Glucose Yopitirira Yowonongeka
Kuwonetsetsa kwa magazi m'thupi ndi chinthu chofunikira kwambiri pa kasamalidwe ka shuga, makamaka kwa anthu omwe ali ndi matenda a shuga a mtundu wa 1 ndi omwe amatenga insulini. Zimapangitsa kusamalira shuga kukhala kosavuta, koma kungakhale kovuta kwambiri. Otsogolera osagwiritsa ntchito shuga akhoza kupanga zosavuta, ndipo tsopano pali njira yoposa imodzi yomwe ikupezeka mumsika wa United States: FreeStyle Libre Flash Glucose Monitoring System inavomerezedwa kuti igwiritsidwe ntchito.
Chifukwa chiyani Kuwunika Ndikofunika?
Bungwe la American Diabetes Association limapereka kuti odwala ambiri amagwiritsa ntchito insulini yambiri, monga multiple insulin jekeseni kapena insulin pump treatment, amadziyendetsa mwazi m'magazi (SMBG) asanadye , kudya zakudya zolimbitsa thupi, kuchita masewera olimbitsa thupi, nthawi yogona, nthawi zina pakudya, amaganiza kuti magazi amatha kuchepetsa magazi, atatha kumwa mankhwala a shuga mpaka magazi awo asakwane, komanso asanayambe kuyendetsa galimoto.
Zakhala zikufotokozedwa kuti anthu omwe amayesa shuga awo amagazi ambiri amakhala otsika A1Cs ndi kusiyana kochepa kwa shuga. Koma, mungathe kulingalira momwe izi zingakhalire zovuta-ma checkcks angapo amatha kukhala nthawi yambiri komanso zovuta kuzigwiritsa ntchito.
Kuwunika Glucose Wopitirira
Kuwonjezera pa SMBG, anthu ambiri omwe ali ndi matenda a shuga amasankha kugwiritsa ntchito mawonekedwe opitirirabe a glucose (CGM) kuti adziwe zambiri zokhudza magazi awo kuti athe kusamalira bwino mankhwala awo, masewera olimbitsa thupi, ndi chakudya.
Pakadali pano, ma CGM akhoza kupereka kuwerengera kwa glucose pafupifupi maminiti asanu ndikuphatikiza ma alamu apamwamba omwe amauza munthu pamene shuga lawo la magazi likuyenda pansi kapena lalitali. Kafukufuku wasonyeza kuti kugwiritsa ntchito CGM kumagwirizanitsidwa ndi A1Cs zochepa, masiku osachepera a sukulu, komanso kuchepa kwa hypoglycemia.
Kugwiritsira ntchito CGM kungachititse kuti glucose mayendedwe akhale osavuta, koma popanda chopanda chala.
Ma CGM onse ayenera kuyesedwa ndi mayeso a m'magazi, omwe samathetsa vuto la kuyesa shuga kwambiri. Koma, uthenga wabwino ndikuti zipangizo zatsopano zikufufuzidwa nthawi zonse ndikuvomerezedwa.
Abbott, kampani yapadziko lonse yothandizira zamankhwala, adalandira FDA kuvomerezedwa kuti agwetse nthaka ya United States. Maofesi a FreeStyle Free Flash Glucose Monitoring ndi chipangizo cha CGM chomwe chimasonyezedwa kwa oyang'anira matenda a shuga mwa anthu a zaka 18 ndi akulu. Zapangidwira kuti m'malo mwa kuyesedwa kwa magazi kusamalidwa ndi matenda a shuga.
The Free System ikugwiritsidwa ntchito tsopano m'mayiko ena 39, kotero chivomerezo ichi ndi chosangalatsa kwambiri kwa anthu omwe ali ndi shuga ku United States.
Kodi Zimagwira Ntchito Bwanji?
The Freestyle Libre System imagwiritsa ntchito matekinoloje atsopano kupereka nthawi yeniyeni ya glucose kuwerengedwa maminiti iliyonse pogwiritsa ntchito chithunzithunzi choyambirira (simukuyenera kuchiyika ndi ndodo, izi zimachitika mu fakitale). Mosiyana ndi ma CGM ena, palibe bulky transmitter; mmalo mwake, sensa yaing'ono, yopanda madzi (pafupifupi kukula kwa kotala) imayikidwa mamitala asanu okha pansi pa khungu kumbuyo kwa mkono. Chojambulira chimayendera madzi amadzimadzi, omwe amafanana ndi capillary magazi.
