mafuta. Dontho lokhala ndi mafuta silingamwezedwe ndi mzere woyezera.
Osatakata chala chanu kuti mupeze dontho lalikulu la magazi. Akakakamizidwa, magazi amasakanikirana ndi timadzi tomwe timatulutsa, zomwe zingayambitse zotsatira zoyenera.
Chidziwitso: mawonekedwe otsegulira magazi ali pamphepete mwa mzere woyezera, osati pa ndege. Chifukwa chake, sunthirani chala chanu pamphepete mwa mzere woyesera kumanzere kapena kumanja, amalembedwa akuda. Mothandizidwa ndi mphamvu ya capillary, magazi ofunikira amatengedwa okha.
Chotsani mzere wochotsera phukusi yomweyo musanayeze. Zingwe zoyeserera zimakhala zonyowa.
Zingwe zoyeserera zitha kutengedwa ndi zala zowuma komanso zoyera kulikonse.
Ma paketi okhala ndi zingwe zoyeserera ayenera kutsekedwa mwamphamvu nthawi zonse. Ili ndi zokutira zomwe zimapangitsa kuti zingwezo ziyeze. Chifukwa chake, ayi, musasamutse zingwe zoyeserera kwina.
Sitolo yoyeserera mizera pa kutentha wamba kwa chipinda. Kutentha kosungirako ndi +4 - +30 ° C.
Osagwiritsa ntchito timiyeso tatha masiku atatha omwe asonyezedwa phukusi.

Kuyeserera kwa glucose - momwe angatenge

Chiyeso chololera glucose (GTT) sichimangogwiritsidwa ntchito ngati njira imodzi yochizira matenda ashuga, komanso monga imodzi mwazomwe mungapangire kudziletsa. Chifukwa chakuti amawonetsa kuchuluka kwa glucose m'magazi ndi ndalama zochepa, ndizosavuta komanso otetezeka kugwiritsa ntchito osati odwala matenda ashuga okha kapena anthu athanzi, komanso amayi oyembekezera omwe amakhala nthawi yayitali.

Kuphweka kwa mayeso kumapangitsa kuti zitheke mosavuta. Itha kutengedwa ndi onse akuluakulu ndi ana kuyambira zaka 14, ndipo malinga ndi zofunikira zina, zotsatira zomaliza zimakhala zowoneka bwino. Nanga kuyesaku ndikuti, ndichifukwa chiyani kukufunika, momwe mungatengere ndipo ndi chiyani chomwe chiri kwa odwala matenda ashuga, anthu athanzi komanso amayi apakati? Tiyeni timvetse bwino.

Mitundu ya mayeso ololera a glucose

Ndimasankha mitundu ingapo ya mayeso:

pakamwa (PGTT) kapena pakamwa (OGTT) mtsempha wa magazi (VGTT)

Kodi kusiyana kwawo kofunikira ndi kotani? Chowonadi ndi chakuti zonse zili momwe zingapangire chakudya. Izi zomwe zimatchedwa "glucose katundu" zimachitika pakangotha mphindi zochepa kuchokera pakupanga magazi koyambirira, ndipo mudzapemphedwa kuti mumwe madzi otsekemera kapena njira yothetsera shuga iperekedwe mwachangu.

Mtundu wachiwiri wa GTT umagwiritsidwa ntchito kwambiri kawirikawiri, chifukwa kufunikira koyambitsa mafuta amkati m'magazi a venous kumachitika chifukwa chakuti wodwalayo sangathe kumwa madzi otsekemera iyemwini. Kufunika kumeneku sikuchitika kangapo. Mwachitsanzo, ndi toxosis yayikulu mwa amayi apakati, mayi amatha kupatsidwa “glucose” kudzera m'mitsempha.

Komanso, mwa odwala omwe amadandaula za kukhumudwa kwa m'mimba, pokhapokha ngati pali kuphwanya mayankho a zinthu pakukonzanso michere, palinso kufunika kukakamiza shuga mwachindunji m'magazi.

Kwa zaka zambiri ndakhala ndikuphunzira za zovuta za DIABETES. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsiratu matenda ashuga. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 100%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipilira mtengo wonse wa mankhwalawo. Ku Russia ndi mayiko a CIS odwala matenda ashuga kale Julayi 6 alandire mankhwala - ZAULERE!

Zizindikiro za GTT

Odwala otsatirawa omwe angapezeke atha kulandilidwa kuti awunikidwe kuchokera kwa katswiri, gynecologist, kapena endocrinologist. zindikirani zotsatirazi:

kukayikira kwa mtundu wachiwiri wa matenda ashuga a m'matenda (pakapangidwa njira yofufuzira), ngati matendawa alipodi, posankha ndi kusintha kwa mankhwalawa "matenda a shuga" (mukamasanthula zotsatira zabwino kapena kusowa kwa chithandizo), lembani matenda ashuga 1, komanso podziyang'anira nokha. shuga wokayikitsa kapena kupezeka kwake, matenda ashuga, kagayidwe kachakudya, mavuto ena a ziwalo zotsatirazi: kapamba, tiziwalo tating'onoting'ono, tiziwalo tating'ono, chiwindi, kulolera shuga wa, matenda ena endocrine.

Chiyesocho sichidachite bwino pokhapokha posankha deta ya matenda omwe amamuganizira, komanso machitidwe owunika. Pazifukwa zotere, ndikosavuta kugwiritsa ntchito kusanthula kwama biochemical magazi kapena mita yamagazi. Zachidziwikire, kunyumba ndizotheka kupenda magazi athunthu.

Nthawi yomweyo, musaiwale kuti kusanthula kulikonse kosunthika kumalola kachigawo kakulakwitsa, ndipo ngati mungaganize zopereka magazi a venous kuti aunike ma labotale, zizowerezo zidzasiyana.

Kuti mudziwongolere nokha, ndizokwanira kugwiritsa ntchito owunikira, omwe, mwa zina, sangawone kuchuluka kokha kwa glycemia komanso kuchuluka kwa glycated hemoglobin (HbA1c). Zachidziwikire, mita ndi yotsika mtengo kuposa kuyesa magazi a biochemical Express, kukulitsa mwayi wophunzitsira bwino.

Ndili ndi zaka 47, ndinapezeka kuti ndili ndi matenda ashuga a 2. M'masabata angapo ndinapeza pafupifupi 15 kg. Kutopa nthawi zonse, kugona, kumva kufooka, kuwona kunayamba kukhala pansi.

Nditakwanitsa zaka 55, ndinali nditadzibaya kale ndi insulin, zonse zinali zoipa kwambiri. Matendawa adapitilirabe, kukomoka kwakanthawi kunayamba, ambulansi imandibwezera kuchokera kudziko lina. Nthawi zonse ndimaganiza kuti nthawi ino ikhala yomaliza.

Chilichonse chinasintha mwana wanga wamkazi atandilola kuti ndiwerenge nkhani imodzi pa intaneti. Simungayerekeze m'mene ndimamuyamikirira. Nkhaniyi inandithandiza kuthana ndi matenda ashuga, omwe amati ndi osachiritsika. Zaka 2 zapitazi ndidayamba kusuntha kwambiri, nthawi yamasika ndi chilimwe ndimapita kumayiko tsiku lililonse, ndikumalima tomato ndikugulitsa pamsika. Azakhali anga amadabwa ndimomwe ndimapangira chilichonse, komwe ndimapeza mphamvu zambiri, sakhulupirira kuti ndili ndi zaka 66.

Ndani akufuna kukhala ndi moyo wautali, wamphamvu komanso kuiwalako za matenda oyipawa kwamuyaya, tengani mphindi 5 ndikuwerenga nkhaniyi.

