Namuhla, umenzi wamavila kuphela ongakhiqizi imishini yokulawula i-glycemic, ngoba inani labanesifo sikashukela emhlabeni liyakhula ngokuqhamukayo, njengasesibhubhaneni. Uhlelo lwe-CONTOUR ™ TS maqondana nalokhu luyathakazelisa ukuthi i-bioanalyzer yokuqala yakhishwa emuva ngo-2008, futhi kusukela ngaleso sikhathi alikho ikhwalithi noma inani elishintshile. Yini enikeza imikhiqizo yeBayer ngokwethembeka okunjalo? Yize iqiniso lokuthi umkhiqizo ungowaseJalimane, ama-glucomments ama-CONTOUR ™ TS nama-strips wokuhlola ayenziwa futhi ayenziwa eJapan. Uhlelo, ekuthuthukisweni nasekukhiqizweni kwalo amazwe amabili anjengeJalimane neJapan alibambe iqhaza, seludlulile ekuvivinyweni kwesikhathi futhi luthembekile.
Imichilo yokuhlola yeBayer CONTOUR ™ TS yenzelwe ukuzihlola ngokwakho ushukela wegazi ekhaya, kanye nokuhlaziywa okusheshayo ezikhungweni zezempilo. Umenzi uqinisekisa ukunemba kokulinganisa kuphela lapho usebenzisa izinto ezibonakalayo ndawonye nemitha yegama elifanayo nenkampani efanayo. Uhlelo luhlinzeka ngemiphumela yokulinganisa ebangeni le-0.6-33.3 mmol / L.
Izinzuzo zohlelo lwe-Contour TS
Isifinyezo TC egameni ledivayisi ngesiNgisi sisho i-Total Simplicity noma "ukulula ngokuphelele". Futhi igama elinje ithuluzi livumela ngokuphelele: isikrini esikhulu esinefonti enkulu ekuvumela ukuthi ubone umphumela noma abantu abangaboni kahle, izinkinobho ezimbili zokulawula (ukukhumbula inkumbulo nokuskrola), imbobo yokufaka umucu wokuhlola oqokonyiswe ku-orange ogqamile. Ubukhulu bayo, ngisho nakubantu abanamakhono amahle wemoto, ayakwazi ukukala ngokuzimela.
Okunye futhi inani elincane le-biomaterial. Ukucubungula idatha, idivaysi idinga kuphela i-0.6 μl. Lokhu kwenza ukuthi kwenzeke ukulimaza kancane isikhumba nge-punning ejulile, ebaluleke kakhulu ezinganeni nakubantu abanesifo sikashukela abanesikhumba esibucayi. Lokhu kwenziwa ngenxa yokubonga okukhethekile kwamachilo wokuhlola adonsela ngokuzenzakalelayo iconsi ethekwini.
Ama-diabetesics ayaqonda ukuthi ukuxinana kwegazi kuncike kakhulu ku-hematocrit. Imvamisa, ngama-47% abesifazane, ama-54% kubantu besilisa, ama-44-62% ezingane ezisanda kuzalwa, ama-32- 44% ezingane ezineminyaka engaphansi konyaka, kuthi ama-37- 44% abe nezingane ezingaphansi kweminyaka. Inzuzo yohlelo lwe-Contour TS ukuthi amanani we-hematocrit aze afike ku-70% awathinti imiphumela yokulinganisa. Akuwona wonke amamitha anamakhono anjalo.
Isitoreji kanye nezimo zokusebenza kwemivimbo yokuhlola
Lapho uthenga imichilo yokuhlola yeBayer, uhlole isimo sephakethe ngomonakalo, hlola usuku lokuphelelwa isikhathi. Kuhlanganiswe nemitha ukubhoboza ipeni, izihibe eziyishumi nemizila eyi-10 yokuhlola, isembozo sokugcina nokuhamba, imiyalo. Izindleko zedivayisi nezinto ezisebenzayo zemodeli yaleli zinga zanele: idivaysi ngokwayo ekhishini ingathengwa ngama-ruble angama-500-750, imitha ye-Contour TS ngemigwaqo yokuhlola - intengo yezingcezu ezingama-50 icishe ibe ngama-ruble angama-650.
