Momwe mungayang'anire mita kuti ikhale yolondola komanso yowona?
KULAMBIRA KWA KUSINTHA Glucometer.
Nthawi zambiri zimachitika kuti zotsatira za kuyeza shuga m'magazi pogwiritsa ntchito glucometer yapadera zimasiyana kwambiri ndi zofunikira zomwe zimapezeka pogwiritsa ntchito glucometer ina kapena kuchokera pazofunikira zomwe maphunziro amapangidwa mu labotale. Koma musanachimwe pakuyenda kolondola kwa mita, muyenera kutengera kulondola kwa njirayi.
Tiyenera kudziwa kuti kusanthula kwa glycemia kunyumba, komwe lero kwadziwika ndi anthu ambiri odwala matenda ashuga, kumafunikira kuwunika koyenera, chifukwa Chifukwa chobwereza-bwereza njira iyi yomwe ikuwoneka ngati yosavuta, kuwongolera tsatanetsatane wa kukhazikitsidwa kwake kungafooketse. Chifukwa chakuti "zinthu zazing'ono" zimanyalanyazidwa, zotsatira zake sizingakhale zoyenera kuwunika. Kuphatikiza apo, ziyenera kukumbukiridwa kuti muyezo wa shuga wamagazi ndi glucometer, monga njira ina iliyonse yofufuzira, ili ndi zisonyezo zina zogwiritsidwa ntchito ndi zolakwika zovomerezeka. Poyerekeza zotsatira zomwe zapezeka pa glucometer ndi zotsatira za chida china kapena data yamulebhu, zinthu zingapo ziyenera kukumbukiridwa.
Amadziwika kuti zotsatira za kafukufuku wa glycemia wogwiritsa ntchito glucometer zimakhudzidwa ndi:
1) kukhazikitsa koyenera kwa njira yogwirira ntchito ndi chipangizocho ndi zingwe zoyesa,
2) kukhalapo kwa cholakwika chovomerezeka cha chipangizocho,
3) kusinthasintha kwakuthupi ndi zinthu zamwazi m'magazi (hematocrit, pH, etc.),
4) kutalika kwa nthawi pakati pa kutenga zitsanzo zamagazi, komanso nthawi yanthawi yayitali pakati pa kutenga magazi ndi kuyesedwa pambuyo pake mu labotale.
5) kukhazikitsa koyenera kwa njira yopezera dontho la magazi ndikugwiritsira ntchito kuyesa mzere,
6) calibration (kusintha) kwa chipangizo choyezera kutsimikiza kwa shuga m'magazi athunthu kapena plasma.
Zofunika kuchita kuti zitsimikizike kuti zotsatira za kuyesedwa kwa magazi ndi glucometer ndizodalirika momwe zingatheke?
1. Pewani kuphwanya kosiyanasiyana kwa njira yogwirira ntchito ndi chipangizocho ndi zingwe zoyesa.
Glucometer ndi njira yosavuta yoyezera shuga wamagazi m'magazi athunthu omwe amagwiritsa ntchito mayeso amodzi. Pazoyeserera ntchito ya mzere ndimphamvu ya enzymatic (glucose-oxidative), yotsatiridwa ndi kutsimikiza kwa electrochemical kapena photochemical ya kukula kwa izi, molingana ndi kuchuluka kwa shuga m'magazi.
Kuwerengera kwa mita kuyenera kuonedwa ngati chidziwitso ndipo nthawi zina kumafuna kutsimikiziridwa ndi njira yantchito!
Chipangizocho chikutha kugwiritsidwa ntchito pochita zamankhwala pamene njira zasayansi zakuyezera sizikupezeka, pakafukufuku wofufuza, pazochitika zadzidzidzi ndi zikhalidwe zam'munda, komanso pakugwiritsa ntchito payekha pa ntchito yoyang'anira ntchito.
Mamita sayenera kugwiritsidwa ntchito kudziwa shuga:
- mu seramu yamagazi,
- m'magazi a venous,
- m'magazi a capillary pambuyo posungira kwakanthawi (kupitilira mphindi 20-30),
- ndi kuchepa kwambiri kapena kukhathamiritsa kwa magazi (hematocrit - osakwana 30% kapena kupitirira 55%),
- odwala omwe ali ndi matenda oopsa, zotupa zoyipa ndi edema yayikulu,
- mutatha kugwiritsa ntchito ascorbic acid woposa gramu 1.0 kudzera pakamwa (izi zimapangitsa kuti zizindikilo zizikulirakulira),
- ngati machitidwe osungira ndikugwiritsa ntchito sanaperekedwe mu malangizo ogwiritsira ntchito (nthawi zambiri kutentha kwa malo: kosungirako - kuchokera + 5 ° С mpaka + 30 ° С, kugwiritsa ntchito - kuchokera + 15 ° С mpaka + 35 ° С, madontho otentha) - kuchokera 10% mpaka 90%),
- pafupi ndi magwero amagetsi amagetsi (ma foni am'manja, uvuni wama microwave, etc.),
- osayang'ana chipangizocho pogwiritsa ntchito chingwe chowongolera (njira yothetsera), mutasintha mabatire kapena mutakhala nthawi yayitali yosungirako (njira yotsimikizirira imaperekedwa mu malangizo ogwiritsira ntchito).
# Zingwe zoyesera za mita siziyenera kugwiritsidwa ntchito:
- tsiku lotha litasonyezedwa pamapake awo,
- itatha nthawi yogwiritsa ntchito mizere yoyesera kuyambira pomwe phukusi lidatsegulidwa,
- ngati nambala yoyimira sigwirizana ndi kukumbukira kwa chipangizocho ndi nambala yomwe yasonyezedwa pakukhazikitsa mizera yoyeserera (njira yokhazikitsira kachidindo koyenera imaperekedwa mu malangizo ogwiritsira ntchito),
- ngati machitidwe osungira ndikugwiritsa ntchito sanaperekedwe mu malangizo ogwiritsira ntchito.
2. Mukuyenera kudziwa kuti mita-glucometer iliyonse imakhala ndi zolakwika zovomerezeka
Malinga ndi zomwe za WHO zikuchitika, zotsatira za kuyesedwa kwa shuga m'magazi zomwe zimagwiritsidwa ntchito pogwiritsa ntchito chipangizo chogwiritsira ntchito (kunyumba) zimawerengedwa kuti ndizolondola ngati zingagwere pakati pa + / 20% yazotsatira zakuwunika kumene pogwiritsa ntchito zida , komwe chosankha mosamalitsa wa labotale amatengedwa, chifukwa kupatuka kwa +/- 20% sikutanthauza kusintha kwamankhwala. Chifukwa chake:
- palibe magawo awiri a glucose, ngakhale wopanga mmodzi ndi mtundu umodzi, sangapereke zotsatirazi nthawi zonse,
- njira yokhayo yowunika kulondola kwa glucometer ndikufanizira zotsatira zomwe zapezeka mukamagwiritsa ntchito ndi zotsatira za labotore yothandizira (ma labotale oterewa, monga lamulo, mabungwe azachipatala apamwamba kwambiri), osati ndi glucometer ina.
3. Zomwe zili ndi shuga m'magazi zimayendetsedwa ndi kusinthasintha kwazomwe zimachitika m'thupi ndi m'magazi osiyanasiyana a magazi (hematocrit, pH, etc.)
Maphunziro oyerekezera a shuga wamagazi amayenera kuchitidwa pamimba yopanda kanthu komanso osagwirizana ndi zomwe zimatchulidwa (m'mabuku ambiri a shuga, kuchuluka kwa shuga m'magazi amachokera ku 4.0-5.0 mpaka 10,0.0.0 mmol / l).
4. Zotsatira zakuwunika kwa glycemia zimatengera kutalika kwakutali pakati pa kutenga zitsanzo zamagazi, komanso nthawi yayitali pakati pa kutenga magazi ndi kuyesedwa pambuyo pake mu labotale.
Ma sampuli am'magazi amayenera kutengedwa nthawi yomweyo (ngakhale m'mphindi khumi ndi zisanu kusintha kwakukulu kwa glycemia m'thupi kumatha kuchitika) komanso chimodzimodzi (kuchokera pachala ndipo makamaka kuchokera kuchomanga kamodzi).
Kuyesedwa kwa labotale kuyenera kuchitika mkati mwa mphindi 20-30 mutatenga zitsanzo zamagazi. Kuchuluka kwa glucose pamwambo wamagazi wotsalira firiji kumachepera ora limodzi ndi 0,389 mmol / L chifukwa cha glycolysis (njira yopanga shuga ndi maselo ofiira am'magazi).
