Mayeso a kulolerana ndi glucose (0-60-120)

Kutsimikiza kusala kwam'madzi glucose ndi mphindi 30 zilizonse kwa maola 2 mutatha kudya zinthu zambiri, zomwe zimagwiritsidwa ntchito pozindikira matenda ashuga, kulolerana kwa shuga, kuphwanya glycemia.

Zotsatira zakusaka zimaperekedwa ndi ndemanga yaulere ndi dokotala.

Kuyesaku sikumachitika kwa ana (osakwana zaka 18), kwa amayi oyembekezera pali kafukufuku wopatula - 06-259 Mayeso a kulolerana kwa Glucose panthawi yapakati.

Kulongosola mwatsatanetsatane kwa kusanthula mu Helix Medical Knowledge Base

* Mtengo umawonetsedwa popanda kuganizira mtengo wa kutenga zotsalira. Ntchito zokusonkhanitsa zachilengedwe zimangowonjezeredwa zokha kuti ziyitanitsidwe. Mukamaitanitsa mautumiki angapo nthawi imodzi, ntchito yotola biomaterial imalipira kamodzi.

Zambiri Zophunzira

Mayeso a kulolera a glucose - kutsimikiza kusala shuga wamagazi ndi ola lililonse kwa maola 2 mutatha kudya (1 ora ndi maola 2 mutatenga shuga g owuma), amagwiritsidwa ntchito pozindikira shuga, kulolerana kwa glucose komanso shuga ya amayi apakati.

Kuyesedwa kwa glucose kumawonetsedwa kwa anthu omwe magazi awo amasala kudya kwambiri pamlingo wocheperako kapena kupitirira apo, komanso kwa anthu omwe ali ndi chiopsezo chokhala ndi matenda ashuga (abale apamtima, kunenepa kwambiri, ndi zina).
Kuyesedwa kwa glucose kumatheka pokhapokha ngati zotsatira za kuyesa kwa glucose ndi mita ya glucose sizidutsa 6.7 mmol / L. Kuchepetsa kumeneku kumalumikizidwa ndi chiwopsezo cha chikomokere cha hyperglycemic chokhala ndi kuchuluka kwakuthengo koyambirira kwa glucose. Phunziroli silikuphatikizidwa pamitengo ya kuyesa kwa glucose ndipo limalipira zowonjezera. Kuwerenga shuga m'magazi panthawi yoyeserera kumachitika m'njira ziwiri.

Kutengera ndi momwe zinthu ziliri, kuwunikirako kumatha kuchitika pazinthu zitatu kapena ziwiri.
Yesani 0-60-120 nthawi zambiri amagwiritsidwa ntchito kuti azindikire shuga amayi apakati. Pa nthawi ya pakati, kupsinjika kowonjezereka kwa thupi kumatha kupangitsa kuwonjezera kapena kukulira kwatsopano komwe kumawonekera pakukonzekera kwa mwana. Matendawa ndi monga shuga, kapena matenda ashuga azimayi oyembekezera. Malinga ndi ziwerengero, pafupifupi 14% ya amayi oyembekezera amakhala ndi matendawa. Chomwe chitukuko cha matenda osokoneza bongo chimaphwanya ndikupanga insulin, kaphatikizidwe kake m'thupi kakang'ono kuposa kofunikira. Ndiye insulini yopangidwa ndi kapamba yomwe imayang'anira kuchuluka kwa shuga m'magazi ndikuyipeza (ngati palibe chifukwa chosintha shuga kukhala mphamvu).

Pa nthawi yomwe mayi ali ndi pakati, mwana akamakula, thupi limafunikira kupanga insulin yochulukirapo kuposa masiku onse. Ngati izi sizingachitike, insulini sikokwanira kuti shuga azikhazikika, kuchuluka kwa shuga kumawonjezera, zomwe zimapangitsa kukula kwa matenda ashuga mwa amayi apakati. Chiyeso chovomerezeka cha glucose chovomerezeka panthawi yomwe mayi ali ndi pakati amayenera kukhala cha azimayi: omwe adakumana ndi izi m'mimba zam'mbuyomu, okhala ndi index ya 30 ndi pamwambapa, yemwe asanabadwe ana akulu akulu olemera kuposa makilogalamu 4.5, ngati m'modzi mwa abale apakati ali ndi shuga . Matenda a gestational apezeka, mayi woyembekezera afunika kuwongoleredwa ndi madokotala.

• Ndikulimbikitsidwa kupereka magazi m'mawa, kuyambira maola 8 mpaka 11, STRICTLY NATOSHCHAK mutatha kudya kwa maola 12-16, mutha kumwa madzi mwachizolowezi, tsiku lomaliza la phunzirolo lizikhala ndi chakudya chochepa komanso zamafuta ochepa.
• CHIYAMBI! Mukapereka magazi a glucose (kuwonjezera pazofunikira zofunika pokonzekera mayeso), simungathe kutsuka mano ndikutafuna chingamu, kumwa tiyi / khofi (ngakhale osalumikizidwa). Kapu ya m'mawa imasintha kusintha kwa glucose. Kulera, mankhwala okodzetsa ndi mankhwala ena amakhalanso ndi tanthauzo.
• Madzulo a phunziroli (mkati mwa maola 24), osapatula mowa, kuchita masewera olimbitsa thupi, kumwa mankhwala (monga momwe adavomerezera ndi adotolo. Kwa maola 1-2 musanapereke magazi, musasute, musamwe madzi, tiyi, khofi, mutha kumwa madzi komabe.) kupsinjika (kuthamanga, kukwera masitepe mwachangu), chisangalalo cham'maganizo. Ndikulimbikitsidwa kupumula ndikukhazikitsa mphindi 15 musanapereke magazi.
• Simuyenera kupereka magazi kuti mupeze kafukufuku wa labotale mukangopeza njira zamankhwala zolimbitsa thupi, kuyesa kwa zida, x-ray ndi maphunziro a ultrasound, kutikita minofu ndi njira zina zamankhwala.
• Magazi ofufuzira ayenera kuperekedwa mankhwala asanayambe kapena musanadutse masiku 10 mpaka 14 atachotsedwa.
• Ngati mukumwa mankhwala, onetsetsani kuti mwadziwitsa dokotala.