GTT zotsutsana

Si aliyense amene amaloledwa kuchita mayesowa. Mwachitsanzo ngati munthu ali:

vuto la shuga
matenda am'mimba thirakiti (mwachitsanzo, kuchuluka kwa kapamba am'mimba),
pachimake yotupa kapena matenda opatsirana,
toxosis yayikulu,
ntchito itatha,
kufunika kopuma.

Mawonekedwe a GTT

Tidamvetsetsa momwe mungapezere mwayi wolumikizira mayeso okhudzana ndi shuga. Tsopano nthawi yakwana yoti mupeze mayesowa molondola. Chimodzi mwazinthu zofunikira kwambiri ndichakuti sampuli yoyamba ya magazi imachitidwa pamimba yopanda kanthu ndipo momwe munthu wakhalira asanapereke magazi zimakhudzanso zotsatira zomaliza.

Chifukwa cha izi, GTT imatha kutchedwa "whim", chifukwa zimakhudzidwa ndi izi:

kugwiritsa ntchito zakumwa zoledzeletsa zakumwa zoledzeretsa (ngakhale chidakwa chochepa cha uchidakwa chimasokoneza zotsatira), kusuta, kuchita masewera olimbitsa thupi kapena kusowa kwake (ngakhale mutachita masewera olimbitsa thupi), kuchuluka kwa momwe mumatha kudya zakudya zosapatsa thanzi kapena kumwa madzi (zizolowezi zakudya zimakhudza mayeserowa), zinthu zopsinja mtima (kusokonezeka kwamanjenje kawirikawiri, kuda nkhawa kuntchito, kunyumba panthawi yolowa kumalo ophunzitsira, kuti akapeze zidziwitso kapena kumaliza mayeso, etc.), matenda opatsirana (ARI, SARS, mphuno kapena mphuno yothina, gr Matenda opatsirana pogonana, tonsillitis, ndi zina zotere., Munthu atachira pambuyo pochita opaleshoni, amaletsedwa kuyesa mayeso amtunduwu, kumwa mankhwala (okhudzana ndimaganizo a wodwalayo, kutsika kwa shuga, mankhwala olimbitsa mtima a metabolism, ndi zina zotero).

Monga tikuwona, mndandanda wazomwe zimakhudza zotsatira zoyesedwa ndizitali kwambiri. Ndikwabwino kuchenjeza dokotala wanu za izi pamwambapa. Pankhani imeneyi, kuwonjezera pa iyo kapena ngati mtundu wina wodziwonetsa, kuyezetsa magazi kwa glycated hemoglobin kumagwiritsidwa ntchito. Itha kutha kupatsidwanso nthawi yomwe mayi ali ndi pakati, koma imatha kuwonetsa zotsatira zoyipa kwambiri chifukwa chakuti kusintha kwachangu komanso koopsa kumachitika mthupi la mayi wapakati.

Zokhudza kudziletsa kwa matenda ashuga

Odwala ambiri omwe ali ndi matenda osokoneza bongo amayendera dokotala katatu pachaka, koposa - nthawi imodzi pamwezi, motero, amapereka magazi omwe ali ndi pafupipafupi kuti adziwe kuchuluka kwa shuga mkati mwake. Koma kuchuluka kwa shuga m'magazi kumatha kusintha kangapo patsiku.

Chifukwa chake, wodwala aliyense ayenera kuzindikira bwino kufunika kosinthira pafupipafupi njira zake zamankhwala, zomwe sizingatheke popanda kuyeserera kwa magazi ndi mkodzo wa shuga. Ngati wodwalayo asunga zolemba zake, izi zimathandizira kwambiri dokotala popereka chithandizo. Urinalysis ndi njira yosadziwika yodziwira shuga.

Impso zimadutsa shuga kulowa mkodzo pamene kuchuluka kwa glucose kudutsa cholowa cha impso - kuposa 9-10 mmol / L (162-180 mg / dL). Kusapezeka kwa shuga mu mkodzo kumangowonetsa kuti mulingo wake m'magazi ndi wocheperapo kuposa womwe watchulidwa, ndiye kuti kuchuluka kwa shuga mumkodzo sikuwonetsa kuchuluka kwake m'magazi, makamaka ndi shuga wochepa m'magazi.

Pakukhazikika kwa shuga mu mkodzo, kampani yaku Ukraine ya Norma yakhala ikupanga chizindikiro chogwiritsa ntchito Glukotest kwa zaka zoposa 10, zomwe zimapangitsa kuti glucose apezeke mu ndende zosiyanasiyana za 0.1-2.0%. Njira yodziwira shuga imaphatikizira kumiza mu mkodzo wa gawo loyeserera la mzere woyeretsa ndikufanizira mtundu wake ndi sikelo ya mtundu pa Glukotest phukusi patatha mphindi ziwiri. kuyambira poyambira kusanthula.

Kudziwa shuga mu mkodzo wongopezedwa pambuyo pa mphindi 15-20. mutatulutsa chikhodzodzo, mutha kuyerekezera moperewera kuchuluka kwa glycemia pakadali pano. Mitengo yotsika ya Glucotest imawapangitsa kukhala njira yotsika mtengo kwambiri yolamulirira matenda a shuga, omwe ndi amodzi mwa magawo a chithandizo cha matenda ashuga.

Ngati matenda a shuga salipiridwira mokwanira, ndiye kuti ma ketoni ambiri amatha kuwonekera m'magazi a wodwala. Zotsatira za vuto lalikulu ili la metabolic limatchedwa ketoacidosis. Matendawo nthawi zambiri amakula pang'onopang'ono, ndipo wodwalayo ayenera kukhala wokonzeka nthawi zonse kuteteza chitukuko chake pakulimbikitsa kuchuluka kwa insulin.

Ndikofunikira! Ndipo pa izi ndikofunikira kuti muzitha kulandira zidziwitso panthawi yake zokhudzana ndi shuga. Njira yayikulu yosinthira kuchuluka kwa insulin ndi kudziwunika kokhazikika kwa tsiku lililonse. Ngati simukutsata, simungasinthe mlingo wa insulin!

Acetone nthawi zambiri imawonekera m'magazi ndi mkodzo pomwe kuchuluka kwa shuga m'magazi kumapitilira 14.5-16 mmol / L kapena shuga wopitilira 2-3% wapezeka mu mkodzo patangotha masiku ochepa. Akapeza izi, wodwalayo amayenera kuyesa mkodzo wa acetone. Mu mkodzo, omwe amadziwika kuti ndi "njala" acetone amathanso kuoneka - izi zimachitika pambuyo pa mkhalidwe wa hypoglycemia.

Ichi ndichifukwa chake wodwala aliyense yemwe ali ndi matenda ashuga ayenera kukhala ndi mbali “yolumikizika” yogwiritsira ntchito ma ketones mu mkodzo. Izi zitha, mwachitsanzo, zingwe za Acetontest, zomwe zimapangidwa ndi Norma PVP. Ndiotsika mtengo, osavuta kugwiritsa ntchito ndipo amagwiritsa ntchito mfundo zomwezo monga Glukotest.

Kuyeza magazi kwa shuga ndi njira yolondola kwambiri yomwe imawonetsa kuchuluka kwa glycemia pakadali pano. Kuti mupeze dontho la magazi, nthawi zambiri kuchokera pachala, wodwala matenda ashuga amafunika chida chapadera kapena singano kuti aikemo jakisoni wopepuka. Chala chake chimayenera kukhala choyera, chowuma komanso chotentha. Jakisoni wodziikidwa kumbali ya chala pafupi ndi msomali sangakhale wowawa.

