Mun ƙayyade matakin glycemia a gida - yadda za a auna sukari jini?
Ma'aikatar da ke auna sukari na jini ana kiranta glucometer. Akwai samfuran wannan na'ura da yawa waɗanda suka bambanta cikin ƙayyadaddun kayan aiki da ƙarin ayyuka. Accuracyididdigar alamomin sun dogara da amincin na'urar, sabili da haka, zaɓin shi, ya zama dole a mai da hankali kan inganci, fasalolin amfani, kazalika da sake duba likitoci da marasa lafiya.
Masu ciwon sukari dole ne su sani! Man sugar kamar yadda yake a yau da kullun kowa ya isa ya ɗauki kwalliya biyu kowace rana kafin abinci ... detailsarin bayani >>
Aikin suga sukari jini wani muhimmin bincike ne wanda yake nuna yanayin ciwon sukari da kuma yanayin mai haƙuri. Amma don sakamakon binciken ya kasance daidai kamar yadda zai yiwu, ban da yin amfani da ingantaccen glucometer, mai haƙuri dole ne ya bi wasu ka'idoji masu sauƙi yayin tattara jini da bincika shi.
Algorithm na aiki
Yin aiwatar da wasu jerin ayyuka, zaka iya tabbata gamsasshen binciken. Dole ne a aiwatar da ma'aunin glucose a cikin jini a cikin yanayin kwanciyar hankali, tunda fashewar motsin rai na iya shafar amincin sakamako.
Anan ga misalin misalan ayyukan da kuke buƙatar aiwatarwa don madaidaicin ma'auni:
- Wanke hannu da sabulu a ƙarƙashin ruwa mai gudu.
- A bushe su da tawul, yayin da ba a shafa fata sosai.
- Yi maganin wurin allura tare da barasa ko wata maganin maganin rigakafi (wannan matakin ba lallai bane, idan har za a yi allura tare da allura wanda za'a iya cirewa ko alkalami na mutum).
- Shake kadan tare da hannunka don haɓaka wurare dabam dabam na jini.
- Bugu da kari, bushe fata a cikin wurin azabtarwa ta gaba tare da zane mai kauri ko ulu auduga.
- Yi falle a cikin yatsan yatsan, cire digon farko na jini tare da busassun auduga ko yadudduka.
- Sanya digo na jini a kan tsirin gwajin kuma saka shi cikin glucose din da aka hada (a wasu na'urori, kafin a sanya jini, dole ne a riga an shigar da tsirin gwajin a cikin na'urar).
- Latsa maɓallin don bincike ko jira lokacin da za a nuna sakamakon a allon idan anyi aiki na atomatik na na'urar.
- Yi rikodin darajar a cikin rubutaccen bayani na musamman.
- Bi da wurin allurar tare da kowane maganin rigakafi kuma, bayan bushewa, wanke hannayenku da sabulu.
Yaushe ne yafi dacewa don auna sukari kuma sau nawa yakamata ayi?
Matsakaicin adadin gwargwadon buƙatun kowace rana ga mara lafiya na iya gaya wa likita kawai. Wannan yana tasiri da yawa dalilai, wanda zaka iya fitar da ƙwarewar cutar, tsananin yanayin ta, nau'in rashin lafiya da kasancewar cututtukan haɗaka. Idan, ban da magungunan masu ciwon sukari, mai haƙuri ya ɗauki magunguna na wasu ƙungiyoyi, yana buƙatar tuntuɓar likita na endocrinologist game da tasirin su akan sukari na jini. A wannan yanayin, wani lokacin ya zama dole don yin wasu canje-canje a cikin lokacin binciken (alal misali, auna glucose kafin ɗaukar allunan ko bayan wani lokaci na lokaci bayan mutumin ya sha su).
Yaushe yafi dacewa don auna sukari? A matsakaici, mai haƙuri da ciwon sukari da ke da kyau, wanda tuni yake ɗaukar wasu magunguna kuma yana kan abinci, yana buƙatar ma'aunin sukari na 2-4 kawai a rana. Marasa lafiya a mataki na zaɓi na farji dole ne su yi wannan fiye da kullun, don likitan ya iya bin diddigin halayen jiki ga magunguna da abinci mai gina jiki.
Cikakken cikakken iko na sukari na jini ya kunshi wadannan ma'aunai:
- Azumi bayan bacci, kafin kowane aiki na zahiri.
- Kimanin mintuna 30 bayan farkawa, kafin karin kumallo.
