Takaddun sukari na jini: farashi, sake dubawa
Abubuwan gwaji na gani na Diaglück A'a 50 an yi su ne don ƙudurin sikeli na gwaji na glucose a cikin jinin mutum gabaɗaya.
Chart A'a 50 shine tsararraki don masu ciwon siga da tattalin arziƙi!
Bayan haka, zaka iya gano sukarin jininka ba tare da glucometer ba. Ya isa a sanya digo na jini a kan tsiri.
Idan ba zai yiwu a auna sukarin jini tare da glucose ba a gida, ana iya amfani da matakan gwaji na Diagluk A'a 50 don kimantawa game da matakin glucose a cikin jini a cikin masu haƙuri da ciwon sukari.
Hakanan, ana iya amfani da waɗannan matakan gwaje-gwajen don kamuwa da cututtukan sukari, idan ya cancanta, binciken gaggawa a cikin cibiyoyin likitanci, kazalika don saka idanu akan kansa.
Ganganci na gani na glucose a cikin jini gaba daya yana bada damar a iya sarrafa matakan sukari na jini, daidaita yadda ake jiyya, sannan kuma a zabi abincin da ya dace.
Kuna iya tambayar kowane irin tambaya game da kaya ko kantin sayar da kaya.
Kwararrun kwararrunmu zasu taimaka muku.
Yadda za a zabi mita daidai don amfanin gida
Eterayyade matakin sukari yana da mahimmanci ba kawai ga mutanen da ke da ciwon sukari ba, har ma ga mutanen da ke da lafiya waɗanda ke sarrafa jiki. Yadda za a zabi madaidaitan glucose? Wace na'ura ce mafi kyau ga siye don amfani a gida? Don amsa waɗannan tambayoyin, kuna buƙatar sanin menene ma'anar glucose, da kuma yadda suka bambanta. Sabbin bita na 2015-2016 zasu taimaka wajen zaɓin mafi kyawun zaɓi.
Tare da wata cuta kamar nau'in 1 da nau'in ciwon sukari na 2, ya wajaba a kula da matakin glucose a cikin jini, duka a kan komai a ciki da kuma bayan cin abinci.
Don cikakkun mutanen da ke da ƙoshin lafiya, likitoci sun kuma ba da shawarar auna yawan haɗuwar glucose a cikin jini. Kulawa na lokaci yana ba ku damar saka idanu akan aikin tsarin endocrine da abubuwan da ake amfani da su na abinci mai gina jiki.
Hankali! Matsakaicin ƙwayar glucose a cikin jinin mutane masu lafiya shine daga 3.9 zuwa 5.3 mmol / l.
Idan ga wadanda kawai ke kula da lafiyar su, ya isa ya dauki ma'aunin 2-3 r. kowace shekara, to, masu ciwon sukari suna buƙatar bincika daga 1 zuwa 5-6 p. kowace rana. Kada ku je asibiti don wannan!
Masu ciwon sukari suna buƙatar bincike daga 1 zuwa 5-6 p. kowace rana
Maganin mafi kyawun ma'ana a cikin irin waɗannan yanayi shine siyan gidan glucose na gidan. Godiya ga na'urar, zaku iya daidaita abinci mai gina jiki, aikin jiki, sashi na kwayoyi.
Nau'in nau'in ciwon sukari da kuma yawan ma'aunin taro na sukari
Ciwon sukari na 1 shine cuta mai saurin kamuwa da yara da kuma mutane 40an shekaru 40 waɗanda aka tilasta suyi amfani da allurar insulin. Cutar tana lalata tsarin zuciya, jijiyoyi, idanu. Tare da wannan cutar, likitoci sun ba da shawarar amfani da mitan glucose na ciki bayan kowace abinci. Tushen magani shine abinci, allura da kuma motsa jiki.
Ciwon sukari na 2 wani cuta ne da ke faruwa bayan shekaru 40 sakamakon cin zarafin ƙwayar cutar huhu. An gano shi a cikin 90% na masu ciwon sukari, yawanci tare da kiba. Cutar tana da tsayayyen abinci, maganin yau da kullun da ayyukan jiki. A cikin wannan nau'in ciwon sukari, ana bada shawarar sukari 1-2 p. kowace rana.
Iri da rukuni na glucose
Masu masana'antun Rasha da na ƙasashen waje suna ba masu amfani da na'urori masu ɗaukar hoto dama. Sun dace don amfani a gida, a kan hanya, a wurin aiki. Metersaramin mita ya kasu kashi biyu:
- na'urorin da aka tsara don tsofaffin masu ciwon sukari,
- glucose ma'aurata ga yara da matasa masu ciwon sukari,
- Na'urorin da ke amfani da lafiyar mutane da masu kamuwa da cutar siga.
Haske. Bayan cin abinci, adadin sukari a cikin jini ya hauhawa, amma bayan ɗan lokaci ya dawo yadda ya saba. Ya kamata ka kasance a faɗakar da kai bayan ɗaya ya karu ko ya rage yawan karatun na'urar. Idan gwaje-gwaje da yawa a lokuta daban-daban na rana (kafin kuma bayan abinci) sun nuna matakin glucose mai girma, yakamata a nemi likita nan da nan.
Dangane da ka'idodin aiki, na'urorin sune:
- photometric (fasaha na baya), wanda aka yi amfani da reagents don canza launi tsiri,
- electrochemical (fasaha na yanzu), wanda ke ƙayyade matakin sukari ta hanyar ƙimar ƙarfin lantarki. Ana fitar da makamashi ta hanyar hulɗa da glucose oxidase da jini,
- wadanda ba masu mamaye ba (fasaha na gaba) wadanda basa buƙatar alamun yatsa da kuma alamar jini. Irin waɗannan na'urori suna haɓaka da saurin masana kimiyya daga ƙasashe daban-daban, ciki har da Rasha.
Mita don tsofaffi ya kamata ya kasance mai sauƙi don amfani da shi
Yadda za a zabi glucometer ga dattijo
Ya danganta da shekarun mutum da yadda ake amfani da na'urar, ayyukanta sun sha bamban. Idan ka zabi na'ura don tsofaffi, to yakamata ya sami halaye masu zuwa:
- Sauki. Rashin ƙarin fasali da saitunan rikitarwa. A bu mai kyau cewa kayan aikin ba sa buƙatar lambobin su don kowane nau'i na tsararrakin gwaji.
- Manyan haruffa da lambobi a bayyane suke a allon.
- Jagoran muryar. Sautin sauti yana nuna kuskure a amfani da mitar. Kazalika da siginar gargaɗi game da matakan sukari.
- Takaddun gwaji a cikin manyan kunshin.
- Magana mai ƙarfi, rashin sassan motsi a cikin na'urar wanda sauƙin fashewa.
- Haɗuwa tare da tonometer ko kasancewar tsarin don auna yawan tattara abubuwan jikin ketone a cikin jini.
Abubuwa masu kyau wadanda suka dace da jarirai masu fama da ciwon sukari suna buƙatar zaɓar su musamman a hankali, saboda za a yi amfani dasu sau da yawa. Zai fi kyau zaɓi na'urori tare da ayyuka masu zuwa:
- Tsarin cute don jariri baya jin tsoron amfani da shi.
- Ikon haddace mafi girman ma'aunai. Akwai samfuran da za su iya kamawa da adanawa daga gwaje-gwaje 250 zuwa 500 har zuwa kwanaki 30.
- Samarancin samfuran jini. Kayan aiki na yau da kullum suna buƙatar 30 μl. jini. Idan digo ya ƙanƙanta, to da mit ɗin ba zai yi aiki ba, kuma tsirin gwajin zai lalace. Na'urorin tattalin arziki sune waɗanda ke aiki a gaban 0.5-1.4 μl. jini.
- Sakamako mai sauri.
- Featuresarin fasali. Misali, saita misali kafin / bayan abinci.
Mita don yara ya kamata tuna da matsakaicin adadin ma'aunin
Abubuwan haske ga matasa da kuma mutanen da ke dauke da cutar siga
Idan kuna zaɓar kayan haɓaka na ɗalibai don ɗalibai ko matasa masu aiki, to ya kamata a kula da kulawa ta musamman don ƙima, ƙira mai salo da kuma yiwuwar shirye-shirye mai zaman kanta, misali:
- Tsayawa na wani littafin mai ciwon sukari ta amfani da sinadarin glucometer, wanda ke kirga matsakaicin dabi'u na mako guda, wata, kwata.
- Saita ƙararrawa, ikon ƙirƙirar bayanin kula da tunatarwa.
- Aikace-aikace waɗanda ke nuna duk sakamakon akan kwamfuta daga abin da zaku iya buga alluna tare da sakamakon ma'auni na lokuta daban-daban.
Ga mutanen da ke da ƙoshin lafiya waɗanda ke kula da lafiyarsu ko kuma suna da haɗari ga ciwon sukari, ƙirar da ƙaramin saiti na ƙarin ayyuka kuma tare da ƙananan fakitoci na tsararrakin gwaji tare da tsawon rayuwar shiryayye.