Pambuyo pa nthawi yeniyeni ya maola khumi ndi awiri, mukhoza kupeza kuwerenga kwa magazi m'magazi pokhapokha pang'onopang'ono kuti muyese selo ndi Reader. Mukhoza kuyesa nthawi zonse monga mukufunira, koma, kuti mutenge deta yonse, ndikulimbikitsidwa kuti muyese seva yanu kamodzi pa ma ora asanu ndi atatu kuti muwerenge 100 peresenti ya deta. Maphunziro a Abbott awonetsa kuti anthu omwe amagwiritsa ntchito sensa imeneyi amayesa kuwonetsa nthawi zambiri kusiyana ndi kuyesa shuga awo mwazi ndi chida chaching'ono, chomwe chimapatsa iwo chidziwitso chofunika kwambiri.
The Libre ikhoza kusunga deta ya masiku 90. Ikhoza kukhala yodzala kwa masiku khumi-imasiya kugwira ntchito pambuyo pa nthawiyi ndipo iyenera kuyimilidwa.
Mukamaliza ndi sensa yanu, mukhoza kutaya.
The Libre imakhalanso ndi magazi a shuga mkati mwa dongosolo. Mwinamwake mukudziganizira nokha, ndichifukwa chiyani ndikuyesa shuga yanga yamagazi ngati CGM yanga ikuyang'ana miniti iliyonse? Poyamba, mungafune kudziwa ngati CGM ndi yolondola. Kuwonjezera apo, pali nthawi zina pamene CGM ikhoza kusokoneza-izi zikhoza kukhala panthawi yambiri kusintha kwa magazi m'magazi, monga atatha kudya, kutenga insulini, kapena kuchita masewera olimbitsa thupi. Kutaya madzi kwambiri ndi kutayika kwa madzi kungapangitse zotsatira zolakwika. Pa nthawiyi, mudzafuna kutsimikiza shuga wanu wamagazi ndi ndodo.
Kuwonjezera apo, ngati muli ndi zizindikiro za shuga wotsika kapena wapamwamba kwambiri, muyenera kukuyang'ana shuga pamagazi (chifukwa Free alibe ma alarm). Mipangidwe yomwe imagwiritsidwa ntchito mu mita imatchedwa Precision Neo test strips. Iwo ndi otchipa, ndalama zolipilira ndalama, payekha pepala lokulunga kotero kuti likhoza kugwiritsidwa ntchito mpaka tsiku lomaliza. Kawirikawiri, bokosi la 50 limawononga madola 20. Kugwiritsa ntchito zigawo zina za mayesero ndi mita yokhazikitsidwa kungapangitse vuto kapena kutipangitsa kuti lisayambe kapena kuyambitsa mayeso. Simungathe kugwiritsa ntchito mita kuti muyese ketoni.
Nthawi zina, Reader sadzatha kukudziwitsani komwe glucose ikuyenda ndipo idzakupatsani chizindikiro chochenjeza. Nthawi iliyonse mukamawona chizindikiro ichi, muyenera kuyesa magazi m'magazi ndi kuchitapo kanthu pogwiritsa ntchito zotsatirazo.
Ubwino
Freestyle Libre ndi yoyamba ndi CGM yokha yomwe imachotsa zizindikiro zala zachinsinsi. M'malo mosanthula zala zazing'ono patsiku, anthu omwe ali ndi shuga amatha kusinkhasinkha CGM (kupweteka) kuti awerenge zomwe angagwiritse ntchito insulin dosing, kukonza chakudya, ndi zina zotero.
Kwa anthu omwe amanyansidwa ndi kuyesedwa, izi zingawathandize kuthetsa matenda awo a shuga, pomwe onse akukulitsa umoyo wawo. Kuonjezera apo, mauthenga ambiri ndi mauthenga amtunduwu angathandize anthu omwe ali ndi shuga kuchepetsa chiopsezo cha shuga wotsika magazi ndikuwathandiza kupeza insulin dosing ndi kukonza chakudya.
Kwa anthu omwe ali ndi matenda a shuga omwe sangathe kupeza ma CGM ena, Free System ingawapatse yankho.
Kuyerekeza ndi Zida Zina
Chipangizo chachipangizochi chimatchulidwa ngati pulogalamu ya glucose yowunikira. Poyerekeza ndi ma CGM ena monga Dexcom G4 ndi G5, Free system imafufuza glucose mphindi iliyonse m'malo maminiti asanu ndipo imatha kuvala masiku khumi, mosiyana ndi zisanu ndi ziwiri. Icho ndi cholondola kwambiri ndipo sizimafuna kuwerengedwa kwa ndodo ya finger. Chifukwa chakuti Free safuna kutumiza, mtengo wake ndi masensa ake akhala otsika poyerekeza ndi ma CGM ena.
Kusiyanitsa kwina ndikuti Free alibezomwe ma alarm-omwe angathe kupeŵa kutopa khungu. Mutha kuzindikirabe shuga yapamwamba kapena yotsika kwambiri ya magazi, koma mutangotenga chipangizo chanu. Ngati pa nthawi imeneyo mwapeza shuga wambiri, magazi amawerenga, akuwerenga kuti akuchenjezeni ndikukulimbikitsani kuti muyambe kukumbukira.
