Indlela entsha yokulandelela amazinga akho kashukela! Konke mayelana nokuqapha okuqhubekayo kwe-glucose (CGM)

Uma uphila nesifo sikashukela, akusho ukuthi kubaluleke kangakanani ukulawula amazinga kashukela egazini lakho. Ukuhlola ushukela wakho wegazi izikhathi eziningana ngosuku ngomunwe wakho kungaba inkinga ngezinye izikhathi. Kodwa manje sekuvele ubuchwepheshe obusha njengesixazululo esihle salokhu. Leyo yindlela ethi `Ukuqapha I-Glucose Okuqhubekayo` noma `I-CGM`. Ake sixoxe ngayo ngokuningiliziwe namuhla.

Kuyini i-CGM (Ukuqapha Okuqhubekayo Kwe-Glucose)? Kalula nje...

Kalula nje, i-CGM iyithuluzi elincane eliqapha njalo amazinga kashukela emzimbeni wakho, okusho amahora angama-24 ngosuku. Luhlobo lobuchwepheshe obugqokwayo. Uma nje ugqoka idivayisi, ilinganisa amazinga kashukela kuketshezi olungaphansi kwesikhumba sakho olubizwa ngokuthi uketshezi oluphakathi futhi ikunikeza idatha. Abantu abaningi basebenzisa isifinyezo se-CGM salokhu.

Le divayisi ethi `CGM` iwusizo kakhulu kubantu abanesifo sikashukela. Ngoba ukuphatha isifo sikashukela kusho ukulawula amazinga kashukela egazini. Ngakho-ke i-`CGM` ikunikeza ulwazi lwesikhathi sangempela mayelana nendlela amazinga kashukela egazini lakho ashintsha ngayo. Lokhu kubaluleke kakhulu, ngoba kunezinto eziningi ezithinta amazinga ethu kashukela egazini, ezinye zazo esingenakuzicabanga kusengaphambili.

Kunezinhlobo eziningana zamadivayisi e-CGM emakethe, futhi ubuchwepheshe bushintsha ngokushesha. Amanye amadivayisi e-CGM aklanyelwe ukuxhunywa kumaphampu e-insulin kanye nezinhlelo zokulethwa kwe-insulin ezenzakalelayo. Uma ungathanda ukufunda kabanzi nge-CGM, khuluma nodokotela wakho.

Kuyini 'i-Interstitial Fluid'?

Manje ungase uzibuze ukuthi luyini lolu "ketshezi oluphakathi nendawo". Cabanga ngakho, lolu uketshezi oluzungeze amaseli emzimbeni wethu. Lolu ketshezi lwakhiwe ngezinto ezivuza emithanjeni yethu yegazi. I-glucose, noma ushukela, ingena kulolu ketshezi oluvela egazini ngale ndlela.

Inzwa ku-CGM ayixhunywanga ngqo emthanjeni wegazi, kodwa ixhunywa oketshezini olungaphansi kwesikhumba. Ngakho-ke ilinganisa inani le-glucose lapho.

I-glucose iqala ingena egazini bese isakazeka iye oketshezini oluphakathi nendawo. Ngakho-ke, kungase kube nokushiyeka okuncane phakathi kwezinga le-glucose egazini lakho kanye nezinga le-glucose oketshezini oluphakathi nendawo. Lokhu kusho ukuthi ukufundwa kwe-glucose okuvela ku-sensor ye-CGM kungaba ngemva kwemizuzu embalwa kunokufundwa kwe-glucose kusuka ku-fingerstick.

Isebenza kanjani idivayisi ethi `CGM`?

Kunezinhlobo eziningana zamadivayisi e-'CGM' emakethe. Wonke asebenza ngendlela efanayo. Umehluko omkhulu usezicini nasekubukekeni kwedivayisi.