Kuti mupeze dontho la magazi, muyenera kukanikiza pang'ono chala. Dontho liyenera kukhala "lopachikidwa", ndikofunikira kuphimba gawo lonse loyimira. Posachedwa, ma glucometer osiyanasiyana afala kwambiri. Wodwala matenda a shuga, monga tafotokozera pamwambapa, amafunikira kuwongolera glycemic tsiku ndi tsiku, kupezeka ochepa chifukwa cha zovuta zachuma.

Pamenepa, odwala omwe ali ndi matenda a shuga, Glukofot-II - Hemoglan kit chopangidwa ndi Norma PVP, chomwe chimaphatikizapo chipangizocho ndi zingwe zoyesera, chakhala chikufunidwa kwambiri. Bokosi limakupatsani mwayi wodziwa glucose m'magazi onse a capillary mu ndende ya 2.0-30.0 mmol / L. Izi zida ndi analogue ochokera kunja, koma zimasiyana kwambiri iwo mu mtengo wa zothetsera.

Mtengo wa chingwe cholumikizira "Hemoglan" ndi ochepa mpaka 6-8 kuposa ma analogues omwe amatumizidwa kunja. Nthawi yopeza zotsatira za kusanthula ndi 1 min., Ndipo zaka zambiri zakugwiritsa ntchito muzipatala zamankhwala a mabungwe azachipatala zimapereka zifukwa zodziona ngati glucometer yodalirika komanso yolondola, yomwe siyimasiyana pakubwezeretsanso kwa zotsatira kuchokera ku zida zodziwikiratu.

Malangizo! Ubwino wapa kitiyi ndi kupezeka kwa zitsulo za Hemoglan zomwe zimapangidwira mu ma pharmacy. PVP "Norma" imapereka chithandizo chazovomerezeka pazogulitsa zake, imapereka malangizo aulere komanso kuthandizira kukayikira pang'ono pazotsatira za glucometer.

Chipangizocho ndi chosavuta kugwiritsa ntchito, chaching'ono kukula kwake, ndipo chimayendera mphamvu ya batri (i., Palibe kubwezeretsera kwa betri komwe kumafunikira). Glucofot-II - Hemoglan kit imakulolani kuyeza shuga m'magazi mobwerezabwereza popanda zovuta. "Glucofot-II" idasinthika ku sukulu yodziletsa ya matenda ashuga ku MDAU, yomwe idaperekedwa ndi Norma PVP zaka zingapo zapitazo, yomwe akatswiri amayamikira kampaniyo. Izi zimapangitsa kuphunzitsa ophunzira luso lodziletsa.

Akulankhula ndi kuthokoza chifukwa cha ogwira ntchito ku Norma PVP komanso othandizira ogwira ntchito kusukulu panthawi yopima odwala ambiri omwe ali pachiwopsezo cha matenda a shuga. Kupezeka kwa zingwe zoyesedwa zopangidwa ndi Norma PVP kumatipatsa mwayi osati mwachindunji kuti tilandire mayeso olamulira a glycemia kwa odwala kuti akonze mankhwalawa a insulin, komanso kupenda pafupifupi onse omwe amapita kuchipatala kuti adziwe matenda a shuga.

Glucotest: Kugwiritsa ntchito shuga

Kuti mudziwe kuchuluka kwa shuga mumkodzo, mumagwiritsa ntchito magwiridwe apadera a glucose. Izi zimakuthandizani kuti muyesere shuga kunyumba, osafuna thandizo la madokotala. Zida izi zimapangidwa ndi pulasitiki, zomwe zimakupatsani mwayi kuti mupende mkodzo wa glucose pogwiritsa ntchito openda. Pulasitiki imathandizidwa ndi ma reagents omwe akukhudzidwa pakuwunika.

Chenjezo: Kugwiritsa ntchito njirayi poyesa shuga wa mkodzo sikutanthauza kuti mugwiritse ntchito zida zowonjezera. Ngati malamulo onse omwe atchulidwa mu malangizo amawerengedwa, zotsatira za shuga mu mkodzo zimakhala ndi zolondola 99%. Kuti mudziwe kuchuluka kwa glucose, ndikofunikira kugwiritsa ntchito mkodzo watsopano wokha komanso wopanda pakati, womwe umasakanizidwa mosamala isanachitike phunziroli.

Shuga mellitus, Acute pancreatitis, matenda a shuga a Renal, Hyperthyroidism, Steroid shuga, Poizoni ndi morphine, strychnine, phosphorous, chloroform.

Nthawi zina glucosuria amatha kuonedwa chifukwa cha kugwedezeka kwamphamvu kwa azimayi pa nthawi yoyembekezera. Zingwe zoyeserera zitha kugwiritsidwa ntchito kudziwa shuga mumkodzo:

Mukazindikira zizindikiro mu mkodzo wa tsiku ndi tsiku, Mukamayesa shuga mu gawo la theka la ola.

Mukamayesa shuga mu mkodzo wa theka la ola, muyenera:

Chotsani chikhodzodzo
Imwani 200 ml yamadzi,
Pambuyo pa theka la ola, pangani mkodzo kuti muwone shuga mkati mwake.

Njira zodziwira matenda ashuga

Kuzindikira matenda ashuga, kuwunika kukula ndi kuchuluka kwa kubwezeretsedwa kwa matendawa, kudziwa kuthamanga kwa shuga m'magazi ndikuwadziwikanso masana, kuwerenga tsiku ndi tsiku komanso glycosuria m'magawo osiyanasiyana, kudziwa zomwe matupi a ketone ali mkodzo ndi magazi, kuwerenga mphamvu za glycemia ndikofunikira kwambiri. ndi mitundu yosiyanasiyana ya mayeso okhudzika ndi shuga.

Kafukufuku wa shuga wamagazi amatha kuchitika m'njira zosiyanasiyana, zomwe ziyenera kuwonetsedwa kutanthauzira kolondola kwa zotsatira zoyeserera. Njira imodzi yolondola yopanga shuga m'magazi ndi glucose oxidase, deta yapafupi imapezeka pogwiritsa ntchito njira ndi orthotoluidine pogwiritsa ntchito njira yotsatsira mkuwa (njira ya Somogy-Nelson).

Mulingo wothamanga wamagazi pogwiritsa ntchito njirazi mwa anthu wathanzi ndi wochokera pa 3.3 mpaka 5.5 mmol / L (kuchokera 60 mpaka 100 mg mu 100 ml ya magazi), masana sapitirira 7.7 mmol / L (140 mg%) ) Mpaka pano, ma labotore ena amagwiritsabe ntchito njira ya Hagedorn-Jensen titrometric potengera kubwezeretsa kwa glucose.

Popeza zinthu zina zochepetsera zimapezekanso, shuga wamagazi malinga ndi njirayi ndiwokwera 10% kuposa mulingo womwe umatsimikiziridwa ndi orthotoluidium ndi njira zina. Chikhalidwe chofulumira kudya shuga wamagazi malinga ndi njira ya Hagedorn-Jensen ndi 80-120 mg%, kapena 4.44-6.66 mmol / l.

Tiyenera kukumbukira kuti magazi a capillary (osakanizidwa) kuchokera ku chala ali ndi 100 ml pa 1.1 mmol (20 mg) wama glucose kuposa venous, ndipo mulingo wa glucose mu plasma kapena seramu ndi 10-15% kuposa kuchuluka kwa shuga m'magazi a capillary. Izi ndizofunikira mukamayesa mayeso ololera a glucose. Kuzindikira glycosuria kumatha kukhala koyenera komanso kuchulukitsa.

