Nzira itsva yekutevera huwandu hweshuga yako! Zvese nezve Kuongororwa kweGlucose (CGM)

Kana uchirarama nechirwere cheshuga, hazvina mubvunzo kuti zvakakosha sei kudzora huwandu hweshuga muropa rako. Kuedza shuga yako muropa kakawanda pazuva nemunwe wako dzimwe nguva kunogona kuva dambudziko. Asi ikozvino tekinoroji itsva yabuda semhinduro yakanaka kune izvi. Ndiyo nzira ye 'Continuous Glucose Monitoring' kana kuti 'CGM'. Ngatitaurei nezvazvo zvakadzama nhasi.

Chii chinonzi CGM (Continuous Glucose Monitoring)? Zvichitaurwa zviri nyore...

Zvichitaurwa zviri nyore, CGM mudziyo mudiki unogara uchitarisa huwandu hweshuga mumuviri wako, zvichireva maawa makumi maviri nemana pazuva. Imhando yetekinoroji inopfekwa. Chero bedzi uchipfeka mudziyo uyu, unoyera huwandu hweshuga iri mumvura iri pasi peganda rako inonzi interstitial fluid uye inokupa ruzivo. Vanhu vazhinji vanoshandisa CGM pfupi pane izvi.

Mudziyo uyu we 'CGM' unonyanya kubatsira vanhu vane chirwere cheshuga. Nekuti kugadzirisa chirwere cheshuga zvinoreva kudzora huwandu hweshuga muropa. Saka 'CGM' inokupa ruzivo rwechokwadi nezvekuti huwandu hweshuga muropa rako huri kuchinja sei. Izvi zvakakosha zvikuru, nekuti kune zvinhu zvakawanda zvinokanganisa huwandu hweshuga muropa redu, zvimwe zvacho zvatisingatombofungidzire pachine nguva.

Kune mhando dzakasiyana dzemidziyo yeCGM pamusika, uye tekinoroji iyi iri kuchinja nekukurumidza. Mimwe michina yeCGM yakagadzirwa kuti ibatanidzwe nemapombi einsulin uye masisitimu ekuzvitumira insulin otomatiki. Kana uchida kudzidza zvakawanda nezveCGM, taura nachiremba wako.

Chii chinonzi `Interstitial Fluid`?

Zvino ungave uchishamisika kuti "mvura inoyerera mukati" iyi chii. Funga nezvazvo, iyi ndiyo mvura inopoteredza masero mumuviri wedu. Mvura iyi inoumbwa nezvinhu zvinobuda kubva mutsinga dzedu dzeropa. Glucose, kana shuga, inopinda mumvura iyi kubva muropa nenzira iyi.

Sensor iri muCGM haina kunamirwa zvakananga patsinga yeropa, asi kune mvura iri pasi peganda. Saka inoyera huwandu hweglucose iripo.

Glucose inotanga yapinda muropa yozopinda mumvura iri pakati peropa. Saka, panogona kunge paine kunonoka kudiki pakati pehuwandu hweglucose muropa rako nehuwandu hweglucose mumvura iri pakati peropa. Izvi zvinoreva kuti kuverenga kweglucose kubva kuCGM sensor kunogona kuitika mushure memaminitsi mashoma kupfuura kuverenga kweglucose kubva pamunwe.

Mudziyo we `CGM` unoshanda sei?

Kune mhando dzakasiyana dzemidziyo ye'CGM' pamusika. Dzese dzinoshanda nenzira imwe chete. Musiyano mukuru uri muhunhu uye chitarisiko chemudziyo.