Izinto ezisetshenziswayo kufanele zigcinwe kwishubhu yangempela endaweni epholile, eyomile neyomnyama engatholakali ukunaka kwezingane. Ungasusa umucu wokuvivinya ngokushesha ngaphambi kwenqubo bese uvala ngokushesha ipensela icala, ngoba livikela impahla ebucayi emswakama, ekushiseni ngokweqile, ekungcolisweni nasekulimaleni. Ngenxa yesizathu esifanayo, awukwazi ukugcina imichilo yokuhlola esetshenzisiwe, izingwegwe nezinye izinto zangaphandle ekuhlanganisweni kwazo kwasekuqaleni ngezintsha. Ungathinta izinto ezidliwayo kuphela ngezandla ezihlanzekile nezomile. Imichilo ayihambelani namanye amamodeli we-glucometer.
Usuku lokuphelelwa kokungabonakala lungabonakala kokubili kwelebula le-tube nasekufakweni kwamakhadibhodi. Ngemuva kokuvuza, phawula usuku ecaleni lepensela. Izinsuku ezingama-180 ngemuva kokusetshenziswa kokuqala, okusele kokuthile okudliwayo kufanele kuchithwe, ngoba impahla ephelelwe isikhathi ayiqinisekisi ukunemba kokulinganisa.
Umbuso wokushisa omuhle wokugcina imichilo yokuhlola ukushisa ngama-15-30 degrees. Uma iphakheji ibibanda (awukwazi ukukhulula imichilo!), Ukuyivumelanisa nayo ngaphambi kwenqubo, kufanele igcinwe egumbini elifudumele okungenani imizuzu engama-20. Kwimitha ye-CONTOUR TS, ububanzi bokushisa bokusebenza banzi - ukusuka ku-5 kuye ku-45 degrees Celsius.
Ihlola impilo yekithi
Ngaphambi kokuqala kokufakwa kokufakwa kwamachashazi okuhlola, kanye nalapho uthenga idivaysi entsha, ungene esikhundleni sebhethri, ugcina ithuluzi lisesimweni esingafanele, futhi uma liwa, uhlelo kufanele luhlolwe ikhwalithi. Imiphumela ehlanekezelwe ingadala iphutha lezokwelapha, ngakho-ke ukunganaki ukuhlolwa kokulawulwa kuyingozi.
Ngenqubo, uzodinga isixazululo sokulawula se-CONTOUR ™ TS esenzelwe ngqo lolu hlelo. Imiphumela yokulinganisa evumayo iphrintiwe ebhodleleni nasemaphaketheni, futhi udinga ukugxila kuyo lapho ihlolwa. Uma izinkomba ezisesibonisweni zingahambisani nesikhathi sokuphakanyiswa, uhlelo alikwazi ukusetshenziswa. Ukuze uqalise, zama ukubuyisela imichilo yokuhlola noma uthinte ukunakekelwa kwamakhasimende eBayer Health Care.
Iziphakamiso zokusetshenziswa kwe-CONTOUR TS
Kungakhathaleki isipiliyoni esedlule ngama-glucometer, ngaphambi kokuthenga uhlelo lwe-CONTOUR TS, kufanele uzijwayeze nayo yonke imiyalo evela kumenzi: kudivayisi ye-CONTOUR TS, ngemichilo yokuhlola yegama elifanayo nepeni lokubhoboza iMicrolight 2.
Kepha kwimiyalo enwetshiwe yemitha ye-Contour TS, ungathola izincomo zokuhlolwa kusuka kwezinye izindawo (izandla, izintende). Kunconywa ukuthi ushintshe indawo yokubhoboza izimboni kaningi ngangokunokwenzeka ukuze ugweme ukuqina nokulimazeka kwesikhumba. Kungcono ukususa iconsi lokuqala legazi ngokotini owomile - ukuhlaziywa kuzolunga kakhudlwana. Lapho wenza ithonsi, awudingi ukucindezela umunwe wakho ngokuqinile - igazi lihlangana noketshezi lwezicubu, luhlanekezela umphumela.
Isinyathelo ngesinyathelo
- Lungisa zonke izinto ezisetshenziselwa ukusetshenziswa: i-glucometer, ipeni leMicletlet 2, izibambo zokulahlwa, ishubhu elinemivimbo, isiphuzo sokuphuza utshwala ngomjovo.
- Faka i-lancet elahlekayo kugqobhoza, okususa isipikili sesibambo bese ufaka inaliti ngokungathululi ekhanda okuvikelayo. Musa ukushesha ukuyilahla, ngoba ngemuva kwenqubo kuzodingeka ukulahla i-lancet. Manje ungabeka ithagi endaweni futhi usethe ukujula kwesibotshwa ngokujikeleza ingxenye ehambayo kusuka esithombeni sokwehla okuncane kuya kuphawu oluphakathi nolukhulu. Gxila esikhunjeni sakho kanye ne-capillary mesh.
