Ukulawulwa kweshukela egazini akunakwenzeka ngaphandle kwama-bioanalysers aphathekayo. Phakathi kwamadivaysi asendlini athandwa kakhulu futhi athembekile angalinganisa ukugcwala kweglucose egazini ngokwamasekhondi yi-Accu Chek Activ glucometer namanye amadivaysi alolu chungechunge lomkhiqizo ophindaphindekayo uRoche Diagnostics GmbH (Germany), owaziwa emakethe yemithi kusukela ngonyaka we-1896. Le nkampani yenze umsebenzi obalulekile ekwakhiweni kwamadivaysi ezokwelapha okuxilonga; enye yezinto ezaphumelela kakhulu ukuthuthuka ngama-glucometer kanye nemichilo yokuhlola yomugqa weGlukotrend.
Amadivayisi anesisindo esingu-50 g nobukhulu befoni ephathekayo angathathwa kalula ukuthi usebenze noma usendleleni. Bangagcina irekhodi lokufundwa, besebenzisa iziteshi zokuxhumana nezixhumi (i-Bluetooth, i-Wi-Fi, i-USB, i-infrared), bangahlanganiswa ne-PC noma i-smartphone ukucubungula imiphumela (ukuyihlanganisa ne-PC, udinga uhlelo lwe-Accu Check Smart Pix olutholakalayo ukuze lukhishwe) .
Ukuze ufunde i-biomaterial yalawa madivayisi, kukhiqizwa imichilo yokuhlola i-Accu Chek Asset. Inani labo libalwa kucatshangelwa isidingo sangempela sokuhlolwa kweglucose yegazi. Ngezinhlobo zesifo sikashukela esincike ku-insulin, ngokwesibonelo, kuyadingeka ukuthi kuhlolwe igazi ngaphambi kokujova ngakunye ukuze ulungise umthamo we-hormone. Ukusetshenziswa kwansuku zonke, kunenzuzo ukuthenga iphakethe lokudliwayo lezingcezu eziyi-100, ngokulinganisa ngezikhathi ezithile, izingcezu ezingama-50 zanele. Yini enye, ngaphandle kwentengo engabizi, ehlukanisa imichilo yokuhlola ye-Accu-Chek kokunye okudingekayo?
Izinzuzo zokusebenzisa umkhiqizo we-Roche
Yiziphi izinto ezinikeze imivimbo e-Akku-Chek Active ngokuthandwa okuhlala isikhathi eside nokufanele?
- Ukusebenza kahle - ukuhlola i-biomaterial ngephutha elitholakalayo lalesi sigaba semishini, ithuluzi lidinga kuphela imizuzwana emi-5 (kwezinye izinto ezifuywayo le nkomba ifinyelela kumasekhondi angama-40).
- Igazi elincane kakhulu lokuhlaziywa - kanti amanye amamitha eglucose egazi adinga ama-4kg wezinto ezibonakalayo, ama-microgram angu-1-2 anele i-Accu Check. Ngevolumu enganele, umucu uhlinzekela uhlelo lokusebenza olwengeziwe lomthamo ngaphandle kokufaka okunye okungasetshenziswa.
- Ukusebenziseka kalula - ngisho nengane ingasebenzisa idivaysi kanye nemichilo enzima, ekhululekile, ikakhulukazi ngoba idivaysi nemichilo ifakwa ngokuzenzakalela ngumakhi. Kubalulekile nje ukuthi uqinisekise ikhodi yephakeji entsha nezinombolo ezikuyo yonke imitha lapho uyivula. Isikrini esikhulu esinezigaba ezingama-96 nokukhanyisela emuva nefonti enkulu kubuye kuvumela impesheni ukuthi ibone umphumela ngaphandle kwengilazi.
- Umklamo ocatshangelwe kahle wezinto ezidliwayo - isakhiwo esinemilayidi eminingi (iphepha lifakwe nge-reagent, i-mesh evikelayo eyenziwe nge-nylon, ungqimba lwesithako esilawula ukuvuza kwe-biomaterial, i-substrate ye-substrate) evumela ukuhlolwa ngokunethezeka futhi ngaphandle kwezimanga zobuchwepheshe.
- Isikhathi esiqinile sokusebenza - unyaka owodwa nohhafu, ungasebenzisa izinto ezidliwayo noma ngemuva kokuvula iphakheji, uma ugcina ishubhu livaliwe ngokuqinile kude nama-windows sills kanye nama-radiators.