Kodwa i-CGM ngayinye inezingxenye ezintathu eziyisisekelo:

1. Inzwa:Lena idivayisi encane elinganisa izinga likashukela kuketshezi lwakho oluphakathi ngaleso sikhathi. Ufaka le sensor ngaphansi kwesikhumba sakho ngedivayisi ebizwa ngokuthi i-applicator. Isebenzisa inaliti ukubhoboza isikhumba. Ngemuva kwalokho, lapho inaliti isusiwe, inzwa ihlala ngaphansi kwesikhumba sakho. Le sensor ivame ukuhlala cishe izinsuku eziyi-7 kuya kweziyi-15, kuye ngohlobo lwayo. Ezinye izinhlelo ze-CGM ziyafakelwa, ezihlala izinyanga. Kuyitheyiphu encane engamamilimitha ayi-18 ubude efakwa udokotela ngaphansi kwesikhumba sengalo yakho engenhla.

2. Umthumeli: Zonke izinhlelo ze-CGM zine-transmitter. Yilokhu okuthumela idatha ye-glucose elinganiswa yi-sensor kudivayisi (isb., uhlelo lokusebenza lwe-smartphone, i-receiver, i-insulin pump) ongayibuka. Amanye ama-CGM ane-transmitter ephinde isetshenziswe ongayixhuma kwi-sensor entsha. Amanye ama-CGM ane-transmitter eza ne-sensor futhi esuswayo (i-sensor elahlwayo).

3. Uhlelo lokusebenza lwe-smartphone, i-receiver noma i-insulin pump: Lobu buchwepheshe bukhombisa izinga lakho lamanje le-glucose, kanye negrafu yamazinga akho e-glucose angaphambilini. Buphinde bukukhombisa ukuthi amazinga akho e-glucose ayakhuphuka, ehla, nokuthi ashintsha ngokushesha kangakanani. Ama-CGM amaningi anohlelo lokusebenza lwe-smartphone ukubuka idatha yakho. Kulabo abangenayo i-smartphone, amanye ama-CGM eza ne-receiver encane ephathwayo. Amanye ama-CGM angathumela lolu lwazi lwe-glucose ku-insulin pump ehambisanayo.

Nazi izinyathelo lapho i-CGM isebenza khona ngokuvamile:

• Ufaka 'inzwa' encane ngaphansi kwesikhumba, ngokuvamile esiswini noma engalweni. Lokhu kwenziwa ngokushesha nangokulula nge-'applicator'. 'Inzwa' ibanjwa endaweni yayo ngetheyiphu yokunamathela.
• Okulandelayo, uxhuma i-CGM transmitter ku-sensor, noma ngezinye izikhathi zombili i-sensor kanye ne-transmitter zixhunywe kusengaphambili. Amanye ama-transmitter adinga ukushajwa ngaphambi kokuxhuma ku-sensor. Uma ufuna, ungasebenzisa i-tepi eyengeziwe ukugcina i-transmitter kanye ne-sensor zinamathele esikhumbeni sakho.
• Kuye ngohlobo lwe-CGM, kunesikhathi "sokuzifudumeza" ngaphambi kokuba inzwa iqale ukuthumela idatha. Lokhu ngokuvamile kungaba noma kuphi kusukela kumaminithi angu-30 kuya emahoreni amabili.
• Ama-CGM amaningi azoqala ukuthumela idatha ye-glucose ngokuzenzakalelayo ngemva kwalesi sikhathi "sokuzifudumeza". Amanye adinga ukuthi "ulinganise" (ulungise izilungiselelo) ngokuthatha isampula yegazi elinomunwe bese uhlola izinga lakho le-glucose ngaphambi kokuthumela idatha.
• Ungabe usuqapha amazinga akho kashukela wamanje usebenzisa uhlelo lwakho lokusebenza lwe-smartphone, i-receiver, noma i-insulin pump inqobo nje uma inzwa ixhunyiwe. Ungasetha futhi i-alamu ukuze ikwazise uma amazinga akho kashukela edlula izinga. Lawa mazinga ayahlukahluka kuye ngomuntu nomuntu.
• Uma inzwa iphelelwa yisikhathi (noma iyeka ukusebenza), kuzodingeka udlule kulezi zinyathelo futhi kusukela ekuqaleni.

Ungalanda idatha yakho ye-CGM (izitayela nomlando) kukhompyutha nganoma yisiphi isikhathi. Ezinye izinhlelo ze-CGM zithumela idatha njalo. Ungabelana ngalolu lwazi nodokotela wakho.

Kulula yini ukusebenzisa i-`CGM`?

Amadivayisi e-CGM ayimishini emincane eyinkimbinkimbi. Kuthatha isikhathi ukuqonda izici zayo zobuchwepheshe ekuqaleni.