Asi CGM yega yega ine zvikamu zvitatu zvekutanga:

1. Sensor:Ichi chishandiso chidiki chinoyera huwandu hweglucose mu interstitial fluid yako panguva iyoyo. Unoisa sensor iyi pasi peganda rako uchishandisa mudziyo unonzi applicator. Inoshandisa tsono kubaya ganda. Zvadaro, kana tsono yabviswa, sensor inoramba iri pasi peganda rako. Iyi sensor inowanzogara kwemazuva angangoita manomwe kusvika gumi nemashanu, zvichienderana nerudzi rwechiratidzo. Mamwe masisitimu eCGM anogona kuiswa, ayo anogara kwemwedzi yakati wandei. Itepi diki rinoreba mamirimita gumi nemasere rinoiswa nachiremba pasi peganda reruoko rwako rwepamusoro.

2. Transmitter: Sisitimu yega yega yeCGM ine transmitter. Izvi ndizvo zvinotumira data reglucose rinoyerwa ne sensor kumudziyo (semuenzaniso, smartphone app, receiver, insulin pump) yaunogona kuona. Mamwe maCGM ane transmitter inogona kushandiswazve yaunogona kubatanidza kune sensor itsva. Mamwe maCGM ane transmitter inouya ne sensor uye inobviswa (sensor inoraswa).

3. Smartphone app, receiver kana insulin pombi: Iyi tekinoroji inoratidza huwandu hweglucose yauri kushandisa parizvino, pamwe negirafu yehuwandu hweglucose yawakashandisa kare. Inokuratidzawo kana huwandu hweglucose yako huri kukwira, kudzikira, uye kuti huri kuchinja nekukurumidza sei. MaCGM mazhinji ane smartphone app yekuona data rako. Kune avo vasina smartphone, mamwe maCGM anouya nekadhi rekugamuchira kadiki kanobatwa neruoko. Mamwe maCGM anogonawo kutumira ruzivo urwu rweglucose ku insulin pombi inoenderana.

Heano matanho ayo CGM inowanzo shanda:

• Unoisa `sensor` diki pasi peganda, kazhinji mudumbu kana ruoko. Izvi zvinoitwa nekukurumidza uye zviri nyore ne`applicator`. `sensor` inobatwa panzvimbo netepi inonamira.
• Tevere, unobatanidza CGM transmitter kune sensor, kana dzimwe nguva sensor ne transmitter zvese zvakabatana kare. Mamwe ma transmitter anoda kuchajwa usati wabatanidza kune sensor. Kana uchida, unogona kushandisa tepi yekuwedzera kuti transmitter ne sensor zvirambe zvakabatirira paganda rako.
• Zvichienderana nerudzi rweCGM, pane nguva ye "kudziya" sensor isati yatanga kutumira data. Izvi zvinogona kutora maminetsi makumi matatu kusvika maawa maviri.
• Mazhinji maCGM anotanga kutumira data reglucose otomatiki mushure menguva iyi ye "kudziyisa muviri". Mamwe anoda kuti "ugadzirise" (gadzirisa marongero) nekutora sampuli yeropa nemunwe uye kutarisa huwandu hweglucose yako usati watumira data.
• Unogona kutarisa huwandu hweglucose yauri kushandisa uchishandisa smartphone app, receiver, kana insulin pump chero bedzi sensor yakabatana. Unogona zvakare kuisa alarm yekukuzivisa kana huwandu hweglucose yako husina kunaka. Mhando idzi dzinosiyana kubva kumunhu nemunhu.
• Kana sensor yapera (kana kuti yamira kushanda), uchafanirwa kuita matanho aya zvakare kubva pakutanga.

Unogona kudhawunirodha data rako reCGM (mafambiro nenhoroondo) kukombiyuta chero nguva. Mamwe masisitimu eCGM anotumira data nguva dzose. Unogona zvakare kugovera ruzivo urwu nachiremba wako.

Zviri nyore here kushandisa `CGM`?

Midziyo yeCGM michina midiki yakaoma kunzwisisa. Zvinotora nguva kuti unzwisise hunyanzvi hwayo pakutanga.