Kukonzekera kuwerenga

Limbikitsani pamimba yopanda kanthu (kuyambira 7.00 mpaka 11.00) mutatha kusala kudya kuyambira maola 8 mpaka 14.
Madzulo a maola 24 kafukufukuyu asanachitike, kumwa mowa kumaletsedwa.
Pakadutsa masiku atatu lisanafike tsiku, wodwala ayenera:
kutsatira zakudya zabwino popanda kuchepetsa chakudya,
kupatula zinthu zomwe zingayambitse kusowa kwamadzi m'thupi (mankhwala osakwanira akumwa, zochita zolimbitsa thupi, kupezeka kwamatumbo oyipa),
Pewani kumwa mankhwala, kugwiritsa ntchito komwe kungakhudze zotsatira za phunziroli (salicylates, kulera pamlomo, thiazides, corticosteroids, phenothiazine, lithiamu, metapiron, vitamini C, ndi zina).
Musamatsotse mano anu ndi kutafuna chingamu, kumwa tiyi / khofi (ngakhale popanda shuga)
Kwa amayi apakati, mukamapereka lamulo, ndikofunikira kupereka chidziwitso kuchokera kwa dokotala yemwe akupita kukawonetsa tsiku lomwe akutulutsa komanso zaka zakubadwa, zotsimikiziridwa ndi chisindikizo, siginecha ndi dokotala komanso chidindo cha chipatala.
Kuyesaku kumachitika mpaka masabata 28 atenga pakati.

Kodi kuyeserera kwa glucose kumawononga ndalama zingati: mtengo wogulira mu malo antchito oyimaokha a Invitro, Gemotest, Heliks ndi mabungwe aboma

Tsoka ilo, ziwerengero za anthu odwala matenda ashuga padziko lapansi zikukhumudwitsa. Anthu ochulukirachulukirachulukira akuyamba kuzindikira matendawa. Matenda a shuga amatchedwa mliri wa m'zaka za XXI.

Nthendayi imakhala yovuta chifukwa, mpaka pamlingo winawake, imachitika osadziwikika,. Ichi ndichifukwa chake kudziwika koyambirira kwa matenda ashuga ndikofunikira kwambiri.

Pazomwezi, kuyesedwa kwa glucose kulolerana (GTT) - kuyesedwa kwapadera kwa magazi komwe kumawonetsa kuchuluka kwa kulolera kwa glucose m'thupi. Pankhani yakuphwanya kulekerera, munthu amatha kulankhula za matenda osokoneza bongo, kapena prediabetes - mkhalidwe wokhala wowopsa kuposa matenda omwewa.

Kuti mupange GTT, mutha kulandira chithandizo kuchokera kwa akatswiri (omwe alumikizidwa ndi zovuta zanu) kapena mutha kudzipenda nokha mu labotore. Koma pankhaniyi, pamakhala funso lomveka: komwe mungayese mayeso ololera a glucose? Ndipo mtengo wake ndi chiyani?

Kuyesedwa kwa glucose kumakhazikitsidwa pakutsimikiza kwa magawo awiri a shuga m'magazi: kusala kudya komanso mutatha kuchita masewera olimbitsa thupi. Pansi pa katundu pamenepa amatanthauza njira imodzi ya shuga.

Kuti muchite izi, shuga wina amasungunuka mu kapu yamadzi (kwa anthu omwe ali ndi kulemera kwabwino - magalamu 75, kwa anthu onenepa - magalamu 100, kwa ana potengera kuchuluka kwa magalamu 1.75 a shuga pa kilogalamu imodzi ya kulemera, koma osaposa magalamu 75) ndikuloledwa kumwa kwa wodwala.

M'madera ovuta kwambiri, pamene munthu sangathe kumwa yekha “madzi okoma” payekha, yankho limaperekedwa kudzera m'mitsempha. Mlingo wa glucose m'magazi patatha maola awiri akuchita masewera olimbitsa thupi uyenera kukhala wofanana ndi wambiri.

Mwa anthu athanzi, cholembera cha glucose sichitha kupitirira mtengo wa 7.8 mmol / L, ndipo ngati mwadzidzidzi mtengo womwe wapezeka upitilira 11.1 mmol / L, pamenepo titha kulankhula za matenda ashuga. Makhalidwe apakatikati amawonetsa kuloleza kwa glucose ndipo amatha kuwonetsa "prediabetes."

M'mabotolo ena, mwachitsanzo, mu labotale ya Gemotest, glucose pambuyo pochita masewera olimbitsa thupi amayeza kawiri: pambuyo pa mphindi 60 komanso pambuyo pa mphindi 120. Izi zimachitika kuti tisaphonye chiwerengero, chomwe chimatha kuonetsa shuga.

Kuphatikiza pa kupititsa kusanthula, podziwunikira pawokha pali zambiri zomwe zingatsimikizire kutsimikiza kwa GTT:

• shuga wamagazi pakuwunika kokhazikika ndi apamwamba kuposa 5.7 mmol / l (koma osapitilira 6.7 mmol / l),
• cholowa - milandu ya matenda ashuga achibale,
• onenepa kwambiri (BMI yoposa 27),
• kagayidwe kachakudya matenda
• ochepa matenda oopsa
• atherosulinosis
• kulekerera shuga wambiri
• zaka zopitilira 45.