- 2 hours bayan kowane abinci.
- 5 awanni bayan kowane allurar insulin gajere.
- Bayan aikin jiki (wasan motsa jiki na likita, aikin gida).
- Kafin a kwanta.
Dukkanin marasa lafiya, ba tare da la’akari da tsananin matsalar ciwon sukari ba, suna buƙatar tuna yanayi yayin da ya zama dole don auna sukari na jini wanda ba a saka shi ba. Yaya za a tantance cewa ma'aunin yana buƙatar gaggawa? Alamun haɗari sun haɗa da damuwa na psychoemotional, rashin ƙoshin lafiya, matsananciyar yunwar, gumi mai sanyi, rikicewar tunani, bugun zuciya, asarar sani, da dai sauransu.
Shin zai yiwu a yi ba tare da kayan aiki na musamman ba?
Ba shi yiwuwa a tantance matakin sukari na jini ba tare da glucometer ba, amma akwai wasu alamu waɗanda kanada kai tsaye suna nuna cewa an ɗaukaka shi. Wadannan sun hada da:
- ƙishirwa da bushe bushe baki
- fata fitsari a jiki,
- Karin yunwar duk da isasshen abinci,
- urination akai-akai (har da daddare),
- bushe fata
- cramps a cikin maraƙin ƙwayoyin maraƙi
- bari wahala da rauni, karuwar gajiya,
- tashin hankali da haushi,
- matsalolin hangen nesa.
Amma waɗannan alamu ba takamaiman bayani ba ne. Suna iya nuna wasu cututtuka da rikice-rikice a cikin jiki, don haka ba za ku iya dogaro da su ba. A gida, ya fi kyau da sauƙi don amfani da na'ura mai ɗaukar hoto wanda ke ƙayyade matakin glucose a cikin jini da tsararru na gwaji na musamman a gare shi.
Kasancewar glucose a cikin jini zai zama mara ma'ana idan babu wasu ingantattun ka'idoji waɗanda ake amfani dasu idan ana kwatanta sakamakon. Don jini daga yatsa, irin wannan halin shine 3.3 - 5.5 mmol / L (don venous - 3.5-6.1 mmol / L). Bayan cin abinci, wannan alamar tana ƙaruwa kuma tana iya kaiwa 7.8 mmol / L. A cikin 'yan sa'o'i kaɗan a cikin mutum mai lafiya, wannan darajar ta koma al'ada.
Matsayin sukari da aka yiwa manufa don masu ciwon sukari na iya bambanta, ya dogara da nau'in cutar, halayen jiki da magani da aka zaɓa, kasancewar rikitarwa, shekaru, da sauransu. Yana da mahimmanci ga mai haƙuri yayi ƙoƙari don kula da sukari a matakin da aka ƙaddara tare tare da likitan halartar. Don yin wannan, kuna buƙatar yin ma'auni a kai a kai kuma daidai gwargwado, daidai da bin abincin da magani.
Kowace ma'anar sukari na jini (sakamakonsa) an fi dacewa a rubuce a cikin takaddara na musamman. Wannan littafin bayanin kula wanda haƙuri ke rubuta bayanan ba wai kawai ƙimar da aka samu ba, har ma da wasu mahimman bayanai:
- rana da lokaci na bincike,
- nawa ne suka wuce tunda abincin da ya gabata,
- abun da ke ciki na abinci,
- yawan insulin a allurar ko magungunan kwamfutar hannu da aka dauka (kuna buƙatar nuna irin nau'in insulin da aka yiwa anan),
- ko mai haƙuri ya tsunduma cikin kowane aikin motsa jiki kafin wannan,
- kowane ƙarin bayani (damuwa, canje-canje a cikin yanayin kiwon lafiya).
Yaya za a bincika mit ɗin don ƙoshin lafiya?
Anyi nazarin bincike don sanin matakin glucose a cikin jini ana ɗaukarsa daidai ne idan kimarta ta bambanta da sakamakon da aka samu tare da kayan dakin gwaje-gwajen kimiyya ba ta wuce 20%. Za'a iya samun ton na zaɓuɓɓuka saboda daidaita sukari na sukari. Sun dogara da takamaiman samfurin mita kuma suna iya bambanta sosai ga na'urorin kamfanoni daban-daban. Amma akwai sauran fasahohi marasa ƙwarewa waɗanda za'a iya amfani dasu don fahimtar yadda gaskiyar karatun na'urar yake.