Chofunikira! Kutsimikiza kwamakhalidwe kumapangidwa mwina ndi chithandizo cha ma reagents (Nilander, Benedict, ndi zina), kapena mwapadera, mapepala azizindikiro ("glucotest", clininix ") ndi mapiritsi (" othandiza kwambiri "). Zida zopangira ndi mapiritsi ndizovuta kwambiri (muzindikira kuchuluka kwa glucose kuchokera ku 0,0 mpaka 0,25%), ndi thandizo lawo ndikuthekanso kumaliza shuga mumkodzo mpaka 2%.

Kutsimikiza kwa shuga mumkodzo kumachitika pogwiritsa ntchito polarimeter kapena njira zina (Njira ya Althausen pogwiritsa ntchito 10% sodium hydroxide kapena potaziyamu). Pamaso pa zizindikiro zamatenda azachipatala (polydipsia, polyuria, nocturia) kuphatikiza ndi glycemia ndi glycosuria, kuzindikira matenda a shuga sikovuta.

Matenda osokoneza bongo amayamba chifukwa cha kupezeka kwa shuga m'mwazi ndi mkodzo. Magazi amayesedwa pamimba yopanda kanthu. Glycosuria imakhazikika mu mkodzo wa tsiku ndi tsiku kapena tsiku lililonse, kapena gawo limodzi la mkodzo womwe watola maola awiri atatha kudya. Kupenda mkodzo wa m'mawa wokha sikuwonetsa, chifukwa mawonekedwe amtundu wa shuga mumkodzo womwe amasonkhanitsidwa pamimba yopanda kanthu, glycosuria nthawi zambiri sapezeka.

Ndi kuwonjezeka pang'ono kwa shuga m'magazi, kuzindikira kwanu kumatha kuchitika pokhapokha ngati mukukumana kawirikawiri mosagwirizana, ndikuthandizira kuzindikira kwa glycosuria mkodzo wa tsiku ndi tsiku kapena magawo osiyana siyana a mkodzo. Kutsimikiza kwa matendawa pakamachitika izi kumathandizira kutsimikiza kwa glycemia masana pazakudya zomwe wodwala amadwala.

Pankhani ya matenda oopsa a shuga omwe sanapezeke nawo, kuchuluka kwa shuga masana kumadutsa 10 mmol / L (180 mg%), komwe kumakhala maziko a mawonekedwe a glycosuria, popeza cholowa champhamvu cha shuga ndi 9,5 mmol / L (170-180 mg%) ) Glycosuria nthawi zambiri zimakhala chizindikiro choyamba cha matenda osokoneza bongo omwe adapezeka mu labotale. Tiyenera kukumbukira kuti kupezeka kwa shuga mumkodzo ndi chofala kwambiri kuposa kupezeka kwake m'magazi.

Mitundu yosiyanasiyana ya chidwi cha kupezeka kwa shuga m'thupi imatha kuchitika, mwachitsanzo, matenda a shuga a impso, momwe impretion ya shuga ndi mkodzo imawonedwera pamasinthidwe amtundu wa thupi mu glycemia, komanso ma nephropathies osiyanasiyana, momwe kukula kwa glucose reabsorption kumachepetsedwa. Komabe, odwala onse omwe ali ndi glycosuria ayenera kupendedwa mosamala pokhudzana ndi matenda a shuga a mellitus.

Kodi glucometer ndi chiyani?

Gluceter ndi mtundu wapadera wamankhwala ogwiritsira ntchito zamagetsi omwe amakupatsani mwayi woti mupeze kuchuluka kwa shuga m'magazi a anthu. Ndi yaying'ono mokwanira, sizitenga malo ambiri kunyumba. Ubwino wake wopindulitsa ndikuti glucometer amatha kuyeza shuga kunyumba ndi kunja (paulendo, paulendo waku bizinesi kapena paulendo). Chifukwa chake, munthu yemwe ali ndi matenda ashuga amakhala mafoni kwambiri, amatha kusintha pawokha zakudya zamagulu ndi zakudya. Sakufunikiranso kupita pafupipafupi ku labotale kuzipatala, monga momwe zinaliri zaka makumi angapo zapitazo. Tsopano ali ndi mwayi wodziyimira payokha ndi glucometer kulikonse komwe angafunikire.

Chipangizo cha Glucometer

Mamita ndi chipangizo chamakono chomwe chimabwera ndi zinthu zosiyanasiyana. Mkati mwake muli microprocessor momwe makamu a glucose amasinthidwa kukhala magetsi kapena magetsi amagetsi. Kwa izi, masensa amagwiritsidwa ntchito, omwe ndi ma platinamu kapena ma siliva ma electrodes omwe amapanga ma electrolysis a hydrogen peroxide. Iwonso, umapezeka chifukwa cha mankhwala omwe amapanga a glucose oxidation, omwe amakhala pa filimu yapadera ya oxide. Zotsatira zake, njira yoyezera shuga wa glucometer ndi ubale wotsogola - kukweza kwake, komwe kumakulirakulira, komwe kumakulirakulira magetsi.

Komabe, magawo amtunduwu ndi osakondera kwathunthu kwa munthu amene amachita glucometry. Koma ndi omwe amapangitsa kuti azindikire kuchuluka kwa shuga m'magazi omwe ali ndi glucometer m'magawo ovomerezeka, mwachitsanzo 4.8 mmol / L. Zotsatira zake zimawonetsedwa pawonetsero kwa masekondi angapo (kuchokera pa 5 mpaka 60).

Kuphatikiza pa miyeso ya glucose mwachindunji, kukumbukira kwa chipangizocho kulinso ndi chidziwitso china: zotsatira za mayeso am'mbuyomu nthawi zosiyanasiyana, malingaliro apakati musanadye chakudya, tsiku ndi nthawi, etc. Zipangizo zosiyanasiyana zimakhala ndi zosankha zaumwini zomwe zimathandizira kwambiri moyo wa anthu omwe amakakamizidwa Nthawi zonse amayang'anira shuga wamagazi ndi glucometer (anthu omwe akudwala matenda a shuga a shuga).

Chipangizocho chimadzimaliza chikagwiritsidwa ntchito, komabe, chidziwitso chonse chimasungidwa kukumbukira kwanthawi yayitali.Imagwira ntchito pamabatire, choncho munthu ayenera kukhala ndi katundu wowonjezera nthawi zonse. Koma ndikofunikira kunena kuti mita yoyenera nthawi zambiri imagwiritsa ntchito mphamvu zochepa, kotero mabatire amodzi amakhala miyezi ingapo kapena zaka. Ngati kuwerengera kwamamita akuwonetsedwa sikuwoneka bwino kapena kusowa nthawi, ndiye nthawi yoti muganizirenso.

Mtengo wa mita ungakhale wosiyana. Zimatengera zinthu zambiri: zapano, kupezeka kwa zosankha zina, kuthamanga kwa glucometry. Amachokera ku ruble 500 mpaka 5000, kupatula mtengo wamiyeso yoyesa. Komabe, magulu osankhika ali ndi ufulu kulandira izi mwaulere kuchokera kwa endocrinologist. Ngati munthu akufuna kugula payokha ndipo sakhala m'gululi, funso "komwe ungagule glucometer" ndi bwinonso kufunsa adotolo.

Zowonjezera zina

Mamita nthawi zambiri amagulitsidwa mu phukusi losavuta lopangidwa ndi zinthu zolimba zomwe zimatsekeka mosavomerezeka ndi zipper. Itha kukhala ndi magawo owonjezera kapena matumba momwe munthu angayikirire zinthu zazing'ono zofunika kwa iye: pepala lomwe lili ndi zolemba za shuga, dongosolo la insulin, kapena mapiritsi omwe adalembedwa ndi adokotala. Kulongedza nthawi zambiri kumakhala ngati chikwama chaching'ono chomwe mungayike nanu panjira, ndichopepuka komanso chofanana.