Komanso, amayi oyembekezera nthawi zambiri amalandila ku GTT, chifukwa zilonda zobisika nthawi zambiri "zimatuluka" munthawi imeneyi. Kuphatikiza apo, panthawi yomwe ali ndi pakati, kukulitsa kwa komwe kumatchedwa gestationalabetes mellitus ndikotheka - "shuga woyembekezera".

Ndi kukula kwa mwana wosabadwayo, thupi limafunikira kutulutsa insulini yochulukirapo, ndipo ngati izi sizingachitike, kuchuluka kwa glucose m'magazi kumakwera ndipo matenda a shuga amayamba kukula, omwe amakhala ndi chiopsezo kwa onse mwana ndi amayi (mpaka pobadwa kumene).

Tiyenera kukumbukira kuti zosankha zamagulu a shuga abwinobwino mwa azimayi oyembekezera zimasiyana ndi zizindikiro "zopanda amayi".

Komabe, poyesa mayeso a shuga, pali zotsutsana:

• vuto la shuga
• ARVI,
• kuchuluka kwa matenda am'mimba,
• nthawi yantchito
• kuchuluka kwa glucose pamisempha ya magazi kuchokera pa chala kuli pamwamba pa 6.7 mmol / l - pamenepa, vuto la kukomoka kwa magazi limatheka pambuyo pakuchita masewera olimbitsa thupi.

Kuti zotsatira za kuyesa kwa glucose zikhale zolondola, ndikofunikira kukonzekera kukapereka kwake:

• Pakupita masiku atatu mukuyenera kutsatira zakudya zomwe mumadya komanso kuchita masewera olimbitsa thupi, simungathe kupita ndizakudya kapena kuti muchepetse shuga,
• phunziroli limachitika m'mawa pamimba yopanda kanthu, pambuyo pa maola 12-16 osala kudya,
• Tsiku limodzi mayeso asanakwane, simungathe kusuta ndi kumwa mowa.

Kumwa mankhwala ena kungasokeretse zotsatira za mayeso, ndi bwino kuonana ndi dokotala musanayesedwe.

Chipatala cha Boma

Monga lamulo, ntchito za boma zolipiridwa siziperekedwa muma polyclinics aboma la boma.

Kusanthula kulikonse, kuphatikiza kuyesedwa kwa glucose, kumatha kuyesedwa mwa iwo atangolandira chithandizo choyambirira kuchokera kwa dokotala: psychapist, endocrinologist kapena gynecologist.

Zotsatira za kusanthula zikupezeka m'masiku ochepa.

Ntchito ya Helix Lab

M'malo ochitira Helix, mutha kusankha mitundu isanu ya GTT:

1. muyezo 06-258 - mtundu wanthawi zonse wa GTT ndi muyezo wowonjezera shuga mawola awiri pambuyo pochita masewera olimbitsa thupi. Osati za ana ndi amayi oyembekezera,
2. yowonjezera 06-071 - miyeso yoyendetsera imachitika mphindi 30 zilizonse kwa maola awiri (kwenikweni, kangati kanayi),
3. pa mimba 06-259 - miyeso yoyendetsera imachitika pamimba yopanda kanthu, komanso ola limodzi ndi maola awiri mutatha kuchita masewera olimbitsa thupi,
4. ndi insulin m'magazi 06-266 - patatha maola awiri mutachita masewera olimbitsa thupi, kuyezetsa magazi kumachitika kudziwa kuchuluka kwa shuga ndi insulini.
5. ndi C-peptide m'magazi 06-260 - Kuphatikiza mulingo wa glucose, mulingo wa C-peptide wotsimikizika.

Kusanthula kumatenga tsiku limodzi.

Hemotest Medical Laborator

Mu hemotest labotale yachipatala, mutha kutenga imodzi mwanjira zotsatirazi:

1. mayeso wamba (0-120) (code 1.16.) - GTT ndi muyeso wa glucose maola awiri mutatha kuchita masewera olimbitsa thupi,
2. kuyeserera kwa glucose (0-60-120) (code 1.16.1.) - kuchuluka kwa shuga mumagazi kumachitika kawiri: ola limodzi mutatha kuchita masewera olimbitsa thupi komanso maola awiri mutatha kuchita masewera olimbitsa thupi,
3. ndi kutsimikiza kwa shuga ndi insulin (code 1.107.) - Kuphatikiza pa kuchuluka kwa shuga, maola awiri mutatsitsidwa, phindu la insulini limatsimikizidwanso: izi ndizofunikira kuyesa kupweteka kwa hyperinsulinemia. Kusanthula kumachitika mosamalitsa monga adanenera dokotala,
4. ndi kutsimikiza kwa shuga, C-peptide, insulin (code 1.108.) - limatsimikiza za shuga, insulin ndi C-peptide kupatula mphamvu ya mankhwala ndikusiyanitsa mtundu 1 ndi matenda ashuga 2. Kuyesa kwodula kwambiri kwa GTT konse
5. ndi kutsimikiza kwa shuga ndi C-peptide (code 1.63.) - shuga ndi C-peptide milingo ndizotsimikiza.

Kusanthula nthawi yopanga ndi tsiku limodzi. Zotsatira zitha kusungidwa nokha mu labotale kapena kupezeka ndi maimelo kapena mu akaunti yanu patsamba la Gemotest.

Kampani ya zamankhwala Invitro

Laboritro labot imapereka njira zingapo zoyesera kuyesa kwa glucose:

1. pa mimba (GTB-S) - dzinalo limadzilankhulira lokha: mayesowa amachitika kwa amayi apakati. Invitro akuwonetsa kuwunikiridwa kwapakati pa sabata la 24-28. Kuti muchite kusanthula uku ku Winitro, muyenera kukhala ndi chilolezo kuchokera kwa dokotala ndi siginecha yakeyake,
2. ndi kutsimikiza kwa shuga ndi C-peptide mu venous magazi pamimba yopanda kanthu komanso mutatha kuchita masewera olimbitsa thupi patatha maola 2 (GTGS) - kuwunikidwaku kukuwunikanso kuchuluka kwa komwe kumatchedwa C-peptide, komwe kumatilola kupatulira shuga ndi omwe amadalira insulin, komanso kuwunikira moyenera odwala omwe akupezeka ndi insulin.
3. ndishuga wamagazi pamimba yopanda kanthu komanso mutatha kuchita masewera olimbitsa thupi pambuyo maola 2 (GTT).

