Uma unesifo sikashukela, cishe ujwayele ukuhlaba umunwe wakho izikhathi eziningana ngosuku ukuhlola amazinga kashukela egazini lakho. Kodwa ingabe udokotela wakho ukutshelile ngendlela entsha, ehlukile kancane? Kuyidivayisi ebizwa ngokuthi i-CGM, noma i-Continuous Glucose Monitor. Lokhu kukusiza ukuthi ulandele amazinga kashukela egazini lakho.
Uyini umehluko phakathi kwe-glucometer ne-CGM?
Womabili la madivayisi alinganisa ushukela egazini, kodwa kunomehluko omkhulu phakathi kwalawa amabili. Cabanga ngale ndlela: imitha ejwayelekile yeglucose yegazi oyisebenzisayo ifana nemoto yamaphoyisa ehamba ngesivinini esikhulu endaweni eyodwa. Okusho ukuthi, ibonisa kuphela inani likashukela egazini lakho ngesikhathi othatha ngaso isampula yegazi emunweni wakho.
Kodwa i-CGM (Continuous Glucose Monitor) ihluke kakhulu. Ifana ne-GPS elandelela ijubane lakho kulo lonke uhambo lwakho. Le divayisi ilinganisa futhi iqophe ngokuzenzakalelayo amazinga kashukela egazini lakho njalo ngemizuzu embalwa phakathi nosuku, emini nasebusuku. Uma ubheka lolu lwazi, ungathola isithombe esicacile sendlela ukudla kwakho, ukuzivocavoca, kanye nemikhuba yakho yansuku zonke ethinta ngayo amazinga kashukela egazini lakho. Usebenzisa lolu lwazi, wena nodokotela wakho ningasebenzisana ukuphatha kangcono isifo sikashukela sakho.
Abantu abaningi bacabanga ukuthi i-CGM kulula ukuyisebenzisa ngoba ayidingi ukuhlatshwa njalo ngeminwe. Kodwa kuthatha isikhathi nesineke ukujwayela lolu hlelo olusha. Ake sibone ukuthi singalujwayela kanjani kalula.
Isebenza kanjani le CGM?
Lokhu kuhilela ukubeka inzwa encane kakhulu ngaphansi kwesikhumba sakho. Ayikali ushukela ngqo egazini lakho. Ikala amazinga kashukela avela oketshezini oluphakathi kwamaseli (i-interstitial glucose) ngaphansi kwesikhumba sethu.
Le sensor ixhunywe ku-transmitter, enamathiselwe esikhumbeni ngento efana ne-patch. Le transmitter ithumela idatha yezinga likashukela egazini lakho kuhlelo lokusebenza oluku-smartphone yakho, iphampu ye-insulin, noma idivayisi encane ebizwa ngokuthi i-reader eza nayo. Ungabe usulayisha le datha kukhompyutha, ubone izitayela zamazinga kashukela egazini lakho ngokuhamba kwesikhathi, bese uyabelana ngayo nodokotela wakho.
Ezinye izinhlelo ze-CGM zikuvumela futhi ukuthi ulandelele ukudla okudlayo, ukuzivocavoca, kanye nemithi, okungakusiza ukuthi uqonde kangcono ubudlelwano phakathi kwendlela yakho yokuphila kanye namazinga kashukela egazini lakho.
Ama-CGM amaningi ane-alamu yokukwazisa uma amazinga kashukela egazini lakho ephezulu noma ephansi ngendlela eyingozi. Udokotela wakho uzochaza ukuthi ungayisebenzisa kanjani le divayisi.
Izinto okufanele uzikhumbule uma ushintshela ku-CGM
Kunezinto ezimbalwa okufanele uziqaphele njengoba ujwayela lobu buchwepheshe obusha.
Inzwa idinga ukushintshwa.
Kuye ngohlobo lwe-CGM oyisebenzisayo, kuzodingeka ukuthi uyishintshe le sensor ngokwakho njalo ezinsukwini ezi-3 kuya kweziyi-14 . Lokhu kwenzelwe ukuthi kube lula kakhulu ukukwenza. Le sensor ivame ukubekwa esiswini, ethangeni, ngemuva kwengalo engenhla, noma ezinqeni ezingaphezulu.
Ngezinye izikhathi, ukufundwa kwezinga likashukela kungahluka kancane kuye ngokuthi uyibeka kuphi inzwa. Ngakho-ke, uma kunomehluko omkhulu kulokho okubonayo ngomunwe wakho, zama ukubeka inzwa endaweni ehlukile. Gwema ukubeka inzwa ezindaweni ezivame ukucindezelwa lapho ulele noma lapho ibanjwa khona yizingubo.
Kukhona isikhathi sokulibala kancane.
Lokhu kubaluleke kakhulu. Uma uthatha igazi emnweni wakho, libonisa izinga likashukela egazini lakho ngaleso sikhathi. Kodwa ngenxa yokuthi i-CGM ilinganisa izinga likashukela oketshezini olungaphansi kwesikhumba, lelo nani lingemuva kwenani langempela egazini ngemizuzu emi-5 kuya kweyi-10. Lokho kusho ukuthi i-CGM ikhombisa ukuthi izinga likashukela lakho lalinjani emizuzwini emi-5 edlule.