Pamodzi ndi glucometer yolondola, zotsatirazi nthawi zambiri zimakhala phukusi:

Chophimba Scarifier
Makina a singano zotayikiridwa kuti mubole pakhungu (nyambo),
Makina angapo oyesa ma glucometer, mtundu winawake (10 kapena 25),
Ma metre ena amaphatikiza mabatire omwe akhoza kusintha m'malo kapena batri yomwe ingakonzenso,
Malangizo ogwiritsira ntchito.

Makampani osiyanasiyana amathandizira zida zawo ndi zinthu zawo, mwachitsanzo, cholembera cha jakisoni wa jakisoni wa insulin kapena makatoni omwe angathe kusintha ndi mankhwalawo, njira yothetsera kuwunika kwawo. Ngati munthu akufuna shuga ndi glucometer tsiku lililonse, ndiye kuti ayenera kusankhidwa mosamala. Pogwiritsa ntchito moyenera, mitayo imatha zaka zambiri, ndiye kuti simuyenera kusunga pa iyo pogula mtundu wa chipangizocho.

Yesani mizera yama glucometer

Mizere yoyesera ya glucometer - ichi ndi chowonjezera chapadera, popanda zomwe kutsimikiza kwa glycemia sikungatheke. Mzere uliwonse ungagwiritsidwe ntchito kamodzi kokha, ndipo, kupatsidwa kuti odwala omwe ali ndi matenda a shuga omwe amadalira insulin amayenera kuwerengetsa nthawi 4-5 patsiku, amadya mwachangu kwambiri.

Vuto lina ndilakuti pa mtundu uliwonse wa mita, zingwe zoyeserera ndi zokha, ndiye kuti, sizingagwiritsidwe ntchito pa chipangizo china. Kuphatikiza pa iyemwini, mitundu ina ya zida zilinso ndi zida zoyeserera izi kuti munthu adziwe momwe angagwiritsire ntchito ndi kuwunika momwe alili. Mizere yoyesera ya glucometer imakhala mumtsuko waung'ono, nthawi zambiri mumakhala kuchuluka kwa zidutswa za 10 kapena 25. Ili ndi code yomwe iyenera kulowetsedwa musanayambe kuyeza shuga ndi glucometer, ndi tsiku lotha ntchito: ngati mungayesetse kuchita ndi glucometry ndi mizere yake yomwe sinathe, palibe chomwe chidzagwira ntchito.

M'masitolo ambiri, mayeso oyesa zida zosiyanasiyana akugulitsidwa ndipo kuchuluka kwa paketi iliyonse ndikosiyana. Mwachitsanzo, ma 25 mayeso 25 a Satellite Express glucometer amawononga ma ruble 270, ndipo kwa a Consu-Chek Active glucometer, phukusi la mizere 50 lidzawononga ma ruble 1000. Komabe, poganiza kuti chipangizocho chimangogwira ntchito ndi zingwe zina zoyeserera, munthu samakhala ndi mwayi wowasankha nthawi zonse, ingoyang'anani ku pharmacy komwe mtengo wawo umakhala wovomerezeka kapena wosavomerezeka.

Muyenera kudziwa kuti ngati munthu akudwala matenda a shuga (mtundu wa 1.2 kapena gestational), ndiye kuti ali ndi ufulu kulandira glucometer yolondola ndi njira zingapo zoyeserera kwaulere pakupezeka kwa mankhwala kuchokera kwa endocrinologist. Komabe, ngati akufuna kuti awonjezere kuchuluka kwa zomwe zawonetsedwa mu chinsinsi, amalipira ndalama zina pachikwama chake.

Zowongolera

Ma glucometer a Photochemical ndi oyamba komanso akale kwambiri masiku ano, titha kunena kuti aphedwa. Kapangidwe ka zochita zawo ndikuti amawayeza mulingo wa shuga m'magazi ndikusintha kwa mtundu m'malo oyeserera ena pomwe munthu amakaika dontho la magazi ake. Ndipo zimachitikanso glucose akamachita zinthu zapadera zomwe zili pansi. Glucometer yolondola sikuti imakhala yokhudza chipangizo chamtunduwu, chifukwa kulakwitsa kwakukulu ndikotheka pakuyeza. Ndipo poganizira kuti zotsatira zodalirika ndizofunikira kwambiri kwa wodwala matenda ashuga, kulakwitsa kulikonse kungamuwonongere moyo wake.

Electrochemical

Anthu ambiri padziko lonse lapansi amayeza shuga wamtunduwu ndi glucometer. Makina awo ochitapo kanthu amatengera kutembenuka kwa glucose kukhala magetsi pakadutsa pamagetsi osiyanasiyana. Pambuyo poika dontho la magazi a capillary kumalo apadera mu mzere woyezetsa, kuwerenga kwa mita kumawonetsedwa pawonetsedwe patatha masekondi angapo (5-60). Pali mitundu ingapo yamitundu yosiyanasiyana ya zida zotere: mita satelayiti ndi OneTouch Select, mita ya Accu Chek: Aktiv, Mobil, Performa ndi ena. Zipangizozi ndizolondola kuposa zomwe zimayambitsa mafayilo awo, zimazindikira kuchuluka kwa shuga m'magazi mpaka 0.1 mmol / lita.

Maso a glucose biosensors

Chida chamtunduwu chikuyimiriridwa ndi magulu awiri. Yoyamba ndi yokwera mtengo kwambiri chifukwa cha ichi sichilandira ntchito. Cholinga chake ndikuti chigawo chaching'ono cha golide woyenga chimayikidwa mu sensor, dontho la magazi likafika pa icho, chodabwitsa cha kuwala kwa plasmon resonance chimachitika. Lachiwiri ndi njira yovomerezeka, chifukwa si golide amene amamugwiritsa ntchito sensa, koma mawonekedwe ena ozungulira. Kuphatikiza apo, sizifunikira kukongoletsa pakhungu, chifukwa mutha kugwiritsa ntchito malovu, mkodzo kapena thukuta kuyeza shuga ndi glucometer yotere. Komabe, ikuyenda bwino ndipo sikupezeka kutiogulitsidwa.

Raman (spectrometric) glucometer

Iyi ndi njira yolimbikitsa kwambiri yoyeza shuga m'magazi ndi glucometer, koma pakadali pano ili pa nthawi ya kafukufuku. Lingaliro ndikuti mtengo wapadera wa laser umatulutsa kuwerenga kwa glucose kuzowonekera kwa khungu. Kuphatikiza kwakukulu kwa njirayi ndikuti sifunikira zojambula zam'manja kapena zithu zina zamthupi. Glucometer muyezo wa shuga imakhala yachangu komanso yosasokoneza. Komabe, pakadali pano ndi malingaliro chabe ongoganizira omwe asayansi angakhazikitse m'zaka khumi zikubwerazi.

Momwe mungayesere shuga ndi glucometer

Ukadaulo wamakono umakupatsani mwayi wofufuza shuga ndi glucometer mwachangu, molondola komanso modalirika. Komabe, kulondola kwa zotsatirazi sikungotengera chipangizocho, komanso kwa iye mwini. Kuti glucometer azitha kudziwa kuchuluka kwa shuga kuti itsimikizire kuchuluka kwake m'magazi, ayenera kutsatira malamulo onse osavuta. Kuti muchite izi, ayenera kumvetsetsa chifukwa chake ndikofunikira konse, pazomwe zimakhala zoyenera kuchititsa kafukufuku, kangati komanso njira ya glucometry.