- Ukutholakala - lo mkhiqizo kungenzeka ukuthi ubhekwe ekukhetheni isabelozimali sezinto ezidliwayo: izimpahla zingathengwa kunoma iyiphi ikhemisi. Kwimicu yokuhlola i-Accu Chek inombolo yempahla engu-100, intengo icishe ibe ngama-ruble ayi-1600.
- I-Versatility - izinto zokuhlola zilungele i-Accu Chek Active, i-Accu Chek Active New namanye amadivayisi we-glucometer.
Imichilo ayifanele amaphampu e-insulin anemitha eyakhelwe ngaphakathi.
Kukho konke okunye, umkhiqizo we-Roche brand uhambisana ngokuphelele nezidingo ze-endocrinologists-diabetesologists.
Izici zemichilo nemishini
Indlela efanelekile yokuhlola namuhla i-electrochemical, lapho igazi endaweni yenkomba yomugqa lixhumana nomaka, kuvela ugesi ngenxa yokusabela. Ngokwezimpawu zayo, i-chip kagesi ilinganisa ukugxila kwe-glucose glucose. Lo mgomo kulandelwa ukuthuthuka kwesikhathi esizayo komkhiqizi - u-Accu Chek Performa no-Accu Chek Performa Nano.
Izinto ezisetshenziswayo ze-Accu Chek Asset, njengedivayisi yegama elifanayo, sebenzisa indlela ye-photometric esekelwe ekushintsheni kombala.
Ngemuva kokuthi igazi lingene emkhakheni olusebenzayo, i-biomaterial ihlangana ngohlaka olukhethekile lwesikhombi. Idivayisi ifaka ushintsho kumbala wayo futhi, isebenzisa ipuleti lekhodi enedatha edingekayo, iguqula imininingwane ibe yedijithali nokukhipha kwedatha esikrinini.
Ukuvula ukufakwa kwemichilo yokuhlola yama-glucometer ochungechunge lwe-Glukotrend, ungabona:
- I-Tube enemicu yokuhlola enanini lama-50 noma e-100 ama-PC .;
- Idivayisi yokufaka amakhodi;
- Izincomo zokusetshenziswa kumenzi.
I-chip yokufaka amakhodi kufanele ifakwe ohlangothini esivulelweni esikhethekile, ithathe indawo yangaphambili. Ikhodi ehambelana nokumaka kuphakeji iboniswa esikrinini.
Imivimbo yokuhlola i-Accu Chek Asset 50 ama-pcs. intengo ejwayelekile ingama-ruble angama-900. Imicu yokuhlola ku-Accu Chek Active namanye amamodeli alo mzila aqinisekisiwe kwiRussia Federation. Ngokuthengwa kwabo ekhemisi noma kunethiwekhi online akukho nkinga.
Impilo yamashalofu yemigqa yokuhlola i-Accu Chek Asset iyiminyaka eyodwa nesigamu ukusuka ngosuku olukhonjiswe ebhokisini kanye ne-tube. Kubalulekile ukuthi ngemuva kokuvula imbiza, le mikhawulo ayiguquki.
Isici sezinto ezidliwayo zohlobo lwaseJalimani ukuthi kungenzeka sisebenzise ngaphandle kwe-glucometer. Uma ingekho, futhi ukuhlaziya kufanele kwenziwe ngokuphuthumayo, esimweni esinjalo kwehla kwegazi kufakwa endaweni yenkomba futhi umbala okufakwe kuwo kuqhathaniswa nokulawulwa okukhonjiswe kwiphakheji. Kepha le ndlela iyakhombisa, ayilungele ukuxilongwa okuyiyo.
Iziphakamiso zokusetshenziswa
Ngaphambi kokuthenga imichilo yokuhlola ye-Accu-Chek, qiniseka ukuthi okuqukethwe akuphelelwa isikhathi.
I-algorithm yokuhlola ejwayelekile:
- Lungisa zonke izesekeli zenqubo (i-glucometer, imichilo yokuhlola, ukubhoboza i-Accu-Chek Softclix ngemikhonto elahliwe yegama elifanayo, utshwala, uvolo wokotini). Nikeza ukukhanyisa okwanele, uma kunesidingo - izibuko, kanye nedayari yemiphumela yokurekhoda.
