Sayansi siyimayima. Opanga akulu kwambiri azida zamankhwala akupanga ndikupanga chipangizo chatsopano - glucometer yosasokoneza (yosalumikizana). Zaka 30 zokha zapitazo, odwala matenda a shuga amatha kuwongolera shuga m'magazi amodzi: kupereka magazi kuchipatala. Munthawi imeneyi, zida zowoneka bwino, zolondola, zotsika mtengo zawonekera zomwe zimayeza glycemia m'masekondi. Ma glucometer amakono kwambiri safuna kulumikizana mwachindunji ndi magazi, chifukwa chake amagwira ntchito mopweteka.
Zida zosagwiritsa ntchito zowononga za glycemic
Kubwezera kwakukulu kwa ma glucometer, omwe tsopano amagwiritsidwa ntchito pofuna kuthana ndi matenda a shuga, ndikofunikira kwambiri kubaya zala zanu. Ndi matenda a shuga a 2, muyeso uyenera kuchitidwa kangapo patsiku, ndi matenda amtundu 1, osachepera kasanu. Zotsatira zake, zala zam'manja zimakhwima, kutaya mtima, kukwiya.
Njira yosasokoneza yomwe ili ndi zabwino zambiri poyerekeza ndi glucometer wamba:
- Amagwira ntchito mopanda chisoni.
- Malo omwe khungu limatengedwa amalephera kuzindikira.
- Palibe chiopsezo cha matenda kapena kutupa.
- Miyeso ya glycemia imatha kuchitika pafupipafupi momwe mungafunire. Pali zochitika zomwe zimatanthauzira shuga mosalekeza.
- Kudziwona shuga wamagazi sininso njira yosasangalatsa. Izi ndizofunikira kwambiri kwa ana, omwe ayenera kukopa nthawi iliyonse kuti azilamulira chala, komanso kwa achinyamata omwe amayesa kupewa kuchita pafupipafupi.
Momwe gluceter wosasokoneza angayesere glycemia:
Njira yodziwira glycemia | Momwe njira zosagonjetsera zimagwirira ntchito | Gawo lachitukuko |
Njira yoyesera | Chipangizocho chimatsogolera mtengo ku khungu ndipo chimatenga kuwala komwe kukuwonekera kuchokera pamenepo. Ma mamolekyulu a glucose amawerengedwa mu madzi am'madzi am'madzi. | GlucoBeam wochokera ku kampani ya Danish RSP Systems, akukumana ndi mayesero azachipatala. |
CGM-350, GlucoVista, Israel, imayezetsa m'zipatala. | ||
CoG yochokera ku Cnoga Medical, yogulitsidwa ku European Union ndi China. | ||
Kusanthula Kwambiri | Sensor ndi chibangili kapena chigamba, chomwe chimatha kudziwa kuchuluka kwa shuga mkati mwake mwa thukuta lochuluka. | Chipangizochi chikutsirizidwa. Asayansi amafuna kuchepetsa kuchuluka kwa thukuta lomwe likufunika ndikuwonjezera kulondola. |
Kusanthula kwamadzi | Sensor yosunthika imakhala pansi pa eyelid yotsika ndipo imafalitsa zambiri zokhudzana ndi mawonekedwe a misozi kwa smartphone. | Mamita a shuga osagonjetseka ochokera ku NovioSense, The Netherlands, akukumana ndi mayesero azachipatala. |
Lumikizanani ndi mandala ndi sensor. | Ntchito ya Verily (Google) idatsekedwa chifukwa sizinali zotheka kuonetsetsa kuyeserera koyenera. | |
Kusanthula kapangidwe kazinthu zam'madzi zotsekemera | Zipangizo sizomwe sizingawonongeke, chifukwa zimagwiritsa ntchito singano zazing'ono zomwe zimaboola pamwamba pakhungu, kapena ulusi wochepa thupi womwe umayikidwa pansi pa khungu ndikumata ndi pulasitala. Kuyeza sikupweteka konse. | K'Track Glucose waku PKVitality, France, sanayambe kugulitsidwa. |
Abbott FreeStyle Libre adalandira kulembetsa ku Russian Federation. | ||
Dexcom, USA, amagulitsidwa ku Russia. | ||
Ma radiation yama Wave - ultrasound, munda wamagetsi, kutentha sensor. | Sensor imamangirira khutu ngati zovala. Gluceter yosasinthika imayesa shuga m'makutu a khutu; chifukwa, imawerenga magawo angapo nthawi imodzi. | GlucoTrack kuchokera ku Mapulogalamu Osagwirizana, Israeli. Kugulitsidwa ku Europe, Israel, China. |
Njira yowerengera | Mlingo wa glucose umatsimikiziridwa ndi kakhazikitsidwe kochokera kuzizindikiro za kukakamiza ndi kugwedezeka. | Omelon B-2 wa kampani yaku Russia ya Electrosignal, amapezeka kwa anthu aku Russia omwe ali ndi matenda ashuga. |
Tsoka ilo, chipangizo choyenera, chokhazikika komanso chosagwiritsika ntchito chomwe chitha kuyeza glycemia mosakonzekera sichinakhalepo. Zipangizo zomwe zimapezeka pa malonda zimakhala ndi zovuta zina. Tikufotokozerani zambiri za iwo.