Tsiku lomaliza la kusanthula kwina ndi tsiku limodzi (osawerengera tsiku lomwe zinthu zakale zidatengedwa).

Kodi mawunikidwe azachipatala azinsinsi ndi angati?

Mtengo wa mayeso ku labotale ya Helix ku Moscow ndiwotsika kwambiri: mtengo wa GTT yotsika mtengo (wotsika mtengo) ndi ma ruble 420, mtengo wa GTT wokwera mtengo kwambiri - motsimikiza kuchuluka kwa C-peptide - ndi 1600 rubles.

Mtengo wa mayeso mu Hemotest umachokera ku ma ruble 760 (GTT omwe ali ndi muyeso umodzi wa glucose) mpaka 2430 rubles (GTT ndi kutsimikiza kwa insulin ndi C-peptide).

Kuphatikiza apo, ndikofunikira kupeza phindu la shuga m'magazi musanachite masewera olimbitsa thupi, pamimba yopanda kanthu. Ngati pali mwayi wogwiritsa ntchito glucometer yanu, apo ayi m'malo ena mabotolo muyenera kuyesanso - kudziwa kuchuluka kwa shuga, komwe kumakhala pafupifupi ma ruble 250.

Makanema okhudzana nawo

Zokhudza mayeso a glucose mu video:

Monga mukuwonera, kuyesa mayeso a glucose sikovuta: sizifunikira ndalama zambiri kapena zovuta pakupeza labotale.

Ngati muli ndi nthawi ndipo mukufuna kusunga ndalama, mutha kupita ku polyclinic ya boma, ngati mukufuna kupeza zotsatira mwachangu, ndipo pali mwayi woti mulipire, ndiye kuti mwalandilidwa ku labotale yaboma.

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

Phunzirani zambiri. Osati mankhwala. ->

Ma labotale: momwe mungalowe bizinesi yomwe imakula ndi 20-45% pachaka

Ma laboratoria ozindikira ndi bizinesi yoloseredwa komanso yokhazikika, akatswiri akutero. Koyambira ndi momwe mungapangire bwino, magazini ya RBC idaganiza

Mu 2015, msika waku Russia wowerengera matenda azachipatala unakula ndi 14%, mpaka ma ruble 68.9 biliyoni., Otsimikizira ku BusinesStat amawerengera. Nthawi yomweyo, pafupifupi kotala la ndalama zomwe msika wabwera kuchokera kwa osewera asanu akulu ndi awa: Invitro, Gemotest Laboratory, KDL, Helix ndi Citylab.

Msika udzakula zaka zisanu zikubwerazi chifukwa cha chitukuko cha ntchito zamasewera akuluakulu komanso kuchuluka kwa ndalama zabizinesi, akatswiri aku BusinesStat akutero. Ma laboratoria ozindikira ndi bizinesi yoloseredwa komanso yokhazikika, akatswiri akutero.

Mu zaka zitatu zapitazi, ndalama zomwe makampani akuluakulu mumsika wogulitsa matenda opangira matenda adakulirakhula ndi 20-45% pachaka, ma network ogwiritsa ntchito njira zowunika adapitilirabe kutsegulira nthambi zatsopano.

Ngakhale msika waukulu kwambiri ku Moscow sunakhale wokhutira, malinga ndi oimira ma network a Gemotest ndi Heliks.

Zowona, Invitro ali ndi mwayi wina: pali ziyembekezo zokhazokha m'malo atsopano komanso omwe akukula mwachangu kumene metro imatsegulidwa, etc., woimira kampaniyo adati.

116.3 miliyoni Kafukufuku adapanga ntchito yozindikira matenda ku Russia mu 2015

116.4 miliyoni kafukufuku adzachitika mu 2016

$ 592.7 - mtengo wofufuza wapakati mu 2015

Momwe mungapangire bizinesi yopangira ma labotale yodziwitsa, sankhani gawo ndikupanga netiweki, magazini ya RBC idapezeka kuchokera kwa omwe ali pamsika waukulu.

Wosewera wa novice pamsika ayenera kukhala ndi labotale yowunikira komanso ma network omwe ma kasitomala amabwera. Malinga ndi Helix, kuti apange labotale adzafunika kuchokera ku ma ruble 200 miliyoni.

- Ndalamazo zipita kukakonza, kugula mipando ndi zida zogulira. Iyenera kukhala yamakono, malinga ndi Helix, zaka zisanu zilizonse kufikira zisanu ndi ziwiri.

Woimira Hemotest akuti kusinthaku kumafunikira pafupifupi zaka zitatu zilizonse mogwirizana
ndi kuwonjezeka kwa kuchuluka kwa ntchito zomwe zaperekedwa komanso kubwera kwa matekinoloje atsopano.

Pachigawo choyamba, mutha kudutsa ndi labotale yokhala ndi mawonekedwe ochepa kwambiri a kafukufuku wotchuka kwambiri, ndi kupititsa patsogolo zinthu zovuta kwambiri. Kapangidwe ka labotale yotere, malinga ndi Hemotest, ndalama pafupifupi ruble 30 miliyoni. Koma ndi katundu wocheperako, zitha kukhala zopanda phindu, nthumwi ya Helix imachenjeza: ngati pali mayeso ochepa, mtengo wawo udzakhala wokwera.

