Isayensi ayime. Abakhiqizi abakhulu kunabo bonke bemishini yezokwelapha bathuthukisa futhi bathuthukise idivaysi entsha - i-glucometer engahambelani (engaxhumeki). Eminyakeni engaba ngu-30 edlule, iziguli ezinesifo sikashukela zazikwazi ukulawula ushukela wegazi ngendlela eyodwa: ukunikela ngegazi emtholampilo. Ngalesi sikhathi, sekuvele amadivayisi acwebile, anembile, angabizi kakhulu akala i-glycemia ngemizuzwana. Ama-glucometer wesimanje kakhulu awadingi ukuxhumana ngqo negazi, ngakho-ke asebenza ngaphandle kobuhlungu.
Izinto zokuhlola ze-glycemic ezingabonakali
Ukubuyisa okuphambili kwama-glucometer, manje asetshenziswa kabanzi ukulawula isifo sikashukela, isidingo sokuhlafuna iminwe yakho njalo. Ngokwesifo sikashukela sohlobo 2, ukukalwa kufanele kwenziwe okungenani izikhathi ezi-2 ngosuku, ngesifo sikashukela sohlobo 1, okungenani izikhathi ezi-5. Ngenxa yalokho, izitho zomunwe ziyaqina, zilahlekelwe umuzwa wazo, zikhanyiswe.
Indlela engahambeli inezinzuzo eziningi ngokuqhathaniswa nama-glucometer ajwayelekile:
- Usebenza ngaphandle kobuhlungu ngokuphelele.
- Izindawo zesikhumba lapho kuthathwa khona izilinganiso ezithile azilahlekelwa ukuzwela.
- Akunobungozi bokutheleleka noma ukuvuvukala.
- Izilinganiso ze-Glycemia zingenziwa kaningi ngendlela efisa ngayo. Kunentuthuko echaza ushukela ngokuqhubekayo.
- Ukuthola ushukela wegazi akusaseyona inqubo emnandi. Lokhu kubaluleke kakhulu ezinganeni, okufanele zikholise isikhathi ngasinye ukuba zinikeze umunwe, nakwezentsha ezizama ukugwema ukulinganiswa okuvame ukwenziwa.
Ingakanani i-glucometer engahlaseli ukuthi ilinganisa i-glycemia:
Indlela yokuthola i-glycemia | Isebenza kanjani inqubo engahlaseli | Isigaba sokuthuthuka |
Indlela yokubheka | Idivayisi iqondisa ugongolo esikhunjeni futhi ithathe ukukhanya okukhonjiswe kulo. Ama-molecule we-glucose abalwa emgudwini we-intercellular. | UGlucoBeam ovela enkampanini yaseDenmark i-RSP Systems, uvivinywa ngokomtholampilo. |
I-CGM-350, GlucoVista, Israel, ihlolwa ezibhedlela. | ||
I-CoG evela eCnoga Medical, ithengiswe e-European Union nase China. | ||
Ukuhlaziywa Kweswati | Inzwa ingamasongo noma isigaxa, esikwazi ukubona izinga le-glucose kuyo ngesilinganiso esincane sokujuluka. | Idivayisi iyaphothulwa. Ososayensi bafuna ukunciphisa inani lokujuluka okudingakalayo kanye nokwandisa ukunemba. |
Ukuhlaziya uketshezi | Inzwa eguqukayo itholakala ngaphansi kwejwidi elingaphansi futhi idlulisela imininingwane mayelana nokwakheka kwe-izinyembezi ku-smartphone. | Imitha ye-glucose engahlaseli evela eNovioSense, eNetherlands, ibhekene novivinyo lomtholampilo. |
Amalensi wokuxhumana anenzwa. | Iphrojekthi yeVerily (Google) ivaliwe ngoba ibingenakwenzeka ukuqinisekisa ukunemba kokulinganisa okudingekayo. | |
Ukuhlaziywa kokwakheka kwetshe lokuxubana | Amadivayisi awahambisi ngokuphelele, ngoba asebenzisa izinaliti ezincane ezigwaza ungqimba olungaphezulu lwesikhumba, noma intambo emincane efakwe ngaphansi kwesikhumba futhi ihlanganiswe ne-band-aid. Ukulinganisa akunabuhlungu ngokuphelele. | UK'Track Glucose wasePKVitality, eFrance, akakathengiswa. |
U-Abbott FreeStyle Libre uthole ukubhaliswa eRussia Federation. | ||
IDexcom, eMelika, iyathengiswa eRussia. | ||
Imisebe ye-Wave - i-ultrasound, insimu kagesi, inzwa yokushisa. | Isizweli sinamathele endlebeni njengempahla yokugqoka. I-glucometer engabonakali ihlasele ushukela kuma-capillaries e-earlobe; kulokhu, ifunda amapharamitha ambalwa ngasikhathi sinye. | I-GlucoTrack kusuka ku-Izicelo Zokuqina, i-Israyeli. Kuthengiswe eYurophu, Israel, China. |
Indlela yokubala | Izinga le-glucose linqunywa ifomula ngokususelwa kuzinkomba zokucindezela nokushaya kwenhliziyo. | I-Omelon B-2 yenkampani yaseRussia i-Electrosignal, iyatholakala kwiziguli zaseRussia ezinesifo sikashukela. |
Ngeshwa, idivaysi elula ngokuphelele, enembile futhi nokho engahlaseli ngokuphelele engalinganisa i-glycemia ngokuqhubekayo ayikabikho. Amadivayisi atholakalayo kwezohwebo anezithiyo ezinkulu. Sizokutshela okuningi ngabo.