Matenda a shuga ndi kupsinjika kudzakhala chinthu chakale
- Matenda a shuga -95%
- Kuthetsa kwa mitsempha thrombosis - 70%
- Kuthetsa kwa kugunda kwamtima kwamphamvu -90%
- Kuthana ndi kuthamanga kwa magazi - 92%
- Kuwonjezeka kwa mphamvu masana, kukonza kugona usiku -97%
GlukoTrack
Chipangizochi chosagwiritsa ntchito chimakhala ndi mitundu 3 ya masensa nthawi imodzi: akupanga, kutentha ndi magetsi. Glycemia amawerengedwa pogwiritsa ntchito wapadera, wokhala ndi dzina laopanga ma algorithm. Mametawa ali ndi magawo awiri: chida chachikulu ndi chiwonetsero ndi chidutswa, chomwe chili ndi masensa komanso chida chowerengera. Kuti muyeze shuga m'magazi, ingolingani chidacho khutu lanu ndikudikirira mphindi imodzi. Zotsatira zitha kusamutsidwa ku smartphone. Palibe zowonjezera zomwe zimafunikira ku GlukoTrek, koma cholembera makutu chizisinthidwa miyezi isanu ndi umodzi iliyonse.
Kulondola kwa miyeso kunayesedwa kwa odwala omwe ali ndi matenda ashuga omwe ali ndi magawo osiyanasiyana a matendawa. Malinga ndi zotsatira za mayeso, zidapezeka kuti glucometer yosavomerezeka imeneyi ingagwiritsidwe ntchito kokha mtundu 2 wa shuga komanso mwa anthu omwe ali ndi prediabetes yoposa zaka 18. Potere, zikuwonetsa zotsatira zolondola nthawi ya 97.3%. Mulingo wake ndi kuyambira pa 3,9 mpaka 28 mmol / l, koma ngati pali hypoglycemia, njira yolowererayi imakana kukana kuyesa kapena kupereka zotsatira zosayenera.
Tsopano mtundu wa DF-F wokhawo ukugulitsidwa, kumayambiriro kwa kugulitsa mtengo wake anali ma euro 2000, tsopano mtengo wotsika ndi ma euro 564. Anthu odwala matenda ashuga ku Russia amatha kugula GlucoTrack yosasokoneza kokha m'masitolo ogulitsa ku Europe.
Mistletoe
Russian Omelon imalengezedwa ndi malo ogulitsira ngati tonometer, ndiye kuti, chipangizo chomwe chimaphatikiza ntchito za tonometer yodziwikiratu komanso mita yosavulaza konse. Wopangayo amatcha chida chake kuti ndi tonometer, ndikuwonetsa ntchito yoyesa glycemia ngati yowonjezera. Kodi chifukwa chiyani kudzichepetsa kotereku? Chowonadi ndi chakuti glucose wamagazi amatsimikiziridwa pokhapokha kuwerengera, kutengera deta ya kuthamanga kwa magazi ndi kugwedezeka. Kuwerengera koteroko sikolondola kwa aliyense:
- Mu matenda a shuga mellitus, zovuta zomwe zimachitika kawirikawiri ndi mitundu ingiopathies, momwe kamvekedwe ka mtima kamasintha.
- Matenda a mtima omwe amaphatikizidwa ndi arrhythmia amakhalanso pafupipafupi.
- Kusuta kungakhale ndi chiyambukiro chakuchita molondola.
