Dukoresha kuki kugirango twongere uburambe bwawe.Mugukomeza gushakisha kururu rubuga, wemera gukoresha kuki.Andi makuru.
Igisubizo nyacyo cyibisubizo biterwa nubusugire bwimpapuro zipimisha inkari.Tutitaye ku kirango, gufata nabi imirongo bishobora kuganisha ku bisubizo bitari byo, bishobora gutuma umuntu asuzumwa nabi.Icupa ryibishishwa bidakwiye cyangwa byongeye gufatwa byerekana ibintu biri mubidukikije bitose mu kirere cyo mu nzu, bishobora kugira ingaruka ku busugire bwigishishwa, bigatera kwangirika kwa reagent, kandi amaherezo bikavamo ibisubizo bitari byo.
Crolla et al.1 yakoze ubushakashatsi aho imirongo yikizamini yagaragazaga umwuka wimbere mu nzu, kandi ibikoresho hamwe nuduce twa reagent byakozwe nababikora batatu.Ibikoresho bya strip bigomba gufungwa ukurikije ibyifuzo byakozwe nuwabikoze nyuma yo kubikoresha, bitabaye ibyo bizatera umwuka mubi.Iyi ngingo ivuga ibyavuye mu bushakashatsi, ugereranije na MULTISTIX® 10SG ikizamini cyo gupima inkari hamwe na Siemens CLINITEK Status® + isesengura ibicuruzwa biva mu bindi bicuruzwa bibiri.
Siemens MULTISTIX® urukurikirane rw'inkari reagent (Ishusho 1) zifite umurongo mushya (ID).Iyo uhujwe na CLINITEK Imiterere yurwego⒜ isesengura ryinkari ya chimie yerekanwa kumashusho, urukurikirane rwibintu byikora byikora (Auto-Checks) 2.
Igicapo 2. Abasesenguzi b'imiterere ya CLINITEK bakoresha algorithm kugirango bamenye ibice byangiritse byangiritse kugirango bifashe ibisubizo byiza.
Krolla n'abandi.Ubushakashatsi bwasuzumye ibisubizo byakozwe no guhuza ibizamini hamwe nisesengura byakozwe nabakora inganda eshatu:
Kuri buriwukora, hateguwe ibice bibiri bya reagent.Itsinda rya mbere ryamacupa ryarafunguwe kandi ryerekanwa numwuka wo murugo (22oC kugeza 26oC) nubushuhe bwo murugo (26% kugeza 56%) muminsi irenga 40.Ibi bikorwa kugirango bigereranye ibyerekanwe ko reagent ishobora kugaragara mugihe uyikoresha adafunze neza kontineri ya reagent (igitutu).Mu itsinda rya kabiri, icupa ryagumishijwe kashe kugeza igihe inkari zapimwe (nta kabari).
Ingero z'inkari z'abarwayi zigera kuri 200 zapimwe muri ubwo buryo uko ari butatu.Amakosa cyangwa ingano idahagije mugihe cyikizamini bizatera icyitegererezo kuba gitandukanye gato.Umubare rusange wicyitegererezo cyageragejwe nuwabikoze kirambuye mu mbonerahamwe ya 1. Ibizamini bya reagent byakorewe kuri analyite zikurikira ukoresheje icyitegererezo cy’abarwayi:
Ikizamini cy'icyitegererezo cy'inkari kirangiye mu mezi atatu.Kuri buri cyiciro cyimirongo, gishimangiwe kandi kidatsinzwe, ibizamini byisubiramo bisubirwamo kuri sisitemu zose zikoreshwa.Kuri buri guhuza imirongo hamwe nisesengura, koresha izo ngero zidahwema.
Ikigo cyita ku barwayi bo hanze giherereye mu mujyi ni ibidukikije.Ibizamini byinshi bikorwa nabafasha mubuvuzi nabaforomo, naho ibizamini rimwe na rimwe bikorwa n'abakozi ba laboratoire bahuguwe (ASCP).