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%
I-GlukoTrack
Le divayisi engahlaseli inezinhlobo ezi-3 zezinzwa ngasikhathi sinye: i-ultrasonic, izinga lokushisa kanye ne-elekthronikhi. I-Glycemia ibalwa kusetshenziswa oyingqayizivele, obunelungelo lobunikazi yi-algorithm yomkhiqizi. Imitha iqukethe izingxenye ezi-2: idivaysi enkulu enesibonisi nesiqeshana, esifakwe izinzwa kanye nedivayisi yokulinganisa. Ukukala ushukela wegazi, mane unamathisele isiqeshana endlebeni yakho bese ulinda umzuzu owodwa. Imiphumela ingadluliselwa ku-smartphone. Akukho okudliwayo okudingekayo kwe-GlukoTrek, kepha isiqeshana sendlebe kuzodingeka siguqulwe njalo ezinyangeni eziyisithupha.
Ukunemba kwezilinganiso kwahlolwa ezigulini ezinesifo sikashukela esinezigaba ezahlukahlukene zesifo. Ngokwemiphumela yokuhlolwa, kwavela ukuthi le glucometer engabonakali ukuthi isetshenziswa isetshenziselwa kuphela isifo sikashukela sohlobo 2 nakubantu abane-prediabetes ngaphezulu kweminyaka eyi-18. Kulokhu, kubonisa umphumela onembile ngesikhathi sokusebenzisa okungama-97.3%. Ububanzi bokulinganisa busuka ku-3.9 kuya ku-28 mmol / l, kepha uma kukhona i-hypoglycemia, le nqubo engeyona into ehlaselayo iyenqaba ukuthatha izilinganiso noma inikeze umphumela ongalungile.
Manje sekuthengiswa imodeli ye-DF-F kuphela, ekuqaleni kokuthengisa izindleko zayo zingama-euro angama-2 000, manje inani eliphansi ngama-euro angama-564. Izazi zesifo sikashukela saseRussia zingathenga i-GlucoTrack engahlaseli ezitolo ezitolo zase-Europe zase-Europe kuphela.
Mistletoe
I-Omelon yaseRussia ikhangiswa yizitolo njenge-tonometer, okuwukuthi, ithuluzi elihlanganisa imisebenzi ye-tonometer ezenzakalelayo kanye nemitha engavikeleki ngokuphelele. Umenzi ubiza umshini wakhe nge-tonometer, futhi ukhombisa umsebenzi wokulinganisa i-glycemia njengenye eyengeziwe. Siyini isizathu sokuthobeka okunje? Iqiniso ngukuthi i-glucose yegazi inqunywa kuphela ukubalwa, kususelwa kwidatha yomfutho wegazi nokushaya kwenhliziyo. Izibalo ezinjalo azinembile kuwo wonke umuntu:
- Ku-mellitus yesifo sikashukela, ubunzima obuvame kakhulu ngama-angiopathies ahlukahlukene, lapho ithoni yemisipha ishintsha.
- Izifo zenhliziyo ezihambisana ne-arrhythmia nazo ziba khona njalo.
- Ukubhema kungathinta ukunemba kokulinganisa.
- Futhi, ekugcineni, ukuqhuma okungazelelwe ku-glycemia kungenzeka, u-Omelon akakwazi ukukulandela.