- Ukuhlanzeka kwezandla kuyiphuzu elibalulekile: kumele agezwe ngensipho nangamanzi afudumele, omiswe ngendwangu yezinwele noma ngokwemvelo. Ukubulala magciwane izidakwamizwa, njengakwilabhoratri, kuleli cala akuxazululi inkinga, ngoba notshwala bungahlanekezela imiphumela.
- Ngemuva kokufaka umucu wokuhlola ku-slot ekhethekile (udinga ukuyibamba ekugcineni kwamahhala), idivaysi ivula ngokuzenzakalelayo. Kuvela ikhodi enamadijithi amathathu esibukweni. Hlola inombolo nekhodi ekhonjiswe kwi-tube - kufanele ifane.
- Ukuze kuthathwe amasampula egazi kusuka emunweni (asetshenziswa kaningi, eshintsha ngaphambi kwenqubo ngayinye), i-lancet elahlekayo kumele igcwaliswe esikhwameni sokudambisa ukushona kanye nokujula kokujulwa kwe-puncture kusethwe njengomlawuli (imvamisa 2-3, kuye ngezimpawu zesikhumba). Ukhuphula ukuhamba kwegazi, ungafaka izandla zakho kancane. Lapho unciphisa iconsi, kubalulekile ukuthi ungawudli ngokweqile ukuze uketshezi olungena ngaphakathi emzimbeni lungafafazi igazi futhi lingaphambanisi imiphumela.
- Ngemuva kwemizuzwana embalwa, ikhodi ekubonisweni ishintsha kwisithombe se-Droplet. Manje ungafaka igazi ngokufaka imunwe ngobunono endaweni yenkomba ye strip. I-Acu Chek glucometer esebenzayo ayilona igazi elinamandla kakhulu: ukuze ihlaziywe, ayidingi ngaphezu kwe-2 μl ye-biomaterial.
- Idivayisi icabanga ngokushesha: ngemuva kwemizuzwana emi-5, imiphumela yokulinganisa ivela esikrinini sayo esikhundleni somfanekiso wehora. Uma lingekho igazi elanele, isinali lephutha lihambisana nesiginali yomsindo. Okubonakalayo kwalolu hlobo lomkhiqizo kukuvumela ukuthi usebenzise ingxenye eyengeziwe yegazi, ngakho-ke asikho isidingo sokuphamba umucu. Isikhathi nosuku lokuhlola kusindisa imemori yedivayisi (kufika ku-350 ukukalwa). Lapho ufaka iconsi emceleni ngaphandle kwe-glucometer, umphumela ungahlolwa ngemuva kwemizuzwana eyi-8.
- Ngemuva kokukhipha imichilo, idivaysi icisha ngokuzenzakalelayo. Kungcono ukuthi urekhode ukufundwa kwemitha kudayari noma kwikhompyutha ukuqapha amandla ezinguquko. Ngemuva kokuhlaziywa, kungcono ukuthi ukhipha igciwane endaweni yokuhlwitha ngotshwala, lancet elahlwayo endaweni yokubhoboza bese ulahla umucu osetshenzisiwe wokuhlola. Onke amadivaysi ekugcineni kwenqubo kumele agoqwe abe icala.
Impilo yamashalofu yezinto ezidliwayo nayo ilawulwa yithuluzi: lapho ufaka umucu ophelelwe yisikhathi, unikeza isibonakaliso esizwakalayo. Izinto ezinjalo azikwazi ukusetshenziswa, ngoba asikho isiqinisekiso sokwethenjwa kwezilinganiso.
Ungayihumusha kanjani imiphumela
Umumo we-plasma ushukela wabantu abaphilile ngu-3.5-5,5 mmol / L, abanesifo sikashukela banokwehluka kwabo, kepha ngokwesilinganiso bancomela ukugxila kwisibalo se-6 mmol / L. Izinhlobo ezindala zama-glucometer zibalwa ngegazi eliphelele, lezi zanamuhla zine-plasma (ingxenye yayo ewuketshezi), ngakho-ke kubaluleke kakhulu ukuhumusha kahle umphumela wokulinganisa. Lapho kulinganiswa ngegazi le-capillary, imitha ikhombisa imiphumela ephansi ngu-10-12%.
