Kuyesedwa kwa magazi ndi shuga ndi mtundu wogwira mtima wa kafukufuku womwe umakupatsani mwayi wodziwa ngati njira za matenda ashuga zimachitikira m'thupi la wodwalayo, komanso momwe akuyenera kukhalira.
Dzina la mayeso ndilofunika, popeza shuga yemweyo, kupezeka kwake komwe akuti akupezeka pakusanthula kumeneku, kulibe m'magazi.
M'malo mwake, madokotala amayang'ana biomaterial kuti pakhale glucose, momwe shuga omwe amamwetsedwa ngati chakudya amasinthidwa, chifukwa ndiwowonjezereka omwe angathandizire kukulitsa shuga ndi zovuta zina.
Kuyesedwa kwa magazi kwa shuga: ndi chiyani?
Kuyezetsa magazi kwa shuga kumatengedwa mwamphamvu pamimba yopanda kanthu m'mawa. Kuti aphunzire, amatenga zofunikira kuchokera ku capillaries (kuchokera pachala). Komabe, nthawi ndi nthawi, zopereka za magazi kuchokera m'mitsempha zimatha kutumizidwanso kuti wodwalayo apeze deta yolondola.
Zimawonetsa chiyani?
Pambuyo pophunzira zinthu zachilengedwe, akatswiri amalandira chidziwitso cha kuchuluka kwa shuga m'magazi. Mwachiwonetsero, chizindikiro ichi chikuwonetsedwa mu digito. Zotsatira zomwe zimapezeka zimayerekezedwa ndi miyezo yomwe ambiri amavomereza, pamaziko omwe wodwalayo amapatsidwa chithandizo choyambirira.
Njira zofufuzira zimatha kusiyanasiyana ndi ma labotale.. Chifukwa chake, mutalandira zisonyezo pang'onopang'ono kuposa zomwe mwakhazikitsidwa, musadandaule.
Poterepa, tcherani khutu ku miyezo yomwe yakhazikitsidwa ndi labotale iyi (nthawi zambiri imalembedwa mufomu yofufuzira).
Mayina a njira zodziwira glucose wamagazi mu labotore
Pali njira zingapo zasayansi zothandizira kudziwa ngati pali zovuta za kagayidwe kazakudya m'thupi, komanso kufotokozera za matenda.
Kutengera ndi zomwe zimayenera kufotokozedwa ndi akatswiri, adotolo amatha kupatsa wodwalayo mayeso otsatirawa:
kusanthula kwakukulu. Uku ndiye kuyezetsa kwachizolowezi, komwe nthawi zambiri kumachotsedwa chala, ndipo ngati kuli kotheka, kumtsempha. Mwa amuna ndi akazi athanzi, magazi a capillary okhala athanzi sayenera kukhala ndi glucose osaposa 5.5 mmol / l, ndi venous - 3.7-6.1 mmol / l. Ngati dokotala amakayikira za zomwe zapezedwa, angathe kupatsa wodwalayo mwayi wopita kukamuyesa mayeso ena;- kuyeserera kwa glucose. Kuyeseraku kumatchedwanso kuyeserera kwolekerera glucose ndi masewera olimbitsa thupi. Kuunika kumeneku kumakupatsani mwayi wolembera kuchuluka kwa shuga m'magazi a m'magazi. Kusanthula kumaperekedwa pamimba yopanda kanthu. Zitachitika izi, wodwalayo, atatha mphindi 5, amamwa kapu ya madzi ndi shuga wosungunuka mkati mwake. Kenako, zitsanzo zimatengedwa kwa maola awiri mphindi 30 zilizonse. Kupitiliza kufufuza koteroko kumakupatsani mwayi wodziwa kupezeka kwa matenda ashuga, komanso kudziwa ngati kulolera kwa glucose kumayipa mthupi;
kuyang'anira tsiku ndi tsiku. Kusanthula kumeneku nthawi zambiri kumatchedwa CGMS. Kafukufukuyu akuwonetsa hypently hypemlycemia. Pazomwezi, dongosolo la Guardian Real-Time limayikidwa pa wodwala kwa masiku 3-5, omwe mphindi 5 zilizonse (nthawi 288 / tsiku) amazindikira kuchuluka kwa shuga m'magazi. Kuyeza kumachitika motsutsana ndi sensor, ndipo kachitidweko limachenjeza za kusintha kwakukuru ndi chizindikiro chomveka;- glycated hemoglobin. Kuphatikiza kwa hemoglobin ndi shuga sikulephera. Ngati wodwala ali ndi shuga wambiri m'magazi, amalimbikitsa kuchuluka kwake, komanso kuchuluka kwa glycogemoglobin yomwe imapezeka mu biomaterial. Kupititsa phunziroli kumapangitsa kudziwa kuchuluka kwa glucose m'magazi kwa miyezi 1-3 isanachitike kusanthula. Njirayi ndiyofunika kwa odwala omwe ali ndi matenda onse a shuga.