Poyamba, kampani ikhoza kufufuzira kafukufuku wonse, ndikudziyang'ana pakumanga ma network a ma labotale, amatero mu Hemotest: ndizomveka kumanga labotale pamene kuchuluka kwa makasitomala kumafika mazana angapo patsiku. Koma osewera ku feduro samatsata njirayi kuti asathenso kuwongolera pa kafukufuku, akuwonjezera interlocutor wa magazini ya RBC.

Choyamba, ndikofunikira kubwereka ndikukonza malo a ofesi, kugula zida (kukonzekeretsa chipinda chothandizira chithandizo, gynecologist's ndi chipinda cha ultrasound), ganyu antchito, pangani ndalama pakupititsa patsogolo, woyimira wa Invitro akufotokozera. Nthambi imodzi yatsopano ku Moscow imawononga ndalama zokwana ma ruble 3-5 miliyoni. Kuti bizinesi ikhale yotsika mtengo, mumafunika malo ogulitsa osachepera 50 pa labotale komanso ma B2B odwala kuchokera kuzipatala zapadera, Helix adati.

Zida zonse ndi zakunja, ndipo chifukwa cha kusinthaku, zakwera kwambiri, atero woyimira Winitro. Malinga ndi iye, kukambirana ndi othandizira kumathandizira kuthetsa vutoli pang'ono: nthawi zina zimakhala zotheka kuvomereza pakukonza mtengo wosinthana kapena kusinthira mapangano kukhala ma ruble.

Kuti mupereke zopereka kuchokera ku maofesi kupita kumalo osungira anthu, mumafunikiranso ntchito yanu yonyamula maulendo ndi paki yamagalimoto. Zowonjezera ndalama zidzafunika kukhazikitsidwa kwa zomangamanga za IT kuti zizilankhulana pakati pa ma labotale ndi maofesi azachipatala, woimira Helix akuwonjezera.

6-12 miyezi ayamba bizinesi mumsika waku Moscow

Zaka 1,5 pafupifupi ndizofunikira kuswa

Poyendetsa labu yofufuzira
kuchokera zikande sangachite popanda chilolezo. Makamaka, choyamba muyenera kupeza chitsimikizo cha matenda a Rospotrebnadzor - ntchito yake imayikidwa pambuyo poti kukonzedwa ndi malo okonzedwa ndi zida zamagetsi. Pambuyo pa izi, mutha kupempha chilolezo chochita zachipatala.

Watsopano aliyense amakakamizidwa kupikisana ndi atsogoleri amsika.

Chizindikiro champhamvu: anthu ochulukirapo amasamala thanzi lawo ndipo samaganizira mtengo ndi malo a dipatimentiyo, komanso mtundu wa chithandizo, oimira Hemotest ndi KDL amavomereza.

Chizindikiro ndi chinthu chomwe chimasankha chisankho cha ogula, chifukwa odwala omwe siogula oyenerera sangathe kuwunika bwino ntchito zawo, amawonjezeranso ku Invitro.

Lingaliro linanso pankhani iyi ku Helix ndikuti pakusankha labotale kwa kasitomala, mtunduwo suwofunikira kwambiri monga kupititsa patsogolo chidziwitso cha kampani pa intaneti, kuyandikira kwa malo ndi mtengo.

Network ya KDL idaphunzira momwe makasitomala amasankhira labotale: kafukufukuyo adawonetsa kuti malo oyamba kwa iwo anali mtundu wa kafukufuku, wachiwiri anali wokhoza kupeza zotsatira, kuphatikizapo pa intaneti, ndipo wachitatu anali ofesi yosangalatsa komanso yabwino.

Kuphatikiza pa makasitomala wamba, malo ogwirira ntchito amagwira ntchito ndi zipatala zomwe zimawalamulira kuti azichita mayeso ochokera kunja. Gawo la gawo lotere la B2B mu ndalama zapaintaneti zachokera pa 15 mpaka 50%.

Njira imodzi yokopa makasitomala amakhudzidwa ndi kutaya mitengo, akutero nthumwi ya KDL, yomwe imati kampaniyo imagwiritsa ntchito njira zina zokhazikitsira mgwirizano ndi zipatala: imapereka ntchito zina, mwachitsanzo, imaphunzitsa madokotala, kupereka ma analytics ofufuza, kuphatikiza njira za IT, ndikuthandizira kutsatsa ndi ena

Zoyenera kukhala ofesi yamakasitomala:

60 m² - chipinda chocheperako 2.6 m - kutalika kwapangidwe kopingasa

15 m² - malo osachepera ofesi ya katswiri

Pansi pansi ndi mzere woyamba wa nyumba, pakhomo lolowera palokha ndi chopondera, kuyatsa kwachilengedwe, kupezeka kwa kumira mu maofesi ndi bafa,

makamaka poyimitsa anthu pafupi ndi ofesi.

Kuzindikira labu kumatha kugwira ntchito
ndi gawo limodzi, monga B2B, oyimira kampani akuti.

Invitro adangoyamba ndi chiwembu chotere, koma mgwirizano wawukulu wa boma ukhoza kukhalapo pokhapokha magawo awiri - B2C ndi B2B, woimira wawo akuti. Malingaliro omwewo amatsatiridwa mu Hemotest ndi Helix.

Kusankha gawo limodzi lokha, kampani imaletsa dala kugulitsa kwake popanda kugwiritsa ntchito malonda kudzera munjira zina, woimira Helix akufotokozera.

Makampani onse akuluakulu pamsika wa Moscow, kupatula KDL, akupanga malinga ndi mtundu wa franchising. Kutsegulira ofesi yachipatala yatsopano, mnzake wogwira ntchito yofufuzira yekha amatenga zonse mtengo, koma kampaniyo imalangiza, amapereka mwayi kwa dongosolo la IT, amathandizira pakukweza.

