Yadda za'a fitar da gwajin fitsari kuma me yasa zan sha shi saboda ciwon sukari?

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Ofaya daga cikin mahimman gwaje-gwaje na dakin gwaje-gwaje don ciwon sukari shine urinalysis.
Ya kamata a gudanar da shi akai-akai ga marasa lafiya da masu ciwon sukari na kowane nau'in don tantance yanayin tsarin fitsari (ƙodan), don gano kasancewar cututtukan zuciya da sauran alamun alamun cuta na rayuwa.

Me yasa maganin urinal na yau da kullun yana da mahimmanci ga ciwon sukari?

Baya ga kasancewar yawan sukari mai yawa a cikin fitsari, wannan gwajin dakin gwaje-gwaje na masu ciwon sukari yana taimakawa wajen sanin kasancewar matsalolin koda. Pathologies ko karancin tsarin urinary yana faruwa a cikin 40% na mutanen da ke fama da matsanancin ƙwayar metabolism.

Ana nuna cutar koda ta kasance a cikin kasancewar ƙwayar ƙwayar cuta mai yawa a cikin fitsari. Ana kiran wannan yanayin microalbuminuria: Yana haɓaka lokacin da furotin daga jini (albumin) ya shiga fitsari. Hankalin Lafiya, idan ba a kula dashi ba, na iya haifar da gazawar koda. Yakamata ayi gwajin cututtukan ciki duk bayan wata shida daga ranar da aka gano cutar.

Koyaya, kasancewar furotin ba shine kawai matsalar da ake gano ta hanyar nazarin fitsari ba. Wannan binciken ya bayyana wasu karkacewa (rikitarwa) waɗanda ke faruwa a cikin marasa lafiya da ciwon sukari.
Binciken Urinalysis:

  • Abubuwan da ke cikin jiki na fitsari (launi, nuna gaskiya, layu) - mai nuna kai tsaye ga yawancin cututtuka shine kasancewar ƙazantawar abubuwa;
  • Abubuwan sunadarai (acidity, kai tsaye suna nuna canji a cikin abun da ke ciki);
  • Takamaiman nauyi: mai nuna alama wanda ke nuna iyawar kodan wajen tattara fitsari;
  • Masu nuna alamar furotin, sukari, acetone (jikin ketone): kasancewar waɗannan mahadi a cikin adadin da suka wuce ya nuna mummunan rikicewar metabolism (alal misali, kasancewar acetone yana nuna matakin ƙonewar sukari);
  • Fitsari kwantar da hankali ta amfani da gwajin ƙirar microscopic (dabarar tana ba da damar gano kumburi mai kumburi a cikin tsarin urinary).

Wani lokaci ana yin bincike don ƙayyade abubuwan da ke tattare da narkewar abinci a cikin fitsari. Wannan sinadarin da ke dauke da kwayar halittar jiki wanda ke motsa shi ya lalata carbohydrates (mafi sitaci sitaci). Babban diastases yawanci yana nuna kasancewar maganin ciwon huhu - tsari mai kumburi a cikin farji.

Adadin cutar fitsari a jiki

A cikin ciwon sukari, ana yin nau'ikan wannan gwajin dakin gwaje-gwaje:

  • Nazarin Urinal;
  • Binciken bisa ga Nechiporenko: hanya ce mai ba da labari mai mahimmanci wanda ke ba ka damar gano kasancewar jini, leukocytes, silinda, enzymes a cikin fitsari wanda ke nuna matakan kumburi a cikin jiki;
  • Gwajin gilashi uku (gwajin da zai ba da damar gano asalin yanayin kumburi a cikin tsarin fitsari, in da wani).

A cikin halayen asibiti, hanjin urinal na gaba daya ya isa - an tsara ragowar nau'ikan bisa ga alamu. Dangane da sakamakon gwaje-gwajen, an tsara sakamako mai warkewa.

Ayyuka tare da ingantaccen bincike don microalbuminuria

Kyakkyawan gwajin microalbuminuria yana nuna lalacewar tsarin jijiyoyin koda. Ainihi mai girman furotin yana nuna matsaloli tare da dukkan jijiyoyin jini a cikin jiki, wanda ke kara hadarin cutar zuciya.
Likita mai halarta na iya ɗaukar waɗannan matakai:

  • Adana magungunan ƙwayar cuta don rage aiwatar da lalacewar koda;
  • Bayar da mafi m magani ga ciwon sukari;
  • Bayar da magani don rage cholesterol da sauran cutarwa mai kitse a cikin jini (irin wannan magani yana inganta yanayin ganuwar jijiyoyin bugun gini);
  • Sanya cikakkun bayanai game da yanayin jikin.

Kulawa na yau da kullun game da hauhawar jini kuma yana nuna yanayin tsarin jijiyoyin jiki. Daidai ne, marasa lafiya da ciwon sukari ya kamata suyi ta kansu kai tsaye kuma suna auna karfin jini ta amfani da tonometer (tunda yanzu ana iya amfani da na’urar lantarki mai sauƙin amfani).