kusanthula kwakukulu. Uku ndiye kuyezetsa kwachizolowezi, komwe nthawi zambiri kumachotsedwa chala, ndipo ngati kuli kotheka, kumtsempha. Mwa amuna ndi akazi athanzi, magazi a capillary okhala athanzi sayenera kukhala ndi glucose osaposa 5.5 mmol / l, ndi venous - 3.7-6.1 mmol / l. Ngati dokotala amakayikira za zomwe zapezedwa, angathe kupatsa wodwalayo mwayi wopita kukamuyesa mayeso ena;
kuyang'anira tsiku ndi tsiku. Kusanthula kumeneku nthawi zambiri kumatchedwa CGMS. Kafukufukuyu akuwonetsa hypently hypemlycemia. Pazomwezi, dongosolo la Guardian Real-Time limayikidwa pa wodwala kwa masiku 3-5, omwe mphindi 5 zilizonse (nthawi 288 / tsiku) amazindikira kuchuluka kwa shuga m'magazi. Kuyeza kumachitika motsutsana ndi sensor, ndipo kachitidweko limachenjeza za kusintha kwakukuru ndi chizindikiro chomveka;Ndani amafunika kusanthula ndipo chifukwa chiyani?
Odwala omwe ali ndi vuto la kuchepa kwa zakudya zimatha kukhala ndi zizindikiro zosiyanasiyana. Wodwala aliyense amadwala mwanjira yake.
Pali zizindikiro zina zodziwika zomwe kuyezetsa magazi kwa wodwala kungaperekedwe kwa wodwala. Izi zikuphatikiza:
- kugona
- kupuma msanga;
- ludzu lalikulu;
- kukodza pafupipafupi;
- kuwonongeka kowoneka;
- kusanza ndi kuyanika kwambiri pakhungu;
- mabala ochiritsa bwino.
Komanso, gawo la kusanthuleli lingathe kulembedwera wodwala ngati akukayikira hypoglycemia, kukhalapo kwake komwe kungakhale koopsa ku thanzi.
Zakuti thupi lilibe glucose zingasonyeze:
- thukuta ndi kufooka;
- kutopa;
- dziko lokhumudwa;
- njala yosalekeza;
- kunjenjemera m'thupi.
Kodi kuyezetsa magazi a labotale kumachitika bwanji?
Odwala omwe sanakhalepo ndi mayeso a shuga nthawi zonse amakhala ndi chidwi ndi nkhaniyi. Kuti mupeze zotsatira zodalirika, muyenera kuyambitsanso pokonzekera mayeso.
Kukonzekera zitsanzo
Kuti mawunikidwe apereke zotsatira zolondola kwambiri, miyezo yotsatirayi iyenera kuonedwa:
- chakudya chomaliza chichitike maola 8-12 phunzirolo lisanachitike;
- Maola 48 ayenera kuchepetsa kumwa, komanso zakumwa zina za khofi;
- Musanayesedwe, musasambe mano kapena kutsitsimutsa mpweya wanu ndi kutafuna chingamu;
- musanayambe kuphunzira, musamwe mankhwala.
Zofunikira pamwambazi zimagwira ntchito kwa ana. Afunikiranso kutsatira chakudya cham'mawa musanapange kafukufuku.
Mavuto ena amakhudzanso shuga. Chifukwa chake, ngati tsiku lomwe musanachite mantha kwambiri, ndibwino kuchedwetsa magazi.
Kodi zinthuzo zimachokera kuti: kuchokera mu mtsempha kapena chala?
Magazi ochokera ku chala ndi mtundu wa kusanthula kwaponse, chifukwa chake, amachitidwa monga mbali ya kafukufuku wamankhwala. Kusanthula koteroko sikumapereka zotsatira za ultraprecise, chifukwa kapangidwe ka magazi a capillary nthawi zambiri amasintha. Kuti mupeze zopangidwazo, othandizira ogwira ntchito amawalowetsa kumapeto kwa chala, komwe kumakhala ma capillaries ambiri.
Ngati chotsatira cholondola chikufunika, wodwalayo amayesedwa kuti ayesere magazi kuchokera m'mitsempha.