Isibonelo, kuzodingeka ufunde lezi zinto:

• Indlela yokufaka i-`Sensor` ngendlela efanele.
• Uma kudingeka, ungawulinganisa kanjani umshini ngokuthatha igazi ngomunwe bese uhlola izinga likashukela.
• Indlela yokusetha i-alamu yedivayisi.
• Indlela yokudlulisa idatha kukhompyutha (ukuze ihlaziywe isikhathi eside) noma efonini yakho.
• Indlela yokwenza izinguquko ohlelweni lwakho lokwelashwa ngokusekelwe kudatha eqoqwe.

Kuthatha isikhathi nesineke ukuqonda ukuthi idivayisi ye-CGM isebenza kanjani. Kodwa akudingeki ukwenze wedwa. Uma usunqume ukuthola i-CGM futhi uthole incwadi kadokotela yayo, uchwepheshe oqeqeshiwe uzokufundisa ukuthi ungayisebenzisa kanjani ngokuphephile. Udokotela wakho angase akuncome ukuthi uthathe ikilasi lemfundo yesifo sikashukela noma ukhulume nochwepheshe we-Certified Diabetes Care and Education (CDCES).

Ingabe kusadingeka ngithathe igazi emnweni wami ukuze ngihlole ushukela wami uma ngisebenzisa i-`CGM`?

Ukusebenzisa i-CGM kufanele kunciphise kakhulu inani lezikhathi okudingeka uhlole ngazo ushukela egazini lakho nge-fingerstick. Kodwa-ke, kusabalulekile ukugcina i-fingerstick meter kanye nezinto ezidingekayo ziseduze. Uma i-CGM yakho iyeka ukusebenza noma iwa ngokuzumayo, usengaqapha amazinga akho e-glucose nge-fingerstick meter uze uthole inzwa entsha.

Futhi, ukuhlolwa kweminwe kungasiza ekuqinisekiseni imiphumela ye-CGM. Ngoba, njengazo zonke ubuchwepheshe, ama-CGM angaba anganembile. Uma ukufundwa kwe-CGM yakho kubonakala kusolisa, kuhlale kungumqondo omuhle ukuthola ukuhlolwa kwegazi kusuka ku-fingerstick yakho ukuqinisekisa . Isibonelo, uma i-CGM yakho ikhombisa ukuthi ushukela wakho wegazi uyenyuka noma uyehla kodwa ungakuzwa, kungumqondo omuhle ukuthola ukuhlolwa kwegazi kusuka ku-fingerstick yakho. Futhi, uma ungazizwa kahle kodwa i-CGM yakho ikhombisa ukuthi amazinga akho e-glucose asezingeni elijwayelekile, ukuhlolwa kweminwe kungakunikeza umphumela omuhle kakhulu.

Amanye amadivayisi e-CGM adinga ukulungiswa (ukulungiswa kwezilungiselelo) kanye nokuhlolwa kweminwe.

Ingabe abantu abangenaso isifo sikashukela bangayisebenzisa i-'CGM'?

Ama-CGM aklanyelwe abantu abanesifo sikashukela. Kodwa-ke, odokotela bangase batuse nama-CGM kwezinye izimo ezithinta amazinga kashukela. Isibonelo:

• Isifo sikashukela esingakafiki.
• Ukukhuluphala ngokweqile.
• Ezinye 'izifo zokugcina i-Glycogen' zibonakala ngezigameko ezivame ukuba phansi zoshukela egazini.
• I-Insulinoma uhlobo olungavamile lwesimila olukhiqiza i-insulin eningi kakhulu, okubangela amazinga kashukela egazini aphansi kakhulu.

Uma ucabanga ukuthi i-CGM ingazuzisa impilo yakho, khuluma nodokotela wakho.

Yiziphi izinzuzo zokusebenzisa i-CGM ekuphatheni isifo sikashukela?

Ukusebenzisa idivayisi ye-CGM kungenza ukuphathwa kwesifo sikashukela kube lula. Izifundo eziningana zibonise ukuthi abantu abanesifo sikashukela sohlobo 1 nohlobo 2 banezigameko ezimbalwa zoshukela wegazi ophansi kanye namazinga aphansi e-A1C uma besebenzisa i-CGM.