Mungapewe bwanji kuphwanya njira yopangira dontho la magazi ndikugwiritsa ntchito lingaliro loyesa?
Magazi oti athe kupimidwa amatha kutengedwa kuchokera kumagawo osiyanasiyana amthupi, koma kuyezetsa magazi kuchokera kumbali zala za chala kumawerengedwa kuti ndi kosavuta kwambiri. Mutha kutenganso magazi kuchokera ku khutu, pafupi ndi mbali ya kanjedza, kutsogolo, phewa, ntchafu, minofu ya ng'ombe. Makonda atha kutsimikiziridwa ndi zoletsa zopezeka, mawonekedwe a chidwi, ntchito ndi zina. Ma network a capillary, kuthamanga kwa magazi ndi kuchuluka kwa kagayidwe kazigawo zamagulu m'thupi lanu ndizosiyana. Magazi a glucose omwe amapezeka mwa kutenga magazi nthawi yomweyo, koma kuchokera m'malo osiyanasiyana adzasiyana. Kuphatikiza apo, magazi akamayenda kwambiri, m'pamenenso kuchuluka kwakeko kumatsimikizirika. Kulondola kwambiri komanso kupepuka kwakukulu kwa phunziroli kumapereka kutenga magazi kuchokera mu chala, ndipo magawo ena omwe adasindikizidwa thupi amawonedwa ngati njira ina. Pafupifupi pafupi ndi glucose m'magazi otengedwa kuchokera kumunwe ndi miyeso ya glycemia yomwe imapezeka kuchokera dontho la magazi lomwe limatengedwa m'manja ndi m'makutu. Nthawi zambiri, pokonza magazi kuchokera ku malo ena, kuzama kwa kuboola kuyenera kukwezedwa. Zipangizo zolandirira dontho la magazi zikachotsedwa m'malo ena ziyenera kukhala ndi kapu yapadera ya AST. Malangizo akuthwa amkamwa wachitsulo amatha kukhala opepuka, kuwerama ndi kukhala uve, kotero ayenera kusinthidwa mukatha kugwiritsa ntchito.
Malangizo Ochepetsa Magazi:
1. Sambani manja anu ndi sopo kwinaku mukumawotha pansi pa madzi ofunda.
2. Pukutsani manja anu ndi thaulo yoyera kuti pasakhale chinyontho pa iwo, pang'onopang'ono mukuwasula bwino kuchokera m'chiuno mpaka kumanja.
3. Tsitsani chala chanu chaching'ono cha magazi pansi, ndikuchigwadira bwino kuti magazi ayambe kuyenda bwino.
4. Mukamagwiritsa ntchito chida chakudulira chala, pukuta khungu ndi mowa pokhapokha ngati simungathe kusamba m'manja bwinobwino. Mowa, umasokoneza khungu, umapangitsa kupweteka kwambiri, komanso kuwonongeka kwa maselo am'magazi ndikutuluka kwakuthupi kumabweretsa chidwi.
5. Kanikizani chida chopyoza chala mwamphamvu kuti musunthe kudutsa pakhungu ndi lancet, kuonetsetsa kuya kwakuya komanso kupweteka pang'ono.
6. Kuboola chala chake pambali, kusinthanitsa zala kuti muvulaze.
7. Mosiyana ndi malingaliro am'mbuyomu, pakalipano, kutsimikiza kwa shuga m'magazi, palibe chifukwa chofunikira kupukuta dontho loyamba la magazi ndikugwiritsa ntchito wachiwiri wokha.
6. Tsitsani chala chanu pansi, kumukulitsa ndi kusesa, mpaka kugwetsa mafowo. Ndi kukakamira kwakukulu kwa chala cha pakamwa, madzi am'madzimadzi amatha kutulutsidwa limodzi ndi magazi, zomwe zimayambitsa chidwi.
7. Kwezani chala chanu mu mzere woyeretsa kuti dontho lizikokedwa momasuka ku malo oyeserera ndi kuphimba kwathunthu (kapena kudzaza capillary). Mukamawaza magazi "ndi gawo loonda pamalo oyeserera ndikugwiritsa ntchito dontho la magazi, zowerengera zimasiyana ndi omwe apezeka ndikutsika dontho.
8. Mukalandira dontho la magazi, onetsetsani kuti malo opumira sawasokoneza.
Zotsatira za kuyesedwa kwa glycemia zimayendetsedwa ndikuwongolera (kusintha) kwa chipangizo choyeza
Madzi a m'magazi ndiye gawo lake lamadzimadzi lomwe limapezeka pambuyo pakupanga ndikuchotsa maselo amwazi. Chifukwa cha kusiyana kumeneku, kuchuluka kwa glucose m'magazi athunthu nthawi zambiri kumakhala 12% (kapena 1,12 nthawi) poyerekeza ndi plasma.
Malinga ndi malingaliro a mabungwe apadziko lonse a anthu odwala matenda ashuga, mawu akuti "glycemia kapena shuga m'magazi" tsopano amadziwika kuti akutanthauza kuchuluka kwa shuga m'magazi am'magazi, ngati palibe zowonjezera kapena kusungunuka, komanso kuwerengera kwa zida zodziwira shuga m'magazi (onse ogwira ntchito komanso ntchito) Ndi chizolowezi kuwerengera ndi plasma. Komabe, ena mwa ma glucose mita pamsika masiku ano akadali ndi vuto lonse la magazi.
Njira yofananizira zotsatira za shuga m'magazi omwe amapezeka pa glucometer ndi zotsatira za labotale (posanena kuti awonongeke ndikuwona njira zomwe zingatenge ndikusanthula zitsanzo za magazi):
1. Onetsetsani kuti mita yanu siikhala yodetsedwa ndipo code pamamita ikufanana ndi code kwa mizere yoyesera yomwe mukugwiritsa ntchito.
2. Yesani mayeso ndi Mzere (njira yothetsera) pa mita iyi:
- ngati mwalandira zotsatira zakupatula malire, nenani ndi wopanga,
- ngati zotsatira zake zili m'malo osiyanasiyana - chipangizocho chitha kugwiritsidwa ntchito kutsimikiza shuga m'magazi.
3.Dziwani momwe mita yanu yamagazi ndi zida zama labotale zomwe zimagwiritsidwa ntchito poyerekeza zimayatsidwa, i.e. omwe magazi a magazi amagwiritsidwa ntchito: magazi am'madzi kapena magazi athunthu a capillary. Ngati zitsanzo zamagazi omwe agwiritsidwa ntchito phunziroli sizikugwirizana, ndikofunikira kuti ziwonetsenso zomwe zikuwoneka mu njira imodzi yogwiritsidwa ntchito pa mita yanu.
Poyerekeza zotsatira zomwe zapezedwa, munthu asayiwale za zolakwika zovomerezeka za +/- 20%.
Ngati thanzi lanu silikugwirizana ndi zotsatira zakudziyang'anira nokha wamagazi m'magazi ngakhale kuti mumatsatira mosamala malangizo onse omwe amaperekedwa mogwirizana ndi malangizo ogwiritsira ntchito glucometer, muyenera kufunsa dokotala ndikufotokozera kufunika koyezetsa magazi!
Kodi ndingayang'anire mita yolondola?
Asanayambe ntchito, ndikofunikira kuti ayang'anire mita kuti ichitike molondola. Ndizolondola pakuwerengedwa kwa chipangizocho zomwe zimapangitsa kuti zikhale zodalirika komanso zosavuta kugwiritsa ntchito tsiku lililonse.
Kupatula apo, kuwunika kwaumwini pa kayendedwe ka matendawa ndi wodwala komanso kupezeka kwa madokotala, kukonza kwa insulin, kumadalira magawo a chipangizocho.
Thanzi la chipangizocho ndilofunikira makamaka poyerekeza zotsatira ndi zakudya za tsiku ndi tsiku, kuchuluka kwa zolimbitsa thupi ndi magawo ena - kuthamanga kwa magazi, kugunda kwa mtima, hematocrit.
Kodi muyenera kuganizira liti za mita yanu yolondola?
Ndikulimbikitsidwa kuti mupeze chipangizo choyezera pazotsatira zotsatirazi:
Kuyang'ana kulondola kwa mita kumachitika masabata atatu aliwonse.
- Mukayatsa chida koyamba.
- Ngati mukukayikira kuti yatha.
- Panthawi yayitali yosungirako zizindikiro zowunika.