- Ndipo, pamapeto pake, kuchuluka kwadzidzidzi mu glycemia ndikotheka, komwe Omelon sangathe kutsatira.
Chifukwa cha kuchuluka kwakukulu kwa zinthu zomwe zingakhudze kuthamanga kwa magazi ndi kugunda kwa mtima, cholakwika pakuyeza glycemia ndi wopanga sichinadziwike. Monga glucometer osagwiritsa ntchito mankhwala, Omelon amatha kugwiritsidwa ntchito mwa anthu athanzi komanso odwala matenda ashuga omwe saali pa insulin. Ndi mtundu 2 wa matenda ashuga, ndizotheka kusintha chipangizocho malinga ndi momwe wodwala akumvera mapiritsi ochepetsa shuga.
Mtundu waposachedwa kwambiri wa tonometer ndi Omelon V-2, mtengo wake ndi pafupifupi ma ruble 7000.
CoG - Combo Glucometer
Gluceter wa kampani ya Israeli Cnoga Medical ndiwosavulaza konse. Chipangizocho ndichophatikizika, choyenera matenda a shuga amitundu iwiriyi, chitha kugwiritsidwa ntchito kuyambira zaka 18.
Chipangizocho ndi bokosi laling'ono lomwe lili ndi chophimba. Mumangofunika kuyika chala chanu mmenemu ndikudikirira zotsatira. Glucometer imatulutsa mawanga owoneka mosiyanasiyana, imawunikira mawonekedwe awo kuchokera chala ndipo mkati mwa masekondi 40 imapereka zotsatira. Mu sabata 1 yogwiritsira ntchito, muyenera "kuphunzitsa" glucometer. Kuti muchite izi, muyenera kuyeza shuga pogwiritsa ntchito gawo lomwe latsala ndi zida.
Zoyipa za chipangizochi chosavomerezeka ndikuzindikira bwino hypoglycemia. Mwazi wamagazi ndi chithandizo chake umatsimikiziridwa kuyambira 3.9 mmol / L.
Palibe magawo omwe angabwezeretsedwe komanso kudya mu CoG glucometer, moyo wogwira ntchito ndi wochokera zaka ziwiri. Mtengo wa zida (mita ndi chida chowerengera) ndi $ 445.
Pang'onopang'ono Inluive Glucometer
Njira yomwe ilipo yomwe singawonongeke imathandizira odwala omwe ali ndi matenda a shuga kuti ayambe kubaya khungu, koma sangayang'anire shuga wowonetsetsa nthawi zonse. Mundime iyi, ma glucometer ocheperako amatsogolera, omwe amatha kukhazikika pakhungu kwanthawi yayitali. Mitundu yamakono, FreeStyle Libre ndi Dex, ili ndi singano yopyapyala, kotero kuvala ndizosavulaza.
Free Free Libre
FreeStyle Libre sangadzitamande muyeso popanda kulowa mkati mwa khungu, koma imakhala yolondola kwambiri kuposa njira yosavulaza konse yomwe tafotokozayi ndipo itha kugwiritsidwa ntchito mu matenda a shuga poyerekeza mtundu ndi gawo la matendawa. Gwiritsani ntchito FreeStyle Libre mwa ana kuyambira zaka 4.
Chomverera chaching'ono chimayikidwa pansi pa khungu la phewa ndi chowerengera chofunikira ndikukhazikitsidwa ndi bandi-chothandizira. Makulidwe ake ndi ochepera theka la mamilimita, kutalika kwake ndi theka la sentimita. Kupweteka komwe kumayambira kumawerengeredwa ndi odwala omwe ali ndi matenda a shuga ofanana ndi kuponyedwa kwa chala. Sensor iyenera kusintha masabata awiri aliwonse, mwa anthu 93% ovala sizimayambitsa kutulutsa kokwanira, mu 7% imatha kuyambitsa pakhungu.
Momwe FreeStyle Libre imagwirira ntchito:
- Glucose amayeza nthawi imodzi pamphindi imodzi yokha, popanda kuchitapo kanthu wodwala yemwe ali ndi matenda ashuga. Malire otsika a miyeso ndi 1.1 mmol / L.
- Zotsatira zapakati pa mphindi 15 zilizonse zimasungidwa mu kukumbukira kwa sensor, kukumbukira kwa maola ndi maola 8.