Idivayisi ethi `CGM` inikeza lezi zinzuzo:

• Ikunikeza isithombe esibanzi sendlela isifo sikashukela esikuthinta ngayo: I-CGM ilinganisa amazinga akho kashukela njalo ngemizuzu embalwa. Idatha ikunikeza isithombe esiphelele sendlela amazinga akho kashukela ashintsha ngayo ngokuhamba kwesikhathi. Lolu lwazi lungakusiza wena nodokotela wakho niqonde kangcono ukuthi izinto ezifana nokudla, ukuvivinya umzimba, ukucindezeleka, kanye nokugula zithinta kanjani amazinga akho kashukela.
• Kuholela ekunakekelweni komuntu siqu: I-CGM ayilandisa yonke indaba yokuthi isifo sikashukela sikuthinta kanjani. Ikutshela kuphela ukuthi ushukela wakho uphezulu noma uphansi, hhayi ukuthi kungani. Kodwa wena nodokotela wakho ningalanda idatha kudivayisi yakho ye-CGM bese nibheka amaphethini nezitayela. Ngaleyo ndlela, ningasebenzisana ukwenza ukunakekelwa kwakho kube ngokwakho ngokusekelwe kulokho enikufundayo.
• Ikwazisa ngezinga eliphezulu neliphansi: Amadivayisi amaningi e-CGM akuthumela isexwayiso uma amazinga akho e-glucose enyuka kakhulu noma ephansi kakhulu. Ngalolu lwazi, ungenza izinguquko ngokushesha. Ungelapha noma uvimbele ushukela ophezulu egazini noma ushukela wegazi ophansi ngaphambi kokuba kube yizinkinga ezinkulu.
• Kunciphisa inani lezikhathi okudingeka uhlole ngazo igazi le-fingerstick: Nge-`CGM`, unganciphisa kakhulu inani lezikhathi okudingeka uhlole ngazo igazi le-fingerstick ngosuku.

Ingabe i-'CGM' ibalulekile ekuphatheni isifo sikashukela?

Ungahlola amazinga kashukela egazini lakho njalo ngokuthatha induku yomunwe bese usebenzisa i-glucometer. Yilokho abantu abaningi abakwenzayo.

Kodwa-ke, ukuhlolwa kweminwe kulinganisa kuphela izinga likashukela egazini lakho ngaleso sikhathi . Kufana nokufunda ikhasi elilodwa lencwadi. Uma uhlola iminwe eminingi, uthola ulwazi oluningi, olungakunikeza izinkomba mayelana nokuthi kwenzekani emazingeni akho kashukela egazini.

Iningi lochwepheshe besifo sikashukela lincoma ukusebenzisa i-CGM ekuphatheni isifo sikashukela, njengoba inikeza ulwazi oluningi kakhulu mayelana nokuthambekela kukashukela egazini kunokuhlolwa kweminwe.

Yimiphi imikhawulo ye-`CGM`?

Ama-CGM angamadivayisi awusizo kakhulu, kodwa futhi anemikhawulo ethile. Njengazo zonke ubuchwepheshe, izinhlelo ze-CGM zingaba nezinkinga, ukungasebenzi kahle, noma ziyeke ukusebenza. Umuntu okufundisa nge-CGM uzokufundisa ngalezi zinkinga ezingaba khona nokuthi ungazithola kanjani izixazululo zazo.

Eminye imithi kanye nezithasiselo kungathinta nokunemba kwezinye izinzwa ze-CGM. Isibonelo:

• I-Acetaminophen (isib. i-Tylenol® noma i-Panadol®)
• I-Hydroxyurea (umuthi we-sickle cell anemia)
• I-Vitamin C (`i-Vitamin C` - i-Ascorbic Acid)

Le mithi kanye nezithasiselo zingenza ukufundwa kwe-CGM yakho kubonakale kuphakeme noma kuphansi kunalokho okuyikho ngempela. Kubalulekile ukubuza umenzi we-CGM yakho ngalokho okungathinta ukunemba kwedivayisi yakho.

Yiziphi izinkinga zokusebenzisa i-`CGM`?