- Ngati chipangizocho chikuganiziridwa kuti chawonongeka: dontho kuchokera kutalika, kukhudzana ndi kutentha pang'ono kapena kutentha kwambiri, chinyezi, ma ray a ultraviolet, amadzimadzi kapena opunduka.
- Mukasokoneza ma doko a lancet ndi zingwe zoyeserera.
Kodi nchiyani chomwe chingasokoneze kulondola kwa kuwerenga?
Kuphatikiza pa kusagwira bwino ntchito kwa chipangacho, kutsimikiza kwa zowerengera zake kumakhudzidwa ndikuwona malamulo ogwiritsira ntchito, zochitika zakunja ndi kulondola kosungidwa kwa chipangizocho. Momwe zinthu zilili bwino zimapereka kuchepa kwa zolakwika zopitilira 2%. Kuphatikiza apo, kuchuluka kwambiri komanso kuchuluka kwa magazi okwanira kumakhudza ntchito.
Pakusanthula, magazi amayenera kumizidwa pamalo oyenera pa mzere woyezera.
Osamayamwa dontho la zinthu zoyeserera - cholembera chiyenera kuyamwa. Osagwiritsa ntchito dontho loyamba popimidwa, chifukwa madzi akumwa omwe ali mkati mwake amasokoneza zotsatira zake. Onetsetsani kuti zizindikiro zoyesa sizinathe. Doko la lancet ndi zingwe zoyesera ziyenera kukhala zoyera komanso zouma.
Mudziwa bwanji kuti chipangizochi chikugwira ntchito?
Kuti mudziwe momwe pulogalamuyo imagwirira ntchito, tsatirani izi:
- Onani zida za chipangizocho.
- Dziwani mtundu wa zowerengera.
- Onetsetsani kuti gwero lamphamvu likugwira ntchito.
- Ikani lancet ndi chisonyezo cha kuyesa mumagulu awo.
- Yatsani mita.
- Onani tsiku ndi nthawi komanso zinthu zazikulu.
- Ikani dontho la magazi katatu pamiyeso yosiyanasiyana.
- Voterani zotsatila Analoleza kusinthasintha kosiyana ndi 5-10%.
- Zimitsani makinawo.
Momwe mungayang'anire kuti mita imapereka zotsatira zolondola?
Kuti muwone zotsatira zake, mutha kupereka magazi mu labotale tsiku lomwelo.
- Onaninso kuchuluka kwa shuga m'magazi katatu m'malo osachepera. Kusintha kotsimikizika kwa zotsatira zoyeserera sikupitirira 10%.
- Tengani kusanthula mu labotale ndikuwunika zotsatira zake powerenga mita tsiku lomwelo. Kusiyana kwa kuwerengera ndikuvomerezeka mpaka 20%.
- Phatikizani njira ziwiri zotsimikizira.
- Gwiritsani ntchito yankho.
Kuletsa
Mamita akuwonetsa kuchuluka kwa shuga m'magazi onse a capillary. Komabe, zida zama labotale zimawerengetsera ma plasma, gawo lamadzimadzi magazi popanda yunifolomu.
Izi zikutanthauza kuti poyerekeza zotsatira, kusinthasintha mpaka 12% ndizotheka. Ngati kuwunika kwa labotale zida ndi glucometer kumachitikanso pamtundu womwewo, palibe chifukwa chosinthira izi. Kulondola kwa zizindikiro mpaka 20% ndizovomerezeka.
Musayerekeze zotsatira zomwe mwapeza pogwiritsa ntchito zida zosiyanasiyana.
Mukamawerengera magazi athunthu, gawani kuwerenga kwa plasma ndi 1.12.
Njira yapadera yothetsera kuwongolera
Njira yothetsera vutoli ndi yofanana ndi magazi ndipo imakhudzana ndi shuga.
Njira yothetsera imakulolani kuti muwone kulondola kwa zowerengedwa za kuchuluka kwa shuga m'magazi. Amadzimadzi, nthawi zambiri amakhala ofiira, okhala ndi shuga wambiri.
Kuphatikiza apo, zimaphatikizanso ma reagents ena omwe amathandizira kuyang'ana glucometer. Njira yothetsera vutoli imagwiritsidwa ntchito poyesa zizindikiro, ngati magazi.
Pakapita kanthawi, zotsatira zomwe zikuwonetsedwa pazenera zimayerekezeredwa ndi zomwe zawonetsedwa pazokongoletsa zamayeso oyesa.
Momwe mungasinthire chipangizocho?
- Ikani mabatire.
- Ikani singano yowboola ndi kumangirira mbali.
- Onetsetsani kuti mayeso akuwunika ali pamalo olondola.
- Yatsani mita.
- Yembekezerani beep.
- Gwiritsani ntchito mabatani kuti mupeze tsiku ndi nthawi.
Mulingo wapadziko lonse
DIN EN ISO 15197 muyezo imakhazikitsa izi:
- Ndi zizindikiro zosakwana 4.2 mmol / L, kusiyana kwa 95% yazotsatira ndi miyezo siziyenera kupitirira 0.82 mmol / L.
- Momwe kupsinjika kumakhala kwakukulu kapena kofanana ndi 4.2 mmol / l, kusiyanasiyana kwa 95% ya miyezo kuchokera pamitengo yamautchulidwe osaposa 20% ndizovomerezeka.
Kusanthula kwakanthawi kwa glucose komanso magazi ake nthawi zonse m'magazi kumathandiza wodwala ndi dokotala kuti awone molondola kuchuluka kwa shuga komanso kuwongolera koyenera kwa matenda ashuga.
Kuti mugwiritse ntchito nthawi yayitali, ndikofunikira kuti musangotsatira malangizo ogwiritsa ntchito zida, komanso kusankha makampani odalirika komanso apamwamba kwambiri.
Mitundu yamamita ngati One Touch ndi Accu Chek yapeza ulemu padziko lonse lapansi.
Momwe mungayang'anire mita kuti ikhale yolondola komanso yowona? - motsutsana ndi matenda a shuga
Kuti aziwonetsetsa shuga wamagazi ndikusunga glycemia pamlingo woyenera, odwala matenda ashuga ayenera kukhala ndi mita yamagazi yamagazi.
Chipangizocho sichimawonetsa zinthu zoyenera nthawi zonse: chimatha kuyendetsa mopitirira muyeso kapena kupeputsa zotsatira zenizeni.
Nkhaniyi ifotokoza zomwe zimakhudza kulondola kwa glucometer, calibration, ndi zina zogwira ntchito.
Kodi mita ndi yolondola motani ndipo imatha kuwonetsa shuga m'magazi molakwika
Mitsempha yamagazi a kunyumba imatha kutulutsa zolakwika. DIN EN ISO 15197 imalongosola zofunikira za zida zowunikira nokha za glycemia.
Malinga ndi chikalatachi, kulakwitsa pang'ono kumaloledwa: 95% yazoyimira zitha kukhala zosiyana ndi chizindikiro, koma osapitirira 0.81 mmol / l.
Mlingo womwe chipangizocho chikuwonetsa zotsatira zoyenera zimatengera malamulo a momwe amagwirira ntchito, mtundu wa chipangizocho, ndi zinthu zakunja.
Opanga amati zosiyanazi zimatha kukhala 11 mpaka 20%. Kulakwitsa koteroko sikokulepheretsa chithandizo cha matenda ashuga opambana.
Kuti mupeze zolondola, ndikofunikira kuti muzikhala ndi glucometer awiri kunyumba ndikuyerekeza zotsatira zake.
Kusiyana pakati pa kuwerengera kwa zida zapanyumba ndi kuwunika mu labotale
Mu Laboratories, matebulo apadera amagwiritsidwa ntchito kuti azindikire kuchuluka kwa shuga, omwe amapereka mfundo zamagazi athunthu a capillary.
Zipangizo zamagetsi zimasanthula plasma. Chifukwa chake, zotsatira za kusanthula kwakunyumba ndi kufufuza kwa labotale ndizosiyana.
Kuti mumasulire chizindikiro cha plasma kukhala mtengo wamagazi, onaninso. Pazomwezi, chithunzi chomwe chinapezedwa pa kusanthula ndi glucometer chimagawidwa ndi 1.12.
Kuti wowongolera nyumba awonetse phindu lofanana ndi labotale, ayenera kuyatsidwa. Kuti mupeze zotsatira zoyenera, amagwiritsanso ntchito tebulo loyerekeza.