- Kusamutsa deta kukhala mita, ndikokwanira kubweretsera sikani mu sensor pamtunda wosakwana masentimita 4. Zovala si Cholepheretsa kufufuza sikani.
- Makina osakira amasungira deta yonse kwa miyezi itatu. Mutha kuwonetsa magirafu a glycemic pazenera kwa maola 8, sabata, miyezi itatu. Chipangizocho chimakupatsaninso mwayi kuti mupeze nthawi yomwe muli ndi glycemia wapamwamba kwambiri, kuwerengera nthawi yomwe magwiritsidwe ndi glucose amwazi ndi yachilendo.
- Ndi sensor mutha kusamba ndikuchita masewera olimbitsa thupi. Kuletsedwa kokhazikika ndikukhazikika nthawi yayitali m'madzi.
- Pogwiritsa ntchito mapulogalamu aulere, deta imatha kusinthidwa ku PC, mumanga magirafu a glycemic ndikugawana zambiri ndi dokotala.
Mtengo wa scanner mu malo ogulitsa pa intaneti ndi ma ruble 4 500, sensor itha ndalama zofanana. Zipangizo zomwe zimagulitsidwa ku Russia ndizokwanira Russian.
Dek
Dexcom imagwira ntchito mofanananso ndi glucometer yapitayo, kupatula kuti sensa siyiri pakhungu, koma minofu yaying'ono. M'magawo onse awiriwa, kuchuluka kwa glucose m'magazi a interellular kumawunikiridwa.
Sensor imamangirizidwa pamimba pogwiritsa ntchito chipangizo chomwe chimaperekedwa, chokhazikitsidwa ndi band-assist. Nthawi yayitali yogwiritsira ntchito G5 ndi sabata limodzi, kwa mtundu wa G6 ndi masiku 10. Kuyesedwa kwa shuga kumachitika mphindi zisanu zilizonse.
Seti yathunthu ili ndi sensor, chipangizo cha kukhazikitsa kwake, transmitter, ndi cholandila (owerenga). Kwa Dexcom G6, seti yotero yokhala ndi masensa 3 imatengera ma ruble 90,000.
Glucometer ndi chipukuta shuga
Miyeso ya glycemic pafupipafupi ndi gawo lofunika kwambiri kuti mukwaniritse chiphuphu cha matenda ashuga. Kuti muzindikire ndikuyang'ana zomwe zimayambitsa shuga onse, kuchuluka kwa shuga sikokwanira. Zinapezeka kuti kugwiritsa ntchito zida zosagwiritsa ntchito zachilengedwe zomwe zimawunikira nthawi yayitali amatha kuchepetsa kwambiri glycated hemoglobin, kuchepetsa kupitilira kwa shuga, komanso kupewa mavuto ambiri.
Ndi maubwino ati amakono owononga komanso osasukira:
- ndi chithandizo chawo, kuzindikira kwa latent nocturnal hypoglycemia ndikotheka;
- pafupifupi munthawi yeniyeni mutha kuwunika momwe kuchuluka kwa shuga m'magawo osiyanasiyana zakudya. Mtundu wachiwiri wa matenda ashuga, menyu umapangidwa potengera zomwe zimapangitsa kuti glycemia ikhale yochepa;
- zolakwa zanu zonse zitha kuwoneka pa tchati, munthawi yake kuti mudziwe zomwe zimayambitsa ndikuchotsa;
- Kutsimikiza kwa glycemia panthawi yolimbitsa thupi kumapangitsa kusankha zolimbitsa thupi mwamphamvu kwambiri;
- glucometer osavomerezeka amakulolani kuwerengera nthawi molondola kuchokera pakukhazikitsidwa kwa insulin mpaka pachiyambi cha zochita zake kuti musinthe nthawi ya jakisoni;
- mutha kudziwa kuchuluka kwa insulin. Izi zithandiza kupewa hypoglycemia yofewa, yovuta kwambiri kutsata ndi glucometer wamba;
- glucometer omwe amachenjeza za kutsika kwa shuga nthawi zambiri amachepetsa kuchuluka kwa hypoglycemia.
Njira yosasokoneza imathandiza kuphunzira kumvetsetsa za matenda awo. Kuchokera wodwala yemwe amangokhala woyang'anira matenda ashuga. Izi ndizofunikira kwambiri kuti muchepetse nkhawa za odwala: zimapereka chitetezo ndipo zimakupatsani mwayi wokhala ndi moyo wakhama.