Indlela entsha yokugcina umkhondo wamanqanaba eswekile yakho! Yonke into malunga nokujonga iGlucose ngokuqhubekayo (CGM)

Ukuba uphila nesifo seswekile, akuthandabuzeki ukuba kubaluleke kangakanani ukulawula amanqanaba eswekile egazini lakho. Ukuvavanya iswekile yakho yegazi izihlandlo ezininzi ngemini ngomnwe wakho kunokuba yingxaki ngamanye amaxesha. Kodwa ngoku iteknoloji entsha ivele njengesisombululo esihle koku. Leyo yindlela ethi `Continuous Glucose Monitoring` okanye `CGM`. Makhe sithethe ngayo ngokweenkcukacha namhlanje.

Yintoni i-CGM (Continuous Glucose Monitoring)? Ngamafutshane...

Ngamafutshane, i-CGM sisixhobo esincinci esihlala sijonga amanqanaba eglucose (iswekile) emzimbeni wakho, oko kuthetha iiyure ezingama-24 ngosuku. Luhlobo lobuchwepheshe obunokunxitywa. Logama nje unxiba esi sixhobo, silinganisa amanqanaba eglucose kulwelo oluphantsi kolusu lwakho olubizwa ngokuba yi-interstitial fluid kwaye sikunika idatha. Abantu abaninzi basebenzisa isifinyezo se-CGM kwesi sixhobo.

Esi sixhobo se-'CGM' siluncedo kakhulu kubantu abanesifo seswekile. Kuba ukulawula isifo seswekile kuthetha ukulawula amanqanaba eswekile egazini. Ngoko ke i-'CGM' ikunika ulwazi lwangempela malunga nendlela amanqanaba eswekile yakho atshintsha ngayo. Oku kubaluleke kakhulu, kuba kukho izinto ezininzi ezichaphazela amanqanaba eswekile egazini lethu, ezinye zazo esingenakuzicinga kwangaphambili.

Kukho iintlobo ngeentlobo zezixhobo ze-CGM ezithengiswayo, kwaye ubuchwepheshe butshintsha ngokukhawuleza. Ezinye izixhobo ze-CGM zenzelwe ukudityaniswa neempompo ze-insulin kunye neenkqubo zokuhambisa i-insulin ezenzekelayo. Ukuba ungathanda ukufunda okungakumbi nge-CGM, thetha nogqirha wakho.

Yintoni i-'Interstitial Fluid'?

Ngoku usenokuba uzibuza ukuba yintoni le "interstitial fluid". Cinga ngayo, le yi-fluid ejikeleze iiseli emizimbeni yethu. Le fluid yenziwe ngezinto ezivuzayo kwimithambo yegazi yethu. I-glucose, okanye iswekile, ingena kolu lwelo luvela egazini ngale ndlela.

I-sensor kwi-CGM ayincamathiselwanga ngqo kwimithambo yegazi, kodwa incamathiselwa kulwelo olungaphakathi kwesikhumba. Ngoko ke ilinganisa ubungakanani beglucose apho.

Iglucose ingena egazini kuqala ize idlulele kulwelo oluphakathi. Ke ngoko, kunokubakho ukulibaziseka okuncinci phakathi kwenqanaba leglucose egazini lakho kunye nenqanaba leglucose kulwelo oluphakathi. Oku kuthetha ukuba ukufundwa kweglucose evela kwi-sensor ye-CGM kusenokuba emva kwemizuzu embalwa kunokufundwa kweglucose evela kwiminwe.

Isebenza njani isixhobo se-`CGM`?

Kukho iintlobo ezahlukeneyo zezixhobo ze-'CGM' ezithengiswayo. Zonke zisebenza ngendlela efanayo. Umahluko ophambili usekwe kwiimpawu kunye nenkangeleko yesixhobo.

Kodwa i-CGM nganye ineenxalenye ezintathu ezisisiseko:

1. Inzwa:Esi sisixhobo esincinci esilinganisa inqanaba leglucose kulwelo lwakho lwangaphakathi ngelo xesha. Ufaka esi senzwa phantsi kwesikhumba sakho ngesixhobo esibizwa ngokuba yi-applicator. Sisebenzisa inaliti ukubhoboza ulusu. Emva koko, xa inaliti isusiwe, isenzwa ihlala phantsi kwesikhumba sakho. Esi senzwa sihlala malunga neentsuku ezisi-7 ukuya kwezili-15, kuxhomekeke kuhlobo. Ezinye iinkqubo zeCGM zinokufakwa, ezihlala iinyanga. Sisiqwenga esincinci seteyipu esimalunga ne-18 millimeters ubude esifakwa ngugqirha phantsi kwesikhumba sengalo yakho engasentla.

