Izibalo zithi: abantu abaningi babhekana noshukela (cishe izigidi ezingama-420). Ukuze kungasifisi lesi sifo, iziguli kufanele zilandele izincomo ze-endocrinologist, zinamathele ekudleni okukhethekile futhi ziqaphele ukugcwala koshukela emangqamuzaneni egazi. Ukuthola idatha ethembekile, kufanele wazi ukuthi ungalinganisa kanjani ushukela wegazi nge-glucometer. Ngemuva kwakho konke, ukuya emtholampilo nsuku zonke kuyinkinga, futhi ukuba nomuntu onjalo ekhaya, ungathola imininingwane ebalulekile ngemizuzu embalwa. Ungawagwema kanjani amaphutha ngenkathi kuhlolwa, futhi imuphi amamitha wokuthenga?
Imithetho yokulungiselela nokukalwa ushukela nge-glucometer
Ochwepheshe batusa ukuthi abantu abanesifo sikashukela basebenzise imithambo yegazi glucose ephathekayo ukulawula isimo ngokuphelele. Udokotela ohola lesi sifo utshela ngokuningiliziwe ukuthi ungalinganisa kanjani ushukela nge-glucometer. Akukho lutho olunzima enqubweni. Ukuze uqalise ukusebenza, uzodinga ucingo ngokwalo kanye nomucu okhethekile wokuhlola.
Ukukhohlisa udinga ukulungiselela:
Isifo sikashukela nokucindezela kuzoba yinto yesikhathi esedlule
- Ukwehlela ushukela -95%
- Ukuqedwa kwe-vein thrombosis - 70%
- Ukuqedwa kokushaya kwenhliziyo okuqinile -90%
- Ukuqeda umfutho wegazi ophakeme - 92%
- Ukwanda kwamandla ngesikhathi sosuku, ngcono ukulala ebusuku -97%
- geza izandla emanzini afudumele, ukwenza ngcono ukugeleza kwegazi;
- khetha isayithi lomjovo wokuthatha i-biomaterial. Ukugwema ukucasulwa kobuhlungu, iminwe ihlatshwa ngenye indlela;
- sula isiza esizayo ngoshizi wekotoni ofakwe utshwala bezokwelapha.
Ukulinganisa ushukela wegazi ngeke kujabulise futhi kube buhlungu uma ungabhobozi phakathi kwezandla zomunwe, kepha kancane ohlangothini.
Kubalulekile! Ngaphambi kokwethula umucu wokuhlola kudivayisi, qiniseka ukuthi ikhodi ekuphakekeni kwasekuqaleni iyafana nekhodi eboniswayo.
Ushukela ulinganiswa ngokwalesi simiso:
- Imicu yokuhlola yethulwe ocingweni, futhi ukufakwa kulindwe. Iqiniso lokuthi imitha ivuliwe izokhombisa isithombe sokwehla kwegazi okuvela esibukweni.
- Khetha imodi yokulinganisa edingekayo (uma ikunhlobo ekhethiwe).
- Idivaysi enesikhindi icindezelwa emunweni kanye nenkinobho oyisebenzayo icindezelwe. Uma uchofozwa, kuzocaca ukuthi kwenziwa isimangalo.
- Ukwehla kwegazi okuholelayo kususwa nge-swab yekotini. Ngemuva kwalokho fafaza le ndawo kancane ngesibhobo, ukuze kuqhamuke elinye ithonsi legazi.
- Umunwe ubanjwa ukuze uthinte insimbi yokuphuza. Ngemuva kokuthi i-biomaterial idonswe umugqa wokuhlola, inkomba yokulawula igcwalisa, bese izinsiza kusebenza ziqala ukuhlaziya ukwakheka kwegazi.
Uma ukuhlolwa kwenziwa kahle, umphumela uzokhonjiswa kusibonisi sedivayisi, esizokhunjulwa ngokuzenzakalelayo ngamamitha. Ngemuva kwenqubo, umugqa wokuhlola kanye nokufiphala kuyathathwa futhi kulahlwe. Idivayisi icisha ngokuzenzakalelayo.
Imaphi amaphutha angenziwa
Ukuze wenze isilinganiso esifanele sikashukela, udinga ukugwema amaphutha ajwayelekile avame ukwenziwa yiziguli ngenxa yokungazi kwawo:
- Akunakwenzeka ukubhoboza isikhumba endaweni eyodwa, ngoba ukucasuka kuzokwenzeka nakanjani. Kungcono ukushintshana ngeminwe nezandla. Imvamisa ungathinti umunwe omncane nesithupha.