Wanne mita ne ya fi dacewa? Duba daidai
Masana sun tabbata cewa kusan dukkanin samfuran da ake amfani da su na kayan aikin auna daidai sun yi daidai. In ba haka ba, ba za su kasance cikin buƙata ba a kasuwa. Amma idan kuna son tabbatar da ingancin wani ƙira na musamman, zai fi kyau a bincika kanku. Don yin wannan:
- Auna sukari 3 r. a jere tare da tazara tsakanin mintuna 15-20
- Kwatanta karatun na'ura 3. Idan sakamakon yayi kusan iri ɗaya ne, to, na'urar tana aiki dai-dai.
- Yanzu kuna buƙatar yin bincike a cikin asibiti ko dakin gwaje-gwaje kuma ku gwada su da karatun mita mitter glucose na gida.
Differencean bambanci kaɗan tsakanin lambobi abu ne mai karɓaɓɓe. Idan glucose bai wuce 4.2 mmol / L ba, to, kuskuren bai kamata ya wuce 0.8 mmol / L ba. Idan mai nuna alama ya fi girma, to kuskuren halatta shine 20%.
Takaddun gwajin don mita da aka zaɓa ya kamata ya kasance don siyarwa a kantin magani.
Gwajin rarar shawarwarin
Yanke shawarar wadanne halaye mitane zasu samu? Don haka, zaku iya ci gaba tare da sayen. Masana sun ba ku shawara ku bi wasu matakai kaɗan masu sauƙi don sayan ya zama mataimaki mai aminci da aminci.
- Je wurin halartar endocrinologist kuma gano daidai wane takaddara gwajin za'a raba ku kyauta. Dangane da wannan, yi la'akari da nau'in na'urar.
- Idan ka sayi kayan gwaji da kanka, yana da mahimmanci ka sayi na'urar samfuran gama gari. Wannan zai tabbatar da kasancewar yatsan lebe da lebe a cikin kowane kantin magani. Misali: Accuchec Active, Accuchec Performa, taɓawa ɗaya, Tauraron Dan Adam, Circuit na Motoci, Ascensia Entrust, Omron.
- Kafin siyan, ya kamata ku gwada farashi a cikin kantin magunguna, shagunan ƙwararan kanti da shagunan kan layi. An yi imanin cewa samun ta hanyar Intanet yafi tattalin arziƙi. Kar ku manta da la'akari da farashin isarwa!
- Gano nawa na'urar da kanta da kuma gwajin gwajin don ita farashin da ƙididdige yawan kuɗin don shekara ɗaya na amfani.
- Wani glucometer na kowane alama dole ne ya kasance da takaddun shaida da garanti daga masana'anta.
Glucometer One Touch Ultra Easy
Yin bita game da abubuwan glucose: wanda yafi dacewa saya, bita
A cikin ciwon sukari na mellitus na farko ko na biyu, ya zama dole a kula da matakin sukari a cikin jini koyaushe. A cikin wannan, na'urar musamman, wacce ake kira glucometer, tana taimakawa masu ciwon sukari. Zaku iya siyan irin wannan mita a yau a kowane shagon sayar da kayan masarufi na musamman ko a shagunan kantunan kan layi.
Farashin na'ura don auna sukari na jini ya dogara da masana'anta, ayyuka da ingancinsu. Kafin zabar glucometer, ana bada shawara don karanta sake dubawa na masu amfani waɗanda suka riga sun sami damar siyan wannan na'urar kuma gwada shi a aikace. Hakanan zaka iya amfani da ma'aunin glucose a cikin 2014 ko 2015 don zaɓar na'urar da ta fi dacewa.
Za'a iya rarrabe abubuwa zuwa kashi biyu na babban kashi, dangane da wanene zai yi amfani dashi don auna sukari na jini:
- Na'urar don tsofaffi da ciwon sukari,
- Na'urar ga matasa masu dauke da cutar sankarau,
- Na'ura don mutane masu lafiya waɗanda ke son saka idanu akan lafiyarsu.
Glucometers ga tsofaffi
An shawarci irin waɗannan marasa lafiya su sayi samfurin mafi sauki kuma ingantacce na na'urar don auna sukari na jini.
Lokacin sayen, ya kamata ka zaɓi glucometer tare da ƙarara mai ƙarfi, allon fadi, manyan alamu da ƙaramin maɓallan don sarrafawa. Ga tsofaffi, na'urorin da suka dace da girman sun fi cancanta, baya buƙatar shigar da bayanan ta amfani da maɓallin.
Farashin mita ya kamata ya zama ƙasa, ba lallai ba ne ya sami irin waɗannan ayyuka kamar sadarwa tare da keɓaɓɓen kwamfuta, ƙididdigar yawan ƙididdigar matsakaita na wani lokaci.
A wannan yanayin, zaku iya amfani da na'urar tare da karamin adadin ƙwaƙwalwa da ƙananan gudu don auna sukari na jini a cikin haƙuri.
Irin waɗannan na'urorin sun haɗa da abubuwan glucose waɗanda suke da kyakkyawar amsawa daga masu amfani, kamar:
- Accu Duba Taya,
- Zaɓi Mai Kyau,
- Da'irar abin hawa
- Zaɓin VanTouch.
Kafin ka sayi na'ura don auna sukari na jini, kana buƙatar nazarin fasali na matakan gwaji.
An bada shawara don zaɓar glucometer tare da manyan tsararraki na gwaji, saboda ya dace wa tsofaffi don auna jini da kansu.
Hakanan kuna buƙatar kulawa da yadda sauƙi a cikin sayan waɗannan tsararru a cikin kantin magani ko kantin kayan masarufi, ta yadda a nan gaba babu matsala gano su.
- Na'urar kwantarwa ta TS ita ce mita na farko wacce ba ta bukatar lamba, don haka mai amfani ba ya bukatar haddace jerin lambobin kowane lokaci, shigar da lamba ko shigar da guntu a cikin na'urar. Za'a iya amfani da tsaran gwajin har zuwa watanni shida bayan buɗe kunshin. Wannan na'urar ingantacciya ce, wacce babbar kuɗi ce.
- Accu Chek Mobile ita ce na'urar farko da ta fara aiki sau daya a lokaci daya. Ana amfani da kaset ɗin gwaji na rarrabuwa 50 don auna matakan sukari na jini, don haka ba a buƙatar sayan sassan gwajin don auna glucose jini. Ciki har da pen na sokin da aka makala a cikin na'urar, wanda aka sanye yake da lancet mai bakin ciki, wanda zai baka damar ɗaukar hoto tare da dannawa ɗaya. Additionallyari, kayan aikin sun haɗa da kebul na USB don haɗawa zuwa kwamfuta.
- VanTouch Select glucometer shine mafi dacewa kuma daidai mitan sukari na jini wanda ke da menu mai amfani da harshen Rashanci kuma yana da damar bayar da rahoton kurakurai a cikin Rasha. Na'urar tana da aikin ƙara alamomi game da lokacin da aka ɗauki ma'aunin - kafin ko bayan abinci. Wannan yana ba ku damar lura da yanayin jikin mutum da kuma tantance waɗanne abinci ne ke da fa'ida ga masu ciwon sukari.
- Na'urar da ta fi dacewa, wacce ba kwa buƙatar shigar da ɓoyewa, shine VanTouch Select Simple glucometer. Abubuwan gwajin wannan na'urar suna da tsararren lamba, don haka mai amfani bai buƙatar damuwa da duba saitin lambobin. Wannan na'urar bata da maɓallin guda ɗaya kuma yana da sauƙin sauƙaƙa ga tsofaffi.
Yin nazarin sake dubawa, kuna buƙatar mayar da hankali kan manyan ayyuka waɗanda na'urar don auna matakan sukari jini yana da - wannan shine lokacin aunawa, girman ƙwaƙwalwar ajiya, daidaituwa, saka lamba.
Lokacin aunawa yana nuna lokacin da ke cikin lokacin da aka tabbatar da ƙaddarin glucose a cikin jini daga lokacin da aka ɗibar da digo na jini zuwa tsarar gwajin.
Idan kayi amfani da mit ɗin a gida, ba lallai ba ne a yi amfani da na'urar mafi sauri. Bayan na'urar ta gama nazarin, siginar sauti ta musamman zata yi sauti.
Yawan ƙwaƙwalwar ajiya ya haɗa da adadin binciken da aka yi kwanan nan wanda mit ɗin zai iya tunawa. Mafi kyawun zaɓi shine ma'aunin 10-15.
Kuna buƙatar sanin game da irin wannan abu kamar calibration. Lokacin auna ma'aunin jini a cikin plasma na jini, kashi 12 ya kamata a rage daga sakamakon don samun sakamakon da ake so duka jini.
Dukkanin gwajin suna da lambar mutum wacce akan saita na'urar. Dogaro da ƙirar, ana iya shigar da wannan lambar da hannu ko karanta daga guntu na musamman, wanda ya dace sosai ga tsofaffi waɗanda ba lallai ne su haddace lambar ba kuma shigar da su a cikin mita.