2. I-Transmitter: Yonke inkqubo ye-CGM ine-transmitter. Yile nto ithumela idatha yeglucose elinganiswe yi-sensor ngaphandle kwentambo kwisixhobo (umz., i-app yefowuni, i-receiver, i-insulin pump) onokusijonga. Ezinye ii-CGM zine-transmitter ephinda isetyenziswe onokuyiqhagamshela kwi-sensor entsha. Ezinye ii-CGM zine-transmitter eza ne-sensor kwaye iyasuswa (i-sensor elahlwayo).

3. I-app yefowuni, i-receiver okanye i-insulin pump: Le teknoloji ibonisa inqanaba lakho langoku le-glucose, kunye negrafu yamanqanaba akho e-glucose angaphambili. Ikwakubonisa nokuba amanqanaba akho e-glucose ayanyuka, ehla, kwaye atshintsha ngokukhawuleza kangakanani. Ii-CGM ezininzi zine-app yefowuni yokujonga idatha yakho. Kwabo bangenayo i-smartphone, ezinye ii-CGM ziza ne-receiver encinci ephathwayo. Ezinye ii-CGM zinokuthumela olu lwazi lwe-glucose kwi-insulin pump ehambelanayo.

Nazi iindlela apho i-CGM isebenza khona:

• Ufaka i-'sensor' encinci phantsi kwesikhumba, rhoqo esiswini okanye engalweni. Oku kwenziwa ngokukhawuleza nangokulula nge-'applicator'. I-'sensor' ibanjwe endaweni yayo ngeteyiphu yokuncamathelisa.
• Okulandelayo, uqhagamshela i-CGM transmitter kwi-sensor, okanye ngamanye amaxesha zombini i-sensor kunye ne-transmitter ziza sele ziqhagamshelwe. Ezinye ii-transmitter kufuneka zitshajwe ngaphambi kokuba ziqhagamshelwe kwi-sensor. Ukuba uyafuna, ungasebenzisa iteyipu eyongezelelweyo ukugcina i-transmitter kunye ne-sensor zinamathele ngokuqinileyo eluswini lwakho.
• Ngokuxhomekeke kuhlobo lwe-CGM, kukho ixesha "lokuzifudumeza" ngaphambi kokuba isenzi siqale ukuthumela idatha. Oku kungathatha imizuzu engama-30 ukuya kwiiyure ezimbini.
• Uninzi lwee-CGM ziza kuqala ukuthumela idatha yeglucose ngokuzenzekelayo emva kweli xesha "lokuzifudumeza". Ezinye zifuna ukuba "ulinganise" (ulungise useto) ngokuthatha isampuli yegazi ngeminwe uze ujonge inqanaba leglucose yakho ngaphambi kokuba uthumele idatha.
• Emva koko ungajonga amanqanaba eglucose yakho yangoku usebenzisa i-app yakho yefowuni, i-receiver, okanye i-insulin pump logama nje i-sensor iqhagamshelwe. Ungabeka ne-alamu ukuze ikwazise ukuba amanqanaba eglucose yakho adlula kwinqanaba. La manqanaba ayahluka kumntu nomntu.
• Xa i-sensor iphelelwa lixesha (okanye iyeka ukusebenza), kuya kufuneka uphinde ulandele la manyathelo kwasekuqaleni.

Ungayikhuphela idatha yakho ye-CGM (iindlela ezisetyenziswayo kunye nembali) kwikhompyutha nangaliphi na ixesha. Ezinye iinkqubo ze-CGM zithumela idatha rhoqo. Ungabelana ngolu lwazi nogqirha wakho.

Ngaba kulula ukusebenzisa i-`CGM`?

Izixhobo zeCGM ziimatshini ezincinci ezintsonkothileyo. Kuthatha ixesha ukuqonda iinkalo zazo zobugcisa ekuqaleni.

