Ukulinganisa ushukela wegazi nge-glucometer

Isifo sikashukela i-mellitus sibhekwa njengesifo esibi se-endocrine apparatus. Kodwa-ke, ungakubheki njenge-pathology engalawulwa. Lesi sifo siziveza ngamanani aphezulu kashukela wegazi, othinta ngendlela enobuthi isimo somzimba jikelele, kanye nezakhiwo nezitho zaso (imithambo yegazi, inhliziyo, izinso, amehlo, amangqamuzana obuchopho).

Umsebenzi wesifo sikashukela ukulawula nsuku zonke izinga le-glycemia futhi uligcine lingaphansi kwemingcele eyamukelekayo ngosizo lokwelashwa kokudla, umuthi, kanye nezinga elifanele lomzimba. Umsizi wesiguli kulokhu yi-glucometer. Le yidivayisi ephathekayo ongalawula ngayo amanani kashukela osegazini ekhaya, emsebenzini, ohambweni lwebhizinisi.

Yiziphi izinkambiso zobufakazi be-glucometer nokuthi ungahlola kanjani imiphumela yokuxilongwa ekhaya, kubhekwa esihlokweni.

Iziphi izibalo zeglucose yegazi ezibhekwa njengejwayelekile?

Ukunquma ukuba khona kwe-pathology, kufanele wazi ngeleveli ejwayelekile ye-glycemia. Esikhathini sikashukela, amanani aphakeme kunasemuntwini ophilile, kepha odokotela bakholelwa ukuthi iziguli akufanele zehlise ushukela wazo ngemikhawulo ephansi. Izinkomba ezifanele yi-4-6 mmol / l. Ezimweni ezinjalo, onesifo sikashukela uzozizwa evamile, aqede i-cephalgia, ukudangala, ukukhathala okungapheli.

Izinhlobo zabantu abaphilile (mmol / l):

• umkhawulo ophansi (igazi lonke) - 3, 33;
• ukuboshwa okuphezulu (igazi lonke) - 5.55;
• umkhawulo ophansi (ku-plasma) - 3.7;
• umbundu omkhulu (ku-plasma) - 6.

Izibalo ngaphambi nangemva kokufakwa kwemikhiqizo yokudla emzimbeni zizokwehluka ngisho nakumuntu ophilile, ngoba umzimba uthola ushukela kuma-carbohydrate njengengxenye yokudla neziphuzo. Ngokushesha nje lapho umuntu esedlile, izinga le-glycemia likhuphuka ngo-2-3 mmol / l. Imvamisa, ama-pancreas akhipha i-insulin ngokushesha egazini, okumele isabalalise ama-molecule eglucisic izicubu namangqamuzana omzimba (ukuze kuhlinzekwe ngalo okokugcina izinsiza zamandla).

Uhlelo lokusebenza lwe-pancreatic insulin, luboniswa ngama-cells-cell we-islets weLangerhans-Sobolev

Njengomphumela, izinkomba zikashukela kufanele zinciphe, futhi kungakapheli amahora angu-1-1,5 ukujwayela. Ngokuphikisana nesizinda sikashukela, lokhu akwenzeki. I-insulin ikhiqizwa ngokungapheleli noma umphumela wayo ukhubazekile, ngakho-ke inani elikhulu likashukela lisegazini, futhi izicubu ezingxenyeni ezisenkingeni zihlushwa yindlala yamandla. Esikhathini sikashukela, izinga le-glycemia ngemuva kokudla lingafinyelela ku-10-13 mmol / L ngezinga elijwayelekile lika-6.5-7,5 mmol / L.

Imitha kashukela

Ngaphezu kwesimo sempilo, ukuthi umuntu uthola iminyaka emingaki lapho kulinganiswa ushukela kuthintwa nobudala bakhe:

• izingane ezisanda kuzalwa - 2.7-4.4;
• kuze kube seminyakeni engu-5 yobudala - 3.2-5;
• izingane zesikole kanye nabantu abadala abangaphansi kweminyaka engama-60 (bheka ngenhla);
• ngaphezulu kweminyaka engama-60 - 4.5-6.3.

Amanani angahluka ngokulandelana, kucatshangelwa izici zomzimba.