A yau a kasuwar likita akwai wasu samfurori na glucometers ba tare da lambar sirri ba, don haka masu amfani ba sa buƙatar shigar da lamba ko shigar da guntu. Irin waɗannan na'urorin sun haɗa da na'urorin auna jini na jini Kontur TS, VanTouch Zaɓi Mai Sauti, JMate Mini, Accu Check Mobile.
Haske game da matasa
Ga matasa masu shekaru 11 zuwa 30, samfuran da suka fi dacewa sune:
- Accu Duba Taya,
- Accu Chek Performa Nano,
- Van Touch Ultra Sauki,
- EasyTouch GC.
Matasa da farko sun fi mai da hankali kan zabar wani karamin, dace da zamani na na'urar don auna glucose jini. Duk waɗannan kayan aikin suna da ikon auna jini a cikin fewan seconds.
- Na'urar EasyTouch GC ta dace da wadanda ke son siyan kayan aiki na duniya don auna sukari na jini da cholesterol a gida.
- Na'urar Accu Chek Performa Nano da na'urorin JMate suna buƙatar mafi karancin jini, wanda ya dace musamman ga yara matasa.
- Mafi kyawun samfurin zamani shine Van Tach Ultra Easy glucometers, waɗanda ke da bambancin launi daban-daban na shari'ar. Ga matasa, don ɓoye gaskiyar cutar, yana da matukar muhimmanci cewa na'urar ta yi kama da naúrar zamani - mai kunnawa ko rumbun kwamfutarka.
Na'urori don mutane masu lafiya
Ga mutanen da ba su da ciwon sukari, amma waɗanda suke buƙatar saka idanu a kai a kai matakin glucose a cikin jini, Van Tach Select Simple ko Contour TS mita ya dace.
- Don na'urar Van Touch Zaɓi Mai Sauki, ana siyar da tsarukan gwaji a saiti guda 25, wanda ya dace da amfani da na'urar.
- Saboda gaskiyar cewa basu da hulɗa tare da oxygen, ana iya adana abubuwan gwajin na Vehicle Circuit na tsawon lokaci.
- Duk waɗannan biyu da sauran na'urar ba sa bukatar lamba.
Lokacinda zaka sayi na'ura don auna sukari na jini, yana da mahimmanci ka kula cewa kit ɗin yawanci ya ƙunshi rarar gwajin ne kawai 10-25, alkalami da kuma lancets 10 na kampanin jini mara jin ciwo.
Gwajin yana buƙatar tsiri ɗaya na gwaji da kuma lancet ɗaya. Saboda wannan, yana da kyau a lissafta sau nawa za'a dauki ma'aunin jini, da sayan kayan gwaji na 50-100 da adadin lancets. Yana da kyau a sayi lancets na duniya, wanda ya dace da kowane irin samfurin glucometer.
Glucose
Don haka masu ciwon sukari za su iya tantance wane mita ne ya fi dacewa don auna sukari na jini, akwai ƙimar mitir na 2015. Ya haɗa da na'urorin da suka fi dacewa da aiki daga sanannun masana'antun.
Mafi kyawun na'urar da aka iya amfani da ita ta 2015 shine Toucharfe Easyarƙwalwar Ultraaƙwalwa Mai Sauƙi daga Johnson & Johnson, farashin wanda shine 2200 rubles. Kayan aiki ne mai dacewa kuma mai ɗaukar nauyi tare da nauyin 35 35 kawai.
Na'urar da ta fi daukar hankali a shekara ta 2015 ana daukar ta a matsayin mita ta Trueresult Twist daga Nipro. Binciken yana buƙatar kawai μl na jini 0,5, sakamakon binciken ya bayyana akan nuni bayan daƙiƙa huɗu.
Mafi kyawun mit ɗin a cikin 2015, wanda zai iya adana bayanai a ƙwaƙwalwar ajiya bayan gwaji, an gane shi Accu-Chek Asset daga Hoffmann la Roche. Na'urar na iya adana har zuwa kimanin ma'aunai 350 na kwanannan waɗanda ke nuna lokaci da ranar bincike. Akwai aiki mai dacewa don yiwa alama sakamakon da aka samu kafin ko bayan abincin.
Na'urar mafi sauƙin 2015 ta kasance mai karɓa ta zama Mai Son Zabi samplewararrun samfurin daga Johnson & Johnson. Wannan na'urar mai dacewa da sauƙi yana da kyau ga tsofaffi ko yara.
Na'urar da ta fi dacewa a cikin shekara ta 2015 ana ɗaukar ta na'urar ta Accu-Chek Mobile daga Hoffmann la Roche. Mita tana aiki akan kaset mai ɗorewa na gwaji 50. Hakanan, an saka alkalami a cikin gidaje.
Mafi kyawun aikin na 2015 shine Accu-Chek Performa glucometer daga Roche Diagnostics GmbH. Yana da aikin ƙararrawa, tunatarwa game da buƙatar gwaji.
Na'urar da ta fi karfin ta shekarar 2015 an sanya mata suna Vehicle Circuit daga Bayer Cons.Care AG. Wannan na'urar tana da sauki amintacciya.
Mafi kyawun dakin gwaje-gwaje na 2015 an sanya shi na'urar Easytouch mai ɗaukar hoto daga kamfanin Baioptik. Wannan na'urar tana iya daukar matakin glucose, cholesterol da haemoglobin a lokaci guda.
Na'urar Diacont OK daga OK Biotek Co. an gane shi a matsayin mafi kyawun tsarin kula da sukari na jini a cikin 2015. Lokacin ƙirƙirar tsarukan gwaji, ana amfani da fasaha ta musamman, wanda ke ba ku damar samun sakamakon bincike tare da kusan babu kuskure.
Hanyoyin gwaji don tantance sukari na jini: nau'ikan da fasali
Auna na yau da kullun na sukari na jini ya zama dole ga masu ciwon sukari don kula da rayuwa ta yau da kullun da yanayin kiwon lafiya. Suna yin waɗannan ma'aunin ta amfani da mitut na glucose na jini na gida.
Waɗannan na'urorin suna taimakawa matakan kimanta matakan sukari da suka danganta da ma'amala tsakanin sufanci ko kuma abubuwan haɗin keɓaɓɓun abubuwa da abubuwan glucose a cikin samfurin.
Don aiki na yau da kullun irin waɗannan na'urori, ragi don auna sukari a cikin jiki, wanda akan shafa mai musamman, ya zama dole.
Waɗannan kayan suna zuwa ta fuskoki da yawa, sun bambanta sosai dangane da farashin da kan samfurin mit ɗin. Suna da tsada sosai kuma zasu iya zama babban adadin kuɗi. Koyaya, akwai kuma na'urori don ƙayyade glucose a cikin jini, don aikin abin da tube don ƙayyade abubuwan glucose ba a buƙatar su.
Don ƙayyade sukari a cikin jiki, matakan gwaji don ɗayan ko wani nau'in glucometer wajibi ne. Ka'idar aiki irin wannan tube ita ce cewa an lullube su da wani keɓaɓɓen shafi. Lokacin da digo na jini ya shiga yanki mai ruɓi, abubuwa masu aiki da ke ciki zasu fara hulɗa da glucose.
Sakamakon wannan hulɗa, ƙarfin da yanayin halin yanzu wanda aka watsa daga mita zuwa tsiri tsararran gwaji. Yana kan tushen waɗannan canje-canje ne na'urar ta ƙididdige yawan sukari. Wannan hanyar ana kiranta electrochemical.
Ba zaku iya amfani da wannan kayan ba.
Hakanan akwai rarar gwajin gani. An yi imanin cewa daidaitorsu ya ragu sosai. Suna da shafi na musamman, wanda aka fentin su a launi ɗaya ko wata, gwargwadon abubuwan da ke cikin glucose a cikin jini.
Don haka dole ne a kwatanta sakamako na ƙura tare da ma'aunin launi da ƙarshe game da matakin sukari. Wannan shine, glucometer a wannan yanayin ba a buƙata.
Wannan hanya ana ɗaukarsa mafi tattalin arziƙi, tunda farashin irin wannan tsararran gwaji ya yi ƙasa, kuma a ƙari, za'a iya yanke su zuwa sassa da yawa. Bugu da kari, siyan na'urar ba'a buƙatarsa ba.
Ba tare da la’akari da hanyar ba, kowane gwaji don tantance glucose a cikin jiki ya kamata a gudanar da shi kawai akan ragin da aka saya kwanan nan.
Takaddun gwajin da aka gama don bincike suna ba da sakamakon gurbata, saboda haka ba za a yi amfani da su ba. Hakanan, ba za a iya ajiye su a buɗe ba - wajibi ne don rufe ɗaukar murfin bayan kowane amfani.
In ba haka ba, abin rufe gashi zai bushe kuma sakamakon ba zai zama mai bayani ba.
Yawancin marasa lafiya suna da sha'awar tambaya game da nawa nauyin gwajin don farashin glucometer. Suna da tsada kwarai, kamar lancets. Koyaya, bazaka iya amfani da waɗancan ƙarewa ba saboda murɗewar shaida, saboda har yanzu kuna sayen su sau da yawa.