Franchisor amasamalira kuti azikhala wofanana, motero, imapatsana othandizirana ndi mapangidwe apangidwe okonzedwa - nthabwala zazizindikiro, kapangidwe kaofesi, zosindikiza, akutero woyimira Winitro. Kutsatsa pa feduro kumakhudzanso kampani ya makolo. Kuphatikiza apo, amalipira ndalama zake ku bungwe la ma franchisee.

Makampani samangothandiza othandizira anzawo kuti azichita bizinesi, komanso kuwaphunzitsa: Aititro, mwachitsanzo, amakhala ndimisonkhano kwa anzawo chaka chilichonse, kuphatikiza ndi njira zosayankhulana.

Helix amapatsa eni ake ma franchise kuti aphunzire franchisees kusukulu yake ndipo samangoyang'anira manejala payekha komanso katswiri wotsatsa kwa wokondedwa aliyense, komanso wothandizira bizinesi yemwe ali ndiudindo wophunzitsa antchito.

Hemotest alinso ndi sukulu ya franchisee, imachitika mwezi uliwonse kwa onse atsopano ndi omwe alipo.

Mayeso otchuka kwambiri komanso mtengo wawo ndi kampani

KDL: Kutsimikiza kwa shuga m'magazi - ma ruble 250. Madzi a chithokomiro (TSH) - ma ruble 490. Mlingo wa erythrocyte sedimentation rate (ESR) - 215 rubles.

Gemotest Laborator

Kuyesa kwa magazi kokwanira - ma ruble 55. Kusanthula mkodzo pafupipafupi - ma ruble 295.

Madzi a chithokomiro (TSH) - ma ruble 495.

Helix: Kuyesedwa kwa magazi ndi khungu loyera ndi ESR - 720 rubles.

Urinalysis - 335 ma ruble.

Chilimidwe: Kuyesa kwa magazi kokwanira - ma ruble 315. Mlingo wa erythrocyte sedimentation ndi ma ruble 230.

Formula ya Leukocyte - ma ruble 305.

Ndalama zomwe zimapezeka ku Hemotest Laboratory franchisees ku Moscow zimakonda ruble 10 miliyoni. pachaka, kampaniyo imapeza ma ruble 400,000 pa iyo. Mnzake wa Helix amapeza ruble 7 miliyoni. Invitro sikuwulula izi.

Koma kumanga bizinesi malinga ndi mtundu wa franchising sikofunikira: mwachitsanzo, KDL, mosiyana ndi omwe akupikisana nawo ku Moscow, amangotsegula maofesi ake okha azachipatala.

Kampaniyo ikufotokozera izi posamalira mautumiki ake, omwe ndi odalirika kupereka ndi kuwongolera paukonde wake.

Maola 24 - nthawi yayitali yopezera zotsatira za mayeso ambiri a CDL

1-6 miliyoni rubles. Ndalama zomwe zimapezeka kuchokera ku ntchito zofufuza ma laboratore zimalandiridwa ndi CDL pamwezi ku ofesi imodzi yachipatala ku Moscow

28,000 ma ruble - kuchuluka kwa zowerengetsera za a Invitro franchisee ku Moscow kuyambira mwezi wachinayi wogwira ntchito. Ochita nawo mpikisano amalandira gawo limodzi la zomwe mnzake amapeza: Helix - 2% kuyambira mwezi wachinayi, Gemotest Laborator - 1,18% mchaka choyamba

Hemotest, Network of Laboratories - kuwunika

Moni moni Tsoka ilo, tonse timadwala pafupipafupi ndipo sitingathe kupita kulikonse kukayezetsa ndi njira zina zamankhwala! Koma kutenga mayeso mdziko lathu mu zipatala wamba za boma sikosavuta, kotenga nthawi yayitali komanso kwamanjenje! Chifukwa chake, sizosadabwitsa kuti pafupifupi paliponse paliponse pali malo azachipatala osiyanasiyana komanso ma labotale omwe amapereka mwayi wopititsa mayeso mwachangu, pafupifupi nthawi iliyonse, monga zina.

Ndimakhala kudera la Moscow ndipo mumzinda wanga kuli ma laboratories angapo ofanana ndi zipatala zapadera. Pakati pawo palinso HemotestNdikufuna kulemba ndemanga pa labotale iyi!

Ndinalemba kale ndemanga yokhudza kusakhulupirira kwanga Chikalakala.

Mumzinda mwanga muli labotale imodzi ya Hemotest, ku Moscow alipo ambiri, koma komabe siofala monga Invitro.

Apanso, thrush idabwera ndi ine ndipo imayenera kuyesedwa. Ndinayamba kusaka pa intaneti kuti ndiopindulitsa kwambiri komanso ndikachita bwino)

Pamitengo, nditha kunena kuti ku Attitro ndizokwera mtengo kwambiri.

Koma ndili ndi khadi lawo la kuchotsera mu 5% ndipo ngakhale zili izi Hemotest Zinakhala zotsika mtengo, popeza mu labotaleyi mumakhala njira yosinthira, yomwe mungawerenge zambiri patsamba lawo la webusayiti! Ndingonena kuti ndidapambana mayeso Lolemba, ndipo Lolemba ndimakhala ndi 10% kuchotsera chilichonse komanso kwa aliyense. Trifle, koma zabwino!

Amakhalanso ndi kukwezedwa pafupipafupi! M'mwezi wa Marichi, kukwezedwa kwa azimayi okongola!

Komanso pali dongosolo lamakadi ochotsera!

Ndandanda ya ntchito ndi yabwino komanso ku Invitro. Ndiye kuti, kuyesedwa kumatha kutengedwa m'mawa kapena ndi fan, koma pali nthawi yokhala ndi zitsanzo za magazi, samalani!