- Lungisa izandla zakho ngokubageza ngamanzi afudumele nensipho. Le nqubo ngeke inikeze kuphela inhlanzeko - i-massage ekhanyayo izofudumeza izandla zakho, ikhulise ukuphuma kwegazi. Esikhundleni sethawula elingahleliwe lokomiswa kungcono ukuthatha i-hairdryer. Uma udinga ukuphatha umunwe wakho ngendwangu yotshwala, kufanele futhi unikeze isikhathi se-pad ukuze some, ngoba utshwala, njengomswakama, buhlanekezela imiphumela.
- Faka umucu wokuhlola onomphumela ophuzi ethekwini lewolintshi. Idivayisi ivula ngokuzenzakalelayo. Isibonakaliso somucu esine-iconsi siyavela esikrinini. Idivayisi manje isilungele ukusetshenziswa, futhi unemizuzu engu-3 yokulungiselela i-biomaterial yokuhlaziywa.
- Ukuthatha igazi, thatha isibambo seMicrolight 2 bese uyicindezela ngokuqinile eceleni kwephepha lomunwe. Ukujula kwesibhengezo kuzoncika kule mizamo. Cindezela inkinobho eluhlaza okwesibhakabhaka. Inaliti enhle kakhulu ihlabe isikhumba ngaphandle kobuhlungu. Lapho usakha ithonsi, ungenzi umzamo omkhulu. Ungakhohlwa ukususa ithonsi lokuqala ngoboya bekotini obomile. Uma inqubo ithathe imizuzu engaphezu kwemithathu, ucingo luyacishwa. Ukuze uyibuyisele kumodi yokusebenza, udinga ukuyikhipha uphinde uyiqede kabusha umucu wokuhlola.
- Idivayisi enomucu kufanele ilethwe emunweni ukuze umphetho wayo uthinte kuphela ithonsi, ngaphandle kokuthinta isikhumba. Uma ugcina uhlelo likulesi sikhundla imizuzwana eminingana, umucu ngokwawo uzodonsela inani elifunekayo legazi endaweni yenkomba. Uma akwanele, isiginali enemibandela enesithombe somucu ongaqondile siyovumela ukwengeza ingxenye yegazi ngemizuzwana engama-30. Uma ungenaso isikhathi, kuzodingeka ubuyise omunye umucu omusha.
- Manje ukubala kuqala phansi esikrinini. Ngemuva kwemizuzwana engu-8, umphumela uvela esibukweni. Awukwazi ukuthinta umucu wokuvivinya sonke lesi sikhathi.
- Ngemuva kwenqubo eseqedile, susa umucu nengubo yokulahla esiphathweni kusuka kudivayisi. Ukuze wenze lokhu, susa i-cap, faka inalithi ekhanda evikelayo, isibambo se-cocking kanye nenkinobho ye-shutter kuzosusa ngokuzenzakalelayo ilondhi elisemgqonyeni kadoti.
- Ipensela emfushane, njengoba wazi, ingcono kunombhalo obukhali, ngakho-ke imiphumela kufanele ibhalwe kwidayari yokuzihlola noma kukhompyutha. Ngasohlangothini, ecaleni kukhona umgodi wokuxhuma idivaysi ne-PC.
Ukuqapha njalo kuzosiza hhayi kwabanesifo sikashukela kuphela - ngokubheka amandla wephrofayili ye-glycemic, udokotela uhlola ukusebenza kwezidakamizwa, ulungisa irejimeni yokwelashwa.
Izici Zokuhlwaya
Indaba yenzelwe ukuzihlola ngokwakho ushukela wegazi ophelele nge-glucometer yegama elifanayo. Njengengxenye yomugqa wokuhlola:
- I-Glucose-dehydrogenase (Aspergillus sp., Amayunithi ama-2.0 ngebhande ngalinye) - 6%;
- Potassium Ferricyanide - 56%;
- Izingxenye ezingathathi hlangothi - 38%.
Uhlelo lwe-Contour TS lusebenzisa indlela ye-electrochemical esezingeni eliphakeme kakhulu yokuhlola, ngokusekelwe ekulinganiseni inani lamandla kagesi akhiqizwayo njengomphumela wokusabela kweglucose ngama-reagents. Izinkomba zayo zanda ngokwesilinganiso sokugxila kwe-glucose, ngemuva kwemizuzwana emihlanu yokucubungula, imiphumela iyakhonjiswa futhi ayidingi ukubalwa okwengeziwe.