Chifukwa chazitsamba kwambiri, zomwe zimapezeka mukamayesedwa zimakhala zolondola. Kwa phunziroli, wothandizira zasayansi adzafunika 5 ml ya magazi. Katundu amatengedwa kuchokera mu mtsempha pogwiritsa ntchito syringe wosabala.
Kuganizira zotsatira za phunziroli
Chiyero choyeza glucose wamagazi ndi mmol / L. Kusanthula kulikonse kumakhala ndi chikhalidwe chake. Ndikofunikanso kukumbukira kuti labotale lililonse limagwiritsa ntchito njira zawo pophunzirira.
Chifukwa chake, ndikulimbikitsidwa kuti mupange kafukufuku ku chipatala chimodzi, ndikufunsanso za njira yakufufuzira yomwe zotsatira zake zimapezeka.
Kodi zotsatira za kusanthula zikutanthauza chiyani:
- ngati wodwala anali ndi shuga wambiri mpaka 3,3 mmol / l, zikutanthauza kuti amakula hypoglycemia;
- Chizindikiro cha 3 mpaka 5.5 mmol / l ndichizolowezi ndipo chimawonetsa mkhalidwe wathanzi la thupi komanso kusowa kwa zosokoneza mu kagayidwe kazakudya;
- ngati shuga kuchokera 6 mpaka 6.1 mmol / l adapezeka m'magazi, ndiye kuti munthuyo ali ndi matenda osokoneza bongo;
- Zizindikiro zopitilira 6.1 mmol / l zimawonetsa kukhalapo kwa matenda a shuga. Kuti adziwe mtundu wa matendawa komanso kuchuluka kwake zovuta, dokotala atha kukuwonetsani maphunziro owonjezera, komanso kupenda wodwalayo.
Zikhalidwe mwa mibadwo
Zizindikiro zathanzi zimadalira zaka za wodwalayo. Chifukwa chake, munthu wamkulu wathanzi m'magazi sayenera kukhala ndi glucose osaposa 3.88 - 6.38 mmol / L.
Kwa akhanda, chizindikirochi chimatha kuyambira pa 2.78 mpaka 4.44 mmol / L, ndipo mwa ana kuyambira 3.33 mpaka 5.55 mmol / L.
Algorithm popanga mayeso a plasma glucose kunyumba
Kuyesedwa kwa shuga m'magazi kunyumba kuyeneranso kuchitidwa moyenera.
Monga mtundu wina uliwonse wamaphunziro, chilichonse chiyenera kuyamba ndi kukonzekera koyenera.
Zofunikira zomwe zikukonzekera miyezo ziyenera kukonzekereratu pasadakhale komanso zosavuta kuyikidwa patebulo.
Sinthani kuya kwakuboola pamiyala ya syringe ndikuchotsa gawo loyesa. Muyeneranso kusankha pamalo oyambira kale.
Akuluakulu, nthawi zambiri imachitika pa phalange chala. Ngati malo ano alipo kale mabala ambiri, mutha kugwiritsa ntchito kanjedza kapena khutu. Zakudya zamafuta ziyenera kutsukidwa bwino.
Tsopano tikuyamba muyeso:
- gwiritsitsani cholembera pakhungu, pakanikizani ndikudina batani kuti muchotse;
- Pukutani dontho loyamba la magazi ndi nsalu yosabala, ndipo dontho lachiwiri pamunsi paayeza. Ngati ndi kotheka, ikani chingwe mu chipangizocho pasadakhale ndikuyatsa chipangizocho;
- Yembekezerani kwakanthawi pamene chikhazikitso chizioneka pazenera. Iyenera kuyikidwa mu diary ya diabetes kuti iwone momwe zinthu ziliri.
Pankhani yokhudza mowa kuti muchotse khungu, akatswiri amasiyana. Kumbali ina, amadzimadzi amachotsa ma virus okhala ndi vuto.
Ndipo kumbali ina, mankhwala osokoneza bongo ochepa mphamvu amathandizira kuti asokoneze zotsatira zake. Chifukwa chake, mowa umalimbikitsidwa kugwiritsidwa ntchito pokhapokha pamsewu.
Makanema okhudzana nawo
Zokhudza miyezo ya kupenda kwa shuga wamagazi mu kanema:
Kuyeserera kwa Laboratory kwa shuga ndikosafunikanso ngati kuyezetsa magazi kunyumba. Chifukwa chake, popewa kukula kwa matenda a shuga ndikuwongolera matendawa, tikulimbikitsidwa kuti tisanyalanyaze njira imodzi kapena ina.