- Akudingeki ukuba unikeze umunwe wakho ngokujule, ekujuleni kwenxeba kuzoba isikhathi eside kangakanani, kanti kuzolulama isikhathi eside.
- Ukufeza ukugeleza kwegazi okungcono, awudingi ukucindezela umunwe wakho ngokuqinile, ngoba ingcindezi isiza ukuxubanisa igazi nento yezicubu, okungathinta kabi ukuphambuka komphumela.
- Ungavumeli ukuthambisa kwehla kwegazi elisha, ngaphandle kwalokho ngeke kudonswe umugqa wokuhlola.
- Ngaphambi kwenqubo, izandla zenziwa kahle, bese zihlanzwa ngamanzi afudumele. Ngemuva kokusula ngokuphelele ngethawula elihlanzekile. Lezi zenzo zizosiza ukusungula ukujikeleza kwegazi futhi kusebenze inqubo yokulinganisa.
- Uma abanesifo sikashukela abaningana behlala emndenini, khona-ke umuntu ngamunye kufanele abe ne-glucometer ukuze agweme ukutheleleka. Ukuvumela umuntu ukuthi asebenzise insiza yomuntu siqu kunqatshelwe ngokuphelele.
- Ukufakwa kwemichilo kufanele kugcinwe kuvalwe ngokuqinile. Akufanele zidluliselwe kwesinye isitsha, ngoba isembozo sokuqala sine-coating ekhethekile ebavikela emswakama. Uma usuku lokuphelelwa yisikhathi luphela, imichilo iyalahlwa. Ziba yinto engabonakali, futhi zingakhombisa umphumela ongalungile.
Imiphumela yokuhlolwa ithintwa ngu:
- amakhodi ahlukahlukene kudivayisi nakwithuluzi elinemivimbo;
- umswakama on the strip strip noma indawo yokubhoboza;
- ukucindezela okuqinile kwesikhumba ukukhulula ukwehla kwegazi okudingekayo;
- izandla ezingcolile;
- ukuphuza utshwala;
- ukubhema
- ukungasebenzi kahle kwensiza;
- isampula legazi lokuqala lokuhlolwa;
- ukuthatha imishanguzo ethile;
- i-catarrhal noma i-pathology yokutheleleka ngesikhathi sokulinganisa.
Kunini lapho kungcono ukukala ushukela nge-glucometer
Isibonakaliso sokuqala esoshukela sikashukela ukubulala kanye ukoma okukhulu. Umuntu uphuza amanzi, kepha emgodini womlomo usomile. Ngaphezu kwalokho, ukunxusa ebusuku ukuthi uchame kube njalo, buthakathaka obungenakulawuleka, isifiso sokudla siyanda noma, ngakolunye uhlangothi, kuncipha kakhulu. Kodwa i-Symbomatology enjalo ingakhombisa ezinye i-pathologies, ngakho-ke, ngokusekelwe kwezinye izikhalazo zesiguli, ukuxilongwa akunakwenziwa.
Ukuthola imbangela yangempela yokuphazamiseka, isiguli sidlula konke ukuhlolwa okudingekile. Uma ushukela wegazi uphezulu kakhulu, i-endocrinologist izokuthola okunye ukwelashwa. Uzotshela isiguli ukuthi siziphathe kanjani kuleli cala, ukuthi yimiphi imikhiqizo okufanele siyigweme, nokuthi imiphi imithi okufanele siyithathe. Ngasikhathi sinye, umuntu kuzofanele alinganise njalo izinkomba zikashukela ukuze alawule ngokuqinile inhlala-kahle yakhe.
Ekuhlolweni kwasekhaya, ama-glucometer ayathengwa. Esikhathini sikashukela i-mellitus yohlobo lokuqala (oludinga i-insulin), iziguli zidinga ukukala ushukela nsuku zonke (ikakhulukazi ebusheni bazo). Kunconywa ukuhlola ukwakheka kwegazi ngaphambi kokudla okuyinhloko, ukulala, futhi futhi ngezikhathi ezithile ngemuva kokudla.