Tsopano zokhudzana ndi chidziwitso changa pakupereka mayeso mu labotale:

Ndidayesa pambuyo pa 5pm nditaweruka kuntchito. Ma labotaleti sanabwere, palibe mndandanda, woyang'anira msungwana wachinyamata uja adapereka lamulo langa ndipo adayesanso mayeso kwa ine. Mtsikana wabwino kwambiri komanso wabwino, adatenga mayeso mwachangu komanso mopweteka! Ndinalemba chubu choyesa ndi mayeso anga, ndinalankhulanso bwino ndikusiya mu labotale ndi cheke.

Ndidapereka zowunikira Lolemba usiku ndipo ndinalandira zotsatira Lachitatu m'mawa. Ndinalandira uthenga wofunitsitsa kusanthula kwanga, kenako zotsatira zomwezo zimandibweretsanso imelo (nawonso ku Invitro!) Yabwino kwambiri! Palibe chifukwa chopita kulikonse)))

Komanso, zotsatira zoyesazi zitha kutsatiridwa mosavuta pa tsamba lolembera, komanso kudziwa za mitundu yonse ya kusanthula ndi mitengo. Malowa ndi osavuta komanso abwino.

Chokhacho chomwe sindinakonde (ndipo Winitro ali patsogolo) ndikuti Gemotest alibe pulogalamu ya mafoni yamafoni, momwe mumatha kutsatira zotsatira za kusanthula, chifukwa sizinali zophweka kwa ine kuti ndiimbire foni nambala yanga, dzina langa lomaliza ndi tsiku lobadwa zala zikulowera pazenera la iPhone (((ndinalowa muakaunti yanga yokha kuchokera nthawi yachisanu!

Pankhani yodalirika yazotsatira .... apa mutha kutsutsana kwa nthawi yayitali komanso mopitiliza) Koma ineyo pandekha sindikuwona mfundo iliyonse pamenepa, chifukwa ngati zotsatira za kusanthula sizodalirika, zidzagunda chithunzi cha kampaniyo, kupatula apo Chikalakala Ndizovuta kale kupikisana! Ndidalira Hemotest!

Ndimayika nyenyezi 4 ndikuyiyikira! Tsopano ndiyesa mayeso mu labotale iyi!

Zikomo chifukwa chondisamalira!

Hemotest kapena Invitro: ndibwino kuti odwala asankhe?

Hemotest kapena Invitro yomwe ili bwinoko, momwe mungasankhire labotale? Ma labotalewo ndi ofanana mu mtundu wa ntchito zomwe zaperekedwa. Pali zodandaula kuchokera kwa odwala zokhudzana ndi ntchitoyo komanso mtundu wa mayeso omwe amachitika m'malo onse ogwira ntchito. Nthawi yomweyo, pali odwala omwe amayesa mayeso mu Hemotest okha kapena ku Invitro kokha.

Hemotest ndi Invitro pazowunikira odwala

Hemotest ndi Invitro amachita zowunikira zonse zodziwika bwino machitidwe azachipatala. Ma labotale amakhala pakati, okhala ndi nthambi zambiri ku Russia. Izi zikutanthauza kuti maphunziro a labotale a zinthu zomwe zimatengedwa amachitidwa mu labotale yapakati ku Moscow, ndipo izi zimatengedwa komweko.

Ma laboratori onsewa amagwira ntchito nthawi yonseyi, chifukwa chake zotsatira zake zimawunikira nthawi yayitali. Zitha kulandiridwa ndi maimelo popanda kusiya nyumba yanu. Odwala omwe ali ndi Invitro amadandaula pafupipafupi pazotsatira zomwe zachedwa kuposa ndi Hemotest.

Kuphatikiza apo, nthawi zambiri mumatha kupeza madandaulo okhudzana ndi ntchito yomwe mumagwiritsidwa ntchito kumalo a Laboritro. Ena nthawi yomweyo amakumbukira nthawi ya Soviet.

Odwala onse amadziwa kuti mitengo ya Hemotest ndi yotsika mtengo kwambiri, pali dongosolo la kuchotsera lomwe limakupatsani mwayi woti mumayesetse masiku ena ndikugwiritsa ntchito makadi opatsirana ndichotsika mtengo kwambiri. Mitengo ya Invitro ndiyokwera.

Hemotest ndi Invitro malinga ndi ndemanga za madokotala

Madokotala ambiri amagwiritsidwa ntchito pokhulupirira ma labotale ena. Ndipo nthawi zambiri ndimakhala wogwira ntchito kuchipatala komwe amagwira ntchito. Dotolo amadziwa zovuta zonse komanso zovuta za ma laboratori awa, mawonekedwe a mayeso osiyanasiyana, omwe amawaganizira popanga matenda ndikuwunika momwe wodwalayo alili.

Zimakhala zovuta kuti iye awunike kuwunikira kuchokera m'malo ena antchito, popeza sadziwa nawo. Chifukwa chake, nthawi zambiri mumatha kumva kuti adokotala sakufuna kuyesa kuyesedwa mu ma labotore ena.

Ndipo izi nthawi zambiri zimayambitsa mikangano, popeza njira yodutsa mayeso m'mabungwe aboma ndi ma labotale azinsinsi sangafanane mulimonse. Pomaliza palibe mndandanda, ntchito (kupatula zina) ndi yaulemu, nthawi yochepa imatha pochitika mayeso.

Osatengera izi, pamakhala mzera waukulu mu mabungwe aboma, ogwira ntchito mwamwano kwambiri ndipo nthawi yayitali idangopita pachabe.

Koma izi zimachitika makamaka m'malo okhala, komwe kuli ma labotale apamwamba kwambiri. M'madera akutali, malo ogwiritsira ntchito Gemotest kapena Invitro nthawi zina ndi malo okhawo omwe mungafufuze.Madokotala amazolowera zomwe apanga kafukufuku wawo, muziwayang'ana ndipo amawona kuti ndiwodalirika.

Zoyenera kuchita, ndi ma labotaleti oti musankhe?