Semuenzaniso, unofanira kudzidza zvinhu zvinotevera:

• Maitiro ekuisa `Sensor` nemazvo.
• Kana zvichidikanwa, nzira yekugadzirisa mudziyo nekutora ropa kubva pamunwe uye kutarisa huwandu hweglucose.
• Maitiro ekugadzirisa alarm yemudziyo.
• Maitiro ekutumira data kukombiyuta (yekuongorora kwenguva refu) kana kufoni yako.
• Maitiro ekuchinja chirongwa chako chekurapa zvichibva padata rawakaunganidza.

Zvinotora nguva uye mwoyo murefu kuti unzwisise mashandiro anoita mudziyo weCGM. Asi haufanirwe kuzviita wega. Kana wangosarudza kutenga CGM wobva wapihwa mushonga wekurapa, nyanzvi ine hunyanzvi ichakudzidzisa mashandisirwo ayo zvakachengeteka. Chiremba wako anogona kukukurudzira kuti utore kirasi yekudzidzisa nezvechirwere cheshuga kana kutaura neCertified Diabetes Care and Education Specialist (CDCES).

Ndichiri kuda kutora ropa kubva mumunwe wangu kuti nditarise shuga yangu pandinenge ndichishandisa `CGM` here?

Kushandisa CGM kunofanira kuderedza zvakanyanya huwandu hwenguva dzaunofanira kuyedza shuga yako yeropa nefingerstick. Zvisinei, zvichiri kukosha kuchengetedza fingerstick meter uye zvinhu zviripo pedyo. Kana CGM yako ikangoerekana yamira kushanda kana kuti yadonha, unogona kuramba uchitarisa huwandu hweglucose yako nefingerstick meter kusvika wawana sensor itsva.

Uyewo, kuongororwa kweminwe kunogona kubatsira kusimbisa mhedzisiro yeCGM. Nekuti, sezvakaita tekinoroji yese, maCGM anogona kunge asina kururama. Kana kuverenga kweCGM yako kuchiita sekunge kunofungira, nguva dzose zvakanaka kuti uongororwe ropa kubva pamunwe wako kuti usimbise . Semuenzaniso, kana CGM yako ichiratidza kuti shuga yako yeropa iri kukwira kana kudzika asi iwe usingazvinzwi, zvakanaka kuti uongororwe ropa kubva pamunwe wako. Zvakare, kana usiri kunzwa zvakanaka asi CGM yako ichiratidza kuti mazinga ako eglucose ari pakati penguva dzose, bvunzo yeminwe inogona kukupa mhedzisiro yakanakisa.

Mimwe michina yeCGM inoda kugadziriswa (kugadziriswa kwemagadzirirwo) uye kuyedzwa kweminwe.

Vanhu vasina chirwere cheshuga vanogona kushandisa `CGM` here?

MaCGM anonyanya kugadzirirwa vanhu vane chirwere cheshuga. Zvisinei, vanachiremba vanogonawo kukurudzira maCGM kune mamwe mamiriro anokanganisa huwandu hweshuga mumuviri. Semuenzaniso:

• Prediabetes. (Zvirwere zveshuga zvisati zvatanga.)
• Kufuta zvakanyanya.
• Zvimwe zvirwere zve "Glycogen storage" zvinoonekwa nekudzikira kweshuga muropa nguva nenguva.
• Insulinoma ibundu risingawanzoitiki rinoburitsa insulin yakawandisa, zvichikonzera kudzikira kwakanyanya kweshuga muropa.

Kana uchifunga kuti CGM inogona kubatsira hutano hwako, taura nachiremba wako.

Ndezvipi zvakanakira kushandisa CGM pakurapa chirwere cheshuga?

Kushandisa mudziyo weCGM kunogona kuita kuti kurapwa kwechirwere cheshuga kuve nyore. Ongororo dzinoverengeka dzakaratidza kuti vanhu vane chirwere cheshuga cheType 1 neType 2 vane chirwere cheshuga chidiki uye vane mazinga eA1C akaderera pavanoshandisa CGM.