Da fari dai, ana iya yin wasu ma'aunai da yawa a kan wannan kayan tare da bambancin lokaci na 5-10 mintuna. Sakamakon ya zama kusan daidai (± 20%). Abu na biyu, zaku iya kwatanta sakamakon da aka samu a dakin gwaje-gwaje tare da waɗanda aka samo akan na'urar don amfanin mutum. Don yin wannan, kuna buƙatar ba da gudummawar jini a kan komai a cikin dakin gwaje-gwaje kuma kuyi glucoeter tare da ku.
Bayan ƙaddamar da bincike, kuna buƙatar sake auna na'urar da ke ɗaukar hoto da rikodin ƙimar, kuma bayan karɓar sakamakon daga dakin gwaje-gwaje, gwada waɗannan bayanan. Kuskuren kuskure daidai yake da na farkon hanyar - 20%. Idan ya kasance mafi girma, to, wataƙila na'urar ba ta yin aiki daidai, zai fi kyau ka kai ta cibiyar sabis don bincike da matsala.
Yaya za a bincika sukari na jini a gida?
Hanyoyin yau don auna darajar lactin a cikin jini suna ba da izinin aiwatar da irin wannan hanyar yau da kullun a gida ba tare da ziyartar asibiti ba. Hanyoyi da yawa sun shahara, kowannensu baya tasiri kasancewar kowane ƙwarewa na musamman.
Gaskiya ne, za a buƙaci na'urori dabam. Zaka iya amfani da tsinkewar gwaji don auna gaban glucose dinka.
Wannan zabin shine mafi sauki kuma mai araha. Shagunan kantin magani suna aiwatar da nau'ikan nau'ikan waɗannan masu gwaji tare da tsarin aikin guda ɗaya.
Dole ne a yi amfani da abun da keɓaɓɓe na musamman a tsiri, wanda, saboda halayen halayen jini, ya canza launi. Sikelin akan kwantena yana bawa mara lafiya damar sanin matakin sukarin su.
Likitoci suna nuna shawarwari da yawa don auna daidai. Ga su:
- Wanke hannu da sabulu Ana wanke goge sosai kuma an goge shi sosai don hana danshi daga tsagewar gwajin, in ba haka ba sakamakon zai kasance ba daidai ba,
- Yatsun yakamata suyi zafi don inganta kwararar jini bayan tari. Don yin wannan, suna da zafi ta hanyar wanka da ruwa mai ɗumi ko tausa,
- An yafa yatsan yatsa tare da barasa ko wani maganin maganin ƙwaro, kuma ana ba da lokaci don daskararru gaba ɗaya, wanda ke hana yiwuwar shigar ruwa cikin gwaji,
- Ya kamata a aiwatar da aikin yatsa kadan a gefe don rage ciwo, sannan a runtse hannu don sakin jini daga rauni da wuri-wuri,
- Saka rataye rauni a kan rauni ka tabbata cewa dukkan faransa, wanda aka bi da shi ta hanyar reda, an rufe shi da jini,
- saka auduga ko auduga ko wani yatsu a kan rauni, a dazukeshi da maganin maganin kashe kwayoyin cuta,
- bayan 40-60 seconds, ana bincika sakamakon.
Abubuwan gwaji sune babban zaɓi don auna kai na matakan lactin jini ba tare da amfani da glucometer ba, kodayake sakamakon ba shi da daidaito 100%.
Yaya za a gano sukari da ƙananan sukari ta hanyar bayyanar cututtuka?
Lokacin da babu kayan kayyade ƙimar sukari, kawai zaka iya lura da yanayin jikin ka.
Tabbas, wani lokacin alamomi ne na farko waɗanda ke nuna wa mara haƙuri haɓaka ko raguwa a matakin glucose a cikin jini, wanda ke ba da damar daukar matakan lokaci don kawar da cutar.
Don haka, tare da hyperglycemia, mutum yana fuskantar:
- na yau da kullun urination,
- m itching da fata,
- jin karfi na yunwar
- ƙishirwa mara jurewa
- hangen nesa
- jin tashin zuciya
- ƙaruwar barci.
Babban alamar irin wannan ilimin cuta shine ƙishirwa mai ƙarfi, tare da bushewa a cikin rami na baka. Increasearin lactin yana haifar da lalacewar jijiya. Wannan yanayin ana kiransa likitocin neuropathy.