Ngohlobo 2 sikashukela, iziguli ezidliwayo ezisebenzisa umuthi oqukethe ushukela zikala kabili noma kathathu ngesonto, kepha ngezikhathi ezahlukahlukene. Ukuhlolwa kwegazi kuyenziwa futhi lapho kuguqulwa indlela yokuphila, ngokwesibonelo, ngokuzikhandla komzimba, ekuhambeni, ekwelapheni izifo ezihlangene.
Kubalulekile! Uchwepheshe kufanele atshele isiguli ukuthi kudingeka kangaki ukubalwa kwegazi.
Uma isiguli sincike kwe-insulin, khona-ke ngosuku kudingeka ukuthi ihlolwe okungenani kathathu, ngaphambi kokudla ngakunye ngakunye. Abesifazane abakhulelwe abahlushwa uhlobo lokuqala lwesifo sikashukela badinga ukulawulwa okuningi (amahlandla angaphezu kuka-7 ngosuku).
Uma irejimeni yokwelashwa iqukethe izakhamzimba zokudla futhi uthatha amafomu umthamo wethebhulethi, kunconyelwa ukukala ukugcwala kwe-glucose kanye ngesonto usuku lonke. Kudingeka uthathe nini futhi malini, kusho udokotela. Imvamisa ukuhlaziya kwenziwa izikhathi ezine ngaphambi kokudla main.
Njengezinyathelo ezingeziwe, ushukela ulinganiswa ku:
- ukuzizwa ungasasebenzi, lapho isimo sesiguli siba sibi kakhulu ngezizathu ezingaziwa;
- izinga lokushisa lomzimba eliphakeme;
- ukwanda kwezifo ezinamafomu okungamahlalakhona, okuvame ukuhambisana nesifo "esimnandi" kwesinye isikhathi nokuzenza zizizwe;
- ngaphambi nangemva kokuzikhandla ngokweqile komzimba.
Ngaphezu kwalokho, kukalwa izikhathi ezithile ukuze kulungiswe ukwelashwa, ngokwesibonelo, izivivinyo zasebusuku, noma izivivinyo zasekuseni.
Ukulawulwa kwezinkomba ze-glucose ngezindlela zasekhaya akukubi esikhundleni sokuhlolwa kwelebhu. Kanye ngenyanga kufanele uye emtholampilo ukuyonikela ngegazi. Futhi, njalo ezinyangeni ezintathu kuya kweziyisithupha kuyadingeka ukuhlola i-hemoglobin ye-glycated.
Ukusebenza okujwayelekile
Ukuthola izinkomba ze-glucose, kuyadingeka ukuthatha izilinganiso ngokuya ngemiyalo bese uqhathanisa imiphumela nedatha yetafula:
Isilinganiso | Izinto zeminwe, mmol / L | Izinto ezivela kumthambo, mmol / l |
Ekuseni, ngaphambi kokudla kwasekuseni | sisuka ku-3.3 kuya ku-5.83 | I-4.0 kuye ku-6.1 |
Ngemuva kwemizuzu lengu-120 udliwe | ngaphansi kuka-7.8 |
Ongakukhetha: lapha sitshele konke mayelana nemikhuba yoshukela wegazi ngeminyaka
Uma izilinganiso zenziwa ngesisu esingenalutho, futhi nedatha ebonisiwe idlule okuvumelekile, khona-ke kubalulekile ukuthi i-endocrinologist ivele.
Imuphi amamitha anembe kakhudlwana
Ukukala ushukela njalo nokubheka ukusebenza kwawo, abanesifo sikashukela basebenzisa idivaysi ekhethekile kagesi - i-glucometer. Inobukhulu obuncane kanye nesibonisi esinezinkinobho zokulawula. Amamitha angafihlwa kalula ephaketheni, esikhwameni, esikhwameni, ngakho-ke ungahlala uthwala nawe, noma ngabe usohambweni olude, emsebenzini, kude, njll.