Ihuriro ryabakozi ryigana neza ibizamini byikigo nderabuzima.Mbere yo gukusanya amakuru, abakoresha bose bahuguwe kandi ubushobozi bwabo bwarasuzumwe kubasesenguzi uko ari batatu.
Mu bushakashatsi bwakozwe na Crolla n'abandi, guhuza imikorere ya analyte hagati yumurongo wa reagent udahangayitse kandi ushimangiwe wasuzumwe no gusuzuma isubiramo ryambere rya buri kizamini, hanyuma guhuzagurika kugereranywa no kudahagarikwa (kugenzura) Gereranya no guhuzagurika hagati y'ibisubizo byabonetse) -Kopi 1 na kopi 2.
Ikizamini cya MULTISTIX 10 SG cyasomwe na CLINITEK Imiterere + Isesengura ryakozwe kugirango gisubize ibendera ryikosa aho kuba igisubizo nyacyo mugihe sisitemu imaze kumenya ko ikizamini gishobora kwangizwa no guhura cyane nubushuhe bwibidukikije.
Iyo kwipimisha kuri Status ya CLINITEK + Isesengura, hejuru ya 95% (intera yicyizere 95%: 95.9% kugeza 99.7%) yibice byibizamini bya MULTISTIX 10 SG byagaruye ibendera ryikosa, ryerekana neza ko ibizamini byagize ingaruka bityo bikaba bitaribyo. bikwiriye gukoreshwa (Imbonerahamwe 1).
Imbonerahamwe 1. Ikosa ryerekana ibisubizo by'ibizamini bitagabanijwe kandi bigabanijwe (ubuhehere bwangiritse), byashyizwe mubikorwa nababikoze
Amasezerano yijanisha hagati yimyanya ibiri yigana impagarara zitagira reagent zivuye mubikoresho byose uko ari bitatu byakozwe (neza na set 1 set) ni imikorere yimigozi idafite ibibazo (uburyo bwo kugenzura).Abanditsi bakoresheje igipimo cya ± 1 kuko aribwo buryo busanzwe bwemewe bwo gupimisha inkari.
Imbonerahamwe 2 na Imbonerahamwe 3 byerekana incamake y'ibisubizo.Ukoresheje neza cyangwa scale 1 igipimo, nta tandukaniro rigaragara muburyo bwo gusubiramo hagati yimigozi itatu yinganda zidafite imbaraga (p> 0.05).
Ukurikije igipimo cyo gusubiramo inshuro zidafite impagarara zindi nganda zakozwe, byagaragaye ko kubisubiramo byombi byimitambiko idafite reagent, hariho ingero ebyiri gusa zerekana guhuza kwijana.Izi ngero zerekanwe.
Kubitsinda ryibizamini bya Roche no kwisuzumisha, menya amasezerano yijanisha hagati yisubiramo ryambere ryumurongo watsindagirijwe hamwe nisubiramo ryambere ryumurongo udahagaritswe kugirango usuzume imikorere yikizamini cyibidukikije.
Imbonerahamwe 4 na 5 zerekana muri make ibisubizo kuri buri analyte.Ijanisha ryamasezerano kuri analyite mubihe byimiterere iratandukanye cyane nijanisha ryamasezerano yo kugenzura ibintu, kandi irangwa nk "ingirakamaro" muri izi mbonerahamwe (p <0.05).
Kuva ibizamini bya nitrate bisubiza binary (negative / positif) ibisubizo, bafatwa nkabakandida kubisesengura bakoresheje set 1 ibipimo ngenderwaho.Kubijyanye na nitrate, ugereranije no guhora kwa 96.5% kugeza kuri 98%, ibipimo byo gupima ibibazo byitsinda rya Diagnostic Group Group na Roche bifite 11.3% kugeza 14.1 hagati y ibisubizo bya nitrate byabonetse kubisubiramo 1 mubihe bidafite ibibazo no gusubiramo 1 mubihe bigoye.Amasezerano ya% yubahirijwe hagati yisubiramo ryimiterere idahwitse (kugenzura).