Chizindikiro | Magazi athunthu | Plasma |
Nthawi zonse kwa anthu athanzi komanso odwala matenda ashuga ndi glucometer, mmol / l | kuyambira 5 mpaka 6.4 | kuyambira 5.6 mpaka 7.1 |
Chizindikiro cha chipangiri chosiyana mosiyanasiyana, mmol / l | 0,88 | 1 |
2,22 | 3,5 | |
2,69 | 3 | |
3,11 | 3,4 | |
3,57 | 4 | |
4 | 4,5 | |
4,47 | 5 | |
4,92 | 5,6 | |
5,33 | 6 | |
5,82 | 6,6 | |
6,25 | 7 | |
6,73 | 7,3 | |
7,13 | 8 | |
7,59 | 8,51 | |
8 | 9 |
Chifukwa chiyani mita ili pabodza
Mamita shuga kunyumba Munthu amakumana ndi zosokoneza ngati malamulo ogwiritsira ntchito satsatiridwa, osaganizira momwe angayang'anire komanso zinthu zina zingapo. Zomwe zimayambitsa kusowa kwa chidziwitso zimagawidwa muzachipatala, ogwiritsa ntchito komanso mafakitale.
Zolakwika za ogwiritsa ntchito zimaphatikizapo:
- Kusagwirizana ndi zomwe wopanga akupanga pokonza mizere yoyesera. Chipangizo chaching'ono ichi sichitha kusokonezeka. Ndi kutentha kosasungika kolakwika, kupulumutsa mu botolo lotsekeka bwino, tsiku lotha litatha, mphamvu zachilengedwe za ma reagents zimasinthika ndipo mizere imatha kuwonetsa zabodza.
- Kusamalira bwino chipangizocho. Mamita sanasindikizidwe, kotero fumbi ndi uve zimalowa mkati mwa mita. Sinthani kulondola kwa zida ndi kuwonongeka kwamakina, kutulutsa kwa batri. Sungani chipangizocho pang'onopang'ono.
- Mayeso olakwika. Kuchita kafukufuku pa kutentha m'munsimu +12 kapena kupitirira +43 madigiri, kuipitsidwa kwa manja ndi chakudya chomwe chili ndi glucose, kumawononga zotsatira zake.
Zolakwa zamankhwala zili pakugwiritsa ntchito mankhwala ena omwe amakhudza kapangidwe ka magazi.
Ma electrochemical glucometer amawona kuchuluka kwa shuga potengera ma oxidation a plasma ndi ma enzymes, kusunthidwa kwa elekitoni ndi omwe amavomereza ma elekitironi kuma microelectrodes.
Njirayi imakhudzidwa ndi kudya kwa Paracetamol, ascorbic acid, Dopamine. Chifukwa chake, mukamagwiritsa ntchito mankhwalawa, kuyezetsa kumatha kupereka zotsatira zabodza.
Zolakwitsa zopanga zimawonedwa ngati zosowa. Chipangizocho chisanatumizidwe kuti chigulitsidwe, chimayang'ana kuti chidziwike. Nthawi zina zida zosalongosoka, zosakwanira bwino zimapita ku malo ogulitsa mankhwala. Zikatero, zotsatira zake ndizosadalirika.
Zolinga zakuwona momwe chipangizocho chikugwirira ntchito molondola
Mtengo wa glucose womwe unapangidwa bwino sudzapereka chidziwitso cholondola nthawi zonse.
Chifukwa chake, ziyenera kutengedwa nthawi ndi nthawi kupita ku labotale yapadera kuti ikayang'anitsidwe.
Pali mabungwe ngati awa mumzinda uliwonse ku Russia. Ku Moscow, kuwerengetsa ndi kutsimikizira kumachitika pakatikati poyang'ana glucose mita ya ESC.
Ndikwabwino kufufuza momwe magwiridwe antchito mwezi uliwonse (ndikugwiritsa ntchito tsiku ndi tsiku).
Ngati munthu akuganiza kuti chipangizocho chikuyamba kupereka chidziwitso ndikulakwitsa, ndikofunikira kupita nacho ku labotale musanakonzekere.
Zifukwa zoyang'ana glucometer ndi:
- Zotsatira zosiyanasiyana zala zala za dzanja limodzi,
- zambiri pamiyeso yokhala ndi mphindi imodzi,
- zida zimagwa kuchokera kutalika kwakukulu.
Zotsatira zosiyanasiyana pazala zosiyanasiyana.
Zosanthula za data sizingafanane mukamatenga gawo lamagazi kuchokera kumagawo osiyanasiyana amthupi.
Nthawi zina kusiyana ndi +/- 15-19%. Izi zimawerengedwa kuti ndizovomerezeka.
Ngati zotsatira pazala zosiyanasiyana zimasiyana kwambiri (ndi oposa 19%), ndiye kuti chosagwirizana ndi chipangizocho chiyenera kuganiziridwa.
Ndikofunikira kuyang'ana chipangizocho kuti musunge umphumphu, ukhondo. Ngati zonse zili mu dongosolo, kusanthula kunatengedwa kuchokera pakhungu loyera, malingana ndi malamulo omwe aperekedwa mu malangizowo, ndiye kuti ndikofunikira kupita ndi chida kupita nacho ku labotale kuti akayang'anitsidwe.
Zotsatira zosiyanasiyana mphindi imodzi itatha kuyesedwa
Mafuta omwe amapezeka m'magazi sakhazikika ndipo amasintha miniti iliyonse (makamaka ngati wodwala yemwe ali ndi vuto la matenda ashuga kapena atamwa mankhwala ochepetsa shuga).
Kutentha kwa manja kumathandizanso: munthu akangofika kumene kuchokera mumsewu, ali ndi zala zozizira ndikuganiza zowunikira, zotsatira zake zidzakhala zosiyana pang'ono ndi kafukufuku womwe wachitika patatha mphindi zochepa.
Kusiyanitsa kwakukulu ndikofunikira pakuyang'ana chipangizocho.
Glucometer Bionime GM 550
Momwe mungayang'anire mita kuti ikhale yolondola kunyumba
Kuti muwone kudalirika kwa zotsatira zomwe zimapezeka panthawi yoyesedwa magazi ndi glucometer, sikofunikira kuti mubweretse chipangizochi. Onani kulondola kwa chipangizocho mosavuta kunyumba ndi yankho lapadera. M'mitundu ina, zinthu zotere zimaphatikizidwa.
Magetsi owongolera amakhala ndi kuchuluka kwa glucose kosiyanasiyana kosiyanasiyana, zinthu zina zomwe zimathandizira kuwona kulondola kwa zida. Malamulo Akugwiritsa:
- Ikani gawo loyesa mu cholumikizira cha mita.
- Sankhani njira "yankho lolamulira".
- Gwedezani madzi akumwa ndikuwukolowola.
- Fananizani zotsatirazi ndi zomwe zatchulidwa m'botolo.
Ngati deta yolakwika yalandiridwa, ndikofunikira kuchita kafukufuku wowunikiranso. Zotsatira zolakwika zithandizanso kudziwa zomwe zimayambitsa vuto.
Zolemba zaukadaulo wazachipatala
Mukamagula glucometer, malangizo ogwiritsidwira ntchito ayenera kukhala chimodzi mwazinthu zofunikira kwambiri mu zida zonse. Sizikudziwika bwino nthawi zonse kugwiritsa ntchito chipangizochi molondola komanso momwe mungakonzekere.
Kapangidwe. Pankhaniyi, muyenera kuchepa pang'ono. Choyamba muyenera kuyika mabatire. Chifukwa adakhazikitsa tsiku ndi nthawi. Izi zimachitika mosavuta, muyenera kugwirizira batani lalikulu ndikudikirira chizindikiro. Chipangizocho chimayatsidwa, kenako chimazimitsa kaye kwakanthawi. Chotsatira, gwiritsani ntchito mabatani akumwamba ndi pansi kukhazikitsa tsiku, nthawi ndi ntchito zina. Kenako mutha kuyamba kugwiritsa ntchito.
Lancet imayikidwa mu socket, yopukutira ndipo mothandizidwa ndi kutembenuka pachipangizocho, chizindikiro chofunikira chimasankhidwa kuti mutenge magazi pachitsanzo. Kenako lancet imakokedwa njira yonse ndikukhala wokonzeka kugwiritsa ntchito. Pambuyo pake, mutha kuyamba kuthira magazi. Mzere woyezera uyenera kuyikidwanso doko lapadera. Kenako, mothandizidwa ndi lancet, chala cham'manja, ndipo madontho a magazi amayikidwa pa mzere woyeserera. Pambuyo masekondi 8, zotsatira zake zidzadziwika.