Ndani ayenera kuyang'anira shuga wamagazi ndi glucometer

Mpaka nthawi yina, munthu saganiza kwenikweni kuti zinthu ngati glucose kapena shuga zimayenda m'magazi ake. Amatha kukhala moyo wake wonse, komabe osakumana ndi zochitika zomwe zimafunikira chidziwitso cha kagayidwe kazakudya. Komabe, anthu ambiri padziko lonse lapansi ali ndi matenda monga matenda a shuga, omwe ali ndi vuto. Chofunikira cha matendawa ndikuti kuchuluka kwa glucose m'magazi kumakhala kwakukulu kuposa chizolowezi chovomerezeka. Hyperglycemia yomwe imatenga nthawi yayitali imabweretsa zovuta zingapo kuchokera ku impso, mantha amitsempha, mitsempha yamagazi, retina ndi mtima.

Kutengera chomwe chimayambitsa, chomwe chimatsogolera kuwonjezeka kwa shuga m'magazi, mitundu yotsatirayi ya shuga imasiyanitsidwa:

Type 1 shuga mellitus, momwe kapamba amasiya kutulutsa insulin, kapena kuchuluka kwake kumakhala kotsika kwambiri.
Type 2 shuga mellitus, momwe insulin imapangidwira wamba, koma zotumphukira zake zimakhala zopanda pake.
Matenda a shuga ochitika m'mimba, omwe amayamba pamene mayi ali ndi pakati.
Mitundu ina ya matenda ashuga, yomwe yomwe imakhala yofala kwambiri ndi steroid (motsutsana ndi kugwiritsa ntchito mankhwala a glucocorticosteroid nthawi yayitali).

Mtundu wina uliwonse wa matenda ashuga ndi chizindikiro chowonera pafupipafupi ndi glucometer. Kupatula apo, chizindikiro choyenera cha glycemia chimatanthawuza kuti chithandizo cha matendawa chimasankhidwa molondola ndipo wodwalayo amadya molondola. Komabe, ziyenera kudziwika osati kokha kwa odwala omwe ali ndi matenda ashuga, komanso kwa anthu onse omwe ali pachiwopsezo cha matendawa: omwe ali ndi achibale apamtima omwe ali ndi matenda a shuga, onenepa kwambiri kapena onenepa kwambiri, akumwa mankhwala a corticosteroid ndi omwe ali pagulu la prediabetes.

Komanso, abale omwe ali ndi odwala omwe ali ndi matenda ashuga ayenera kudziwa malamulo oyambira kugwiritsa ntchito glucometer: zovuta zina (hypo- ndi hyperglycemia) zimatha kutsagana ndi kusazindikira kwa wodwalayo ndipo nthawi zina amayenera kuchita izi pawokha, kuyembekezera kufika kwa ambulansi.

Glucometer ndi shuga

Aliyense ayenera kudziwa kuchuluka kwa shuga m'magazi, komabe, zimatengera nthawi yomwe nkhaniyo yadya, kapena kuchititsa kafukufuku pamimba yopanda kanthu.

Ngati munthu sanadye usiku wonse, ndiye m'mawa amatha kuyang'anitsitsa kuchuluka kwa shuga. Pachifukwa ichi, mutha kupereka magazi mu labotale, koma ndikosavuta kugwiritsa ntchito mita ya glucose yam'mimba ndipo chizindikiritso cha chizindikiro chotere mwa munthu wathanzi ndi 3.3-5.5 mmol / l. Ngakhale kagawo kakang'ono ka buledi kamasokoneza zotsatira zake, ndiye kuti kugona kwa maola 12 ndikofunikira kuti kusanthule mwachangu.

Mukatha kudya, kuchuluka kwa shuga m'magazi kumachuluka kwambiri. Mutha kugwiritsa ntchito mita mutangodya komanso momwe shuga mumunthu wathanzi ayenera kukhala pansi 7.8 mmol / L. Komabe, kusanthula uku sikothandiza ndipo sikugwiritsidwa ntchito kuzindikira matenda a shuga.

Ngati glucose othamanga ndi apamwamba kuposa 5.5 mmol / L, kapena zotsatira zake mutatha kudya kupitirira 7.8 mmol / L, ndiye kuti muyenera kufunsa endocrinologist kuti mumupime matenda a shuga.

Matenda a shuga ndi glucometer

Kuwonjezeka kwa shuga wamagazi ndi chizindikiritso cha matenda monga matenda a shuga ndi glucometer, ndipo wodwala aliyense ayenera kukhala njira yachangu kwambiri komanso yodalirika yoyeserera kusanthula uku. Izi ndizofunikira kuti munthu azitha kuyang'anira chizindikirochi komanso nthawi yayitali kuti akhale pakatikati pa glycemia. Ngati kuchuluka kwa shuga m'magazi kumakhala kwabwinoko koposa, ndiye kuti pakapita nthawi, odwala matendawa amakumana ndi zovuta zingapo (retinopathy, neuropathy, angiopathy, nephropathy).

Ndikofunikira kwambiri kukhala ndi glucometer kwa odwala omwe ali ndi matenda amtundu wa 1 komanso anthu omwe amawapatsa mankhwala a insulin omwe ali ndi vuto la matenda a shuga a 2 kapena mitundu yosiyanasiyana ya gestational. Inde, masana anthu oterewa amawona kuchuluka kwa ma insulin omwe amadzilimbitsa okha. Kuti achite izi, ayenera kudziwa kuchuluka kwa glycemia asanadye komanso kuchuluka kwa mikate yomwe angadye. Poyang'ana koyamba zikuwoneka kuti ndizovuta kwambiri, koma odwala onse amaphunzitsidwa izi kusukulu ya matenda ashuga ndipo mwachangu kwambiri kuwerengera kumeneku sikubweretsa zovuta zambiri. A glucometer a shuga ndi mwayi wapadera wowunika shuga nthawi zonse kunyumba, kudziyimira pawokha mankhwala a insulin ndikuwonetsa msanga kukula kwa vuto la hypo- ndi hyperglycemic lomwe limafuna chisamaliro chodzidzimutsa.

Kuchuluka kwa shuga ndikayezedwa ndi glucometer kwa odwala omwe ali ndi matenda ashuga kumatengera nthawi yomwe adatenga chakudya. Kuthamanga kwa magazi kuyenera kukhala kosiyananso ndi mamilimita 4-6 / L, ndikatsimikiza mtima wamagazi sayenera kupitirira 8-9 mmol / L. Zizindikiro izi zikuwonetsa kuti mankhwala a insulin kapena mankhwala a hypoglycemic amasankhidwa molondola, ndipo wodwalayo akutsatira moyenera zakudya.

Wodwala matenda ashuga ndiwosayenera kutsika kwamphamvu kwa shuga m'magazi wamba, pomwe mita imatha kuoneka chifukwa cha 2-4 mmol / L. Ngati munthu wathanzi wokhala ndi ziwerengerozi akumva njala yayikulu, ndiye kuti ndi wodwala matenda ashuga, matendawa angayambitse kukula kwa vuto la hypoglycemic, lomwe limawopseza moyo.

Malamulo oyesa shuga ndi glucometer

Pofuna kudziwa molondola kuchuluka kwa shuga ndi glucometer, malamulo ena ayenera kutsatiridwa.