Mudziyo we `CGM` une mabhenefiti aya:

• Inokupa mufananidzo wakakura wekuti chirwere cheshuga chinokubata sei: CGM inoyera huwandu hweshuga yako mumaminitsi mashoma ega ega. Data iri rinokupa mufananidzo wakakwana wekuti huwandu hweshuga yako huri kuchinja sei nekufamba kwenguva. Ruzivo urwu runogona kukubatsira iwe nachiremba wako kunzwisisa zviri nani kuti zvinhu zvakaita sechikafu, kurovedza muviri, kushushikana, uye kurwara zvinokanganisa sei huwandu hweshuga yako muropa.
• Zvinoita kuti munhu awane rubatsiro rwakakodzera: CGM haitauri nyaya yese nezvekuti chirwere cheshuga chiri kukukanganisa sei. Inokuudza chete kana shuga yako yakakwira kana yakaderera, kwete kuti nei. Asi iwe nachiremba wako munogona kurodha data kubva kumudziyo wenyu weCGM motsvaga maitiro nemafambiro. Nenzira iyoyo, munogona kushanda pamwe chete kuti mugadzirise kutarisirwa kwenyu zvichienderana nezvamunodzidza.
• Inokuzivisa nezvematambudziko akakwira neakaderera: Midziyo mizhinji yeCGM inokutumira yambiro kana huwandu hweglucose yako hwakakwira zvakanyanya kana kuti hwakaderera zvakanyanya. Neruzivo urwu, unogona kuchinja nekukurumidza. Unogona kurapa kana kudzivirira huwandu hweshuga yeropa yakakwira kana huwandu hweshuga yeropa yakaderera zvisati zvava matambudziko akakomba.
• Inoderedza nguva dzaunofanira kuongororwa ropa neminwe: Ne `CGM`, unoderedza zvakanyanya nguva dzaunofanira kuongororwa ropa neminwe pazuva.

`CGM` inokosha here pakurapa chirwere cheshuga?

Unogona kutarisa huwandu hweshuga muropa rako nguva nenguva nekutora chigunwe uye kushandisa chiyereso cheglucometer. Ndizvo zvinoitwa nevanhu vazhinji.

Zvisinei, bvunzo yemunwe inongoyera huwandu hweglucose muropa rako panguva iyoyo. Zvakafanana nekuverenga peji rimwe chete rebhuku. Kana uchiongorora minwe yakawanda, ndipo paunowana ruzivo rwakawanda, izvo zvinogona kukupa ruzivo rwezviri kuitika kuhuwandu hweshuga muropa rako.

Ruzhinji rwenyanzvi dzechirwere cheshuga dzinokurudzira kushandisa CGM pakurapa chirwere cheshuga, sezvo ichipa ruzivo rwakawanda nezvemafambiro eshuga muropa kupfuura kuongororwa kweminwe.

Ndezvipi zvipingamupinyi zve `CGM`?

MaCGM zvishandiso zvinobatsira zvikuru, asi ane zvimwe zvipingamupinyi. Kufanana netekinoroji yese, masisitimu eCGM anogona kuva nematambudziko, kusashanda zvakanaka, kana kutomira kushanda. Munhu anokudzidzisa nezveCGM achakudzidzisa nezvematambudziko aya anogona kuitika uye mawaniro ekuwana mhinduro dzawo.

Mimwe mishonga nezvimwe zvinovaka muviri zvinogona kukanganisawo kururama kwemamwe masensa eCGM. Semuenzaniso:

• Acetaminophen (semuenzaniso Tylenol® kana Panadol®)
• Hydroxyurea (mushonga we sickle cell anemia)
• Vhitamini C (Vitamin C - Ascorbic Acid)

Mishonga iyi nezvimwe zvinovaka muviri zvinogona kuita kuti kuverenga kweCGM yako kuonekwe kwakakwirira kana kuderera pane zvazviri chaizvo. Zvakakosha kubvunza mugadziri weCGM yako nezvezvinogona kukanganisa kururama kwemuchina wako.

Ndezvipi zvakaipa zvekushandisa `CGM`?