Kukonzekereratu. Palibe chosokoneza pakugwiritsa ntchito chipangizocho. Chilichonse chimakonzedwa zokha. Kuphatikiza kwa magazi kumachitika chimodzimodzi. Chifukwa chake, kusankha chida, ndikofunikira kuyang'ana zomwe mukufuna, ndikuyamba kuyambira kwa iwo.
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Kusinthidwa kwa zida zatsopano ndi kulondola kwakukulu
Ngati mita yomwe idagulidwa idakhala yosalondola, wogula amayenera kuloledwa kusinthanitsa ndi chinthu chofananira pakatha masiku 14 kalendara atagula.
Pakusaka cheke, munthu akhoza kutengera umboni.
Ngati wogulitsa sakufuna kulowa m'malo mwa chosokoneza, ndikofunika kumutenga mwaulemu ndikupita kukhothi.
Zimachitika kuti chipangizocho chimapereka chifukwa cholakwika chachikulu chifukwa chakuti sichinakonzedwe molondola. Pankhaniyi, ogwira ntchito ogulawo akuyenera kumaliza kukhazikitsa ndikupatsa wogula ndi mita yolondola ya shuga.
Oyesa zamakono kwambiri
M'masitolo ogulitsa mankhwala ndi m'masitolo apadera, mitundu yosiyanasiyana ya glucometer imagulitsidwa. Zolondola kwambiri ndizogulitsa zamakampani aku Germany ndi America (amapatsidwa chitsimikizo cha moyo). Olamulira opanga mmaiko awa akufunika padziko lonse lapansi.
Mndandanda wa oyesa-mwatsatanetsatane kuyambira chaka cha 2018:
- Accu-Chek Performa Nano. Chipangizocho chili ndi doko losawoneka bwino ndipo chimalumikizana ndi kompyuta popanda zingwe. Pali ntchito zothandizira. Pali njira yodzikumbutsira ndi alamu. Ngati chizindikirocho chili chovuta, beep imalira. Zida zoyesera sizifunika kukhomeredwa ndikudzijambula mwa gawo limodzi la plasma mwaokha.
- BIONIME Yoyenera GM 550. Palibe ntchito zowonjezera mu chipangizocho. Ndi yosavuta kugwiritsa ntchito komanso yolondola.
- Kukhudza Kumodzi Ultra Easy. Chipangizocho ndi chophatikizika, chimalemera magalamu 35. Plasma imatengedwa pamphuno yapadera.
- Zotsatira Zowona. Imakhala ndi kulondola kwapamwamba kwambiri ndipo imakupatsani mwayi kuti muwone kuchuluka kwa shuga pamlingo uliwonse wa matenda ashuga. Kusanthula kumafuna dontho limodzi lamwazi.
- Chuma Cha Accu-Chek. Njira yotsika mtengo komanso yotchuka. Amatha kuwonetsa zotsatira zake pakuwonetsa masekondi angapo mutathira magazi pachiwopsezo. Ngati gawo la plasma silikwanira, biomaterial imawonjezeredwa ndi mzere womwewo.
- Contour TS. Chipangizo chautali wautali chokhala ndi liwiro lalitali kwambiri komanso mtengo wokwera mtengo.
- Diacont Chabwino. Makina osavuta okhala ndi mtengo wotsika.
- Teknoloji ya Bioptik. Wokhala ndi pulogalamu yogwira ntchito yambiri, imayang'anira magazi mwachangu.
Contour TS - mita
Chovuta chachikulu pazosankha zotsika mtengo zaku China.
Chifukwa chake, mita ya glucose nthawi zina imapereka chidziwitso cholakwika. Opanga adalola cholakwika cha 20%. Ngati pakuyeza kwakanthawi kochepa kachipangizoko kamapereka zotsatira zosiyana ndi 21%, izi zitha kuwonetsa kukhazikika, ukwati, kuwonongeka kwa chida. Chida choterocho chimayenera kutengedwera ku labotale kuti akatsimikizire.
Kulondola komanso kutsimikizira kwa glucometer, yankho
Novembala 04, 2015
Yambani ndikuona kuti mita ndi chida chachipatala chomwe chimathandiza kuwongolera kuchuluka kwa shuga m'magazi.
Ndiye kuti, choyambirira, ndizofunikira kwambiri kwa anthu omwe ali ndi matenda monga matenda a shuga. Mitundu yamakono ya glucometer ndi yabwino kwambiri kotero kuti ngakhale mwana amatha kuzigwiritsa ntchito.
Koma ndikufuna kupereka akaunti yatsatanetsatane ya mphindi yosiyana kwambiri.
Kulondola kwa Glucometer, kuwerengetsa ndi zinthu zina zogwira ntchito
Kuti aziwonetsetsa shuga wamagazi ndikusunga glycemia pamlingo woyenera, odwala matenda ashuga ayenera kukhala ndi mita yamagazi yamagazi.
Chipangizocho sichimawonetsa zinthu zoyenera nthawi zonse: chimatha kuyendetsa mopitirira muyeso kapena kupeputsa zotsatira zenizeni.
Nkhaniyi ifotokoza zomwe zimakhudza kulondola kwa glucometer, calibration, ndi zina zogwira ntchito.
Kuyang'ana chipangizocho kuti chitha kugwira ntchito
Mukamagula chipangizo choyezera shuga m'magazi, muyenera kuyang'ana mosamala phukusi lomwe limapezeka mita. Nthawi zina, ngati simutsatira malamulo oyendera ndi kusungitsa katundu, mutha kupeza bokosi lophwanyika, lophwanyika kapena lotseguka.
Pankhaniyi, katunduyo ayenera kusinthidwa ndikuzaza bwino komanso kusawonongeka.
- Pambuyo pake, zomwe zili phukusi zimayang'aniridwa pazinthu zonse. Seti yathunthu yamamita imatha kupezeka pazomwe zaphatikizidwa.
- Monga lamulo, seti yoyenera imakhala ndi cholembera, kupaka mizere yoyeserera, kuyikapo malamba, buku lamalangizo, makhadi achitsimikizo, chophimba chosungira ndikunyamula katunduyo. Ndikofunikira kuti malangizowo akhale ndi matanthauzidwe aku Russia.
- Pambuyo pofufuza zomwe zili, chipangizocho chimayang'aniridwa. Pasakhale kuwonongeka kwamakina pazida. Kanema wapadera woteteza uyenera kukhalapo pawonetsero, batri, mabatani.
- Kuti muyese kuyesa kwa processor, muyenera kukhazikitsa betri, akanikizire batani lamphamvu kapena kukhazikitsa chingwe choyesera mu zitsulo. Monga lamulo, betri yapamwamba kwambiri imakhala ndi mtengo wokwanira womwe umakhala kwa nthawi yayitali.
Mukayatsa chipangizocho, muyenera kuwonetsetsa kuti palibe chowonongeka pawonetsero, chithunzicho chimawoneka bwino, chopanda chilema.
Onani momwe ntchito ya mita ikugwiritsira ntchito njira yoyendetsera yomwe imayikidwa pamwamba pa mzere woyezera. Ngati chida chikugwirira ntchito molondola, zotsatira za kusanthula ziziwonekera pazowonetsa pambuyo masekondi angapo.
Kuyang'ana mita kuti ikhale yolondola
Odwala ambiri, atagula chipangizocho, ali ndi chidwi chofuna kudziwa momwe magazi amaperewera ndi glucometer, ndipo, makamaka, momwe angayang'anire glucometer molondola. Njira yosavuta komanso yachangu kwambiri ndikupatsirana kuwunika mu labotale ndikufanizira zomwe zapezedwa ndi zotsatira za kafukufuku wa chipangizocho.
Ngati munthu akufuna kuwona kulondola kwa chipangacho pakugula kwake, yankho lolamulira limagwiritsidwa ntchito pamenepa.
Komabe, cheke chotere sichikuchitika m'masitolo onse apadera ndi mafakitala, chifukwa chake, zitha kutsimikizira kuyika bwino kwa chipangizocho pokhapokha mutagula mita.
Kuti izi zitheke, tikulimbikitsidwa kuti wopangitsirayo atengedwe kupita ku malo othandizirako, pomwe oimira kampaniyo amapanga zofunikira.
Kuti muthane ndi akatswiri azachipatala mtsogolomo ndikupeza upangiri wofunikira mtsogolo popanda mavuto, ndikofunikira kuonetsetsa kuti khadi yotsimikizira idadzazidwa moyenera komanso popanda zolakwika.