Pamaso pa njirayi, muyenera kusamba m'manja kuti mankhwalawo asabweretsedwe ndi singano.
Zimakhala zovuta kufinya ngakhale dontho laling'ono kwambiri la magazi kuchokera kuzala zakumwa zoziziritsa kukhosi, chifukwa chake, pamaso pa glucetry, muyenera kutentha manja anu pansi pa madzi kapena kupukutira.
Ngati mukufuna kugwiritsa ntchito mita kwa nthawi yoyamba, kugwiritsidwa ntchito kwa chipangizocho kuyenera kuchitika kokha mutatha kuwerenga malangizo mkati mwa phukusi kapena pa intaneti.
Yatsani mita. Komabe, wina ayenera kuganizira kuwonongeka kwa chipangizocho: ena a iwo amayamba kugwira ntchito pokhapokha gawo loyesa limayikidwa mwa iwo, ndipo ena angapo amagwira ntchito popanda iwowo.
Ikani singano yatsopano yotayika kuchokera phukusi kulowa pazowononga.
Chotsani mzere watsopano woyeserera mumtsuko kapena phukusi ndikulowetsa mu dzenje lolingana ndi mita. Pambuyo pake, chipangizocho chingafune kuti mulowetse nambala yapadera kuchokera phukusi lomwe mzere woyeserera udalipo. Ndikofunika kulabadira tsiku lawo lotha ntchito (limasonyezedwanso pamtsuko), litatha ntchito kuti glucometer yolondola isagwire ntchito.
Kenako, pangani kabowo kakang'ono ndi singano yofiyira ndikuyika dontho la magazi kumalo komwe lingafanane pa mzere woyezera.
Pambuyo pa izi, dikirani zotsatira za kuwerengera kwamtunda wawonetsero. Nthawi zambiri zimawonetsedwa kwa iye masekondi 5-60 (kutengera mtundu wa chipangizocho).
Pambuyo poyeserera, Mzere ndi singano zimayenera kuchotsedwa mu mkodzo.

Poyamba, zikuwoneka kuti malamulowa amafunikira kuchita khama. Komabe, pochita, njira yonse yogwiritsira ntchito mita imatenga mphindi 1-2.

Glucometer: ntchito ana

Tsoka ilo, matenda a shuga ndi matenda omwe amatha kuyambira aliwonse. Komabe, mwa ana zimakhudzana ndi kutha kwadzidzidzi kwa kapangidwe ka insulin, ndiye kuti, amapanga matenda amtundu wa 1 shuga wokha. Palibe mapiritsi okonzanso matendawa, chithandizo chokhacho ndichokhazikika, tsiku ndi tsiku komanso kwa nthawi yonse yokhudzana ndi insulin mu mawonekedwe a jakisoni ndikuwongolera zakudya.

Panokha, ana okalamba okha ndiamene angachite izi, koma nthawi zambiri kuwonongeka kwa matenda ashuga kumachitika zaka zisanu ndi ziwiri. Pankhaniyi, udindo wonse umakhala pamapewa a makolo, omwe nawonso ayenera kuwongolera glycemia ndi zakudya za ana awo. Amaphunzira limodzi kusukulu ya matenda ashuga, amakhala ndi glucometer, ndipo amaphunzira kugwiritsa ntchito chida ichi mwa ana awo. Izi ndizovuta kwambiri, chifukwa nthawi zambiri zimakhala zovuta kufotokoza kwa mwana kuti tsopano moyo wake sudzakhalanso womwewo. Ndipo, komabe, moyo wake ndi thanzi zimadalira kuyesayesa kwa makolo ake.

Ndikofunikira kuyang'anitsitsa shuga ndi glucometer mwa ana, ndichifukwa chake ndichofunikira kuti iye azikonda chida ichi. Kwa izi, zida zapadera za ana zimamasulidwa mu mawonekedwe a zoseweretsa, zida zamagetsi, kapena mitundu yowala chabe. Komabe, mtengo wawo ndiwokwera kwambiri, ndipo palibe kusiyana kwakukulu pa njirayo, kuchokera pamawonekedwe othandiza, ma glucometer a ana siosiyana ndi akuluakulu.Akamakula, mwana azitha kuchita kafukufuku payekha, momwemo gluceter wabwino kwambiri ndi wosavuta, popanda zosankha zina ndi mabelu ndi whistes.

Nthawi zonse makolo ayenera kuyang'anira kuwongolera kwa batire mu chipangizocho, kupezeka kwa singano zoperewera ndi zingwe zoyesa.

Glucometer muyeso wa shuga mwa amayi apakati

Mankhwala ochepetsa shuga amalepheretsedwa amayi apakati. Chifukwa chake, atazindikira matenda a shuga, dokotala amayesa kusintha kuchuluka kwa glycemia mwa kupereka zakudya zapadera. Ngati izi sizikubweretsa, ndiye njira yokhayo yoperekera jakisoni wa insulin kwa nthawi yonse yoyembekezera musanabadwe. Mankhwala a insulin ndi chizindikiro chachindunji pakugwiritsa ntchito gluceter wa shuga pafupipafupi.

Mayi woyembekezera ayenera kuphunzitsidwa sukulu ya matenda ashuga, kuthandizira kupatsa insulini, kuphatikiza kugwiritsa ntchito glucometer molondola. Kugwiritsa ntchito chipangizochi kumamuthandiza kuti azikhala ndi shuga pamlingo wokulirapo kwa nthawi yayitali ndipo izi zimachepetsa chiopsezo cha zovuta kumwana. Kuyeza shuga ndi glucometer yolondola ndiotetezeka kwathunthu ngati mumatsatira malamulo a antiseptics.

Mita yoyenera ya okalamba

Anthu achikulire nthawi zambiri amadwala matenda ashuga. Muzochitika zambiri, iyi ndi mtundu 2 wa matenda a shuga, nthawi zina wodwala kapena mtundu wina wa matenda. Nthawi zambiri, anthu omwe ali ndi mitunduyi amalandila chithandizo cha mankhwala a hypoglycemic, koma ngati chithandizo chatha cha ziphuphu zakumaso, amapeza mawonekedwe a mawonekedwe oyamba a matendawa. Izi zimafuna kuyamba kwa mankhwala a insulin ndi jakisoni ndikuwunikira nthawi zonse misempha ya magazi ndi glucometer yolondola.

Ngati wodwala wokalamba ali ndi nzeru komanso kukumbukira, ndiye kuti akhoza kuchita kafukufukuyo payekha. Ngati sichoncho, ndiye kuti ntchitoyi imagwera pamapewa a banja lake. Mulimonse momwe zingakhalire, ndibwino kugwiritsa ntchito mita kuposa kupita pafupipafupi ku labotale ndikupita nthawi yayitali mzere.

Glucometer yolondola ya okalamba sayenera kukhala yovuta kwambiri ndikukhala ndi zosankha zochepa kuti wodwalayo asasokonezedwe mwa iwo. Komanso posankha chida, zokonda ziyenera kuperekedwa kwa mitundu yokhala ndi ziwonetsero zazikulu, chifukwa odwala okalamba ambiri ali ndi mavuto amaso. Ndikofunika kuti kuwerengera kwaposachedwa kwa glucometer kusungidwa kukumbukira, izi zithandiza madokotala ngati vuto ladzidzidzi (la stroke, kugunda kwa mtima, vuto la matenda oopsa, ndi zina zotere).

Momwe mungasankhire glucometer yabwino

Kodi mungasankhe bwanji glucometer yabwino kwa inu kapena banja lanu? Funso ili limavutitsa anthu onse omwe amafunika kuwunika shuga wawo wamagazi pafupipafupi. Pali mitundu yambiri yosiyanasiyana pamalonda kotero kuti kusankha nokha kumakhala kovuta kwambiri. Wina amasamala mawonekedwe, wina - kukhalapo kwa zosankha zowonjezera, pali iwo omwe amafunikira chipangizocho kuti athe kulumikizana ndi kompyuta kapena laputopu. Komabe, ntchito yofunikira kwambiri ya chipangizocho ndi kutsimikiza kwa glucose m'magazi, kotero glucometer yolondola ndiyabwino koposa. Komanso, ambiri ali ndi nkhawa ndi funso loti angagule glucometer. Masiku ano pali malo ogulitsira ambiri pa intaneti, koma ndiyenera kukonda ndani - kapena kugula chipangizidwe kuchipatala chokhazikika?