Ungayilinganisa kanjani ushukela nge-glucometer

Noma iyiphi i-glucometer ifaka imiyalo esetshenziswayo, echaza ukulandelana kokunquma izinga le-glycemia. Ukuze uthole ukubhoboza kanye nokusampula kwe-biomaterial ngezinhloso zokucwaninga, ungasebenzisa izindawo eziningana (i-forearm, Earlobe, ithanga, njll.), Kepha kungcono ukubhoboza ngomunwe. Kulesi sikhathi, ukujikeleza kwegazi kuphakeme kakhulu kunezinye izindawo zomzimba.

Ukunquma izinga likashukela wegazi nge-glucometer ngokuya ngamazinga nemigomo evunyelwe ngokuvamile kufaka lezi zenzo ezilandelayo:

1. Vula idivaysi, faka umucu wokuvivinya kuyo futhi uqiniseke ukuthi ikhodi ese strip ifana nokukhonjiswa esibukweni sedivaysi.
2. Geza izandla zakho futhi uzomise kahle, ngoba ukuthola noma yiliphi ithonsi lamanzi kungenza imiphumela yocwaningo ingalungile.
3. Isikhathi ngasinye lapho kudingekile ukushintsha indawo yokudla okwenziwe ngezinto eziphilayo. Ukusetshenziswa njalo kwendawo efanayo kuholela ekubonakaleni kokusabela kokuvuvukala, imizwa ebuhlungu, ukuphulukiswa isikhathi eside. Akunconyiwe ukuthatha igazi kusithupha nasesandeni somandule.
4. I-lancet isetshenziselwa ukubhula, futhi isikhathi ngasinye kufanele ishintshwe ukuvikela ukutheleleka.
5. Ithonsi legazi lokuqala lisuswa kusetshenziswa uboya obomile, bese kuthi kwesesibili kusetshenziswe umucu wokuhlola endaweni ophethwe ngamakhemikhali amakhemikhali. Akudingekile ukusula iconsi elikhulu legazi kusuka emunweni, ngoba uketshezi lwezicubu luzokhishwa kanye negazi, futhi lokhu kuzoholela emiphumeleni yangempela.
6. Ingakapheli imizuzwana engama-20 kuya kwengama-40, imiphumela izovela ekuboneni imitha.

Ukusetshenziswa kokuqala kwemitha kungenziwa ngaphansi kokuqashwa kukachwepheshe oqeqeshiwe ozocacisa ama-nuances wokusebenza ngempumelelo.

Lapho uhlola imiphumela, kubalulekile ukucubungula ukulinganiswa kwemitha. Eminye imishini yenzelwe ukukala ushukela egazini lonke, eminye kuyi-plasma. Imiyalo ikhombisa lokhu. Uma imitha ikalwa ngegazi, izinombolo 3.33-5.55 zizoba okujwayelekile. Kuhlobene naleli zinga olidingayo ukuhlola ukusebenza kwakho. Ukulinganiswa kwe-plasma yedivayisi kusikisela ukuthi amanani aphezulu azobhekwa njengejwayelekile (okujwayelekile igazi elivela emithanjeni). Cishe yi-3.7-6.

Unganquma kanjani amanani kashukela usebenzisa futhi ngaphandle kwamatafula, ucabangele imiphumela ye-glucometer?

Isilinganiso sikashukela esigulini elabhorethri senziwa ngezindlela eziningana:

• ngemuva kokuthatha igazi ngomunwe ekuseni esiswini esingenalutho;
• ngesikhathi sesifundo se-biochemical (ngokuhambisana nezinkomba zama-transaminases, izingxenyana zamaprotheni, i-bilirubin, ama-electrolyte, njll.);
• usebenzisa i-glucometer (lokhu kujwayelekile kumaLabhoratri ezimitholampilo azimele).

Ukuze bangayiphathi ngesandla, abasebenzi belebhu banamatafula okuxhumana phakathi kwe-capillary glycemia namazinga okuzala. Izinombolo ezifanayo zingabalwa ngokuzimela, ngoba ukuhlolwa kwezinga likashukela ngegazi le-capillary kubhekwa njengokujwayelekile futhi kulungele abantu abangazi kahle izinto eziyinkimbinkimbi yezokwelapha.