Hakanan mai haƙuri kuma ya lura da jin zafi a cikin kafafu, abin mamaki mai ƙonewa, "Goose bumps", rauni. Mummunan lokuta suna haifar da bayyanar cututtukan mahaifa, ƙwayar tsoka.
Bi da bi, hauhawar jini ya bayyana kanta:
- ciwon kai
- kullun gajiya
- jin damuwa
- tsananin yunwa
- karuwar zuciya - tachycardia,
- hangen nesa
- gumi.
Ragewa mai ƙima cikin darajar glucose wani lokacin yakan haifar wa mara lafiya rauni ko kuma faruwar halayen da basu dace ba kamar giya ko maye.
Duk wani alamu na tsayayyiya ya kamata ya riga ya zama dalili na kai tsaye ga likita.
Alkallar Glucometer
Godiya ga fasaha ta zamani da kuma motsin dakatarda ci gaba a yau, yana yiwuwa a auna matakan lactin na jini sosai. Don wannan dalili, ya isa ya sayi meteraukin (aljihu) - glucometer a kantin magani.
Don samun sakamako madaidaiciya 100%, dole ne a bi tsarin bayanan ayyukan:
- karanta umarnin a hankali,
- an saka farantin lambar orange a cikin kwandon na'urar,
- an saka tsiri na gwaji a cikin bututu mai kariya
- nuni na na'urar yana nuna lambar da ya kamata yayi kama da ta kan bututu tare da tsararran gwaji,
- Shafa phalanx na yatsa da giya, bada izinin bushewa,
- ta hanyar lancet, yi allura da matsi 1 da digo na jini a cikin filin tsinkayen orange,
- sakamakon da ya bayyana akan nunin an kwatanta shi da launi na taga iko zagaye wanda yake akan bayan gwajin tare da sikelin launuka da ake samu akan sandar sandar. Kowane launi ya dace da takamaiman darajar sukarin jini.
Sakamakon haɓaka ko raguwa yana nuna haɗarin haɓakar haɓaka ko hypoglycemia, bi da bi.
Masu yin gwajin jini a cikin jini
Ciwon sukari yana tsoron wannan maganin, kamar wuta!
Kawai kawai buƙatar nema ...
Na'ura don auna sukari ba tare da huda ba shine mafificin masu ciwon sukari. Kuma ana sayar da irin waɗannan na'urori a yau, duk da haka, farashin su "kwari" wanda ke sa su zama karɓaɓɓu ga yawan jama'a. Wasu ƙarancin ƙarancin ba da takardar shaida ta Rashanci, wanda kuma ke sanya haɗarin su ke da wahala.
Koyaya, sun shahara sosai:
- Marina A-1,
- Glukotrek,
- Glusens
- Zazzage Libre Flash,
- TCGM Murdai,
- Accu duba wayar hannu.
A yau, mitar ta zama sananne sosai, aikin da aka yi niyya sau ɗaya cikin hanyoyi da yawa. Tare da taimakonsu, zaku iya saita darajar cholesterol, uric acid da haemoglobin. Gaskiya ne, ka'idodinsu na aiki har yanzu yana da alaƙa da ɗaukar yatsa.
Domin sakamako na ƙarshe ya zama daidai kamar yadda zai yiwu, yakamata a bi shawarwarin umarnin da yazo tare da na'urar.
Fitsari na gwajin glucose a gida
Don gudanar da gwajin, kana buƙatar sabon fitsari da ba a sashi ba. Kafin aiwatar da jan hankali, dole ne a gauraye shi sosai.
Carriedayyade darajar lactin a cikin fitsari ana aiwatar da shi a matakai da yawa:
- Ana tattara fitsari a cikin busassun, mai tsabta,
- tsiri yana nishi tare da gefe tare da reagents amfani da shi,
- sauran ruwa ana cire shi ta hanyar takarda,
- Ana aiwatar da kimantawa sakamakon sakamakon 60 seconds ta hanyar kwatanta launi na ƙarshe tare da samfuran akan kunshin.
Don abin dogaro mafi girma na bincike, ya kamata a sanya idanu akan rayuwar shiryayye da yanayin ajiya na matakan gwajin.
Sau nawa ne Dole a auna glycemia a cikin nau'in 1 da nau'in ciwon sukari na 2?
Yawancin mutane masu ciwon sukari suna auna glucose kawai da safe kafin abinci. Koyaya, likitoci basu bada shawarar yin hakan ba.