Chimodzi mwazida zodziwika kwambiri zodziwira kuchuluka kwa shuga m'magazi ndi satellite mita ndi Accu Chek Asset kapena Performa glucometer.

Satellite ya Glucometer

Glucometer Satallit imapangidwa ndi ELTA. Mwayi wawukulu wazida izi ndizotsika mtengo, zomwe zimapangitsa kuti zitheke kwa pafupifupi munthu aliyense. Mu mzere wa zinthu izi pali oimira atatu omwe ali osiyana pang'ono ndi wina ndi mnzake: Satellit Elta glucometer, Satellite Plus ndi glucometer yamakono kwambiri.

Glucometer Satellite Elta

Ichi ndi chipangizo choyamba mzere wa glucometer a kampaniyi. Mitundu yambiri yowerengera shuga kuyambira magazi a 1.8 mpaka 35 mmol / l, zotsatira 40 zomaliza zimasungidwa kukumbukira kukumbukira kwa chipangizocho, boma la kutentha limachokera ku 18 mpaka 30 ° C. Kutalika kwa nthawi yodikirira zotsatira ndi masekondi 40. Mtengo wa chipangizocho ndi pafupifupi ma ruble 1000.

Glucometer Satellite Plus

Ichi ndi chida chachiwiri cha glucometry, chomwe chimapangidwa ndi kampaniyi. Mitundu yambiri yowerengera shuga kuchokera ku 0,6 mpaka 35 mmol / l, zotsatira 60 zomaliza zimasungidwa kukumbukira kukumbukira kwa chipangizocho, boma la kutentha limachokera ku 10 mpaka 40 ° C. Kutalika kwa nthawi yodikirira zotsatira zake ndi masekondi 20. Mtengo wa chipangizocho ndi pafupifupi ma ruble 1200.

Glucometer Satellite Express

Glucometer Satellite Express ndiwoposachedwa kwambiri pa ma glucometer ndipo opanga ayesa kuganizira zolakwika zonse zomwe zidapangidwa muzitsanzo zam'mbuyomu. Makamaka, nthawi yodikirira zotsatira zake imafupikitsidwa kwambiri ndipo ndi masekondi 7 okha, kukumbukira kwa chipangizocho kumapulumutsa zotsatira 60 zomaliza. Glucometer Satellite Express imagwiranso ntchito zofananira monga momwe zimakhalira ndi Satellite Plus mita. Mtengo wake umakhala wokwera pang'ono, koma ndizovomerezeka kwa ogula ambiri - ma ruble 1,500.

Mtengo wamiyeso yoyesa kwa glucometres onse a Satellite line ndiwotsika ndipo ndi pafupifupi ma ruble 500 kwa 50 zidutswa.

Glucometer Accu-Chek

Ma glucometer a Accu-Chek ndi otchuka kwambiri. Cholinga chake ndikuti mzere wa zopangidwazo uli ndi zida zomwe ndizosiyana pang'ono ndi zina zonse pazogwira ntchito komanso mtengo, kotero aliyense angathe kudzisankhira zomwe zimamukomera kwambiri.

Glucometer Accu-Chek Mobile

Uwu ndi mwayi wabwino kwambiri kwa anthu odwala matenda ashuga omwe amakonda kukhala ndi moyo wokonda komanso kukonda kuyenda. Chipangizocho sichifuna kugula mizera, koma chimagwira ntchito mothandizidwa ndi makatiriji oyesa, opangika komanso opepuka okwanira. Mtengo wa mita ndi wapamwamba kuposa mitundu ina, koma zovomerezeka ndipo ndi 3300. Chomwe chiri pansi ndi mtengo wokwera wamakalata owerengera komanso kuti sagulitsidwa pa pharmacy iliyonse.

Glucometer Accu-Chek Performa

Chizindikiro cha mita iyi ndi kuthekera kosamutsa zambiri kuchokera kwa kompyuta kapena laputopu pogwiritsa ntchito doko loukira. Chowonadi china ndichakuti pafupifupi miyeso 100 yotsiriza imasungidwa kukumbukira ndipo ndikotheka kuwerengetsa kuchuluka kwa shuga. Chipangizachi ndi chamagulu apakati pamtengo ndipo chimakhala chotsika mtengo (mtengo wake ndi ma ruble 2000).

Momwe mungayang'anire mita

Chipangizo chilichonse chimapereka cholakwika chochepa ndipo chimakhala chosapeweka. Opanga amawonetsa kuti kusinthasintha mkati mwa 20% sikukukulu. Komabe, ngati cholakwacho chimapitirira izi, ndiye kuti odwala matenda ashuga amatha kukhala ndi mavuto akulu.

Mutha kuwona kulondola kwa glucometer m'njira ziwiri:

Kuyesedwa kwa munthawi yomweyo ndi glucometer komanso kuyesa magazi chimodzimodzi mu labotale.

Komabe, zotsatira za womalizirazi sizidzadziwika nthawi yomweyo, koma nthawi zambiri tsiku lotsatira, motero njira iyi siyabwino kwambiri.

Kugwiritsa ntchito njira yothetsera.

Itha kuphatikizidwa ndi chipangizocho, ndipo chitha kugulitsidwa payokha ku pharmacy. Zimakuthandizani kuti muone momwe mungayendetsere mita kunyumba. Dontho la njira yoyeserera yokhala ndi glucose wodziwika bwino liyenera kuyikidwa pa mzere woyeretsa, monga zimakhalira ndi kuyezetsa magazi komwe kumachitika nthawi zonse. Ngati zotsatira zikugwirizana, chipangizocho chikugwira ntchito. Opanga amalangizidwa kuti azidziyang'anira pawokha nthawi zonse m'mwezi umodzi.

Mukakonza chida

Mita ndi chida chamakono, ndipo mwachilengedwe imatha kusweka. Mukamagula, khadi la chitsimikizo limaperekedwa kwa nthawi yayitali ndipo ngati vuto latha, mutha kuthana ndi adilesi yosonyezedwamo. Ngati nthawi yotsimikizira idutsa, ndiye kuti zakonzanso zitha kuchitika pakati pa kampani yomwe idapanga chipangizocho. Pafupifupi mzinda uliwonse waukulu womwe ali, chidziwitso chitha kufotokozedwa bwino mu mankhwala ndi pa intaneti.

Mita ndi chida chovuta kuchipatala, musayese kukonza nokha.

Komwe mungagule glucometer

Mpaka pano, funso loti "komwe ungagule glucometer" silikhala lovuta monga zaka 20 zapitazo, chifukwa kupezeka kwa zida izi ndi kwakukulu. Zikugulitsidwa ku pharmacy iliyonse mumzinda uliwonse. Kuphatikiza apo, pali malo ogulitsira angapo pa intaneti omwe mungayitanitse kugula zotsika mtengo. Komabe, pogula chida pa intaneti, pali zoopsa zingapo: mwayi wogula chipangizo cholakwika ndi zovuta zazikulu pobwezeretsa, mavuto omwe amabwera chifukwa chakusowa kwa malo opangira chithandizo mumzinda uno.

Funso "komwe ungagule glucometer" ndibwino kufunsa wopezeka ku endocrinologist, chifukwa amadziwa zochitika ndi zida zomwe zili mdera lomwe amayang'aniridwa naye. Anthu amapeza zambiri zofunikira kusukulu ya matenda ashuga, komwe odwala amatumizidwa kuti akaphunzire moyo wodziyimira ndi matendawa.