Zida zogwiritsira ntchito glucose (CGM) ndi FDA-zomwe zimavomerezedwa kuti zitha kuwerengedwera maola 24 patsiku, motero amalola odwala mtundu wa shuga 1 kapena mtundu wa shuga kuti ayang'ane mosamala ma level ndi shuga. Kawirikawiri, CGM imayimba shuga ya magazi kamodzi pa mphindi zisanu, motero imapereka mawerengedwe 288 a shuga tsiku lililonse. Ngakhale kuti CGM inayamba kulumikizidwa mu 2006, kupita patsogolo kwa sayansi kwapangitsa kuti zipitirire kukhala zodalirika ndipo ntchito yake ikukula kwambiri masiku ano.
Ngati mukuganizira za CGM, phunzirani zambiri za izo ndikuwunikira luso lanu la zaumoyo kuti muone ngati zingakhale zoyenera kwa inu. Mwinanso, dokotala wanu mwina adalimbikitsa kugwiritsa ntchito chipangizo cha CGM kukuthandizani kuthetsa matenda anu a shuga. Pachifukwa ichi, musanagwiritse ntchito chimodzi, kumvetsa momwe ntchito zimagwirira ntchito zingakhale zothandiza.
Kodi Magetsi a CMG Amagwira Ntchito Bwanji?
Mwachikhalidwe, zipangizo za CGM zili ndi magawo atatu:
- Wothandizira omwe amayesa magawo osakanikirana a shuga
- Chotsitsa chokhala pamwamba pa sensa, chomwe chimatumiza deta kudzera mafunde a wailesi kwa wolandira
- Wophunzira , yemwe poyamba anali wovuta kuwoneka opanda pager-monga mawonekedwe omwe ankawonetsa mazira a shuga ndi zochitika.
Pogwiritsa ntchito matelogalamu a bluetooth, makina atsopano pamsika, monga Dexcom 5, amalola kuti magazi azidziwitsidwa m'magazi pansi pa khungu kuti atumize mwachindunji ku zipangizo zamagetsi, kuphatikizapo iPhones ndi iPads. Odwala omwe amadandaula za chiwerengero cha zigawo zachikhalidwe cha CGM adzakondwera ndi kusintha kwatsopano kumeneku.
Zida za CMG monga Dexcom 5 zimaphatikizansopo mapulogalamu ovomerezeka omwe amagwiritsidwa ntchito pogwiritsa ntchito mtambo. Pamene uthenga wa shuga wa magazi umalandira ndi chipangizo chodabwitsa, amatha kupititsidwa kudzera mumtambo mpaka ophunzira asanu. Zowonjezereka zimatha kupezeka mosavuta ku ofesi ya dokotala, ndikutsatila kufufuza ndi kusanthula machitidwe ndi maonekedwe akuwonekera.
Zoperewera za ma CGM Devices
Kugwiritsiridwa ntchito kwa CGM kumatsutsanabe, ndi zotsatila zosiyanasiyana ndi zomwe zatchulidwa pansipa.
Zoperewera zikuphatikizapo:
- Ngakhale kuti CGM imatha kuwerenga maulendo a magazi pang'onopang'ono, timitengo tambiri tating'ono ta tsiku ndi tsiku timayesetsabe kuti tipeze CGM.
- Makina a CGM amaletsa kuchepetsa kuchepa kwa shuga poyerekezera ndi shuga ya magazi, pamene shuga ikukwera mofulumira.
- Ambiri amanena kuti phindu lenileni likupezeka pakupezeka kwa magawo a hypoglycemic. Komabe, deta imasonyeza kuti CGM ingakhale yolakwika kwambiri pamtunda wochepa wa magawo.
- Makina a CGM ndi okwera mtengo, ndipo ndalama zoyambirira zimakhala pakati pa $ 1,000 ndi $ 2,000, ndipo zimapezeka ndi mankhwala okhaokha. Kuphatikiza apo, katundu amagula pakati pa $ 300 ndi $ 450 pamwezi, kuphatikizapo masensa omwe ayenera kusinthidwa masiku atatu kapena asanu ndi atatu.
Ubwino wa ma CGM Devices
Ubwino woganizira ndikuphatikizapo:
- CGM imathandizira kuzindikira momwe zimakhalire m'magazi a shuga, ngakhale ngati miyesoyo siyiyendetsedwe bwino. Mwachitsanzo, CGM ikhoza kuthandizira kuwonetsa mapiritsi a m'mawa kwambiri kapena kuviika m'magazi amagazi nthawi zina pamene anthu ambiri samayika shuga kawirikawiri.
- CGM ingathandize kuwunikira zotsatira za zakudya ndi masewera olimbitsa thupi pa shuga la magazi.
- Ogwiritsa ntchito akhoza kuyika ma alarm kuti awachenjeze pamene mazira a shuga ndi otsika kwambiri kapena apamwamba kwambiri.
- M'mayesero ena akuluakulu, CGM inachepetsa hemoglobin A1C ndi 0,3 mpaka 0,5 peresenti poyerekeza ndi kayendedwe kake kakang'ono kamodzi kake.
- M'mayesero omwewo, CGM inachepetsanso zotsatira za hypoglycemia.
CGM ingagwiritsidwe ntchito ndi insulin pump treatment. Pampu yowonjezera mphamvu (SAP) imaphatikizapo luso la pulogalamu ya insulini yopanga shuga . Kafukufuku panopa akuyesa momwe ntchito yopezera insulini imayambira pa data ya CGM.
Kodi CGM Ndi Ndani?
Kusankha oleza mtima ndi chigawo chofunikira ku ntchito ya CGM yopambana. Makampani a Endocrine Malangizowo amalimbikitsa Odwala akuluakulu omwe ali ndi matenda a shuga a mtundu wa 1 ndi ma A1C ≥7 omwe asonyeza kuti angathe kugwiritsa ntchito zipangizozo tsiku ndi tsiku.
Kuwonjezera apo, ndizofunikira kuti odwala osankhidwa amvetsetse kumvetsetsa kwa chipangizo cha CGM kuti athandizidwe kwambiri. Gwiritsirani ntchito CGM kungakhale koyenera kwa odwala omwe ali ndi matenda a hypoglycemic usiku kapena kudzidzimitsa kwa hypoglycemic (kusakhoza kudziŵa kudzichepetsa kwa hypoglycemia). Zingakhalenso zothandiza kwa odwala omwe ali ndi matenda a shuga a mtundu wa 2 omwe ali ndi ubongo wa m'mimba kapena nthawi zambiri kapena kudzidzimutsa kwa hypoglycemic.
Zotsatira:
Klonoff DC. Kuwunika glucose mosalekeza: njira yopangira mankhwala a shuga m'zaka za m'ma 2100. Chisamaliro cha shuga 2005; 28: 1231.
Hirsch IB. Kukambirana zachipatala: Zoyembekezera ndi zogwiritsidwa ntchito popitiriza kuyang'anira glucose kwa wotchedwa endocrinologist. J Clin Endocrinol Metab 2009; 94: 2232.