Mai ciwon sukari yakamata ya dauki matakan a lokuta masu zuwa:
- kasancewar rashin lafiya - lokacin da akwai shakku kan wani karuwa ko raguwa a cikin darajar lactin a cikin jini,
- tare da wata cuta, alal misali, lokacin da aka sami yawan zafin jiki,
- kafin ka tuka mota
- kafin, lokacin da bayan motsa jiki. Wannan hanyar tana dacewa musamman yayin aiwatar da sabon nau'in wasanni.
Tabbas, mara lafiya ba ya son yin bincike game da lokutan 8-10 a rana. Idan ana bin shawarwarin abinci, kuma ana ɗaukar magunguna a allunan, to za ku iya auna ma'aunin sukari sau biyu a mako kawai.
Yaya za a gano nau'in ciwon sukari ta hanyar gwaje-gwaje da alamu?
Kowane mai ciwon sukari ya san cewa babban abin da ke bambanta nau'in 1 masu ciwon sukari shine saurin canzawa da darajar lactin a cikin jini - daga ƙarami zuwa babba da babba.
Alamar mahimmanci iri ɗaya na "mai daɗi" cuta ce raguwa mai nauyi a jikin mutum.
A watan farko na farkon cutar, mai haƙuri zai iya rasa kilogiram 12-15.Wannan bi da bi yana haifar da raguwa a cikin aikin ɗan adam, rauni, da kuma nutsuwa.
Tare da cutar, anorexia ya fara haɓaka, sakamakon ketoacidosis. Bayyanar cututtuka na wannan cutar ana nuna su ta hanyar tashin zuciya, amai, kamshi na 'ya'yan itace da aka kawo daga bakin ciki da azaba a cikin ciki.
Amma cutar nau'in II yawanci ba ta da alamun bayyananniya kuma ana samun cutar ta hanyar kwatsam sakamakon gwajin jini na ciki. Tsanaki yakamata ya zama fata mai narkewa a cikin farjin ciki da wata gabar jiki.
Likita ne kawai zai iya tsaida ainihin nau'in ciwon sukari a cikin mara haƙuri kuma kawai bayan an gudanar, nazarin nazarin gwaje-gwaje na dakin gwaje-gwaje.
Yadda ake sarrafa alamura: rigakafin hauhawar jini da hauhawar jini
Domin jiki ba zai wahala daga hyperglycemia ko hypoglycemia ba, ya kamata a dauki wasu matakan kariya.
Likitocin suna nufin matakan kariya:
- bin duk ka'idodin ilimin insulin, ba da izinin haɓaka ko raguwa a cikin darajar sukari ba,
- bi abinci da aka tsara
- gaba daya watsi da kayan giya,
- lura da glucose a kai a kai
- guji yanayi mai damuwa
- baya bada izinin wuce gona da iri.
Koyaya, tare da mummunar lalacewa a cikin ƙoshin lafiya, yakamata a kira kulawa ta gaggawa.
Bidiyo masu alaƙa
Umarnin kan yadda za a auna sukari na jini a gida:
Mitar samfurori ana iya tantance su daidai da alamun mutum da aka kafa ta likita mai kulawa. Duk abin da aka zaɓa, ya kamata ka san kanka da umarnin da aka makala don amfanin sa gwargwadon abin da zai yiwu kuma ka kiyaye shi sosai.
Kafin amfani da na'urar, kuna buƙatar ƙayyade wurin farkawa, shafe shi sosai da bi da maganin da ke kunshe da giya. Hakanan zai zama da amfani a san cewa cutar sankarau na ci gaba a cikin mambobi ɗaya na iyali.
A saboda wannan dalili, idan ɗayan iyayen sun riga suna fama da cutar "mai daɗi", to ya kamata a kula da matsayin lafiyar ɗan yaron daga ainihin haihuwarsa.
Waɗanne irin mituna na glucose na jini suke?
Kayan nau'ikan nau'ikan 2 don ƙididdige yawan sukari ne aka haɓaka kuma ana amfani dasu sosai - ƙwaƙwalwar ƙwaƙwalwa da mita. Na farko yana da dangantaka da tsohon, amma har yanzu a cikin samfuran nema. Siffar aikinsu shine wannan: a farfaɗɗɗan sashin gwajin gwagwarmaya an rarraba digon jini mai mahimmanci, wanda ke shiga cikin haɗin kemikal tare da reagent da aka shafa akansa.
A sakamakon haka, canjin launi ya faru, kuma ƙarfin launi, bi da bi, ya dogara kai tsaye da abun cikin sukari da ke cikin jini. Tsarin da aka gina a cikin mita yana bincika tuban ta atomatik wanda ke faruwa kuma yana nuna daidaito na dijital akan nuni.