Ukuze izinto ezisetshenziswayo zigcine ukusebenza kwazo, kubalulekile ukuqinisekisa ukuqina kwazo kanye nezimo zokugcina ezifanele. Ngokushesha ngemuva kokukhipha imichilo, ishubhu livaleke ngci.
Ungasusa kanjani ukuhlukanisa izimpawu zesiphambeko eziboniswa yisibonisi?
- I-E 5 nophawu lwelanga - isexwayiso mayelana nokugqama kwelanga. Kufanele singene ethunzini ngedivayisi siphindaphinde izilinganiso.
- I-E 3 - inkambu enamandla ka-elekthronikhi ehlanekezela imiphumela.
- I-E 1, E 6 - umucu wokuhlola ufakwe ohlangothini olungalungile noma ungazi ngokuphelele. Udinga ukuzulazula ngezibonakaliso ezisesimweni semicibisholo, isikwele esiluhlaza nokuqhafaza okubonakalayo ngemuva kokulungisa umucu.
- I-EEE - insiza ayisebenzi kahle. Ikhemisi kufanele lithintwe ngesheke, ipasipoti, nemibhalo yewaranti. Imininingwane isenkabeni yolwazi.
Ukwenza uhlaziyo lunembile
Ngaphambi kokuthenga iphakethe ngalinye elisha, kufanele ihlolwe idivaysi. Yibheke usebenzisa izixazululo zokulawula i-Accu Chek Asset nge-glucose emsulwa (etholakala ngokuhlukile kwiketane likhemisi).
Thola i-chip yekhodi ebhokisini lomdweshu. Kufanele ifakwe ohlangothini lwedivayisi. Esidlekeni ngemivimbo yokuhlolwa, kufanele ubeke okudla okusebhokisini linye. Isikrini sizokhombisa ikhodi ehambisana nemininingwane esebhokisini. Uma kunokungafani, kufanele uthinte iphuzu lokuthengisa lapho imichilo yayithengiwe, ngoba ayihambelani nale divayisi.
Uma bematanisa, kufanele uqale ufake isisombululo nge-gluu esezingeni eliphansi i-Accu Chek Active Control 1, bese uyikhipha nge-high (Accu Chek Active Control 2).
Ngemuva kokubala, impendulo izokhonjiswa esikrinini. Udinga ukuqhathanisa imiphumela namabhentshi akwi-tube.
Kukangaki ngidinga ukuthatha izilinganiso?
Udokotela we-endocrinologist kuphela ozonikeza impendulo eqondile yalo mbuzo, ebheka isigaba salesi sifo kanye nezifo ezihambisana naso.
Ngohlobo 1 sikashukela, imvamisa yokuhlolwa ifinyelela izikhathi ezine ngosuku. Lapho ulawula i-glycemia ngomlomo izikhathi eziningana ngesonto kwanele, kepha kwesinye isikhathi udinga ukuhlela izinsuku zokulawula ngokubheka izinga le-glucose ngaphambi nangemva kokudla ngakunye ukuze ucacise impendulo yomzimba kokudla okuthile.
Uma umbuso wokuzivocavoca umzimba usushintshile, isizinda semizwa sikhuphukile, izinsuku ezibucayi zesifazane zisondela, ukucindezela kwengqondo sekukhuphukile, ukusetshenziswa kweglucose nakho sekukhuphukile. Ukusebenza kwengcindezi nobuchopho kulolu hlu bekungeyona ingozi, ngoba umgogodla nobuchopho kuyizicubu ze-lipid (fat), okusho ukuthi zihlobene ngqo ne-carbohydrate metabolism.
Izinga lempilo yesifo sikashukela lincike ngokuphelele ebangeni lesinxephezelo se-glycemia. Ngaphandle kokubheka njalo ushukela wegazi ekhaya, lokhu akunakwenzeka. Hhayi umphumela wokulinganisa kuphela, kodwa futhi nempilo yesiguli incike ekunemba kwemitha, kanye nekhwalithi yemidwebo yokuhlola. Lokhu kuyiqiniso ikakhulukazi ngokwelashwa kwe-insulin, i-hyper- hypoglycemia eyingozi. I-Accu Shek Active iwuphawu lomkhiqizo, oluhlolwa isikhathi. Ukusebenza ngempumelelo nokuphepha kwaleli thuluzi nemichilo yokuhlola iye yaziswa izigidi zabantu emhlabeni jikelele.