Nazi ezinye zezinto ongase uzibone njengezimbi uma usebenzisa i-`CGM`:

• Intengo: Amadivayisi nezinto ezisetshenziswayo ze-CGM zingabiza kakhulu kunokuhlolwa kwegazi okunamathelayo. Le ntengo izohluka kuye ngohlelo lwakho lomshuwalense wezempilo.
• Ulwazi oluningi: Nakuba ulwazi oluningi olunikezwa yi-CGM lungaba usizo kakhulu, lungaba nzima kakhulu. Kwabanye, lokhu kungaholela ekucindezelekeni okukhulu kwesifo sikashukela noma ukukhathala. Kungaholela nasekudleni okungahlelekile.
• Ukukhathala kwe-alamu: Kuye ngezilungiselelo zakho, i-CGM yakho ingase ikuxwayise izikhathi eziningana ngosuku. Lokhu kungaba ukucindezeleka futhi kubangele ukukhathala. Kungaphazamisa nokulala kwakho.
• Kufanele uhlale uyigqoka: I-CGM ngayinye iyithuluzi elengeziwe oligqoka emzimbeni wakho. Lokhu kungathatha isikhathi ukujwayela. Uma ufuna, kunezindlela eziningi zokufihla lezi ukuze zingabonakali.
• Izinkinga ezibangelwa yizinto zokunamathisela: Abanye abantu bangase babe nokusabela kokungezwani komzimba nezinto zokunamathisela zesikhumba ezisetshenziswa kumadivayisi e-CGM.

Uma ubhekene nale nselele, cabanga ngokuhlangana ne-CDCES. Bangakufundisa amathiphu namaqhinga okukusiza ukuthi usebenzise i-CGM kalula.

Kufanele ngixhumane nini nodokotela wami?

Uma unemibuzo mayelana nendlela yokusebenzisa idivayisi ye-CGM ngokuphephile, xhumana nomhlinzeki wakho wezempilo wesifo sikashukela.

Kulungile ukuthi amazinga kashukela egazini abe phezulu kakhulu noma aphansi kakhulu.Uma kungelashwa isikhathi eside, kungaba yingozi. Ezimweni ezimbi kakhulu, kungabangela ukuquleka, i-coma, noma ngisho nokufa. Ungavimbela lezi zinkinga ngokugcina amazinga kashukela egazini lakho esezingeni elifanele. Uma unezimpawu ezikukhathazayo, khuluma nodokotela wakho.

Ngingathola i-CGM ngaphandle kukadokotela?

Njengamanje, kukhona i-CGM etholakala ngaphandle kwekhawunta (i-OTC). Lokhu kusho ukuthi awudingi udokotela noma incwadi kadokotela ukuze uyithole. Abanye abakhiqizi be-CGM basenqubweni yokuthuthukisa ama-OTC CGM afanayo.

Kodwa-ke, ama-OTC CGM angase angafaneleki kubantu abaphatha isifo sikashukela sabo nge-insulin noma abanamazinga kashukela egazini aphansi kakhulu. Ngaphambi kokusebenzisa ama-OTC CGM, qiniseka ukuthi uyaqonda ngokugcwele amakhono abo kanye nokulinganiselwa kwabo.

Isifinyezo nezinto okufanele uzikhumbule

Ukuphatha isifo sikashukela kufana nokudubula umuntu ohambayo – kunzima ukukwenza kusukela ekuqaleni. Uma uthatha nje isampula yegazi emunweni wakho, kufana nokuthi uvalwe amehlo kuze kube yilapho ushaya umcibisholo. Kodwa nge-CGM, kufana nokuthi ubuka umuntu ohambayo – isiqondiso sakhe, ukuthi uhamba ngesivinini esingakanani, nokuthi uyahamba yini – ngaphambi kokuba umdubule.

I-CGM iyithuluzi elinamandla kakhulu ongalisebenzisa ebhokisini lakho lamathuluzi okuphatha isifo sikashukela.

Uma ungathanda ukufunda kabanzi ngokusebenzisa i-CGM, khuluma nodokotela wakho. Bangakusiza ukuthi unqume ukuthi iyiphi indlela engcono kakhulu kuwe.

I- CGM, isifo sikashukela, ushukela wegazi, inzwa, i-insulin, ubuchwepheshe bezempilo, ukuqapha ushukela wegazi