Kwesinye isikhathi kungenzeka ukuthi inkomba yemitha yeglucose yasekhaya iphakeme kakhulu, yize iqiniso lokuthi umuntu onesifo sikashukela uzizwa emkhulu futhi azikho izimpawu zesifo sikashukela. Uma idivaysi yokulinganisa iyiphutha, udinga ukuthola isizathu, hlola idatha kuma-glucometer ahlukene futhi, uma kunesidingo, yenza ukuhlaziya elabhorethri ukubheka ukunemba.
Kepha ngaphambi kokubheka amaphutha ekusebenzeni kwemitha ngokwayo, kufanele uqiniseke ukuthi wenza isifundo esifanele, ngokuhambisana nazo zonke izincomo nemithetho. Uma ungalandeli imithetho yokusebenza, imitha efanayo iyohlala iqamba amanga.
Kubalulekile futhi ukubheka ukuthi ukufundwa kwezinsimbi ezihlukile kungahlukahluka ngenxa yezizathu ezahlukahlukene. Ikakhulu, udinga ukwazi ukuthi imuphi umdwebo wezinto eziphilayo lowo owakhelwe wona - igazi eligcwele noma iplasma.
Ungakuthola kanjani ngokunembile ukunemba kocingo
Lapho uqhathanisa izinkomba ezitholwe ekhaya nedatha yamanye amadivaysi noma ukuhlaziya kwelebhu, udinga ukwazi ukuthi kungani imitha ikhombisa imiphumela ehlukile. Izinto eziningi zingathonya imiphumela yokulinganisa.
Ikakhulu, ngisho ne-analyser enjenge-Accu Chek izoba nephutha uma isiguli singaphathi kahle ucingo noma imichilo yokuhlola. Udinga ukuthi ukhumbule ukuthi imitha ngayinye inamamaki wephutha, ngakho-ke kudingeka uthole ukuthi lapho uthenga ukuthenga ukuthi lolo hlelo lungelona olunembile nokuthi lungahle lube olungalungile.
Futhi, ukunemba kwensiza kuncike ekushintshashintsheni kwamakhemikhali egazi nawomzimba wegazi ngendlela ye-hematocrit, acidity, njalonjalo. Igazi elithathwe emunweni kufanele lihlaziywe ngokushesha, ngoba ngemuva kwemizuzu embalwa kushintsha ukwakheka kwamakhemikhali, idatha ibe engalungile, futhi akukho phuzu kokuyihlola.
Kubalulekile ukwenza kahle ukuhlolwa kwegazi ekhaya lapho usebenzisa imitha. Isampula yegazi yenziwa kuphela ngezandla ezihlanzekile nezomile, awukwazi ukusebenzisa izisulu ezimanzi neminye imikhiqizo ehlanzekile ukuphatha isikhumba. Faka igazi kumugqa wokuhlolwa ngokushesha ngemuva kokulithola.
Ukuhlolwa kwegazi likashukela ngeke kwenziwe kulezi zimo ezilandelayo:
- Uma i-venous noma i-serum yegazi isetshenziswa esikhundleni segazi le-capillary;
- Ngokugcina isikhathi eside kwegazi le-capillary imizuzu engaphezu kuka-20-30;
- Uma igazi lihlanjululwe noma ligqokwa (nge-hematocrit ngaphansi kwamaphesenti angama-30 nangaphezulu kwama-55);
- Uma isiguli sinokutheleleka okuthe xaxa, isimila esishubile, i-edema enkulu;
- Uma umuntu ethathe i-ascorbic acid ngenani elingaphezu kwegramu 1 ngomlomo noma ngaphakathi, imitha ngeke ikhombise umphumela ngqo;
- Esimweni lapho imitha igcinwe ngokubaluleka okuphezulu noma emazingeni okushisa aphezulu kakhulu;
- Uma ngabe idivaysi kudala isiseduzane nomthombo wemisebe enamandla kagesi.
I-analyser oyithengile nje ayikwazi ukusetshenziswa uma ikhambi lokulawula lingahloliwe. Futhi, ukuhlola kudivayisi kuyadingeka uma kufakwa ibhethri elisha. Kubandakanya ukunakekelwa kufanele kuthathwe ngemichilo yokuhlolwa.
Imichilo yokuhlola ayikwazi ukusetshenziselwa ukuhlaziywa kumacala alandelayo:
- Uma usuku lokuphelelwa isikhathi oluboniswe ekuhlanganisweni kokudliwayo luphelelwe yisikhathi;
- Ekupheleni kwempilo yenkonzo ngemuva kokuvula iphakethe;
- Uma ikhodi yokulinganisa ingahambisani nekhodi ekhonjisiwe ebhokisini;
- Uma izimpahla zigcinwe elangeni ngqo futhi zonakaliswe.
Imitha ilele noma cha
Kufanele kukhunjulwe ukuthi idivaysi ngayinye yokulinganisa ushukela wegazi inephutha elithile. Idivayisi ibhekwa njengenganembile uma ukuphambuka kokufundwa kwelebhu kungamaphesenti angama-20/20.
Ngakho-ke, akulungile ukuqhathanisa ukufundwa kwamadivayisi amabili kusuka kubakhiqizi abahlukahlukene. Kuhle ukuqhathanisa idatha ye-glucometer nemiphumela etholakala ezimweni zelebhu, kuyilapho kucatshangelwa ukuthi idivayisi ilinganiswa kanjani. Ukuhlolwa okuphindwayo, uma kunesidingo, kufanele futhi kwenziwe ngedivayisi efanayo.