Hyperglycemia da manyan matakan ketone jikin

Babban fitsari fitsari alama ce da ke nuna yanayin lalacewar cutar.
Hyperglycemia na iya nuna karancin insulin a cikin nau'in 1 na ciwon sukari ko kuma gazawar jiki don amfani da wannan hormone daidai a cikin nau'in ciwon sukari na II.

Tare da ci gaba da cutar, lokaci guda tare da babban abun ciki na sukari a cikin fitsari, wani abu mai yawa da ake kira jikokin ketone. Jikin Ketone sune acetone, samfurin da aka kirkira yayin sarrafa kitsen a cikin rashin insulin.

Idan jiki baya iya rushe kwayoyin carbohydrate gaba daya, sai ya fara amfani da sinadarin lipid a matsayin hanyar samar da makamashi ga hanyoyin aiwatarwa. Wannan shi ne daidai yadda ake samar da ketones: suna iya zama tushen samar da kuzari ga sel, amma a yawancin adadin mai guba ne kuma yana iya haifar da yanayin rayuwa. Wannan yanayin ana kiransa ketoacidosis; yakan haifar da faruwa ga cutar sikari.

Ana iya auna matakan acetone na jini ko da a gida tare da tsararrun gwaji na musamman da aka sayar a cikin kantin magani. Masu nuna alama sama da ƙa'idar suna buƙatar magani na gaggawa a asibiti da kuma gyaran far.

Yadda za a yanke urinalysis - tebur na alamomi

Masu zuwa sune alamomi na yau da kullun a cikin nazarin fitsari da kuma alamomi don raunin da cutar kansa da cututtukan cututtukan yara.

HalayeAl'adaCiwon sukari
LauniBishiyar rawayaRage raguwar launin launi ko cikakkiyar shela
EllanshiRashin daidaituwaKasancewar ƙanshin acetone tare da mummunan lalata da ketoacidosis
Wuya4 zuwa 7Zai iya zama ƙasa da 4
Yawan yawa1.012 g / l - 1022 g / lKadan ko fiye da yadda aka saba (a gaban cin gajiyar koda)
Albuminuria (furotin a cikin fitsari)Halarci kuma ba a cikin adadi kaɗanAn gabatar da su tare da microalbuminuria da protein mai karfi
GlucoseA'a (ko kuma a cikin adadin da bai wuce 0.8 mmol / L)Yanzu (glycosuria yana haɓaka lokacin da aka sami matakin glucose na jini sama da 10 mmol / l)
Kwayoyin Ketone (acetone)A'aGabatar a decompensation
Bilirubin, haemoglobin, gishiriBabu rashiBa alama ce
Kwayoyin jiniBa su da aureBa halayyar mutum ba
Kwayar cutaba ya nanGabatar da cututtukan cututtukan cututtuka

Ta yaya da kuma inda za'a ɗauki gwajin fitsari

Cikakken gwajin fitsari don kamuwa da cuta ya fi kyau a cikin kwararrun asibiti - inda kuka sha babban magani.

Kafin binciken, ba a son a ɗauki diuretics da samfuran da ke shafar canjin fitsari. Don cikakken bincike, ana amfani da fitsari safe a cikin adadin kimanin 50 ml. Ana tattara fitsari a cikin akwati mai tsabta (wanda ba shi da ƙima).

Alamu don urinalysis:

  • Abubuwan da aka gano na farko da ke tattare da metabolism;
  • Kulawa ta yau da kullun kan lura da cutar sikari;
  • Kasancewar alamun lalacewar: jujjuyawar jujjuyawar jini a cikin matakan glucose, karuwa / raguwa a cikin nauyin jikin mutum, rage yawan aiki, sauran ka'idoji don haɓaka rayuwar gaba ɗaya.

Kowane mutum na iya yin gwajin fitsari a hanata. Wannan shine mafi sauki kuma mafi yawan alamu don gano cututtuka da yawa. Nazarin dakin gwaje-gwaje ana gudanar da su ba wai kawai cibiyoyin likitocin jihohi ba, har ma da yawancin asibitoci masu zaman kansu. Koyaya, ya kamata a tuna cewa ƙwararrun ƙwararrun ƙwararrun likitoci ne kaɗai zasu iya datse urinalysis daidai.

Idan an gano canje-canje da ke nuna cutar koda ko mellitus na sukari a karon farko yayin binciken yau da kullun ko karatu don wani dalili, ya kamata ka nemi likita.
Zai rubuta ƙarin gwaje-gwaje. Hakanan za ku buƙaci shawara tare da endocrinologist, urologist, likitan mata. Idan an tabbatar da kasancewar ciwon sukari, ya zama dole don fara fargaba da wuri-wuri: wannan zai hana haɓaka hanyoyin kwantar da hankali da rikitarwa.

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