Umzekelo, kuya kufuneka ufunde ezi zinto zilandelayo:

• Indlela yokufaka `iSensor` ngokuchanekileyo.
• Ukuba kuyimfuneko, indlela yokulinganisa isixhobo ngokuthatha igazi ngomnwe kunye nokujonga inqanaba leglucose.
• Indlela yokuseta i-alamu yesixhobo.
• Indlela yokudlulisela idatha kwikhompyutha (ukuze ihlalutywe ixesha elide) okanye kwifowuni yakho.
• Indlela yokwenza utshintsho kwisicwangciso sakho sonyango ngokusekelwe kwidatha eqokelelweyo.

Kuthatha ixesha nomonde ukuqonda indlela esebenza ngayo isixhobo se-CGM. Kodwa akufuneki uzenze wedwa. Wakuba ugqibe ekubeni ufumane i-CGM kwaye ufumane uxwebhu lwamayeza, ingcali efanelekileyo iya kukufundisa indlela yokuyisebenzisa ngokukhuselekileyo. Ugqirha wakho unokucebisa ukuba uthathe iklasi yokufundisa ngesifo seswekile okanye uthethe neNgcali yoNyango lweSifo seswekile eQinisekisiweyo (CDCES).

Ingaba kusafuneka ndithathe igazi emnweni wam ukuze ndijonge iswekile yam xa ndisebenzisa i-`CGM`?

Ukusebenzisa i-CGM kufanele kunciphise kakhulu inani lamaxesha ekufuneka uvavanye iswekile yakho yegazi nge-fingerstick. Nangona kunjalo, kusabalulekile ukugcina i-fingerstick meter kunye nezixhobo zikufutshane. Ukuba i-CGM yakho iyeka ukusebenza ngequbuliso okanye iyeka ukusebenza, usenokujonga amanqanaba eglucose yakho nge-fingerstick meter de ufumane i-sensor entsha.

Kwakhona, uvavanyo lweminwe lunokunceda ukuqinisekisa iziphumo ze-CGM. Kuba, njengazo zonke iteknoloji, ii-CGM zinokungachaneki. Ukuba ukufundwa kwe-CGM yakho kubonakala kukrokrisa, kusoloko kuyinto elungileyo ukufumana uvavanyo lwegazi kwiminwe yakho ukuqinisekisa . Umzekelo, ukuba i-CGM yakho ibonisa ukuba iswekile yakho yegazi iyenyuka okanye iyehla kodwa awuyiva, yinto elungileyo ukufumana uvavanyo lwegazi kwiminwe yakho. Kwakhona, ukuba awuziva kakuhle kodwa i-CGM yakho ibonisa ukuba amanqanaba akho eglucose akuluhlu oluqhelekileyo, uvavanyo lweminwe lunokukunika iziphumo ezilungileyo.

Ezinye izixhobo zeCGM zifuna ukulungiswa (ukulungiswa kwezicwangciso) kunye novavanyo lweminwe.

Ngaba abantu abangenaso isifo seswekile bangayisebenzisa i-'CGM'?

Ii-CGM zenzelwe abantu abanesifo seswekile. Nangona kunjalo, oogqirha banokucebisa ii-CGM kwezinye iimeko ezichaphazela amanqanaba eglucose. Umzekelo:

• Isifo seswekile esingaphambi kokuba sivele.
• Ukutyeba kakhulu.
• Ezinye 'izifo zokugcina iGlycogen' zibonakaliswa kukwehla rhoqo kweswekile egazini.
• I-Insulinoma luhlobo olungaqhelekanga lwethumba oluvelisa i-insulin eninzi kakhulu, nto leyo ebangela amanqanaba eswekile egazini aphantsi kakhulu.

Ukuba ucinga ukuba i-CGM inokunceda impilo yakho, thetha nogqirha wakho.

Zithini iingenelo zokusebenzisa i-CGM kulawulo lwesifo seswekile?

Ukusebenzisa isixhobo se-CGM kunokwenza ulawulo lwesifo seswekile lube lula. Izifundo ezininzi zibonise ukuba abantu abanesifo seswekile sohlobo 1 nohlobo 2 baneengxaki ezimbalwa zeswekile egazini kunye namanqanaba aphantsi e-A1C xa besebenzisa i-CGM.