Ukukhetha inguqulo yemitha efaneleke kakhulu, ezokuvumela ukukala amapharamitha kashukela ngendlela efanele ngangokunokwenzeka, udinga ukwazi ukuthi yimiphi imingcele yokuhlola ucingo:
- ukunemba kwemiphumela;
- ukusetshenziswa kalula (kufaka phakathi abantu abanciphise okubonakalayo kanye namakhono amahle wemoto);
- izindleko zedivayisi nezinto zokubuyiselwa;
- ukutholakala kwezinto ezidinga ukuthengwa ngezikhathi ezithile;
- ukuba khona noma ukungabikho kwesembozo esenzelwe ukuthwala nokugcina idivaysi, kanye nezinga lokusebenziseka kwayo;
- ukuba khona kwezikhalazo nokubuyekezwa okubi mayelana nedivaysi (kukangaki ichitha phansi, kunomshado);
- ishelufu impilo yemichilo yokuhlola nezimo zokugcina;
- amandla okurekhoda idatha etholakele, inani lememori;
- i-backlight, umsindo noma ukukhanya kwesaziso, amandla okudlulisa idatha ohlelweni lwekhompyutha;
- isivinini sokutholwa kwedatha. Amanye amamodeli anganquma umphumela ngemizuzwana emihlanu nje. Inqubo ende yokuhlola ihlala cishe umzuzu.
Ngenxa yenkumbulo eyakhelwe ngaphakathi, isiguli singakwazi ukuhlola ukusebenza kwayo ngamandla. Yonke imiphumela iqoshwa ngosuku nesikhathi nesikhathi sokuhlolwa. Idivayisi futhi ingazisa isiguli ukuthi isivivinyo sigcwalisiwe ngesiginali ezwakalayo. Futhi uma unentambo ye-USB, imininingwane ingadluliselwa kwikhompyuter bese iphrinta udokotela.
Wonke amadivayisi athengiswayo ahlukaniswe ngokuya ngomgomo wokusebenza.
Kunezinhlobo ezintathu kuphela zama-glucometer:
- Photometric. Ubuchwepheshe bamadivayisi anjalo abhekwa njengasasebenzi, ngoba umgomo wesenzo sabo usekelwe ekuhlolweni kwezinguquko endaweni yokuhlola eyenzeka lapho glucose ihlangana nokuvivinya ama-strip reagents. Izici zalolu hlobo lwe-glucometer zifaka uhlelo lokuntekenteka oludinga isimo sengqondo sokucophelela. Amadivayisi anjalo makhulu ngokuqhathaniswa nezinye izinhlobo.
- Romanovskie. Lolu hlobo lwedivayisi lwenziwe muva nje futhi olungakenziwa lutholakale ngokukhululekile. Inzuzo enkulu yama-glucometer anjalo yisilinganiso segazi ngaphandle kokuthatha i-biomaterial. Umuntu akudingeki alimaze iminwe yakhe ngokuhlelekile. Ukuxhumana kwesikhumba kwanele. Umshini uzohlola isimo segazi esikhunjeni.
- I-Electrochemical. Idizayini yalawa madivayisi yenziwa ngokuya ngobuchwepheshe obukhethekile, okuvumela ukunikeza imiphumela efaneleke kakhulu ekuhlaziyeni. Lawa amamitha kashukela egazi aqaphela inani lamanje elenziwa ukusabela kokwehla kwegazi nge-reagent ekhethekile etholakala emgqeni wokuhlola.
Kubalulekile! Lapho uthenga insiza ekala ushukela egazini, kufanele ufunde imiyalo kusengaphambili. Uma eminye imibuzo ingacacanga kumthengi, angaxhumana nomthengisi.
Ama-Glucometer alula kakhulu, awusizo, amadivaysi asemqoka kwabanesifo sikashukela. Kepha akufanele sikhohlwe ukuthi imininingwane etholwe ekhaya ingahluka ngemiphumela yaselebhu. Esilungiselweni sesibhedlela, okuqukethwe ushukela kukalwa engxenyeni ye-plasma. Imitha yeglucose yasekhaya ilinganisa inani lezinto ze-glycosylating esegazini lonke, azihlukaniswanga izakhi. Ngaphezu kwalokho, okuningi kuhambisana nokunemba kwenqubo.
I-Endocrinologists incoma ngokuqinile ukuthi izinkomba ze-glucose zibhekwe kaningi ukuze kugwenywe ukuthuthukiswa kwezinkinga zikashukela ezinzima. Uhlobo luni lwemodeli okufanele lukhethwe kuya ngesiguli. Kufanele kukhunjulwe ukuthi imisebenzi eminingi eyengeziwe ithuluzi ifaka, inyusa izindleko zayo. Ungayisebenzisa kanjani, tshela uchwepheshe nemiyalo. Into esemqoka ukungaphuthi izilinganiso bese ulandela zonke izincomo zikadokotela.