Ngati mayeso omwe ali ndi mayeso akuchitika modziyimira kunyumba, muyenera kuphunzira malangizowo ndikutsatira malangizowo.
- Nthawi zambiri, magawo atatu okhala ndi shuga amaphatikizidwa ndi zida zamagetsi zamagetsi.
- Zinthu zonse zomwe zimayenera kuchokera pakusanthula zitha kuwonekera pakukhazikitsa njira yolamulira.
- Ngati zomwe zalandiridwazo zikugwirizana ndi zomwe zakambidwa, chosanthula ndichabwino.
Musanadziwe kuti chipangizochi ndicholondola motani, muyenera kumvetsetsa chomwe chimapanga chinthu monga kulondola kwa mita.
Mankhwala amakono amakhulupirira kuti zotsatira za kuyesedwa kwa magazi ndizolondola ngati zichoka pa zomwe zimapezeka mu labotale osapitilira 20 peresenti.
Vutoli limawonedwa ngati laling'ono, ndipo lilibe njira yapadera posankha njira ya mankhwala.
Kufanizira magwiridwe
Mukamayang'ana kulondola kwa mita, ndikofunikira kulingalira momwe chipangizo china chimapangidwira. Mitundu yambiri yamakono imazindikira kuchuluka kwa shuga m'magazi, chifukwa chake data imeneyi ndi yokwera 15% kuposa kuwerenga kwa shuga m'magazi.
Chifukwa chake, pogula chida, muyenera kudziwa nthawi yomweyo momwe chosinkhira chimapangidwira. Ngati mukufuna kuti chidziwitsochi chikhale chofanana ndi chomwe chapezeka mu labotale m'gawo lachipatalachi, muyenera kugula chipangizo chomwe chili ndi magazi athunthu.
Ngati chipangizo chagulidwa chomwe chimayatsidwa ndi plasma, ndiye kuti 15 peresenti iyenera kuchotsedwa poyerekeza zotsatirazo ndi deta ya labotale.
Njira yothetsera
Kuphatikiza pa miyeso yomwe ili pamwambapa, cheke cholondola chimachitikanso ndi njira yokhazikika, pogwiritsa ntchito zingwe zoyeserera zomwe zaphatikizidwa mu zida. Izi zikuwonetsetsa kuti chipangizocho chikugwira ntchito molondola komanso molondola.
Mfundo za milozo zoyeserera ndi ntchito ya enzyme yomwe imayikidwa pamwamba pa mizere, yomwe imakhudzana ndi magazi ndikuwonetsa kuchuluka kwa shuga yomwe ilimo. Ndikofunikira kudziwa kuti kuti glucometer igwire ntchito molondola, ndikofunikira kugwiritsa ntchito mayeso okhawo opanga makampani omwewo.
Ngati zotsatira za kusanthula zikupereka zotsatira zolakwika, zikuwonetsa kuyipa kwa chipangizocho, muyenera kuchitapo kanthu pakusintha mita.
Tiyenera kukumbukira kuti cholakwika chilichonse ndi kusalondola kwa zomwe zalembedwazo zikuyanjanitsidwa osati kungogwira bwino dongosolo. Kugwiritsa ntchito molakwika kwa mita nthawi zambiri kumabweretsa kuwerenga kolakwika.
Pankhani imeneyi, musanayambe njirayi, mutagula bukuli, ndikofunikira kuphunzira malangizowa ndikuphunzira momwe mungagwiritsire ntchito chipangizocho molondola, kutsatira malangizo ndi malangizo onse kuti funso ngati mugwiritsa ntchito glucometer libisike.
- Mzere wa kuyesayesa udaikidwa mu zitsulo za chipangizocho, chomwe chimayenera kuyatsa zokha.
- Chophimba chikuyenera kuwonetsera nambala yomwe iyenera kufananizidwa ndi zilembo zamakhalidwe pazomwe zimayikidwa mizera yoyesa.
- Pogwiritsa ntchito batani, ntchito yapadera imasankhidwa kuti mugwiritse ntchito yankho lolamulira; mawonekedwewo amatha kusintha malingana ndi malangizo omwe aphatikizidwa.
- Njira yothetsera imagwedezeka ndikugwiritsidwa ntchito pamwamba pa mzere woyeserera m'malo mwa magazi.
- Chophimba chikuwonetsa deta yomwe ikufanizidwa ndi manambala omwe akuwonetsedwa phukusi ndi mizere yoyesera.
Ngati zotsatira zake zili mumtundu wotchulidwa, mita imagwira ntchito molondola ndipo kusanthula kumapereka deta yolondola. Mukalandira kuwerenga kolakwika, muyeso wowongolera umachitidwanso.
Ngati zotsatirazi sizili zolondola, muyenera kuphunzira zambiri mwatsatanetsatane. Onetsetsani kuti machitidwe azinthu azolondola, ndikuyang'ana zomwe zikuyambitsa chipangizocho.
Zizindikiro zogwiritsa ntchito glucometer
Zizindikiro zazikulu pakugwiritsira ntchito mita ndi matenda a shuga a mtundu woyamba ndi wachiwiri. Mwachilengedwe, pali zida zotere zomwe zimawonetsa zonse za cholesterol ndi kuphatikizika kwa magazi.
Koma kwenikweni, imagwiritsidwa ntchito ndi anthu omwe ali ndi shuga kuyeza shuga. Palibe umboni wina womwe ulipo. M'malo mwake, chilichonse chimakhala chodziwikiratu kuchokera ku tanthauzo lomwe.
Koma, ngakhale izi, popanda kufunsa dokotala, simuyenera kugwiritsa ntchito chipangizocho. Ngakhale kuyambira poti munthu amadwala matenda ashuga. Chifukwa pali zifukwa zingapo zosiyanitsira.
Pazonsezi, ichi ndi chipangizo chachilengedwe chomwe chimakupatsani mwayi wodziwa msanga msanga. Chifukwa cha izi, zidatha kuyankha mwachangu ngati kuli kofunikira. Chifukwa misempha ya glucose imatha kuwuka ndikugwa. Chipangizocho chikutsimikizira izi pang'onopang'ono kwa masekondi ndikulola munthu kuti apange jakisoni. Chifukwa chake, ngati kuli kotheka, ndikofunikira kugwiritsa ntchito gawoli.
Zizindikiro za Glucometer
Anthu omwe amagwiritsa ntchito chipangizochi ayenera kudziwa zinthu zoyambira za mita. Mwachilengedwe, zimakhala bwino pomwe chipangizocho "chikunena" kuti kuchuluka kwa glucose kumakwezedwa, kapena, kutsitsidwa. Koma bwanji ngati ntchitoyi sichoncho? Poterepa, muyenera kuzindikira kuti chithunzi chomwe chiri pamaso pa munthu ndikutanthauza chiyani.
Chifukwa chake, pali tebulo lapadera momwe amawerengera chipangizocho ndi mulingo weniweni wa glucose zimawonetsedwa. Mulingo umayamba pa 1.12 ndipo umatha pa 33.04. Koma ichi ndi chidziwitso cha zida zomwe, titha kumvetsetsa bwanji shuga kuchokera kwa iwo? Chifukwa chake, chizindikiro cha 1.12 ndi wofanana ndi 1 mmol / l shuga. Chiwerengero chotsatira pagome ndi 1.68, chikufanana ndi mtengo wa 1.5. Chifukwa chake, chizindikirocho nthawi zonse chikuwonjezeka ndi 0,5.
Kumvetsetsa bwino ntchito ya patebulo kumakhala kosavuta. Koma ndibwino kutengera kugula chida chomwe chimangowona chilichonse. Kwa munthu yemwe amagwiritsa ntchito chipangizochi kwa nthawi yoyamba, zimakhala zosavuta. Chida choterocho sichokwera mtengo, aliyense angathe kuchigula.
Mawonekedwe a Glucometer
Makhalidwe apamwamba a glucometer ayenera kukwaniritsa zosowa zonse za wosuta. Chifukwa chake, pali zida zamagetsi, palinso zosavuta. Koma chilichonse chomwe mungagwiritse ntchito, ndikofunikira kuti chiwonetsere zotsatira zake.
Pogula glucometer, munthu ayenera kulabadira kulondola kwake. Kuti muchite izi, kuyesaku kumachitika popanda kusiya malo ogulitsira. Koma kuti muwonetsetse bwino za mkhalidwewu, mukuyenera kubwereza kuwunika kwa labotale misempha ya shuga. Kenako mutha kuyesa chipangizocho, makamaka katatu. Zomwe zidapezedwa siziyenera kusiyana ndi zinzake zoposa 5-10%, ndiye cholakwika chovomerezeka.