Ana ɗaukar na'urar kayan lantarki shine mafi cancantar madadin na'urorin photometric. A wannan yanayin, tsiri gwajin da kuma fadadden kayan tarihin ma suna yin mu'amala, bayan haka ana yin gwajin jini. Babban mahimmancin aikin sarrafa bayanai ana yin shi ne ta hanyar girman wutan lantarki, wanda ya dogara da yawan sukari a cikin jini. Ana ɗaukar bayanan da aka karɓa akan mai saka idanu.
A wasu ƙasashe, ana amfani da sinadarai masu ƙarfi marasa ƙarfi, waɗanda basa buƙatar fatar fatar. Ana auna ma'aunin sukari na jini, a cewar masu haɓaka, ana aiwatar da shi, godiya ga bayanin da aka samu akan ƙashin zuciya, hawan jini, daɗaɗɗan gumi ko ƙwayar mai.
Algorithm na Ruwa na jini
Ana lura da glucose kamar haka:
- Da farko kuna buƙatar tabbatar da aiki na yau da kullun na na'urar, bincika shi don iyawar duk abubuwan kayan aikin nuni, kasancewar lalacewa, saita ɓangaren ma'aunin da ake buƙata - mmol / l, da dai sauransu.
- Wajibi ne a kwatanta saka hoton a kan tsararran gwajin tare da na glucometer din da aka nuna akan allon. Dole ne su daidaita.
- Saka wani tsabtaccen tsiri na reagent cikin ramin (ramin ƙasa) na na'urar. Gunki mai narkewa zai bayyana akan nunin, yana nuna cewa ya shirya don gwajin jini don sukari.
- An buƙata don saka allurar aseptic a cikin mai siyarwar abu (piercer) kuma daidaita sikelin zurfin hujin zuwa matakin da ya dace: kauri mai kauri, mafi girman adadin.
- Bayan shirye-shiryen farko, kuna buƙatar wanke hannuwanku cikin ruwa mai dumi tare da sabulu kuma ku bushe su da sauƙi.
- Da zarar hannayen sun bushe gabaɗaya, zai kasance yana da matukar muhimmanci a yi ɗan taɓar ɗan yatsan yatsun hannu don inganta wurare dabam dabam na jini.
- Sannan a kawo masu abin sawa daya daga ciki, ana yin huci.
- Za a cire zubar farko na jini da ya bayyana a saman jinin ta amfani da allon auduga mai tsabta. Kuma kashi na gaba shine kawai matattarar fitar kuma an kawo shi ga ƙasan gwajin riga da aka shigar.
- Idan mit ɗin yana shirye don auna matakin sukari na plasma, zai ba da siginar halayyar, bayan haka binciken bayanan zai fara.
- Idan babu sakamako, kuna buƙatar ɗaukar jini don sake yin nazari tare da sabon tsiri na gwaji.
Don tsarin kula da hankali don bincika taro na sukari, yana da kyau a yi amfani da hanyar da aka tabbatar - cike guraben. Yana da kyau a rubuta mafi girman bayanai a ciki: alamomin sukari da aka samo, lokacin lokaci na kowane ma'auni, magunguna da samfuran da ake amfani da su, yanayin kiwon lafiya na musamman, nau'in ayyukan motsa jiki da aka yi, da sauransu.
Don bugun ya kawo mafi ƙarancin abin mamakin jin daɗi, kuna buƙatar ɗaukar jini ba daga ɓangaren yatsan yatsa ba, amma daga gefe. Ajiye kayan aikin lafiya a murfin musamman na musamman. Mita kada rigar, sanyaya ko mai zafi. Halin da ya fi dacewa don tabbatarwa zai zama sararin bushewa tare da zazzabi dakin.
A lokacin aikin, kuna buƙatar kasancewa cikin kwanciyar hankali mai nutsuwa, tunda damuwa da damuwa na iya yin tasiri ga sakamakon gwaji na ƙarshe.