Kubisubizo bya digitale cyangwa bitari binini, ibisubizo bya ketone, glucose, urobilinogen, hamwe na selile yamaraso yera byakorewe kuri Roche hamwe nibizamini byo kwisuzumisha byari bifite ijanisha ryinshi ryitandukanyirizo mugusohoka kwinzira nyayo hagati yumuvuduko nigitambambuga cyikizamini. .
Iyo ibipimo bihoraho byongerewe kugeza kuri group 1, hiyongereyeho poroteyine (91.5% bihoraho) hamwe na selile yera (79.2% bihoraho), itandukaniro ryibipimo bya Roche ryaragabanutse cyane, kandi ibipimo byombi bihoraho kandi nta gitutu (Itandukaniro) ) Hariho amasezerano atandukanye cyane.
Ku bijyanye n’ibipimo by’ibizamini mu itsinda ry’ibizamini byo gusuzuma, guhuza ijanisha rya urobilinogene (11.3%), selile yera (27.7%), na glucose (57.5%) byakomeje kugabanuka cyane ugereranije n’imiterere yabo idafite ibibazo.
Hashingiwe ku makuru yabonetse hamwe na Roche na Diagnostic Group Group Reagent strip hamwe nisesengura, itandukaniro rinini hagati y ibisubizo bidacometse kandi byacitse byagaragaye kubera guhura nubushyuhe numwuka wibyumba.Kubwibyo, ukurikije ibisubizo bitari byo bivuye kumurongo ugaragara, gusuzuma no kuvura bidakwiye bishobora kubaho.
Uburyo bwokuburira bwikora mubisesengura rya Siemens birinda ibisubizo gutangazwa mugihe hagaragaye ubushuhe.Mu bushakashatsi bugenzurwa, uwasesenguye arashobora gukumira raporo zitari zo no gutanga ubutumwa bwamakosa aho gutanga ibisubizo.
Imiterere ya CLINITEK + isesengura na Siemens MULTISTIX 10 SG yo gupima inkari zipimishije hamwe na tekinoroji ya Auto-Checks irashobora guhita itahura ibice byipimisha bishobora guterwa nubushuhe bukabije.
Imiterere ya CLINITEK + Isesengura ntisobanura gusa ibizamini bya MULTISTIX 10 SG byibasiwe nubushuhe bukabije, ariko kandi birinda gutanga raporo y'ibisubizo bishobora kuba bidahwitse.
Abasesengura itsinda rya Roche na Diagnostic ntabwo bafite sisitemu yo kumenya ubuhehere.Nubwo igipimo cyibizamini cyatewe nubushuhe bukabije, ibi bikoresho byombi bitanga ibisubizo byurugero rwabarwayi.Ibisubizo byatangajwe birashobora kuba atari bibi, kubera ko no kuburugero rumwe rw'abarwayi, ibisubizo bya analyte bizatandukana hagati y'ibizamini bitamenyekanye (bidahangayikishijwe) nibigaragara (bitsindagiye).
Mu isuzuma ritandukanye rya laboratoire, Crolla n'itsinda rye babonye ko akenshi umupira w'icupa ry'inkari z'inkari wakuweho igice cyangwa burundu.Isesengura ryibanda ku gukenera ibizamini kugira ngo ibyifuzo by’umuntu ku giti cye bishobore gushyirwa mu bikorwa kugira ngo icyuma gifata amajwi gikingirwe igihe kaseti idakuweho kugira ngo isesengurwe.
Mubihe aho usanga hari abakoresha benshi (bigatuma gushiraho kubahiriza bigoye cyane), nibyiza kandi gukoresha sisitemu kugirango umenyeshe ibizamini byumurongo wibasiwe kugirango ikizamini kidashobora gukorwa.
Yakozwe mu bikoresho byakozwe mbere na Lawrence Crolla, Cindy Jiménez, na Pallavi Patel bo mu bitaro by’abaturage bo mu majyaruguru y’iburengerazuba i Arlington Heights, Illinois.