Mwina ichi ndi chofunikira kwambiri pazida. Ndikofunika kuti zotsatira zomwe adapeza kuti sizipambana 20% zotchinga. Pambuyo pokhapokha mutha kuyang'ana magwiridwe antchito, kuwonetsa ndi zinthu zina zazing'ono.
Chipangizocho chimatha kukhala ndi ntchito yoyang'anira mawu, komanso chizindikiro chomvera. Kuphatikiza apo, chipangizocho chimatha kupulumutsa zomwe zaposachedwa ndikuziwonetsa mosavuta ngati pakufunika. Koma chilichonse chomwe munganene, chipangizocho chimayenera kukhala cholondola.
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Kodi kukhazikitsa mita?
Kugula kukapangidwa, funso lachilengedwe ndi momwe mungakhazikitsire mita. M'malo mwake, palibe chilichonse chovuta pankhani imeneyi. Choyambirira kuchita ndikukhazikitsa mabatire.
Tsopano mutha kuyika makulitsidwe. Chida chikazima, ndikofunika kuyiyika padoko munthawi yoyambira. Muyenera kuyikhazikitsa pansi. Zonse zikachitika molondola, kuwonekera kumawonekera.
Chotsatira, muyenera kukhazikitsa tsiku, nthawi ndi magawo. Kuti mulowe zoikamo, muyenera kugwirizira batani lalikulu masekondi 5. Pambuyo pake beep ikumveka, kotero makumbukidwe a memory adawonekera pa chiwonetserocho. Tsopano muyenera kugwiranso batani mpaka pulogalamu yoyika ikupezeka. Pamaso kuti munthu athe kupitiriza kukhazikitsa, chipangizocho chimangokhala kwakanthawi. Panthawi imeneyi, batani silingamasulidwe.
Kukhazikitsa tsikulo, ingogwiritsani ntchito mabatani okwera ndi otsika motero pokhazikitsa nthawi yomwe mukufuna. Njira yofananira imabwerezedwa maunitsi. Pambuyo pakusintha kulikonse, muyenera kukanikiza batani lalikulu kuti deta yonse isungidwe.
Kenako, konzani chipangizo cha lanceolate. Gawo lam'mwamba limatseguka, ndipo lancet imayikidwa mchisa. Kenako nsonga yoteteza ya chipangizocho sinakhazikitsidwe ndikugundidwa kumbuyo. Mwa kuzungulira pazida, mutha kusankha chizindikiritso chofunikira kuti mutenge magazi mwachitsanzo. Chida cha lancet chimakokedwa njira yonse mpaka pamwamba ndipo chakonzeka kugwiritsidwa ntchito.
Tsopano mutha kuyambitsa kuthana ndi magazi. Izi zimachitika mosavuta. Mzere woyezera umayikidwa padoko mpaka chizindikiro cholandiridwa chilandiridwa. Pambuyo pake, chipangizo cha lanceolate chimayikidwa pachala ndikuchiboola. Magazi amalowetsedwa mosamala mu chipangizocho. Chachikulu ndichakuti sipayenera kukhala ndi "zopangira" zambiri, chifukwa pali mwayi woti ungadetsedwe kwa doko chifukwa chofikira. Dontho la magazi liyenera kukhudzidwa polowera kuti mulitenge ndikuligwira chala kufikira mutamva beep. Zotsatira zake ziziwonekera pazenera pambuyo pa masekondi 8.
Kuyesa zingwe za glucometer
Mukamagwiritsa ntchito chipangizocho, mizera yoyesera ya mita ndi imodzi mwazinthu zofunika kwambiri. Gwiritsani ntchito kuti mupeze kuchuluka kwa shuga. Glucose amalowa mu mzere ndipo amapanga magetsi, pamtundu womwe phunziroli limachitika.
Muyenera kugula zingwe zoyesera motsimikiza. Akatswiri amalimbikitsa kuwayang'anira, osati chida chokha. Zowonadi, mawonekedwe a izi zimadalira zotsatira zake.
Ndikofunikira kukhala ndi chidziwitso polemba mayeso. Kuti muchite izi, lingalirani zofuna zanu osati kugula zochuluka. Zidutswa zochepa koyamba. Chachikulu ndichakuti musalole kuti mizere ikhale yolumikizana ndi mpweya kapena kuwunika kwa nthawi yayitali. Kupanda kutero, amatha kuwonongeka ndikupereka zotsatira zosiyana kwambiri.
Mfundo ina yofunika posankha mizera yoyesera ndikuganiza zogwirizana ndi chipangizocho. Chifukwa palibe magawo onse apazonse, chilichonse chiyenera kusankhidwa mosamala. Poterepa, chipangizochi chikuwonetsa zotsatira zoyenera.
Glucometer Lancets
Kodi malapota am'mimba ndi chiyani? Izi ndi zida zapadera zomwe zimakhudzana ndi kubaya khungu kuti lizitenga magazi kuti awunikidwe. "Chipangizochi" chimakupatsani mwayi wopewa kuwononga khungu, komanso kupweteka. Lancet imakhala yopangidwa ndi zinthu zosabala, motero ndi yoyenera kwa aliyense.
Singano za chipangizocho ziyenera kukhala ndi mainchesi ochepa. Izi zimapewa kupweteka. Danga la cholembera singano limazindikira kutalika ndi kupindika kwa malembawo, ndipo potengera izi, ndiye kuthamanga kwa magazi. Masingano onse ndi osawilitsidwa ndipo ali m'maphukusi amtundu uliwonse.
Pogwiritsa ntchito lancet, simungathe kudziwa kuchuluka kwa shuga, komanso zomwe zimakhala ndi cholesterol, hemoglobin, kuthamanga kwa magazi ndi zina zambiri. Chifukwa chake izi ndizopezeka paliponse. Mtunduwu umasankhidwa poganizira chipangizo chomwe chilipo ndi cholinga chomwe lancet imapezekera. Kusankha koyenera pamapeto pake kumathetsa mapangidwe a calluses ndi zophuka-zipsera.
Pakupanga kwa malawi, mtundu ndi makulidwe amakhungu amathandizidwa. Chifukwa chake, akhanda amatha kugwiritsa ntchito "zigawo" zotere. Izi ndizothandiza kutulutsa payekha. Chifukwa chake muyenera kukhala ndi lancet yolingalira kuti kuboola nthawi imodzi. Popanda izi, chipangizocho sichingagwire ntchito.
Phula lamwala wa gluu
Kodi cholembera kuti glucometer adapangira chiyani? Ichi ndi chipangizo chapadera chomwe chimakulolani kuti mulowetse insulin ngati munthu waiwalapo za izi. Cholembera chimatha kuphatikiza zonse zamagetsi komanso zamakina.
Mlingo umayikidwa pogwiritsa ntchito gudumu lapadera. Panthawi imeneyi, mlingo womwe umasonkhanitsidwa umawonetsedwa pazenera. Dinani batani lili ndi chiwonetsero chapadera. Amakumbukira mlingo womwe umaperekedwa, ndi nthawi yomwe umaperekedwa.
Izi zimalola makolo kuwongolera ana awo kutulutsa insulin. Kuyambitsa kotereku ndikwabwino kwa ana aang'ono. Mlingo umasinthidwa mosavuta ndikutembenuza kusinthaku mbali zonse ziwiri.
Mwambiri, popanda chidziwitso ichi sichikhala chophweka. Mutha kuzigula pamasitolo aliwonse apadera. Pankhaniyi, kuyenderana kwa chipangizocho ndi chogwirira sikofunikira konse. Kupatula apo, izi sizinthu zogwiritsa ntchito, koma makina ake ndi osavuta. Kuyambitsa koteroko ndi koyenera kwa ana ndi akulu omwe. Chifukwa chake, kupeza chida chotere, ndikofunikira kuyang'anira gawo ili.
Momwe mungagwiritsire ntchito mita?
Palibe chodetsa nkhawa momwe mungagwiritsire ntchito mita. Ngati munthu achita izi kwa nthawi yoyamba, ndiye kuti kuda nkhawa sikuyenera. Chifukwa chake, chinthu choyamba muyenera kuchita ndikukhomerera khungu ndi lancet.