Isixhobo se-`CGM` sibonelela ngezi zibonelelo:

• Ikunika umfanekiso obanzi wendlela isifo seswekile esikuchaphazela ngayo: I-CGM ilinganisa amanqanaba akho eglucose rhoqo ngemizuzu embalwa. Idatha ikunika umfanekiso opheleleyo wendlela amanqanaba akho eglucose atshintsha ngayo ngokuhamba kwexesha. Olu lwazi lunokukunceda wena nogqirha wakho niqonde ngcono indlela izinto ezinje ngokutya, umthambo, uxinzelelo kunye nokugula ezichaphazela ngayo amanqanaba akho eglucose.
• Ikhokelela ekunyamekelweni komntu ngamnye: I-CGM ayixeli lonke ibali malunga nendlela isifo seswekile esikuchaphazela ngayo. Ikuxelela kuphela xa i-glucose yakho iphezulu okanye iphantsi, hayi ukuba kutheni. Kodwa wena nogqirha wakho ninokukhuphela idatha kwisixhobo sakho se-CGM nize nijonge iipateni kunye neendlela ezisetyenziswayo. Ngaleyo ndlela, ningasebenzisana ukwenza unyamekelo lwenu lube lolwenu ngokwezinto enizifundayo.
• Ikwazisa ngeemeko eziphezulu nezisezantsi: Izixhobo ezininzi ze-CGM zikuthumela isaziso ukuba amanqanaba akho eglucose aphakama kakhulu okanye aphantsi kakhulu. Ngolu lwazi, ungenza utshintsho ngokukhawuleza. Ungayinyanga okanye uyithintele iswekile ephezulu yegazi okanye iswekile ephantsi yegazi ngaphambi kokuba ibe yingxaki enkulu.
• Inciphisa inani lamaxesha ekufuneka uwenze uvavanyo lwegazi olusebenzisa iminwe: Nge-'CGM', unciphisa kakhulu inani lamaxesha ekufuneka uwenze uvavanyo lwegazi olusebenzisa iminwe ngosuku.

Ngaba i-'CGM' ibalulekile ekulawuleni isifo seswekile?

Ungajonga inqanaba leswekile egazini lakho rhoqo ngokuthatha umnwe wakho usebenzisa i-glucose meter. Yiloo nto abantu abaninzi abayenzayo.

Nangona kunjalo, uvavanyo lweminwe lulinganisa kuphela inqanaba leglucose egazini lakho ngelo xesha . Kufana nokufunda iphepha elinye lencwadi. Okukhona uvavanya iminwe emininzi, kokukhona ufumana ulwazi oluninzi, olunokukunika izikhokelo malunga nokuba kwenzeka ntoni kumanqanaba eswekile egazini lakho.

Uninzi lweengcali zesifo seswekile zicebisa ukusebenzisa i-CGM ekulawuleni isifo seswekile, njengoko inika ulwazi oluninzi malunga neendlela zeswekile egazini kunovavanyo lweminwe.

Zithini iintsilelo ze-`CGM`?

Ii-CGM zizixhobo eziluncedo kakhulu, kodwa zikwanazo nezinye izinto ezisilela kuzo. Njengazo zonke iteknoloji, iinkqubo ze-CGM zinokuba neengxaki, zingasebenzi kakuhle, okanye ziyeke ukusebenza. Umntu okufundisa nge-CGM uza kukufundisa ngezi ngxaki zinokwenzeka kunye nendlela yokufumana izisombululo kuzo.

Amanye amayeza kunye nezongezo zinokuchaphazela ukuchaneka kwezinye izinzwa zeCGM. Umzekelo:

• I-Acetaminophen (umz. iTylenol® okanye iPanadol®)
• I-Hydroxyurea (iyeza le-sickle cell anemia)
• IVithamin C (`iVithamin C` - iAscorbic Acid)

La mayeza kunye nezongezo zingenza ukuba ukufundwa kwe-CGM yakho kubonakale kuphezulu okanye kuphantsi kunokuba kunjalo ngokwenene. Kubalulekile ukubuza umenzi we-CGM yakho malunga nokuba yintoni enokuchaphazela ukuchaneka kwesixhobo sakho.

Zithini iingxaki zokusebenzisa i-`CGM`?