Peididdigar su ita ce cewa kuna buƙatar sayan ƙungiyoyi dangane da wane samfurin na'urar ke amfani da shi. Yawancin marasa lafiya suna sha'awar ko, alal misali, za a iya amfani da kaset ɗin gwaji na OneTouch don na'urorin Accu Chek. Amsar wannan tambaya a fili mara kyau ce.
Gaskiyar ita ce kowane glucometer yana da ingantaccen gyara game da zane na kaset. Abin da ya sa lokacin buɗe sabon kunshin, yawancin na'urori dole ne a sake haɗa su.
Wannan "sake fasalin" na'urar don aiki tare da sabon kunshin kaset (shafi wanda ƙila ya bambanta da waɗanda ke cikin marufin da ya gabata).
Shigar da kaset na wata alama a cikin na'urar don amfanin gida zai iya haifar da rashin murfin alamu, amma har gazawar na'urar. Farashin kaset na gwaji kamar haka:
- iChek 1000 rub. domin inji mai kwakwalwa 100.,
- Accu Chek 2500 rub. domin inji mai kwakwalwa 100.,
- Glucocard 3000 rub. domin inji mai kwakwalwa 100.,
- FreeStyle 1500 rub. domin inji mai kwakwalwa 100.,
- Accu Chek Performa 1700 rub. domin inji mai kwakwalwa 100.,
- OneTouch Zaɓi 1700 rub. domin inji mai kwakwalwa 100.,
- OneTouch Ultra 2000 rub. don inji mai kwakwalwa 100.
Saboda irin wannan babban farashin kaset, wannan abin yakamata a yi la’akari da shi lokacin zabar na'urar. Kuna iya siyar da glucose ba tare da kaset na amfani da gida ba.
Hanyoyi don auna sukari a cikin jiki ba sune abubuwan cin abinci ba a cikin mita. Hakanan wajibi ne don canza lancets na lokaci-lokaci don mita. A lancet wata ƙarama ce mai sauƙi ko allura wacce aka tsara don sauri da jin zafi ta ɗauka fatar wani yatsa (ko wani wuri akan jikin) don samun ɗimbin jini don samfurin.
An saka lancets cikin alƙalami - mai sassaka - injin injiniyan da ya cika kusan kowane mita. Hanyar mai saurin, yayin da ka latsa maballin ko wasu abubuwan jawo, yana sanya lancets a motsi (cikin sauri da gajere).
Saboda kaifin lancet da saurin motsi, fatar fatar ba ta da zafi, rauni da aka yi ba shi da yawa kuma ƙarami, saboda haka zai warkar da sauri ko da masu ciwon suga.
Tare da banbancin da ba a sani ba, zaku iya amfani da lancets fiye da sau ɗaya (ba a zubar da lancet ba, kamar tsararran gwaji), duk da haka, dole ne a maye gurbin su lokaci-lokaci.
An yi imanin cewa sau nawa kake buƙatar canza su ya dogara da ƙimar ƙarfe, an tsara allura ɗaya don matsakaicin 5 zuwa 10.
Koyaya, ba shi yiwuwa a tsayar da wannan lokacin daidai gwargwado, tunda saurin huhun allura ya dogara da abubuwa da yawa, kamar kazirin fata, riƙewar sassarwar, yadda aka matse shi sosai (kuma, daidai da wannan, yadda aka soke fatar da fatar).
Karka mai da hankali kan sau nawa zaka iya amfani da lancet bisa ga umarnin. Za'a iya tantance lokacin musanyawa ga wani mai haƙuri. Yayin da allura take sabuwa, bugun fatar ba a ji. Amma yayin da mai sihiri ya zama mara lalacewa, farjin ya zama mara dadi ko jin zafi.
Stripless Glucometers: Yadda yake Aiki
Kwanan nan, ƙarin haɓaka sababbin abubuwa sun bayyana a kasuwa. Glucometers ba tare da kaset na gwaji ba, da sauransu, sun zama ɗayan waɗannan. Suna ba ku damar auna sukari na jini daidai kuma adana sabbin abubuwan da aka saba da su azaman na'urori da aka san su da kaset.
Daidai magana, waɗannan na'urori suna da sashin gwaji, wanda aka maye gurbinsu bayan kowace ƙimar, amma a zahiri suna aiki ba tare da tsini ba, wato, ba sa buƙatar mutum ya ɗauki madaukai tare da su zuwa aiki ko kan hanya.
A saboda wannan dalili, irin waɗannan na'urori sun fi dacewa da dacewa don amfani.
Glucometers ba tare da kaset ba na buƙatar shigarwa kaset ɗin gwaji na musamman a cikin yanayin, wanda aka tsara don ma'aunai da yawa (yawanci kusan 50). Bayan haka, yana buƙatar canji.
Na'urar da ba ta da tsada kuma mashahuri ba tare da rago ba ita ce Accu Chek Mobile. An sanya kaset na ma'auni 50 a ciki.
Bugu da kari, madafin lancet shima yana da duri don allura 6, wanda za'a iya maye gurbin shi da mashin din swivel. Kamar yadda ake amfani da waɗannan kayan, dole ne a maye gurbinsu.
Wannan na'urar ta dace don nazarin sukari a kan hanya, a wurin aiki, tunda ka5k baya buƙatar mai amfani don canza abubuwan sha don kowane jarrabawa.
Na'urar tayi tsada daga 1,500 zuwa 2,000 rubles, gwargwadon batun siyarwa kuma an riga an sanye shi da rigar tare da lancets da kaset. Nauyin nauyin 130. Kit ɗin ya haɗa da kebul na miniUSB don haɗawa zuwa kwamfuta da yada sakamakon gwajin sukari zuwa gare ta.
Ba kwa buƙatar shigar da ƙarin software. Memorywaƙwalwar na'urar zata iya adana har zuwa ma'auni 250.
Menene matakan gwaji?
Gwajin gwaji faranti ne a farfajiya wanda aka sanya reagent na musamman. Wannan abu yana amsawa tare da digo na jini wanda ya cancanci yin bincike, kuma tare da wannan, an ƙaddara abubuwan da ke cikin glucose a cikin jini. Alama mai dacewa yana nuna inda yakamata a ɗora digo na jini.
Yaya ake yin binciken?
Don ƙayyade sakamakon binciken, ya kamata ku sami jini a cikin ɗigon ruwa. Don bugun fata, ana amfani da na'urori na atomatik da ake kira lancets ko hannuwa da aka tsara don huda. Don aiwatar da aikin, ana amfani da injin bazara na musamman, allurar zata zama mai ɗan hankali kaɗan kuma mara jin ciwo, kuma sakamakon rauni akan fatar zai warke cikin sauri.
Gwajin gwaji Dole ne a sanya kowane nau'in glucometer na musamman. Ba tare da su ba, babu kayan aiki don ƙayyade abubuwan da ke cikin glucose a cikin jini da zai yi aiki, kuma idan samfuran su ba su dace ba, za a iya samun sakamakon da ba daidai ba.
Ya kamata ka kula da yanayin ajiya gwajin tube, tunda kuskuren yanayin yanayin ajiya mafi kyau na iya haifar da sakamakon bincike ba daidai ba.
Don aminci da halaye masu aiki tsarukan gwaji Manuniya kamar ƙara yawan zafin jiki ko raguwa, canjin zafi yana shafar.
An nuna madaidaicin ajiya a cikin umarnin da aka haɗo da tsaran gwajin, don haka ya kamata ka san kanka da shi kafin ka fara amfani da su.
A ina zan iya sayo su?
Kasancewar matakan gwaji koyaushe wajibi ne ga mutanen da ke da ciwon sukari. Saya daidai wadanda tsarukan gwaji, wanda ya zama dole don aiki da mita, na iya zama cikin kantin kayayyakin samfurori da kayan "Ciwon sukari". Shagon yana cikin Nizhny Novgorod.
Hakanan, za a iya siyarwa ta hanyar ƙirƙirar oda a shafukan shagonmu na kan layi.
Abubuwan da aka saya a cikin shagon kan layi suna da takaddun takaddun ingancin da suka zama dole kuma ana karɓar karɓar su daga abokin ciniki a cikin lokacin da aka ƙayyade.
Samun kwanciyar hankali na amfani da sabis na kantin sayar da kan layi ya ta'allaka ne a cikin ikon zaɓi wasu tsarukan gwaji waɗanda suka dace da samfurin musamman na mita. Hakanan a cikin shafukan yanar gizon shafin an nuna farashin su.
Glucose (sukari) a cikin jini
Glucose (daga tsohuwar Hellenanci ^ 7, _5, `5, _4, a3,` 2, “mai daɗi”, sukari, sukari mai ruɓa, dextrose) wani sinadarin monosaccharide ne, wanda shine asalin tushen kuzari ga jikin ɗan adam wajen wadatar da sinadarin carbohydrate.
Gwargwadon jini (glucose jini, glycemia) shine mafi mahimmancin canji mai sarrafa mutum na homeostasis. Bayan cin abinci, glucose a cikin mazan koyaushe yana ƙaruwa, amma kada ya wuce 6.1 mmol. A saboda wannan dalili, ana yin duk gwaje-gwaje na jini akan komai a ciki.