Heano zvimwe zvezvinhu zvaungaona sezvakaipa pakushandisa `CGM`:

• Mutengo: Midziyo yeCGM nezvimwe zvinoshandiswa zvinogona kudhura kupfuura kuongororwa ropa neminwe. Mutengo uyu unosiyana zvichienderana nehurongwa hweinishuwarenzi yehutano hwako.
• Kuwanda kwemashoko: Kunyange zvazvo ruzivo rwakawanda rwunopihwa neCGMs ruchigona kubatsira zvikuru, runogonawo kuva rwakaoma. Kune vamwe, izvi zvinogona kukonzera kuwedzera kwedambudziko rechirwere cheshuga kana kuneta. Zvinogonawo kukonzera kusagadzikana pakudya.
• Kuneta nealamu: Zvichienderana nehurongwa hwako, CGM yako inogona kukuvhundutsa kakawanda pazuva. Izvi zvinogona kukushungurudza uye kukonzera kuneta. Zvinogonawo kukanganisa hope dzako.
• Unofanira kugara uchiipfeka: CGM yega yega chinhu chimwe chaunopfeka mumuviri wako. Izvi zvinogona kutora nguva kuti uzvijaire. Kana uchida, kune nzira dzakawanda dzekuviga izvi kuti zvisaonekwe.
• Matambudziko anokonzerwa nezvinonamira: Vamwe vanhu vanogona kunge vaine allergy kune zvinonamira paganda zvinoshandiswa mumidziyo yeCGM.

Kana uri kutarisana nedambudziko iri, funga nezvekusangana neCDCES. Vanogona kukudzidzisa mazano nemazano ekukubatsira kushandisa CGM zviri nyore.

Ndinofanira kutaura nachiremba wangu rini?

Kana muine mibvunzo pamusoro pekuti mungashandisa sei mudziyo weCGM zvakachengeteka, taurai nemupi wehutano hwechirwere cheshuga.

Hazvina kuipa kuti huwandu hweshuga muropa hukwire zvakanyanya kana kuti huderere zvakanyanya.Kana zvikasarapwa kwenguva yakareba, zvinogona kuva nengozi. Muzviitiko zvakanyanya kuipa, zvinogona kukonzera pfari, koma, kana kutofa. Unogona kudzivirira matambudziko aya nekuchengetedza huwandu hweshuga muropa rako huri mumazinga akanaka. Kana uine zviratidzo zvinokunetsa, taura nachiremba wako.

Ndingawana CGM ndisina chiremba here?

Parizvino, kune CGM inowanikwa pasina muripo wekutenga (OTC). Izvi zvinoreva kuti haudi chiremba kana gwaro rechiremba kuti uitenge. Vamwe vagadziri veCGM vari mukugadzira maOTC CGM akafanana.

Zvisinei, maOTC CGM anogona kunge asina kukodzera vanhu vari kutarisira chirwere cheshuga chavo ne insulin kana vane huwandu hweshuga shoma muropa. Usati washandisa maOTC CGM, iva nechokwadi chekuti wanzwisisa zvizere kugona kwavo uye zvazvisingakwanisi.

Pfupiso nezvinhu zvekurangarira

Kurapa chirwere cheshuga kwakafanana nekupfura munhu ari kufamba - zvakaoma kubva pakutanga. Paunongotora ropa kubva mumunwe wako, zvinoita sekunge wakavharwa maziso kusvika pawapfura museve. Asi neCGM, zvinoita sekunge uri kutarisa munhu ari kufamba - kwaakananga, kuti ari kufamba nekukurumidza sei, uye kana ari kufamba - usati wapfura.

CGM chishandiso chine simba zvikuru chekuva nacho mubhokisi rako rezvishandiso zvekurapa chirwere cheshuga.

Kana uchida kudzidza zvakawanda nezvekushandisa CGM, taura nachiremba wako. Vanogona kukubatsira kusarudza kuti ndeipi nzira yakakunakira.

CGM , chirwere cheshuga, shuga muropa, sensor, insulin, tekinoroji yehutano, kutarisa shuga muropa