Ingingo-y-igisubizo yateguwe kugirango itange byihuse, byoroshye kandi byoroshye-gukoresha-ibizamini byo gusuzuma.Kuva mu cyumba cyihutirwa kugera kwa muganga, ibyemezo byo gucunga amavuriro birashobora guhita bifatwa, bityo bikazamura umutekano w’abarwayi, ibisubizo by’amavuriro, no guhaza abarwayi muri rusange.
Politiki yibirimo iterwa inkunga: Ingingo nibirimo bijyanye na News-Medical.net birashobora guturuka kumasoko yumubano usanzwe wubucuruzi, mugihe ibintu nkibi byongerera agaciro umwuka wibanze wamakuru wa News-Medical.Net, ni ukuvuga uburezi no kumenyesha Uwiteka urubuga Abashyitsi bashishikajwe nubushakashatsi bwubuvuzi, siyanse, ibikoresho byubuvuzi no kuvura.
Siemens Healthineers Ingingo yo Kwitaho.(2020, 13 Werurwe).Ubushakashatsi bugereranije bwisesengura ryinkari eshatu, bwakoreshejwe mugusuzuma igenzura ryikora ryikora ryimyanya yinkari zasomwe nigikoresho.Amakuru-Ubuvuzi.Yakuwe ku ya 13 Nyakanga 2021 avuye kuri https://www.amakuru-amakuru-yamakuru.net/amakuru-yamakuru-yamakuru-yamakuru -Ibikoresho-Soma-Urinalysis-Strips.aspx.
Siemens Healthineers Ingingo yo Kwitaho.“Kugereranya ubushakashatsi bwasesenguye inkari eshatu zikoreshwa mu gusuzuma igenzura ry’ubushuhe bwikora bw’igice cyo gusesengura inkari ukoresheje ibikoresho”.Amakuru-Ubuvuzi.Ku ya 13 Nyakanga 2021 ..
Siemens Healthineers Ingingo yo Kwitaho.“Kugereranya ubushakashatsi bwasesenguye inkari eshatu zikoreshwa mu gusuzuma igenzura ry’ubushuhe bwikora bw’igice cyo gusesengura inkari ukoresheje ibikoresho”.Amakuru-Ubuvuzi.https: //www.amakuru Strip .aspx.(Yemezwa ku ya 13 Nyakanga 2021).
Siemens Healthineers Ingingo yo Kwitaho.2020.Amakuru-Ubuvuzi, yarebwaga ku ya 13 Nyakanga 2021, Reba -ku-Igikoresho-Soma-Urinalysis-Strips.aspx.
Koresha ikizamini cya CLINITEST HCG kuri analyseur wa CLINITEK kugirango ugere kumikorere yubuvuzi nubuziranenge
Mu kiganiro duherutse kugirana, twaganiriye na Dr. Shengjia Zhong ku bushakashatsi aheruka gukora, bwakoze iperereza ku mikoreshereze y’imipaka kugira ngo ikumire ikwirakwizwa rya COVID-19.
Muri iki kiganiro, Amakuru-Ubuvuzi na Porofeseri Emmanuel Stamatakis baganiriye ku bibazo by’ubuzima bijyanye no kubura ibitotsi.
Mask ishobora kumenya COVID-19 yarakozwe.Amakuru-Ubuvuzi yaganiriye nabashakashatsi bari inyuma yiki gitekerezo kugirango bamenye byinshi kuburyo ikora.
Amakuru-Ubuvuzi.Net itanga iyi serivisi yamakuru yubuvuzi ukurikije aya mabwiriza.Nyamuneka menya ko amakuru yubuvuzi kururu rubuga agamije gushyigikira aho gusimbuza umubano hagati yabarwayi nabaganga / abaganga ninama zubuvuzi bashobora gutanga.
Igihe cyo kohereza: Nyakanga-14-2021