Njengoba izinkomba zithonywe yizici ezifana nokudla kanye nokuzivocavoca komzimba, ukuqhathanisa, kuphela idatha etholakala esiswini esingenalutho okufanele isetshenziswe endaweni ezolile. Amasampula wegazi kufanele atholakale ngasikhathi sinye, ngoba ngisho nenkathi yemizuzu eyi-15 i-overestimates kakhulu noma ithatha imiphumela yocwaningo. Isampula yegazi kufanele isuke endaweni efanayo. okuhle ngomunwe.
Ukuhlaziywa kwelabhoratri kufanele kwenziwe ngemizuzu elandelayo engama-20 kuya kwengama-30 ngemuva kokusampula kwegazi. Ngaphandle kwalokho, njalo ngehora kunokwehla kwezinkomba ngo-0.389 mmol / ilitha ngenxa ye-glycolysis.
Ukwenza kanjani ukuhlolwa kwegazi ushukela
Lapho wenza ukuhlolwa kwegazi ukuthola izinkomba ze-glucose, udinga ukwazi ukuthi yini okufanele uyenze ukuze imiphumela yocwaningo inembe kakhudlwana. Isampula yegazi ingenziwa ezindaweni ezihlukile, kepha kungcono ukuthatha izinto eziphilayo ezivela esikhwameni. Ngenye indlela, izingxenye zomzimba ezinjenge-Earlobe, i-lateral surface yesundu, ingalo, ihlombe, ithanga, izicubu zamathole.
Imitha izohluka. Uma igazi belithathwa ngasikhathi sinye ezindaweni ezahlukene. Futhi, ukunemba kuncike ekujuleni kokugeleza kwegazi, ukuthi liqina kangakanani - yilapho imininingwane eyiqonde ngokwengeziwe. Imiphumela efaneleke kakhulu ingatholakala ngokwenza isampula legazi likashukela kusuka emunweni wesandla, i-earlobe nesundu kubhekwe nakho kusondele ezinkombeni ezifanele.
Uma amasampula egazi enziwa kwenye indawo, ukujula kwesiponji kufanele kube ngaphezulu kunokwejwayelekile. Ngale njongo, izibambo zokubhoboza zifakwe ngamakhekhe akhethekile we-AST.
Ngemuva kokubhoboza, imilozi kufanele itshintshwe entsha, ngoba ihloselwe ukusetshenziswa okukodwa.
Ngaphandle kwalokho, inaliti iba ntekenteke, ingaphezulu lesikhumba lilimele, futhi imininingwane ngamazinga kashukela ngenxa yalokhu ingaba phezulu kakhulu.
Isampula yegazi kufanele yenziwe ngale ndlela elandelayo:
- Izandla zigezwa kahle ngensipho. Ngasikhathi sinye, kunconywa ukufudumeza isikhumba sezandla ngaphansi komfula ofudumele wamanzi.
- Iminwe kufanele yomiswe kahle ngethawula ukususa wonke umswakama. Ngaphezu kwalokho, ukuze kuthuthukiswe ukuhanjiswa kwegazi, izandla zenziwa kalula kusuka esinqeni kuya esiqongweni seminwe.
- Ngemuva komunwe. lapho bezokhipha khona igazi, lehla bese igoba kahle ukugeleza kwegazi.
Kuvunyelwe ukucubungula isikhumba sisebenzisa izixazululo zotshwala kuphela uma kungenzeki ukugeza izandla. Iqiniso ngukuthi utshwala buba nomthelela osokeni esikhunjeni, okwenza ukubhoboza kube buhlungu. Uma ikhambi lingashintshile, imitha lizokwehliswa.
Isibambo sokubhoboza sicindezelwa ngokuqinile emunweni ukuze i-lancet ikwazi ukubhoboza ngaphandle kobuhlungu nangokunembe ngangokunokwenzeka. Kungcono ukuthatha isampula yegazi ohlangothini lomqamelo, kepha iminwe efanayo akufanele ihlatshwe, ngaso sonke isikhathi lapho zishintsha.
Ngemuva kokuthi igazi liqale ukubonakala, idonsi lokuqala lisulwa ngoboya bekotini, kusetshenziswe ingxenye yesibili yegazi ukuhlaziya. Umunwe wehla futhi ugogelwe ngobumnene kuze kube yilapho sekuvela udonsi.
Umunwe ulethwa kumucu wokuvivinya, futhi negazi ngokwalo kufanele ligxishwe ebusweni ukuze lihlolwe. Ukuhlikihla ukhula nokuhlikihla igazi akuvunyelwe.
Ngakho-ke, uma umhlaziyi engakhombisi imiphumela efanele yesifo sikashukela sohlobo 1 noma uhlobo 2, kungaba nezincazelo ezahlukahlukene. Uma iziguli zithola ukuthi amadivaysi aqambe amanga, kuyadingeka ukwazisa udokotela okukhona ngalokhu, uzosiza ekuhlaziyeni okunembile futhi akhombe imbangela yokwephula umthetho. Ukuthenga insiza kungcono kunekhwalithi efakazelwe, ngokwesibonelo, imitha kashukela wegazi enezibuyekezo eziningi ezinhle ezivela kubathengi.
Kwividiyo ekulesi sihloko, u-Elena Malysheva uzokutshela ukuthi ungayihlola kanjani i-glucometer ekhaya.