Karatun-karatu na yau da kullun
Matsakaicin ma'aunin sukari na al'ada ga mutanen da cutar siga ta kewaya an nuna su a cikin wannan tebur:
Daga bayanan da aka gabatar, ana iya kammala cewa karuwa a cikin glucose shine sifofin tsofaffi. Hakanan ma'aunin sukari a cikin mata masu juna biyu, matsakaicin ma'auninsa ya bambanta daga 3.3-3.4 mmol / L zuwa 6.5-6.6 mmol / L. A cikin mutum mai lafiya, yanayin al'ada ya bambanta da masu ciwon sukari. Wannan ya tabbatar da bayanan masu zuwa:
Bangaren Marasa lafiya | M halatta taro (mmol / L) | |
Da safe akan komai a ciki | 2 hours bayan abincin | |
Jama'a lafiya | 3,3–5,0 | Har zuwa 5.5-6.0 (wani lokacin kai tsaye bayan ɗaukar abincin carbohydrate, mai nuna alama ya kai 7.0) |
Masu ciwon sukari | 5,0–7,2 | Har zuwa 10.0 |
Waɗannan sigogi suna da alaƙa da jini gabaɗaya, amma akwai matakan glucose waɗanda suke auna sukari a cikin ƙwayar plasma (ɓangaren ruwan da ke cikin ruwa). A cikin wannan abun, abun ciki na glucose na iya zama dan kadan kadan. Misali, da safe sa'o'inda ke tattare da lafiyayyen mutum a cikin jini gaba daya shine 3.3-5.5 mmol / L, kuma yana cikin plasma - 4.0-6.1 mmol / L.
Ya kamata a tuna cewa wuce haddi na sukari jini baya nuna farkon ciwon sukari. Sau da yawa ana lura da yawan glucose a cikin yanayi masu zuwa:
- tsawanta amfani da maganin hana haihuwa,
- bayyanar yau da kullun don damuwa da damuwa,
- Tasirin kan jikin wani sabon yanayi,
- rashin daidaituwa na lokacin hutu da bacci,
- matsanancin aiki saboda cututtukan tsarin jijiya,
- zagi maganin kafeyin
- mai karfi na jiki
- bayyanuwar cututtuka da dama na tsarin endocrine kamar su thyrotoxicosis da pancreatitis.
A kowane hali, babban sukari a cikin jini, riƙe a kan mashaya mai kama da fiye da mako guda, ya kamata ya zama dalilin tuntuɓar likitanka. Zai fi kyau idan wannan alamar ta zama ƙararrawa na karya, maimakon bam na lokaci mai ganuwa.
Yaushe za a auna sukari?
Wannan batun za'a iya fayyace shi ne kawai ta hanyar endocrinologist wanda ke da haƙuri koyaushe. Kyakkyawan ƙwararren likita koyaushe yana daidaita adadin gwaje-gwajen da aka gudanar dangane da matsayin ci gaban ilimin halayyar mutum, shekarunsa da nauyin jikin mutumin da ake bincikarsa, halayyar abincinsa, magungunan da ake amfani da shi, da dai sauransu.
Dangane da matsayin da aka yarda da shi don nau'in ciwon sukari na I, ana yin iko aƙalla sau 4 a cikin kowane kwanakin da aka kafa, kuma don nau'in ciwon sukari na II - kusan sau 2. Amma wakilan ɓangarorin biyu wani lokaci suna ƙaruwa da yawan gwaje-gwajen jini don sukari zuwa cikakken bayanin lafiyar.
A wasu ranakun, ana daukar kwayoyin halitta ne a cikin wasu lokuta masu zuwa:
- daga lokacin safiya farkawa zuwa caji,
- Minti 30-40 bayan bacci,
- 2 sa'o'i bayan kowace cin abinci (idan an ɗauki samfurin jini daga cinya, cinya, hannu, ƙafar kafa ko kafada, bincike an canza shi awa 2.5 bayan abincin),
- bayan duk wani ilimi na jiki (ana yin lamuran cikin gida),
- 5 sa'o'i bayan allurar insulin,
- kafin a kwanta
- a 2-3 a.m.
Ana buƙatar sarrafa sukari idan alamun halayyar ciwon sukari mellitus suka bayyana - ji na matsananciyar yunwa, tachycardia, fatar fata, bakin bushe, ƙarancin jiki, rauni gaba ɗaya, haushi. Sau da yawa urination, cramps a cikin kafafu, da asarar hangen nesa na iya tayar da hankali.
Manuniyar bayanan bayanai
Inganta bayanai a cikin na'urar za ta iya dogara da dalilai da yawa, gami da ingancin mitar da kanta. Ba kowane na'ura ba ne mai ikon nuna bayanai na gaskiya (a nan kuskuren yana da mahimmanci: ga wasu ƙirarorin bai fi 10% ba, yayin da wasu ya wuce 20%). Bugu da kari, zai iya lalata ko lahani.