Koposa zonse, musananyamuke nokha, pitani kuchipatala. Amadziwa ndendende omwe Laborator m'deralo amapereka zotsatira zodalirika. Chifukwa chake katswiri ayenera kuyankha funsoli ngati Hemotest kapena Invitro ali bwino malinga ndi mtundu wa kafukufukuyo.

Koma kupatula mtundu wa kusanthula, pali zifukwa zina zosankhira labotale inayake. Ntchitoyi ndiyofunika kwambiri kwa odwala, ndiye kuti, momwe zinthu zilili pamayeso okonzekera kuyesedwa. Masiku ano, ambiri akufuna kulipira ndalama kuti azingogwiritsa ntchito mwaulemu, popanda mwamwano.

Chofunikira china pakusankha ndi ukatswiri wa antchito othandizira omwe amatenga zinthu zachilengedwe kuti azifufuze. Wothandizira labotale yodziwa bwino kwambiri yomwe amatenga magazi kuchokera mu mtsempha kapena chala ndi zina mwazinthu zabwino zomwe zikuthandizira kutchuka kwa dzina lantchito iyi.

Pomaliza, ukhondo wa anthu ogwira ntchito ndi wofunikira.

Odwala ena amadandaula kuti akatswiri olemba ma labala satenga magazi nthawi zonse, amakhala osasamala, osasamala, ndi zina zotero.

Izi zimatha kuwopsa kwambiri odwala powakopa ku labotale yopikisana. Kwambiri, madandaulo kuchokera kwa odwala za kusatsata malamulo aukhondo mu malo ogwira ntchito ku Attitro alandiridwa.

Ndani ali ndi mndandanda wautumiki

Chosafunika kwenikweni ndi mndandanda wazofufuza. Mu ma labotoreyi, ali ofanana. Koma ma laboratori akomweko samadzitamandira ndi mndandanda wotere wa mayeso a labotale. Ndipo chifukwa chake, madotolo, mosiyana ndi chikhalidwe chawo, nthawi zina amayenera kutumiza odwala awo ku ma laboratori apadera awa.

Hemotest ndi Invitro akusintha kawirikawiri ntchito zawo m'munda, kutsatira madandaulo. Amayesetsanso kupitilizabe ndipo akukulitsa mndandanda wa ntchito.

Isanthula mu KDL. Glucose

Glucose - ndiye gwero lamphamvu lamphamvu m'maselo a thupi ndi gwero lokha lamphamvu laubongo ndi maselo amanjenje. Thupi labwino limasunga shuga wina m'magazi.

Mulingo wa glucose m'magazi umatengera mahomoni a kapamba: insulin ndi glucagon. Insulin imalimbikitsa kuyamwa kwa glucose ndi maselo amthupi ndikupanga nkhokwe zake mu chiwindi monga glycogen.

Glucagon, mosiyana, imalimbikitsa shuga kuchokera ku malo osungirako magawo kuti achulukitse shuga wamagazi ngati pakufunika.

Ndi liti pamene kuyezedwa kwa glucose kumayikidwa?

Mwachilengedwe, kuchuluka kwa shuga kumatsimikiziridwa pamene kagayidwe kazakudya kamakayikiridwa. Choyambitsa matenda ambiri a shuga m'thupi (hyperglycemia) ndi matenda ashuga. Ndikofunikira kuyang'ana shuga pamimba yopanda kanthu pakamayesedwe azachipatala kwa anthu athanzi, chifukwa matenda ashuga amatha kukhala asymptomatic kwa zaka zingapo ndikupezeka kuti ali ndi vuto.

Kuyesedwa kwa glucose (komwe kumatchedwa "shuga wamagazi") kumagwiritsidwa ntchito kupima anthu athanzi, kuzindikira odwala omwe ali ndi prediabetes ndi matenda a shuga, poyesa amayi apakati.

Glucose wotsika (hypoglycemia) amatha kukhala pachiwopsezo cha moyo, hypoglycemia yovuta kwambiri imatha kubweretsa kukomoka komanso kufa kwa maselo aubongo.

Miyeso ingapo yotsatizana ya glucose amachitika panthawi yoyesedwa ndi shuga. Pakutero, wodwalayo amayesedwa woyamba kudya shuga, kenako ndikupatsidwa zomwe zimadziwika kuti "shuga katundu", kenako kuchuluka kwa glucose pambuyo pa maola 1 ndi 2.

Kodi zotsatira za mayeso zikutanthauza chiyani?

Kuthamanga kwamwazi wamagazi kungakhale chizindikiro cha zovuta zosiyanasiyana za kagayidwe kazakudya.

Zotsatira zoterezi zimatheka ndi matenda a shuga, kulekerera kwa shuga, ndikuwunikira pamimba yopanda kanthu. Kuchuluka kwa kuchuluka kwa shuga kuyenera kuwunikiridwa ndi dokotala.

Kusala glucose woposa 7.0 mmol / L kapena oposa 11.1 mmol / L mukamamwa nthawi iliyonse, mosasamala chakudyacho, imawerengedwa ngati chizindikiro cha matenda ashuga.

Masewera a shuga achilengedwe amatha chifukwa chogwiritsa ntchito molakwika mankhwala ochepetsa shuga. Mikhalidwe ya Hypoglycemic ikhoza kuphatikizidwa ndi kukhalapo kwa chotupa cha pancreatic chotulutsa glucagon - glucagonomas.

Ndizofunika liti kuganizira ndikusanthula kwa glycated hemoglobin ndi shuga wamagazi?

Hemoglobin ndi gawo la mapuloteni m'maselo ofiira a m'magazi. Ntchito yayikulu ya chinthuchi ndikuyenda mwachangu kwa okosijeni kuchokera ku kupuma kupita ku ziwalo zathupi.

Komanso kuperekanso mpweya woipa kuchokera kwa iwo kubwerera kumapapu. Molekyu ya hemoglobin imapangitsa kukhalabe ndi mawonekedwe abwinobwino a maselo amwazi.

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