Yawan kwayoyin halittar jini ana sarrafa su ta hanyar jini, wanda babban shine insulin - hormone din kumburin zuciya. Tare da karancin insulin, matakin glucose a cikin jini ya hauhawa, wanda ke haifar da yunwar sel.
Matsakaicin haɓakar canji mai yawa a cikin sukari na jini a cikin mutum mai lafiya ya dogara da shekaru, lafiyar gaba ɗaya, amma kada ya karkace daga waɗannan dabi'u (a mmol / l, bisa ga hanyar da Healthungiyar Kiwon Lafiya ta Duniya ta yarda da shi):
- Yara masu shekaru biyu zuwa talatin - 2.8 - 4.4,
- Yara masu shekaru 1 zuwa shekara 14 - 3.33 - 5.55,
- Manya daga shekara 14 zuwa 50 years 3.89 - 5.83,
- Manya da suka wuce shekaru 50 da haihuwa 4.4 - 6.2,
- Manya daga shekara 60 zuwa 90 years 4.6 - 6.4,
- Tsofaffi sama da shekara 90 - 4.2 - 6.7,
- Matan da ke da juna biyu - 3.33 - 6.6.
Matsayin glucose na jini ga mata masu juna biyu, WHO, an nuna shi daban, shine 3.33 - 6.6 mmol / l (hyperglycemia mai ciki yana da alaƙa da haɓakar fetal, yawanci ba sa haifar da cututtukan jini - matakan sukari na jini na al'ada bayan haihuwar haihuwa, yayin da hyperglycemia na iya lura cikin tsawon ciki).
Ayyade matakin ƙwayar cutar glycemia tare da tsinkayyar gwaji mataki ne mai mahimmanci a cikin binciken cutar sankara.
Matsayin sukari a cikin jini a cikin kullun ya bambanta, yana canzawa ya dogara da adadin alamomi, waɗanda suka haɗa da:
- abincin abinci (sukari jini) koyaushe yakan tashi bayan cin abinci)
- shan magani
- lafiyar gaba daya
- aiki na jiki
- raunin da ya faru (ƙone, m zafi),
- juyayi, damuwa na damuwa.
Matsakaicin ma'aunin darajar glucose na jini ga manya, mara lafiya ciwon sukari mellitus ya tashi:
- Azumi - 3.5-5.3 mmol / l (65-95 mg / dl),
- 2 hours daga baya bayan shan abinci - kasa da 7.8 mmol / l (140 mg / dl).
Tuntuɓi likita don sanin ƙayyadaddun matakin ƙwayar cutar glycemia.
Tare da tsattsauran tsari na alamu daga dabi'un, akwai babban haɗarin barazanar haɓaka lalacewar jijiyoyi da jijiyoyin jini.
Idan karuwar matakin sukari na jini (glucose) yana da alaƙa da ciwon sukari mellitus, ana iya ɗaukar rikice-rikice da yawa da yawa, ana haifar da farko ta hanyar aiki na haya.
Glucose (sukari) a cikin ciwon sukari
Cutar sankarau (daga tsohuwar Girkanci ^ 8, _3, ^ 5, ^ 6, ^ 5, ^ 3, _7, `9,“ Zan tsallaka, tsallaka ”) sunan babban rukuni ne na rukunin cututtukan da ke nuna yawan ƙwayar fitsari (polyuria). A karkashin ciwon sukari da aka dauka ba daidai ba yana nufin keɓaɓɓen ciwon sukari mellitus, wanda yake kawai na musamman harka cututtuka.
Ciwon sukari mellitus, ciwon sukari mellitus, ciwon sukari rukuni ne na cututtukan endocrine wanda aka san shi ta haɓaka glucose na jini na lokaci-lokaci (sukari) (hyperglycemia) saboda ƙarancin (DM 1) ko dangi (DM 2) rashi na insulin na hormone. Ciwon sukari yana tare da cin zarafi kowane nau'i metabolism: mai, furotin, carbohydrate, ma'adinai da ruwa-gishiri.
Don farkon gano cutar sankara, da kuma sarrafa hanyar cutar, ana amfani da gwaje-gwaje masu zuwa jini: azumin glucose na jini (azaman doka, ana yin gwaji a gida, ana amfani da glucometer don nazarin jini) da gwaje-gwajen jini na gwaji, gami da gwajin haƙuri na glucose (gwajin glucose), gwajin haemoglobin glycated (glycosylated haemoglobin, HbA1c) da kuma wani gwajin jini na gaba daya (karancin farin farin jinin kirji ya nuna karancin sinadarin thyroid).
A cikin ciwon sukari mellitus, sakamakon karuwar yawaitar glucose (sukari) a cikin jinikoyaushe yana yawan sukari (glucose) cikin fitsari. Wannan halin a magani ana kiran shi glucosuria (ko glycosuria). Kodan sun sami damar dawowa cikin jini duk adadin glucose din da ya shude ta hanyar duniyan ta glomerulus. A yadda aka saba, a cikin mutum mai lafiya, fitsari ya ƙunshi glucose a cikin ƙananan ƙididdiga (0.06 - 0.083 mmol / l), bai isa ba don ƙuduri a cikin dakin gwaje-gwaje yayin gudanar da nazarin fitsari (nazarin asibiti (gaba ɗaya), nazarin nazarin halittu)).
Rage sukari mai tsayi a cikin fitsari wata alama ce mai nuna damuwa da ke magana game da lalatattun cututtukan ciwon sukari, ko kuma aikin keɓaɓɓiyar aiki. Glucosuria, in babu ingantattun maganganu, na iya haifar da rashin ruwa a jiki, saboda yana tsokanar da zubar jijiyoyin jiki daga jiki.
Babban matakan glucose na jini (sukari) na iya hade tare da bayyanar jikin ketone a cikin jini da fitsari.
Jikin Ketone (ketones, jikin acetone, acetone, KET, "ket") jikin ne mai guba, rukuni na samfuran metabolism waɗanda aka kafa a cikin hanta. Jikin Ketone a cikin lafiyayyen mutum yana da sinadarin oxidized zuwa kayan da ba cutarwa ba, an kera shi da iska mai hayaki, tare da gumi. Lokacin da adadin samuwar sassan ketone ya zarce adadin abin da suke zubar dasu, lalatattun ketones gaba daya duk jikin kwayoyin halitta, da farko, Kwayoyin kwakwalwa. Idan bayyanar jikin ketone a cikin fitsari (acetonuria, ketonuria) ba shi da alaƙa da ciwon sukari na mellitus, to ana yawan ganin su a cikin mata masu juna biyu da cututtukan guba da kuma a cikin yara tare da bayyanar cututtuka na uric acid diathesis. Tare da uric acid diathesis, glucose a cikin jinin yaro saukar da.
Lokacin da jikin ketone ya bayyana, acidity (pH, dauki) na fitsari, a matsayin mai mulkin, yana canzawa zuwa gefen acid (zuwa matakin 5 da ƙasa), duk da haka, a wannan yanayin, ya fi dacewa a yi amfani da gwaje-gwaje don jikin ketone (keto strips) don ganewar asali.
Idan ana haifar da glucosuria ta hanyar ciwon sukari, bayyanar hematuria (jini mai tsafi, sel da jini da haemoglobin a cikin fitsari) alama ce mai haɗarin gaske.
Latsa kuma raba labarin tare da abokanka:
Kwayoyin halittar jini da haemoglobin a cikin fitsari (jini a ciki, hematuria) kalma ce wacce ke nufin bayyanar abubuwanda ke cikin jini a cikin fitsari - sel jini ko kuma haemoglobin fiye da dabi'un kimiya. Hematuria tare da ciwon sukari yawanci yakan faru ne a cikin shekaru 15-20 bayan bayyanar (bayyanar farko) na cutar, alama ce ta gazawar koda, sakamakon tsawaita tsaftace ƙwayoyin ƙwayoyin jini tare da matakan glucose mai yawa. A wasu halayen, hematuria na iya zama sakamakon cututtukan da ke tattare da tsarin ƙwayar cuta, sau da yawa na yanayin oncological, ya haifar, inter alia, ta hanyar mummunan ciwan ciki.
A gaban raunuka na tubulointerstitial a cikin kodan, ba kawai glucosuria ba, har ma da matsakaitan furotin na iya bayyana (duka furotin a cikin fitsari
Protein a cikin fitsari (proteinuria) - excretion (excretion) na sunadarai (albumin da globulins) a cikin fitsari a cikin kima da ya wuce na al'ada (40-80 mg a kowace rana). Proteinuria, a matsayin mai mulkin, alama ce ta lalacewar koda.
Saboda haka, a bango daga ciwon sukari, fitsari ne muhimmin mai nuna alama janar yanayin jikin mutum. Idan aka gano wani matakin girma na glucose (sukari) a cikin jini a cikin dogon lokaci, to ya zama dole a gudanar da wani aikin urinalysis aƙalla sau ɗaya a cikin kowane watanni 3, don fara gano yiwuwar rikice-rikice na ciwon sukari.
Don tantance sukari na jini a gida, ana amfani da gurneti ko kuma alamun gwaji na gani.