Pomaliza, malo osungira malo samavomerezedwa ku malo ena osati kumbuyo kwa mkono (ma CGM ena amavomerezedwa kumimba ndi matako). Ngati iikidwa kumadera ena, Sensor sangagwire bwino ntchito.
Kusungirako
Kusungirako ndikofunika kuteteza khungu ndi kusunga shuga kuti zikhale zolondola momwe zingathere. Peŵani kuzizira kapu ndi kusunga chida pakati pa 39 ° F ndi 77 ° F. Simukufunikira kusunga chiguduli chanu mufiriji, koma mungathe ngati firiji ili pakati pa 39 ° F ndi 77 ° F. Sungani katsulo kamene kali pakati pa 10 mpaka 90 peresenti osapereka chinyezi.
Zolepheretsa
Chimodzi mwa zoperewera zazikulu ndikuti palibe ma alarms popanda kupima mphamvu. The Free System sichidzakuyang'anirani ngati shuga wanu wa magazi ndi wokwera kwambiri kapena otsika pokhapokha mutayang'ana sensa yanu. Mwachitsanzo, Dongosolo silidzakuyang'anirani ngati shuga wanu wa magazi ndi otsika pamene mukugona. Kuonjezera apo, Free sanayesekezedwe kuti agwiritsidwe ntchito kwa anthu omwe ali ndi kudziwa kwa hypoglycemia.
Njira yamawonekedwe sichiwonetsedwanso kuti igwiritsidwe ntchito kwa aliyense wosachepera zaka 18.
Freestyle Libre Pro
FreeStyle Libre dongosolo ndi yosiyana ndi Freestyle Libre Pro, yomwe yapezeka ku United States kwa chaka chimodzi. Gawo la Abbott la FreeStyle Libre Pro likuwunikira kupereka madokotala ndi odwala omwe ali ndi chidziwitso chokhudza kuwerenga magazi kwa shuga kwa masiku 14. Amagwiritsidwa ntchito panthawiyi kuthandiza kupanga chisankho kwa anthu omwe ali ndi mitsempha yambiri ya magazi kapena hyper kapena hypo-glycemia.
Panthawi imene wodwalayo amavala, samayenera kuyankhulana ndi chipangizochi kapena safunikira kukopa magazi kudzera mu ndodo kuti agwirizane ndi sensa. Koma, ayenera kupitiliza kuyesa shuga awo ndi kusunga chigawenga cha shuga, chakudya, masewera olimbitsa thupi, ndi zina zotero.
Pambuyo pa masiku 14, wodwalayo amabwerera ku ofesi ya dokotala, kumene dokotala amagwiritsa ntchito FreeStyle Libre Pro kuwerenga kuti ayese seloyo ndi kulanditsa zotsatira za masiku 14 zomwe zimasungidwa mkatikatikati mwa mphindi zisanu kapena zisanu.
Kupezeka
The Freestyle Libre System ikuyembekezeka kuti ikhalepo m'ma pharmacies oyandikana nawo malonda oyambirira mpaka pakati pa December. Zili kuyembekezera kulandira inshuwalansi yabwino ndipo muyenera kukhala ndi mankhwala kuti mupeze. Ngati inshuwalansi yanu sichikuphimba mita, ndalama zokwana ndalama zogulitsira ndalama ndi $ 70 kwa owerenga (nthawi imodzi yogula) komanso pafupifupi $ 108 kwa mwezi umodzi (masensa atatu pamwezi).
Mawu ochokera kwa erywell
The Freestyle Libre Flash Glucose Monitoring System ndi CGM yoyamba kuthetsa chidindo chala. Iyi ndi nkhani yosangalatsa kwa anthu omwe ali ndi shuga. The Free akuyembekezeka kugunda pharmacies (sizikuyenera kutumizidwa) mu December 2017 ndipo amatha kukhala otsika mtengo poyerekezera ndi zina CGM.
Kusiyana kwakukulu kwakukulu musanayambe kukambirana ndi dokotala wanu ndikuti Free System ilibe malamulo osamangidwira ndipo siidakonzedwe kwa odwala osakwana zaka 18. Odwala odwala matenda a shuga ayenera kulandira mankhwala kuti apeze mitayi. Ngati mukuganiza kuti ndinu oyenerera kapena muli ndi chidwi, funsani gulu lanu la chisamaliro. Ngati muli ndi kukayika kulikonse, mungathe kuona ngati mutha kuyesa Freestyle Libre Pro musanayambe.
> Zotsatira:
> Chigwirizano cha ku America cha shuga. Malamulo a Zamankhwala pa Matenda a Shuga - 2017. Chisamaliro cha Shuga . 2017 Jan; 38 (Suppl 1): S1-132.
> Abbott. Mafotokozedwe ndi Mauthenga Ofunika Otetezera.