Ngenxa yenani elikhulu lezinto ezingathinta umfutho wegazi kanye nokushaya kwenhliziyo, iphutha ekulinganiseni i-glycemia ngumenzi alinqunyelwe. Njenge-glucometer engahlaseli, i-Omelon ingasetshenziswa kuphela kubantu abanempilo kanye nabanesifo sikashukela abengekho ekutholeni i-insulin. Ngokwesifo sikashukela sohlobo 2, kungenzeka ukuthi ulungiselele idivaysi ngokuya ngokuthi isiguli sithatha yini amaphilisi anciphisa ushukela.
Uhlobo lwakamuva lwe-tonometer yi-Omelon V-2, intengo yalo icishe ibe ngama-ruble ayi-7000.
I-CoG - Combo Glucometer
I-glucometer yenkampani yakwa-Israyeli iCnoga Medical ayisihlaseli ngokuphelele. Idivaysi iyi-compact, ilungele isifo sikashukela sazo zombili izinhlobo, singasetshenziswa kusuka eminyakeni eyi-18.
Idivayisi yibhokisi elincane elinezihenqo. Udinga nje ukubeka umunwe wakho kuyo bese ulindela imiphumela. I-glucometer ikhipha imisebe yesibonisi esihlukile, ihlaziya ukukhanyisa kwabo kusuka emunweni futhi kungakapheli imizuzwana engama-40 kunikeza umphumela. Kwiviki eli-1 lokusebenzisa, udinga "ukuqeqesha" i-glucometer. Ukuze wenze lokhu, kuzofanela ulinganise ushukela usebenzisa imodyuli ehlaselayo eza nekhithi.
Ububi balesi sixhobo esingahlaseli ukuqashelwa okubi kwe-hypoglycemia. Ushukela wegazi ngosizo lwalo unqunywa kusuka ku-3.9 mmol / L.
Azikho izingxenye ezithathekayo futhi ezidliwayo ku-CoG glucometer, impilo esebenzayo isukela eminyakeni emi-2. Intengo yekhithi (imitha nedivayisi yokulinganisa) yi- $ 445.
Amanani amancane we-Invasive Glucometer
Amasu akhona njengamanje angahlaseli iziguli zesifo sikashukela ekutheni zibhoboze isikhumba, kepha azikwazi ukuhlinzeka ngokuqapha ushukela. Kule nkambu, ama-glucometer angahlaseli kakhulu adlala indima eholayo, engahle ibekwe esikhumbeni isikhathi eside. Amamodeli wanamuhla, iFreeStyle Libre ne-Dex, afakwe inalithi emincane kakhulu, ngakho-ke ukugqoka yona akunabuhlungu ngokuphelele.
Mahhala Isitayela Mahhala
IFreeStyle Libre ayinakuziqhenya ngesilinganiso ngaphandle kokungena ngaphansi kwesikhumba, kepha inembe kakhulu kunendlela engahlaseli ngokuphelele echazwe ngenhla futhi ingasetshenziselwa isifo sikashukela ngokunganaki uhlobo nesigaba salesi sifo (ukuhlukaniswa kwesifo sikashukela) esidakiwe. Sebenzisa i-FreeStyle Libre ezinganeni kusuka eminyakeni emi-4.
Inzwa encane ifakwe ngaphansi kwesikhumba sehlombe nesicelo esifinyeleleka futhi ilungiswe nge-band-aid. Ubukhulu bawo bungaphansi kwesigamu samamilimitha, ubude bawo bung uhhafu wesentimitha. Ubuhlungu ngesingeniso buqikelelwa yiziguli ezinesifo sikashukela ngokufana nokuqunjelwa umunwe. Isizweli kuzofanela siguqulwe njalo emavikini ama-2, kubantu abangama-93% abaligqokile akubangeli mizwa ngokuphelele, ngo-7% kungadala ukucasuka esikhunjeni.
Isebenza kanjani i-FreeStyle Libre:
- I-glucose ilinganiswa isikhathi esingu-1 ngomzuzu ngemodi yokuzenzakalelayo, akukho senzo engxenyeni yeziguli ezinesifo sikashukela esidingekayo. Umkhawulo ophansi wokulinganisa ngu-1.1 mmol / L.
- Imiphumela emaphakathi yonke imizuzu eyi-15 igcinwe kwimemori yenzwa, umthamo wememori amahora angama-8.
- Ukudlulisa idatha kumamitha, kwanele ukuletha isithwebuli sensor kude ne-cm engaphansi kuka-4. Izambatho azisona isithiyo sokuthwebula.