Gwajin gwaji
Tsarin gwajin da aka gani na gani don tantance glucose (sukari) a cikin jini shine farfadowar dakin gwaje-gwaje da aka riga aka shirya (saitin reagents), an sanya shi akan abin da aka yi da filastik maras-mai, 4-5-fadi kuma tsawon mil 50-70. Hanyar auna glucose jini a cikin matakan gwaji ya samo asali ne daga tasirin enzymatic na hadawar abu na glucose ta glucose oxidase zuwa gluconic acid da hydrogen peroxide. Karkashin tasirin gluconic acid a gaban enzyme peroxidase, hadawar abu na chromogen yana faruwa da kuma samar da hadaddun launuka na abubuwan firikwensin. Matsakaicin juzuwar chromogen da ƙarfin launi na alamar nuna alamar tsiri gwajin ya yi daidai da haɗuwar glucose (sukari).
Abun enzymatic na reagent (mai nuna alama) na tsiri gwajin:
- glucose oxidase (glucose ox>Matsakaicin ma'aunin glucose (sukari) a cikin jini ta amfani da matakan gwajin nuna alama daga 1 zuwa 55 mmol / l (18-990 mg / dl). Sakamakon binciken lokacin da launi ya fi sauƙi fiye da filin 1 mmol / l, ya dace da ƙimar ƙasa da 1 mmol / l (18 mg / dl). Sakamakon binciken lokacin da aka rufe duhu fiye da filin 55 mmol / L, ya dace da ƙimar da ta fi 55 mmol / L (990 mg / dl).
Sakamakon binciken dakin gwajin jini ko kuma jini zai zama
12% sama da sakamakon da aka samo tare da hanyoyin gwajin gani da aka samu ta amfani da jini gaba daya.
Don aiwatar da ma'aunai tare da alamun gwaji na alama gaba daya ba sa bukata mallaka ilimin likita da kwarewar musamman.
Takaddun gwaji don ƙuduri na glucose jini (sukari) bisa ga "Tsarin al'ada na kayan aikin likita ta hanyar azuzuwan dangane da yuwuwar haɗarin amfani da su" suna cikin aji na 2a (kayan aikin likita tare da matsakaita na haɗarin).
Dangane da "All-Russian Classifier of iri Na Ayyukan Ayyukan tattalin arziki, Kayayyaki da Ayyuka" (OKDP), lambar 2429422 - "Ma'aikatan bincike na gwaji" an sanya su ne a kan gwajin gwaji na gani. Kamfanoni da ke da hannu a cikin siyayyaran gwaji an sanya musu lambar ƙididdigar OKVED 51.46.1 (Kasuwancin magunguna da kayan likita).
Gano kansa tare da alamun gwaji, har ma bin duk umarnin, ba musanyawa ga bincike na yau da kullun game da yanayin kiwon lafiya ta ƙwararren likitanci, likita.
Umarnin don amfani da tsaran gwaji
Karatun wannan koyarwar don amfani da tarkacen gwaji domin yanke hukunci na glucose (sukari) na jini baya kebe mai haƙuri daga karatu "Umarnin don yin amfani da kayan nunawa don ƙayyadadden ƙarfin glucose (sukari) cikin jini"wanda yake a cikin kwalin kwandon masana'anta ko bugu a kan bututu (akwatin fensir).
Umarnin don amfani da masana'antun daban-daban na iya bambanta sosai cikin abun ciki da shawarwari. A sashen "Gwaje gwaje-gwaje na jini (sukari) jini", wanda yake a ƙarshen wannan labarin, ya ƙunshi cikakken jerin tsaran gwaje-gwaje, ta danna kan hanyoyin haɗin za ku iya nazarin umarnin don takamaiman na'urorin likitanci.
An tsara abubuwan gwaji don sarrafa gulukon jini a cikin vitro. Lokacin yanke shawarar matakan sukari na jini, yi amfani da sabo sabo, farin jini daga yatsanka. Amfani da venous jini, plasma, ko jini jini m.
Paya daga cikin tsarukan gwaji shine don ma'aunin guda ɗaya. Bayan an yi amfani da shi, ya kamata a zubar da tsiri.
Lokacin amfani da tsinin gwajin nuna alama, kar a taɓa abin nuna alama kafin fara aikin.
Ana yin gwajin bayyani (ma'auni) don glucose jini a zazzabi na yanayi na +18 zuwa +30 ° C.
Don nazarin, ban da kanshin gwajin sukari na jini, zaku buƙaci waɗannan na'urorin haɗi:
- maganin lancet (allura insulin, scarifier) don saka yatsa,
- Na'urar zamani tare da agogo,
- auduga swab ko danshi-shawa,
- akwati tare da ruwan sanyi mai tsabta.
Nan da nan kafin a fara binciken, yakamata a share hannaye sosai, yankin fata don ɗaukar jini kafin aikin ya kamata ya bushe sosai.
Lokacin amfani da taimakon waje, ana iya ɗaukar jini don bincike daga kunne.
Hanyar don tantance glucose (sukari) a cikin jini yana ɗaukar seconds 130-150.
Ya kamata a yi amfani da tsirin gwajin daga bututu don tantancewa a cikin minti 30.
Bayan kammala duk umarnin shiriyar, zaku iya ci gaba don sanin matakin glucose a cikin jini:
- Bude shari'ar fensir, cire sakin gwajin daga shi, sannan ka rufe murfin nan da nan,
- Saka tsiri gwajin a ɗakin kwana, busasshiyar ƙasa tare da wannan yankin alamar,
- Soya yatsa tare da lancet. Farkon zubar jini da ya fito ya kamata a cire shi da adiko na goge baki. A hankali matsi dan yatsanka har sai zubar farin jini na farko ya bayyana,
- A hankali taɓa mai nuna alama (firikwensin) na tsiri ɗin gwajin zuwa ɗigon jini domin nunawar yana rufe gaba ɗaya kuma a cikin jini. Ba'a yarda ya taɓa mai nuna alama tare da fata ba, zub da jini ta cikin firikwensin,
- Sanya tsiri na gwajin a ɗakin kwana, busasshiyar ƙasa tare da abun nuna alama sama, kunna agogon awon gudu,
- Bayan sakan 60, cire jini daga allon gwajin, a jefar dashi cikin kwalin ruwa. An ba shi izinin sanya siginar alama a ƙarƙashin rafin ruwan sanyi mai tsabta,
- Cire ruwan da ya wuce kima daga kayan nunawa ta hanyar shafa gefen tsiri gwajin zuwa danshin dattin danshi ko adiko na ruwa,
- Bayan 60 seconds, tantance sakamakon binciken ta hanyar kwatanta launi na ɓangaren nuna alama na tsiri gwajin tare da sikelin launi da aka buga akan bututu.
Lokacin da aka ayyana a sakin layi na 6 da 8 shine sakan 60, aka zaɓa ba da izini ba. Lokaci na amsawa yana da matukar muhimmanci wajen tantance glucose na jini. Duba umarnin takamaiman samfurin.
Bayyana sakamakon bincike na glucose a cikin jini ana yin shi ne ta hanyar halitta ta hanyar kwatanta bangarorin mai nuna alamar tsinkayen tare da sikelin launi akan kunshin (bututu). A yayin aiwatar da zane, ya kamata ka zabi daidaitaccen daidaituwa na sashin sikelin launi da launi na mai nuna alama.
Idan launi mai nuna alamar canza launin ya fadi tsakanin dabi'u biyu na ma'aunin launi don glucose (sukari) a cikin jini, yakamata ku ɗauki matsakaicin darajar: (4 + 6) / 2 = 5. Idan launin da aka samo yayin binciken bai faɗi daidai tsakanin ƙimar biyu na ma'aunin launi ba, ya wajaba a gyara sakamakon ƙaddara, a cikin shawarar mai haƙuri. Matsalar bangarorin gwajin na gwajin ya kasance tsayayye na mintuna 3-7.
Sikeli mai launi (tebur) don sukari na jini (glucose) na masana'antun daban-daban, haka ma sikeli na samfuran daban daban na masana'antun iri ɗaya na iya bambanta cikin canzawar launi. Lokacin amfani da ma'aunin alamar tsiri tare da ma'aunin launi, ya kamata ka yi amfani da sikelin wancan bututun (fensir) daga inda aka fitar da tsirin gwajin.
Levelsaukaka ko rage matakan glucose (sukari) a cikin jini na iya nuna alamun cututtukan da ba a bincika su ba. Idan sakamakon da aka samu ta amfani da alamun gwajin nuna alama ya ƙasa ko sama da ƙimar da ake tsammani, to ya zama dole a sake yin binciken. Idan kun sake samun sakamako, ƙimar abin da ya bambanta sosai da waɗanda ake tsammani, ya kamata ku nemi likita kuma ku bi shawarwarin.