Kuma wasu dalilai don samun sakamako na karya galibi sune:
- rashin kiyaye ka'idodin tsabta (aiwatar da hanya tare da datti hannaye),
- wani hujin yatsan rigar,
- da amfani da amfani ko ƙare reagent tsiri,
- rashin daidaituwa na matakan gwaji zuwa takamaiman glucometer ko gurbata su,
- saduwa da allura ta lancet, saman yatsan ko na'urar na barbashi, kirim, ruwan shafa fuska da sauran ruwan jiki,
- nazarin sukari a cikin matsanancin yanayin zafi ko na yanayi,
- mai ƙarfi matsawa daga yatsan lokacin da matsi na digon jini.
Idan an adana abubuwan gwajin a cikin akwati a buɗe, ba za a iya amfani da su yayin karamin karatu ba. Ya kamata a yi watsi da digo na farko na nazarin halittu, tunda ruwa mai tsaka-tsaki wanda ba shi da mahimmanci don ganewar asali na iya shiga cikin haɗin kemikal tare da reagent.
Wanne glucometer daidai yake gano adadin sukari?
Yawanci, an zaɓi mita tare da likitanka. Wasu lokuta ana bayar da waɗannan na'urori a rangwamen kudi, amma a wasu halaye, marasa lafiya suna sayan kayan aiki don auna matakan sukari da kansu. Masu amfani musamman suna yaba mitane masu amfani da wutan lantarki na Accu-Chek-Active / Accu-Chek-Mobile, kazalika da na'urorin wutan lantarki na One Touch Select da Bayer Contour TS.
A zahiri, jerin abubuwan glucose masu inganci ba'a iyakance ga waɗannan sunaye ba, ana samun ƙarin samfuran cigaba koyaushe, wanda kuma za'a iya tattaunawa idan ya cancanta. Muhimmin fasali sune:
- farashi
- bayyanar rukunin (kashin bayan fitila, girman allo, yaren shirin),
- ofarar da ake buƙata na jini (ga yara ƙanana yana da daraja a sayi na'urori tare da ƙaramin ƙima),
- ƙarin ayyukan ginannen ciki (jituwa tare da kwamfyutocin kwamfuta, ajiyar bayanai dangane da matakin sukari),
- kasancewar allurar da ta dace don maganin lancet da kuma gwajin gwaji (a cikin magunguna mafi kusa ya kamata a sayar da kayayyaki waɗanda suka yi daidai da zaɓin glucometer).
Don fahimtar sauƙin bayanin da aka karɓa, yana da kyau a sayi na'ura tare da ma'aunin ma'auni na yau da kullun - mmol / l. Ya kamata a ba da fifiko ga samfuran da kuskuren su bai wuce alamar 10% ba, kuma zai fi dacewa 5%. Irin waɗannan sigogi za su samar da ingantaccen bayani game da haɗuwar sukari a cikin jini.
Don tabbatar da ingancin kayayyaki, zaku iya siyan maganan sarrafawa tare da ƙayyadadden adadin glucose a cikinsu kuma ku gudanar da gwajin gwaji 3 aƙalla. Idan bayani na ƙarshe zai yi nisa da ƙa'idar, to, ana bada shawara don ƙin yin amfani da irin wannan glucometer.
Yaya za a bincika sukari na jini ba tare da glucometer ba?
Auna sukari na jini tare da glucometer ba ta hanya kadai ba ce ta gano sinadarin glucose din a jiki. Akwai aƙalla ƙarin nazarin. Na farko daga cikin waɗannan, Glucotest, ya dogara da tasirin fitsari a kan abubuwan da ke motsa jiki na abubuwan musamman. Bayan kamar minti daya na ci gaba da hulɗa, abin nuna alamar yana canzawa. Bayan haka, ana kwatanta launi da aka haɗa tare da ƙwayoyin launi na ma'aunin ma'auni kuma an yanke ƙarshe game da adadin sukari.
Hakanan ana amfani da bincike mai sauƙi na gwajin jini a wannan tsarar gwajin. Ka'idar aiki ta wannan hanyar kusan iri ɗaya ce ga abubuwan da ke sama, kawai jini yana aiki azaman nazarin halittu. Kafin amfani da kowane ɗayan waɗannan gwaje-gwaje masu sauri, kuna buƙatar yin nazarin umarnin da aka haɗe da su sosai.