Ukubala i-glycemia ye-capillary, amazinga kashukela e-venous ahlukaniswe yisici se-1.12. Isibonelo, i-glucometer esetshenziselwa ukuxilongwa ibalwa yi-plasma (ufunda lokhu emiyalweni). Isikrini sibonisa umphumela we-6.16 mmol / L. Ungacabangi masinyane ukuthi lezi zinombolo zibonisa i-hyperglycemia, ngoba lapho ibalwa ngenani likashukela egazini (capillary), i-glycemia izoba ngu-6.16: 1.12 = 5.5 mmol / L, ethathwa njengenombolo evamile.

I-pathology yesifo sikashukela ayibhekwa njengoshukela omkhulu kuphela, kodwa futhi ne-hypoglycemia (ukuncipha kwayo)

Esinye isibonelo: idivaysi ephathekayo ilinganiswa ngegazi (lokhu kukhonjisiwe nasemiyalweni), futhi ngokuya ngemiphumela yokuxilonga, isikrini sibonisa ukuthi i-glucose ingu-6.16 mmol / L. Kulokhu, awudingi ukwenza ukulandisa, ngoba lokhu kuyinkomba kashukela egazini le-capillary (ngendlela, kukhombisa ukukhuphuka).

Okulandelayo yitafula elisebenziswa abahlinzeki bezempilo ukonga isikhathi. Kubonisa ukuhambelana kwamazinga kashukela egazini le-venous (ithuluzi) negazi le-capillary.

Anembe kangakanani ama-glucose metres, futhi kungani imiphumela ingaba yimbi?

Ukunemba kokuhlolwa kwezinga le-glycemic kuncike kudivayisi uqobo, kanye nezici ezimbalwa zangaphandle kanye nokuhambisana nemithetho yokusebenza. Abakhiqizi ngokwabo bathi wonke amadivaysi aphathekayo okukalwa ushukela wegazi anamaphutha amancane. Ibanga lokugcina lisuka ku-10 laya ku-20%.

Iziguli zingafinyelela ukuthi izinkomba zedivayisi yomuntu siqu zinephutha elincane kunazo zonke. Kulokhu, imithetho elandelayo kufanele ibonwe:

• Qiniseka ukuthi ubheka ukusebenza kwamamitha kusuka kuchwepheshe wezokwelapha ofanelekayo ngezikhathi ezithile.
• Hlola ukunemba kokuhlangana kwekhodi lekhodi yokuvivinya kanye nalezo zinombolo ezikhonjiswa esibukweni sedivaysi yokuxilonga lapho ivuliwe.
• Uma usebenzisa izidakamizwa zokuhlanza utshwala noma ukusula okumanzi ukuphatha izandla zakho ngaphambi kokuhlolwa, kufanele ulinde kuze kube yilapho isikhumba some ngokuphelele, bese uqhubeka nokuxilonga.
• Ukuconsela ithonsi legazi emgqeni wokuhlola akunconywa. Imichilo yakhelwe ukuze igazi ligobhoze kubo lisebenzisa amandla e-capillary. Kwanele ukuthi isiguli sisondeze umunwe eceleni komphetho we-zone ophethwe ngama-reagents.

Iziguli zisebenzisa idayari yomuntu siqu ukuqopha idatha - lokhu kulula ukuze ujwayeze i-endocrinologist ngemiphumela yazo

Isinxephezelo sikashukela i-mellitus sitholakala ngokugcina i-glycemia ngohlaka olwamukelekayo, hhayi nje kuphela ngaphambili, kodwa futhi nangemva kokufakwa kokudla. Qiniseka ukuthi ubukeza izimiso zokudla kwakho, yeka ukusetshenziswa kwama-carbohydrate ahamba ngokugaya noma unciphise inani lawo ekudleni. Kubalulekile ukukhumbula ukuthi ukweqiwa isikhathi eside kwe-glycemia (ngisho kuze kufike ku-6.5 mmol / L) kukhulisa ubungozi bezinkinga eziningi ezivela kwisethi yezinzwa, amehlo, uhlelo lwenhliziyo nenqubo yezinzwa ephakathi.