Indlela ye-in vitro ayihlinzeki ngokusetshenziswa kwale bioanalyzer yokuxilongwa noma yokuxilongwa kwabanesifo sikashukela, kanye nokuhlola izingane ezisanda kuzalwa. Ezimweni zelebhu, uhlelo lungasetshenziswa futhi ekuhloleni ushukela we-venous, arterial, neonatal.
Ezinye izindlela zokuhlola (ukubheka ukunemba kwensiza) zenziwa ngesampula yegazi elifanayo.
I-hematocrit evumelekile kufanele ibanga kusuka ku-0% iye ku-70%. Ukwehla kokuqukethwe kwezinto okuqongelela egazini ngokwemvelo noma ngesikhathi sokwelashwa (i-ascorbic ne-uric acid, i-acetaminophen, i-bilirubin) akunamphumela obonakalayo emtholampilo.
Ukulinganiselwa kanye nokuphikisana kokusetshenziswa kohlelo
Kunokukhawulelwa kum strips wokuhlola we-CONTOUR TS:
- Ukusetshenziswa kwezivikelo. Kuwo wonke ama-anticoagulants noma ama-preservatives, amashubhu we-heparin kuphela alungele ukuqoqa amasampula egazi.
- Izinga lolwandle. Ukuphakama okufika ku-3048 m ngaphezu kwezinga lolwandle akukuthinti imiphumela yokuhlolwa.
- Izici ze-lipemic. Nge-cholesterol ephelele yegazi engaphezu kwe-13 mmol / L, noma okuqukethwe kwe-triglycerol okungaphezulu kwama-33.9 mmol / L, imitha yeglucose izophakanyiswa.
- Izindlela ze-peritoneal dialysis. Akukho ukuphazamiseka phakathi kwamabhendi wokuhlola ku-icodextrin.
- Xylose. Ngokuhambisana nokuhlolwa kokufakwa kwe-xylose noma ngokushesha emva kwayo, ukuhlolwa kwegazi ngoshukela akwenziwa, ngoba ukuba khona kwe-xylose emgodini wegazi kuphakamisa ukuphazamiseka.
Musa ukunquma ukuhlolwa kwe-glucose ngokugeleza kwegazi okubuthakathaka. Imiphumela engalungile ingatholwa lapho kuhlolwa iziguli ngokwethuka, nomfutho wegazi omkhulu, i-hypermolar hyperglycemia, kanye nokuphelelwa ngamandla komzimba.
Ukuguqulwa kwemiphumela yokulinganisa
Ukuqonda kahle ukufundwa kwemitha, udinga ukunaka amayunithi wokulinganisa kashukela wegazi, akhonjiswayo esibukweni. Uma umphumela ungamamayela nge-ilitha, khona-ke kukhonjiswa njengengxenyenamba yedesimali (sebenzisa isikhathi esikhundleni sekhefana). Amanani kumamayela wamamiligremu nge-decilita ngayinye akhonjiswa esikrinini njengenamba. E-Russia, bavame ukusebenzisa inketho yokuqala, uma ukufundwa kwensiza kungahambisani nakho, thintana nensiza yokusekela ye-Bayer Health Care (othintana nabo kwiwebhusayithi esemthethweni yomkhiqizi).
Uma ukufundwa kwakho kungaphandle kwebanga elamukelekayo (2.8 - 13.9 mmol / L), hlaziya kabusha ngesikhawu sesikhathi esincane.
Lapho uqinisekisa imiphumela, kufanele ufune usizo lodokotela ngokushesha. Nganoma yimaphi amanani we-glucometer, akunconywa ukuthatha isinqumo ngomthamo noma ngokushintsha kokudla ngokwakho. Indlela yokwelashwa ilungiswa futhi ilungiswa kuphela ngudokotela.
Noma kusihambisi ukunemba kohlelo kuhlolwa ngokucophelela kweJalimane. Ilabhorethri iqinisekisa ukunemba uma ukuphambuka kokujwayelekile kungeqi i-0.85 mmol / L ngenqanaba le-glucose efinyelela ku-4,2 mmol / L. Uma izinkomba ziphakeme, umugqa wephutha unyuka ngo-20%. Izici zohlelo lwe-CONTOUR TS zihlala zihambisana namazinga omhlaba.