Akwai dalilai da yawa waɗanda ke haifar da sakamakon da ba za a iya dogara da su ba yayin ƙayyade matakan sukari na jini tare da matakan gwajin nuna alama:
- Bai isa ba jini. Volumearancin bloodarancin jini da aka sanya akan yankin na alamar gwajin zai haifar da sakamako mai dogaro. Dagewa ya isa cikin girma zuwa gaba daya rufe alamar nuna alama na tsiri,
- Karyawanine fiye da 55% na iya yin watsi da ƙimar glucose har zuwa 15%. Hematocrit da ke ƙasa 35% na iya ƙara darajar ƙimar glucose da aka ƙaddara zuwa 10%,
- Ba daidai ba tsakanin tazara. Riƙe jini a cikin firikwensin gwajin gwajin fiye da byasa da mai ƙirar lokacin zai iya haifar da ƙima ko ƙima akan matakin glucose (sukari),
- Gwaje tsiri gwajin. Kar ku taɓa bangarorin nuna alamun gwaji tare da yatsunsu - tare da taɓawa zaka iya barin burbushi na sukari daga abinci akan su, ko lalata su, wanda zai haifar da sakamakon ƙididdigar abin dogaro,
- Lalacewa ga tarkacen gwaji saboda danshi. Yankunan da aka nuna na sassan gwajin suna iya ɗaukar danshi. Idan ka bar bututun a wuri mai kauri a cikin budewa na wani lokaci sama da mintuna 2-3 - Tseren gwajin zai lalace,
- Ranar karewa. Bangaren mai nuna alamun sassan gwajin ya rasa hankalin sa bayan ranar karewa.
Tare da matakan tsinkaye na matakin glucose (sukari) a cikin jini ta hanyar gwajin gwaji, alama ya kamata a adana bayanan abin da aka rubuta sakamakon gwaje-gwajen da aka yi.
Don hana asarar kaddarorin abubuwan gani na gwaji, wanda na iya haifar da ƙididdigar ƙididdigar rashin daidaituwa, dole ne a kiyaye dokokin adana kayan masarufi.
Gwajin tsiri na gwaji
Yanayin ajiya da rayuwar shiryayye na matakan gwaji na iya bambanta sosai daga masana'anta daban-daban. A sashen "Gwanayen gwaje-gwaje na glucose (sukari) jini »a ƙasa, zaku iya zaɓar takamammen samfurin kuma sami ingantaccen bayani.
Ya kamata a adana kayan gwaji a cikin kwantena na mai masana'anta a cikin bushe, duhu, kariya daga zafi mai zafi, hayakin alkali, abubuwan narkewar kwayoyin, acid, daga rashin isa ga yara, a zazzabi na +4 zuwa +30 ° C, ga rayuwar rayuwar gabaɗaya. Rayuwar shiryayye na samfuran shine watanni 12-24. Daskarewa tube gwajin (sanyaya) ba a yarda ba. Bayan an buɗe bututu na farko, dole ne a yi amfani da kayan gwajin a cikin watanni 4, bayan haka dole ne a zubar da su.
Lokacin amfani da alamun gwaji na alama a cikin tsarin asibiti, abin da yakamata yakamata ayi la'akari dashi kayanda zasu iya kamuwa dashi. Free ajiya na amfani da tube gwaji ba a yarda ba, dole ne a zubar dasu daidai da ka'idojin asibiti.
Tsarin launi da aka buga akan bututun dole ne a kiyaye shi daga hasken rana kai tsaye don hana shi faduwa.
A yayin adana bututun (akwati), kar a cire jakar tare da kayan rufe daga murfin.
Matsayin glucose na jini
Matsakaicin launi (tebur) don ƙididdige gwajin jini don glucose (sukari) na kayan gwajin ya ƙunshi filayen 10 guda ɗaya da ke dacewa da abubuwan da ke cikin glucose na jini mai zuwa mg / dl / mmol / l: 0 (0,0), 20 (1,1), 40 (2.2), 80 (4.4), 120 (6.6), 160 (8.8), 230 (12.6), 300 (16.5), 600 (33.3), 1000 (55.0).
Gwajin gwajin jini
Sakamakon yawaitar glucose, a yau, a kasuwannin likita, akwai nau'ikan samfuran gwaji biyu na kayan gwaji na gani wanda aka tsara don auna glucose jini (sukari):
- Takaddun gwajin Diagluk (Diagliuk A'a 50) - Ruwan glucose na jini (sukari) na Rasha a kamfanin kamfanin Biosensor AN, Russia,
- Betachek (Betachek A'a 50, Betachek Kayayyakin gwaji na gani) - shigo da kayan sukari na jini daga NDP, Australia.
Dalilin abubuwan gwaji na glucose na gwaji shine a binciki manyan abubuwan da ke tattare da glucose. Wata hanyar gano cuta ita ce auna glucose cikin fitsari. Wannan hanyar ba ta zama daidai ba kuma ba da labari, amma don bincike ba a buƙata duk jini.
Wadannan hanyoyin gwaji na alamura masu zuwa suna nan don a auna glucose fitsari:
- Uriglyuk (Uriglyuk-1 A'a 50) - Alamar gwajin gwaji don sukari fitsari daga Biosensor AN, Russia,
- Ketoglyuk (Ketoglyuk-1 A'a 50) - kayan haɗin gwaji don ketones da sukari daga Biosensor AN, Russia,
- Diaphane (Diafan No. 50, DiaPhan) - haɗaɗɗun mahaɗa tare da alamomi guda biyu don ƙayyade matakin sukari da acetone daga Erba Lahema, Czech Republic,
- Takaddun gwajin kwayoyin dake dauke da kwayoyin Bioscan (Bioscan Glucose A'a. 50 / No. 100) don glucose fitsari daga Bioscans, Russia,
- Glukofan (Glukofan A'a. 50, GlukoPhan) - Takaddun Turai daga kamfanin Erba Lachema, Czech Republic,
- Pentafan / Pentafan Laura (PentaPhan / Laura) tsinkewar gwaje-gwaje don sukari, acetone, pH (acidity), jimlar furotin (albumin da globulins) da jini na latent (sel jini da haemoglobin) cikin fitsari daga Erba Lahema, Czech Republic,
- Harshen Uripolian - tube daga Biosensor AN tare da alamomi guda goma waɗanda ke ba da damar nazarin fitsari bisa ga halaye masu zuwa - glucose, jikin ketone, jinin latent (erythrocytes, hemoglobin), bilirubin, urobilinogen, yawa (takamaiman nauyi), farin jini sel, ascorbic acid, jimlar protein (albumin da globulins) da acidity (pH),
- Takaddun gwajin Bioscan Penta (Bioscan Penta A'a 50 / No. 100), tare da alamomi guda biyar daga kamfanin Rashas Bioscan, yana ba da gwajin fitsari ba kawai don glucose (sukari) ba, har ma don pH (acidity), jimlar furotin (albumin, globulins) , jikin ketone, jini na tsafi (sel jini da kuma haemoglobin).
Don nazarin hadaddun fitsari, ban da wanda ke sama, akwai wasu takaddun gwaje-gwajen gwajin fitsari waɗanda basu bada damar karancin karatun fitsari.
Farashin gangar jikin gwajin jini
Farashin kwatancen gwaji don tantance glucose (sukari) a cikin jini baya hade da farashin bayarwa idan aka sayi kayan ta hanyar kantin magani ta yanar gizo. Farashi na iya bambanta sosai dangane da wurin da aka siya.
Imiyasta farashin tsararrun gwaji:
- Rasha (Moscow, St. Petersburg) daga 235 zuwa 720 Rashawa rubles,
- Ukraine (Kiev, Kharkov) daga 78 zuwa 238 hryvnias na Ukraine,
- Kazakhstan (Almaty, Temirtau) daga 1107 zuwa 3391 Kazakhstani tenge,
- Belarus (Minsk, Gomel) daga 61805 zuwa 189360 Belarusian rubles,
- Kasar Moldova (Chisinau) daga 66 zuwa 202 Moldovan Lei,
- Kyrgyzstan (Bishkek, Osh) daga 256 zuwa 785 Kyrgyz soms,
- Uzbekistan (Tashkent, Samarkand) daga 9113 zuwa 27922 wakilin gidan Uzbek,
- Azerbaijan (Baku, Ganja) daga 3.5 zuwa 10.7 Azerbaijani manats,
- Armenia (Jerevan, Gyumri) daga 1614 zuwa 4946 drams na Armenia,
- Georgia (Tbilisi, Batumi) daga 8.0 zuwa 24.5 Georgian Lari,
- Tajikistan (Dushanbe, Khujand) daga 22.1 zuwa 67.8 Tajik somoni,
- Turkmenistan (Ashgabat, Turkmenabat) daga 11.4 zuwa 34.8 sabon tsarin Turkmen.
Sayi sassan jikin gwaji (suga)
Zaku iya siyan kwatancen gwajin nuna alama don ƙayyade glucose (sukari) a cikin jini a kantin magani ta amfani da hidimar magunguna, gami da. Kafin ka sayi matakan gwaji, yakamata ka fayyace kwanakin karewa. Kuna iya ba da umarnin kwalliyar gwaji a cikin kowane kantin magani na kan layi, ana siyar da kaya tare da isar da gida ta hanyar mai aika sako, ba tare da takardar likita ba.