Nazi ezinye zezinto onokuzibona njengezingalunganga xa usebenzisa i-`CGM`:

• Ixabiso: Izixhobo kunye nezixhobo zeCGM zingabiza kakhulu kunovavanyo lwegazi olunamathela kwiminwe. Eli xabiso liya kwahluka ngokuxhomekeke kwisicwangciso sakho seinshurensi yezempilo.
• Ulwazi oluninzi: Nangona ulwazi oluninzi olunikezelwa yi-CGMs lunokuba luncedo kakhulu, lunokuba nzima kakhulu. Kwabanye, oku kunokukhokelela ekubandezelekeni okukhulu kwesifo seswekile okanye ukudinwa. Kungakhokelela nasekutyeni okungalungelelananga.
• Ukudinwa yi-alamu: Ngokuxhomekeke kwizicwangciso zakho, i-CGM yakho inokukukhathaza amaxesha amaninzi ngemini. Oku kunokuba yingxaki kwaye kubangele ukudinwa. Kunokuphazamisa nokulala kwakho.
• Soloko kufuneka uyinxibe: Yonke i-CGM sisixhobo esongezelelweyo osinxiba emzimbeni wakho. Oku kungathatha ixesha ukuqhela. Ukuba uyafuna, zininzi iindlela zokuzifihla ukuze zingabonakali.
• Iingxaki ezibangelwa zizinto zokuncamathelisa: Abanye abantu banokuba neempendulo ze-allergy kwizinto zokuncamathelisa zesikhumba ezisetyenziswa kwizixhobo ze-CGM.

Ukuba ujongene nalo mceli mngeni, cinga ngokudibana ne-CDCES. Banokukufundisa amacebiso namaqhinga okukunceda usebenzise i-CGM ngokulula.

Ndingaqhagamshelana nini nogqirha wam?

Ukuba unemibuzo malunga nendlela yokusebenzisa isixhobo se-CGM ngokukhuselekileyo, nxibelelana nomboneleli wakho wezempilo wesifo seswekile.

Kulungile ukuba amanqanaba eswekile egazini abe phezulu kakhulu okanye aphantsi kakhulu.Ukuba ayinyangwa ixesha elide, inokuba yingozi. Kwiimeko ezimbi kakhulu, inokubangela ukuxhuzula, i-coma, okanye nokufa. Ungazithintela ezi ngxaki ngokugcina amanqanaba eswekile egazini lakho ekwinqanaba elifanelekileyo. Ukuba uneempawu ezikukhathazayo, thetha nogqirha wakho.

Ndingayifumana i-CGM ngaphandle kogqirha?

Okwangoku, kukho i-CGM ekhoyo ngaphandle kwekhawuntara (i-OTC). Oku kuthetha ukuba awudingi gqirha okanye incwadi kagqirha ukuze uyifumane. Abanye abavelisi be-CGM bakwinkqubo yokuphuhlisa ii-OTC CGM ezifanayo.

Nangona kunjalo, ii-OTC CGMs zisenokungafaneleki kubantu abalawula isifo seswekile sabo nge-insulin okanye abanamazinga eswekile egazini aphantsi kakhulu. Ngaphambi kokuba usebenzise ii-OTC CGMs, qiniseka ukuba uyaziqonda ngokupheleleyo iitalente kunye nemida yazo.

Isishwankathelo kunye nezinto ekufuneka uzikhumbule

Ukulawula isifo seswekile kufana nokudubula umntu ohambayo – kunzima ukukwenza kwasekuqaleni. Xa uthatha nje isampuli yegazi emnweni wakho, kufana nokuba uvalwe amehlo de kube ngumzuzu wokudubula utolo. Kodwa nge-CGM, kufana nokuba ubukele umntu ohambayo – icala lakhe, ukuba uhamba ngesantya esingakanani, nokuba uyahamba na – ngaphambi kokuba umdubule.

I-CGM sisixhobo esinamandla kakhulu onokusifumana kwibhokisi yakho yezixhobo zokulawula isifo seswekile.

Ukuba ungathanda ukufunda okungakumbi ngokusebenzisa i-CGM, thetha nogqirha wakho. Banokukunceda ukhethe ukuba yeyiphi indlela efanelekileyo kuwe.

I- CGM, isifo seswekile, iswekile egazini, isenzi-sensor, i-insulin, iteknoloji yezempilo, ukubekwa kweliso kwiswekile