Nthawi zambiri, chinthuchi chimabwera ndi chipangizocho. M'mitundu ina, mumapangidwa. Ukamaliza kumaliza, muyenera kubweretsa magazi pachigawocho. Muli zinthu zapadera zomwe zimatha kusintha mtundu wake, kutengera shuga. Apanso, gawo loyeserera lingathe zonse mu zida ndikupanga chida.
Tiyenera kudziwa kuti zida zina zimalola kutenga magazi osati zala zokha, komanso kuchokera paphewa ndi m'manja. Chilichonse chiri momveka bwino ndi mphindi ino. Magazi akakhala pa mzere woyezera, chipangizocho chimayamba kugwira ntchito, pakatha masekondi 5 mpaka 20, manambala omwe akuwonetsa kuchuluka kwa shuga apezeka pazowonetsera. Kugwiritsa ntchito chipangizocho sikovuta konse. Zotsatira zake zimasungidwa ndi chipangizocho zokha.
Moyo wa Alumali wa Glucometer
Kodi moyo wa alumali ndi mita ndi chiyani ndipo mwina mwina umatha kuwonjezeka? Chosangalatsa ndichakuti, chitsimikizo ichi chimatengera momwe munthu amagwirira ntchito. Ngati idayendetsedwa mosamala, koma chipangizocho chitha kupitilira chaka chimodzi.
Zowona, mawu awa ali ndi zovuta zake. Zambiri zimatengera batri palokha. Chifukwa chake, kwenikweni ndizokwanira milingo 1000, ndipo izi ndi zofanana ndi chaka chogwirira ntchito. Chifukwa chake, mfundo iyi ndiyofunika kuilingalira.
Mwambiri, ichi ndi chipangizo chomwe chilibe moyo wa alumali. Monga tafotokozera pamwambapa, zonse zimatengera momwe munthu amamuchitira. Ndiosavuta kuwononga chipangizocho.
Ndikofunikira kuyang'anira mawonekedwe ake. Osagwiritsa ntchito zida zake zomwe zatha. Poterepa, strip yoyesera ndi lancet zikutanthauza. Zonsezi zimatha kuchepetsa kwambiri nthawi yogwira ntchito chipangizocho. Chifukwa chake, moyo wa alumali wake umadalira momwe amagwirira ntchito. Chifukwa chake, chidziwitsochi chikuyenera kupezeka ngati pali mtima wofuna kugwiritsa ntchito chipangizochi zoposa chaka chimodzi.
Opanga Glucometer
Omwe amapanga kwambiri ma glucose metres omwe muyenera kuyang'anitsitsa muyenera kukwaniritsa miyezo ina. Chifukwa chake, m'zaka zaposachedwa, zida zatsopano zochulukirachulukira zidayamba kuwonekera. Kuphatikiza apo, kusiyanasiyana kwawo ndi kwakukulu kwambiri kotero kuti ndizosatheka kusankha zabwino kwambiri. Kupatula apo, zonse ndi zabwino ndipo zili ndi zolakwika zochepa.
Chifukwa chake, zaposachedwa zida zamakampani Abbott (brand line Medisense), Bayer (Ascensia), Johnson & Johnson (One Touch), Microlife (Bionime), Roche (Accu-Check). Zonsezi ndi zatsopano ndipo zili ndi kapangidwe kosintha. Koma izi sizinasinthe mfundo yogwira ntchito.
Ndikoyenera kuyang'anira zida za Photometric Accu-Check Go ndi Accu-Check Active. Koma muyenera kumvetsetsa kuti ali ndi cholakwika chachikulu.Chifukwa chake, malo omwe akutsogolera amakhalabe ndi zida zamagetsi. Zatsopano zingapo pamsika, monga Bionime Rightest GM 500 ndi OneTouch Select, zimakhala ndi zinthu zabwino. Zowona, zidapangidwa mwadongosolo, zida zambiri masiku ano zimachita izi zokha.
Medisense Optium X Contin wokhazikitsidwa bwino. Izi ndizofunikira kuyang'anira. Si okwera mtengo, osavuta kugwiritsa ntchito, inde, ndi zochuluka kwambiri kotero kuti ngakhale mwana amatha kuyang'ana payokha kuchuluka kwa shuga. Mukamasankha chida, simuyenera kuyang'ana dzina lake, koma mawonekedwe ake. Mwatsatanetsatane mwanjira zina za ma glucometer, tikambirana pansipa.
Momwe mungachepetse kulakwitsa kwa chipangizo
Kuti muchepetse cholakwika pophunzira kuchuluka kwa shuga m'magazi, muyenera kutsatira malamulo osavuta.
Glucometer iliyonse iyenera kuyesedwa nthawi ndi nthawi kuti muwone ngati ili yofunikira, chifukwa chake ndikulimbikitsidwa kulumikizana ndi malo othandizira kapena labotale yapadera.
Kuti muwone kulondola kunyumba, mutha kugwiritsa ntchito miyezo yolamulira. Kwa izi, miyeso khumi imatengedwa mzere.
Milandu yopitilira zisanu ndi zinayi mwa khumi, zotsatira zomwe zidapezedwa siziyenera kusiyana ndi 20 peresenti ndi shuga yamagazi a 4.2 mmol / lita kapena kuposa. Ngati zotsatira za phunzirolo ndizosakwana 4.
2 mmol / lita, cholakwacho sichikuyenera kupitirira 0,82 mmol / lita.
Musanapange mayeso a magazi, manja ayenera kutsukidwa ndikuwuma bwino ndi thaulo. Njira zothetsera mowa, zopukutira zakumwa ndi zakumwa zina zakunja sizingagwiritsidwe ntchito musanayambe kusanthula, chifukwa izi zingasokoneze magwiridwe antchito.
Kulondola kwa chipangizocho kumadaliranso kuchuluka kwa magazi omwe amalandiridwa. Kuti mugwiritse ntchito nthawi yomweyo kuchuluka kwa zinthu zachilengedwe pamtundu woyeserera, timalimbikitsidwa kutulutsa chala pang'ono, pokhapokha mutapanga punct pa icho mwapadera.
Kuboola pakhungu kumachitika pogwiritsa ntchito mphamvu yokwanira kuti magazi atuluke mosavuta komanso mokwanira. Popeza dontho loyamba limakhala ndimadzimadzi ambiri a intercellular, siligwiritsidwa ntchito kupenda, koma kuchotsedwa mosamala ndi chikopa.
Sizoletsedwa kupaka magazi pachifuwa chamayeso, ndikofunikira kuti zinthu zachilengedwe zimangoyamwa zokha, pokhapokha kafukufuku ukachitika. Nkhaniyi ikuthandizani kumvetsetsa momwe mungasankhire glucometer.
Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.
Zolakwika
Nthawi zina pamene kuyeza zolakwika kumachitika zomwe sizikugwirizana ndi kuthekera kwazida, kapenanso kutsimikizira kwawowerenga. Zifukwa zochepa zomwe zimachitika izi zalembedwa pansipa:
- Kuwerengetsa kwamitundu yosiyanasiyana. Zipangizo zina zimapangidwa kuti zizikhala ndi magazi athunthu, zina (nthawi zambiri zothandizira zasayansi) zam'madzi. Zotsatira zake, amawonetsa zotsatira zosiyana. Muyenera kugwiritsa ntchito magome kuti mutanthauzire kuwerenga kwina mu ena,
- Nthawi zina, wodwala akamayesa kangapo mzere, zala zingapo zimakhalanso ndi kuwerenga kosiyanasiyana kwa shuga. Izi ndichifukwa choti zida zonse zamtunduwu zili ndi vuto lovomerezeka mkati mwa 20%. Chifukwa chake, pamene kuchuluka kwa shuga m'magazi, kwakukulu koposa kusiyana kungakhale pakati pa zowerengera. Chosiyana ndi zida za Acco Chek - zolakwika zawo zovomerezeka siziyenera, malinga ndi muyezo, kupitirira 15%,
- Ngati kuya kwa kuchotsera sikunali kokwanira ndipo dontho la magazi silimangodzitulutsa lokha, odwala ena amayamba kufinya. Izi sizingachitike, popeza kuchuluka kwamadzimadzi a cellellular amalowa mu sampuli, yomwe, pamapeto pake, imatumizidwa kuti iwunikidwe. Kupitilira apo, zizindikilo zimatha kukhala zochulukirapo komanso zopanda chidwi.
Chifukwa cholakwika muzipangidwazo, ngakhale mita singawonetsetse, koma wodwalayo akumva kuwonongeka, ndikofunikira kufunafuna thandizo kuchipatala.