Masu Gwada gwaji
Maƙeran abubuwan gwajin ƙididdigar alamun gani don auna matakan glucose jini (sukari), waɗanda basa buƙatar glucometer, waɗannan kamfanoni ne:
- Biosensor AN, Russia,
- Erba Lahema, Czech Republic (wanda ya kasance wani ɓangare na masana'antar harhada magunguna Teva, Isra'ila).
Gwajin Gwajin Gwaji
Binciken kwatancen gwajin glucose na jini (sukari) tsakanin masu haƙuri a cikin mafi yawan tabbatacce. Marasa lafiya suna lura da saukin sauƙi da kuma dacewa da amfani da tsinkewar alamun: ko da yaro na iya yin gwajin jini akan nasu. Daga cikin ra'ayoyin marasa kyau, akwai rashin daidaituwa a cikin ma'aunin glucose jini (idan aka kwatanta da ƙimar da aka samu ta amfani da glucometer), farashi mai ƙima.
Don ƙarin tabbataccen ƙuduri na haɗuwa da glucose (sukari) yakamata ayi amfani da šaukakkun matakan sukari na sukari na jini.
Yin amfani da kwatancin kwatancen gwaji
Bayanin kwatancen gwajin don tantance sukari na jini (glucose) na My Medical Kwayar magunguna tarin abubuwa ne da aka samo daga mahimmin bayani, jerin abubuwanda ke akwai a cikin Bayanan kula kuma "Umarnin don amfani da kayan aikin likita na nuna alamun gani don auna glucose jini (sukari)"kunshe cikin wadatattun abubuwan gwaji. Duk da cewa daidaito da bayanin da aka gabatar a labarin "Abubuwan gwaji don tantance sukari na jini (glucose)" duba daga kwararrun likitocin da suka kware, abubuwan da ke cikin labarin don ayi ne kawai, ba shiriya ga kai (ba tare da tuntuɓar ƙwararren likita ba, likita) ganewar asali, ganewar asali, zaɓin hanyoyin da hanyoyin magani.
Kafin siyan da fara amfani da matakan gwaji na glucose na jini (sukari), ya kamata ka san kanka da umarnin mai ƙira don amfani.
Editocin tashar “My kwayoyi” ba su ba da garantin gaskiya da kuma mahimmancin kayan da aka gabatar, tunda hanyoyin ganewar asali, rigakafi da kuma lura da cututtukan cututtukan endocrine, ciwon sukari mellitus, musamman, ana inganta su koyaushe. Don karɓar cikakken kulawar likita, ya kamata ku yi alƙawari tare da likita, ƙwararren likita, ƙwararren likitanci, da farko.
Bayanan kula
Bayanan kula da bayani ga labarin "Yankunan gwaji domin tabbatar da sukari (glucose) a cikin jini." Don komawa zuwa ga lokaci a rubutun - danna lambar da yake daidai.
- Na gani firikwensin (nuna alama) tsararren gwajin gwaji, kayan gwajin nuna gani - waɗanda aka riga aka shirya kayan gwaje-gwajen dakin gwaje-gwaje da aka sanya su akan takardar filastik ko takarda. Kada a rikita shi tare da tsaran gwajin ƙwayoyin lantarki don glucometers.
- a cikin vitro"href =" # baya_note_2 ">a cikin vitro , in vitro (daga Latin “a cikin gilashin”) - wani nau'in binciken da aka gudanar tare da kwayoyin, sel ko kwayoyin halittu a cikin yanayin da ake sarrafawa a waje da yanayin iliminsu na yau da kullun, a wasu kalmomin - a cikin vitro - samfurin binciken ƙira daga kwayoyin samu daga kwayoyin halitta. Dangane da haka, a cikin tantance kwayar cutar glycemia, jini (da sukari (da sukari) da ke ciki) shine kayan gwajin da aka samo daga jikin mutum, kuma kayan gwaje-gwajen gwaji na gani ga glycemia kayan aikin bincike ne, ana gudanar da binciken da kansa. a cikin vitro. A cikin Turanci, ana fassara a cikin vitro ita ce kalmar "a gilashin", wanda ya kamata a fahimta a zahiri a matsayin "a cikin bututun gwajin gilashi." A gaba daya hankali a cikin vitro bambanta da ajalin a cikin vivoma'ana bincike a kunne kwayoyin halitta (a ciki).
- Yankin Gida - tsarin sarrafa kai, ikon jiki don kiyaye matsayin jihar ciki, don kiyaye mahimman bambance-bambancen aiki a cikin iyakokin da ke tabbatar da aiki mafi mahimmanci, ayyukan da aka daidaita don daidaita daidaitaccen aiki. Yayinda yake riƙe da homeostasis, wani sashin jiki yana ƙoƙari don ƙirƙirar kanta, dawo da daidaitattun batattu, shawo kan juriya na yanayin waje. Hanyoyin kewaya jini, numfashi, excretion, metabolism da makamashi suna cikin kulawa don kiyaye homeostasis.
- Insulin - hormone mai gina jiki na dabi'a peptide, wanda aka kafa a cikin sel beta na tsibirin na pancreatic na Langerhans. Insulin yana da tasiri a cikin metabolism a kusan dukkanin kyallen takarda, yayin babban aikin shi shine rage (kiyaye al'ada) glucose (sukari) a cikin jini. Insulin yana ƙaruwa da ƙwaƙwalwar ƙwayar ƙwayar plasma don glucose, yana kunna maɓallin enzymes glycolysis, yana ƙarfafa samuwar glycogen a cikin hanta da tsokoki daga glucose, da haɓaka aikin sunadarai da mai. Bugu da ƙari, insulin yana hana ayyukan enzymes wanda ke rushewar mai da glycogen.
- Tunani darajar - matsakaicin darajar ƙayyadaddun ma'aunin dakin gwaje-gwaje da aka samu ta hanyar yawan taro na ƙimar lafiya.
- Musayar ruwa-gishiri - jerin matakai na amfani da ruwa da kuma wutan lantarki (salts), shan su, rarrabawa a cikin mahalli na ciki da ficewar jiki. Rage damuwa a cikin ruwa-gishiri zai iya, daga lokaci zuwa lokaci, na haifar da cin zarafin ma'aunin acid, wanda hakan zai haifar da yawan canzawar fitsari (fitsari pH). Don auna acidity na fitsari, kawai sayi pH gwajin.
- Kwayoyin farin jini - farin farin sel, rukuni mai tarin yawa na sel jini daban-daban na ayyuka da kuma bayyanar su. Kwayoyin farin jini suna kiyaye jikin mutum daga wakilai na waje da na ciki.
- Urina, daga Latin "urina", fitsari. A cikin aikin gwaje-gwaje, yawanci ana kiran fitsari.
- Kwayoyin jini, sel jini ja sune tsarin jini wanda aikinsa shine canjawar iskar oxygen daga huhu zuwa kashin jikin mutum da jigilar carbon dioxide ta fuskar. An kafa sel sel cikin jini a cikin kashi kashi na 2.4 a cikin sel na gaba.
25% na duk sel a jikin mutum sune sel jini.
Lokacin rubuta labarin game da matakan gwajin nuna alama don ƙudurin sukari (glucose) a cikin jini, kayan kayan bayanai da kuma tashar yanar gizon likita, shafukan yanar gizo na biosensorAN.ru, Betachek.com, NLM.NIH.gov, WHO.int, anyi amfani da WebMD azaman hanyoyin. .com, Labtestsonline.org, Patient.info, MMA.ru, NGMA.ru, BSMU.by, Wikipedia, "umarnin don amfani da alamun kwalliya don ƙaddara abubuwan glucose (sukari) a cikin jini", da kuma wallafe-wallafe masu zuwa:
- Baranov V., Lang G. "Jagora zuwa Magungunan Cikin Gida. Cututtuka na tsarin endocrine da metabolism. " Gidan wallafa "Gidan wallafa Gidan wallafe-wallafen Jiha", 1955, Moscow,
- Leites S., Lapteva N. "Sakamako ne a kan pathophysiology na metabolism da tsarin endocrine." Gidan wallafa "Magunguna", 1967, Moscow,
- Henry M. Cronenberg, Shlomo Melmed, Kenneth S. Polonsky, P. Reed Larsen, “Ciwon sukari da nakuda na kara karfin jiki”. Gidan wallafa "GEOTAR-Media", 2010, Moscow,
- David Gardner, Dolores Schobeck "Asali da Clinical Endocrinology." Gidan wallafa "Beameed. Labarin Ilimin, 2010, Moscow,
- Odin V., Tyrenko V. “dabaru na ganewar asali". Gidan Watsawa na ELBI-SPb, 2011, St. Petersburg,
- Peter Hin, Bernhard O. Boehm “Ciwon sukari. Binciko, magani, kula da cutar. " Gidan wallafa "GEOTAR-Media", 2011, Moscow,
- Dovlatyan A. "Rashin rikicewar cutar sankarau." Gidan wallafa “BINOM. Labarin Ilimin, 2013, Moscow,
- Karamysheva T. “Ciwon sukari. Cikakken Encyclopedia na masu ciwon sukari. ” Gidan wallafa mujallar Exmo, 2015, Moscow.