- Isithwebuli sigcina yonke idatha izinyanga ezintathu. Ungakhombisa amagrafu we-glycemic esibukweni amahora angu-8, isonto, izinyanga ezi-3. Idivaysi futhi ikuvumela ukuthi unqume izikhathi zesikhathi nge-glycemia ephezulu kakhulu, ukubala isikhathi esichithwa yi-glucose yegazi kuyinto evamile.
- Ngezinzwa ungageza futhi uvivinye umzimba. Kuvinjelwe kuphela ukuhlala ngaphakathi kanye nokuhlala isikhathi eside emanzini.
- Usebenzisa isoftware yamahhala, imininingwane ingadluliselwa kwi-PC, yakha amagrafu we-glycemic bese yabelana ngolwazi nodokotela.
Intengo yesithwebuli esitolo esisemthethweni se-inthanethi singama-ruble ayi-4 500, inzwa izobiza inani elifanayo. Amadivayisi athengiswa eRussia ngokugcwele.
Dek
I-Dexcom isebenza ngomgomo ofanayo ne-glucometer yangaphambilini, ngaphandle kokuthi inzwa ayikho esikhunjeni, kepha izicubu ezingaphansi. Kuzona zozimbili lezi zinhlobo, kufakwa izinga likashukela ekujuleni kwenhliziyo.
Inzwa inamathiselwe esiswini isebenzisa ithuluzi elihlinzekiwe, elilungiswe nge-band-aid. Isikhathi sokusebenza kwemodeli ye-G5 yiviki eli-1, kumodeli ye-G6 yizinsuku eziyi-10. Ukuhlola ushukela kwenziwa njalo ngemizuzu emi-5.
Isethi ephelele inenzwa, idivaysi yokufakwa kwayo, idluliseli, kanye nomuntu owemukelayo (umfundi). Kwi-Dexcom G6, isethi enjalo enezinzwa ezi-3 ibiza cishe ama-ruble angama-90,000.
Ama-Glucometer nesinxephezelo sikashukela
Izilinganiso ezijwayelekile ze-glycemic ziyisinyathelo esibalulekile ekufezeni isinxephezelo sikashukela. Ukuhlonza nokuhlaziya imbangela yazo zonke izikhala ezinoshukela, izindlela ezimbalwa zoshukela ngokusobala azanele. Kwatholakala ukuthi ukusetshenziswa kwamadivayisi nezinhlelo ezingahambisi ukuhlasela kwe-glycemia ubusuku nemini kunganciphisa kakhulu i-glycated hemoglobin, kunciphise ukuqhubeka kwesifo sikashukela, futhi kuvikele nezinkinga eziningi.
Yiziphi izinzuzo zama-glucometer angavamile futhi angahlaseli:
- ngosizo lwabo, ukuhlonza kwe-latent nocturnal hypoglycemia kungenzeka;
- cishe ngesikhathi sangempela ungalandela umkhondo kumazinga we-glucose wokudla okuhlukahlukene. Ngohlobo 2 sikashukela, imenyu yakhiwe ngokususelwa kule mininingwane ezoba nomthelela omncane kwi-glycemia;
- wonke amaphutha akho angabonakala eshadini, ngesikhathi sokuthola imbangela yawo futhi awaqede;
- ukuzimisela kwe-glycemia ngesikhathi sokuzivocavoca umzimba kwenza sikwazi ukukhetha ukusebenzisa amandla ngokuqina okukhulu;
- ama-glucometer angahlaseli akuvumela ukuba ukubala ngokunembile isikhathi kusukela ekungenisweni kwe-insulin kuya ekuqaleni kwesenzo sayo ukuze kulungiswe isikhathi somjovo;
- unganquma isenzo esiphakeme se-insulin. Lolu lwazi luzosiza ukugwema i-hypoglycemia emnene, okunzima kakhulu ukuyilandela ngama-glucometer ajwayelekile;
- Ama-glucometer axwayisa ukwehla kushukela kaningi anciphisa inani le-hypoglycemia enzima.
Indlela engavikeleki isiza ukufunda ukuqonda izici zesifo sabo. Ezigulini ezigulisayo, umuntu uba ngumphathi wesifo sikashukela. Lesi sikhundla sibaluleke kakhulu ukunciphisa izinga elijwayelekile lokukhathazeka kweziguli: kunikeza umuzwa wokuphepha futhi likuvumela ukuthi uphile impilo esebenzayo.