Lokhu akuyona inkinga enkulu ezimweni eziningi, kodwa kubalulekile ukukhumbula lokhu kubambezeleka ezimweni lapho amazinga kashukela egazini lakho angashintsha khona ngokushesha, njengangemva kokuthatha umthamo we-insulin noma ngesikhathi sokuzivocavoca.
Usadinga imitha yakho ye-glucose endala!
Ungalahli i-glucometer yakho endala ngoba nje usebenzisa i-CGM. Ngezinye izikhathi udinga "ukulinganisa" i-CGM yakho kabili ngosuku, okusho ukuhlola ukufundwa, futhi udinga i-meter yakho endala. Lokho kusho ukuhlola ukuthi ukufundwa kweminwe kanye nokufundwa kwe-CGM kuyafana yini.
Ezimweni ezilandelayo, kufanele nakanjani uthathe induku yomunwe bese uhlola kabusha izinga likashukela egazini lakho.
| Ithuba | Okufanele ngikwenze |
|---|---|
| Uma kufakwa inzwa entsha | Ama-CGM amaningi adinga ukubhobozwa ngomunwe ukuze alinganise inzwa zingakapheli amahora amabili okuqala ngemva kokufakwa. |
| Uma inani le-CGM liphansi noma liphezulu ngokungavamile | Uma ungaqiniseki ngenani eliboniswe yi-CGM, lihlole ngomunwe wakho ukuqinisekisa. |
| Uma uzizwa izimpawu zoshukela ophansi/ophezulu | Uma uzwa izimpawu zoshukela ophansi egazini njengokuzizwa ubuthakathaka, ukujuluka, noma ukuqhaqhazela, noma izimpawu zoshukela ophezulu egazini njengokoma ngokweqile, kungakhathaliseki ukuthi i-CGM ifundwe kanjani, hlola iminwe yakho ukuqinisekisa. |
| Uma ucabanga ukuthi ukufunda kwakho kwe-CGM akunembile | Noma nini lapho uzizwa sengathi ukufunda kwakho kwe-CGM akulungile, hlola ngomunwe wakho. |
Ungesabi uma ubona amanani ku-CGM!
Uma uqala ukusebenzisa i-CGM, ungase uqaphele ukuthi amazinga kashukela egazini lakho aphezulu kunangaphambili. Lokhu kungenxa yokuthi ubuhlola ushukela egazini lakho ngezikhathi ezithile zosuku ngemitha yakho endala. Kodwa i-CGM izokukhombisa ukunyuka kwamazinga kashukela egazini lakho, ikakhulukazi ngemva kokudla.
Ungesabi uma ubona ushukela wakho wegazi ukhuphuka futhi wehla kanje. Ungaphuzi ngokuzumayo umthamo omkhulu we-insulin noma ngokuzumayo udle ama-carbohydrate amaningi ucabanga ukuthi ushukela wakho wegazi uzokwehla.
Kunalokho, xoxa ngalolu lwazi nodokotela wakho. Udokotela wakho ungumuntu ongcono kakhulu wokubuka lesi sithombe esiphelele esivela ku-CGM bese enquma ukuthi yiziphi izinguquko ezidingekayo ohlelweni lwakho lokwelashwa kwesifo sikashukela.
Kubaluleke kakhulu: Ungenzi izinguquko ekwelashweni kwakho, ikakhulukazi umthamo we-insulin, ngokusekelwe kuphela ekufundweni kwe-CGM ngaphandle kweseluleko sikadokotela wakho. Kunezinhlobo ezimbalwa kuphela ze-CGM ezivunyelwe yi-FDA ukuze zisetshenziswe ekwenzeni izinqumo zokwelashwa. Buza udokotela wakho ukuthi idivayisi yakho ingenye yalezi zinhlobo.
Umlayezo Wokuya Nawe Ekhaya
- Nakuba i-glucometer ejwayelekile ikhombisa izinga lakho likashukela ngaleso sikhathi, i-CGM iqapha izinga lakho likashukela usuku lonke futhi ikunike isithombe esiphelele.
- Ukufundwa kwe-CGM kungase kubambezele izinga langempela likashukela egazini cishe ngemizuzu emi-5-10.
- Ngisho noma usebenzisa i-CGM, gcina imitha yakho ye-glucose endala eduze ukuze uqinisekise futhi ulinganise ukufundwa.
- Ungesabi uma ubona ukunyuka okungakaze kubonwe emazingeni kashukela egazini nge-CGM yakho, kodwa khuluma nodokotela wakho ngakho.
- Gwema ukushintsha uhlelo lwakho lokwelashwa (isb., umthamo we-insulin) ngokusekelwe kuphela kumanani e-CGM ngaphandle kweseluleko sikadokotela.
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