Gwajin ciwon sukari: cikakken bayani

Babban gwaji don nau'in 1 ko nau'in ciwon sukari 2 shine auna sukarin jininka tare da mitirin glucose na gida. Koyi yin wannan kowace rana sau da yawa. Tabbatar cewa mita naka daidai yake (yadda ake yin wannan). Ku ciyar da kwanakin jimlar yawan kame kanku. Bayan haka, shirya yadda za a isar da gwaje gwaje na jini, fitsari, duban dan tayi na yau da kullun da sauran gwaje-gwaje.

Takeauki gwaje-gwajen labarun sukari a kai a kai, ban da shan sukarin ku na yau da kullun tare da mit ɗin glucose na jini.

Kula da sukarin jininka tare da shirin kula da ciwon sukari na 2 ko shirin kula da masu ciwon sukari na 1. Kafin ka fara ayyukan da aka bayyana ta hanyar haɗin kai, kana buƙatar shawo kan binciken likita a cikin ma'aikatar lafiya. A lokaci guda, ƙaddamar da gwaje-gwaje, wanda zaku koya daki-daki daga baya a labarin.

Gwajin ciwon sukari - me yasa kuma sau nawa za'a same su

Ya kamata a ɗauki gwajin ciwon sukari akai-akai don sanin amsoshin waɗannan tambayoyin:

• Ta yaya lalacewar kurar ku? Shin ƙwayoyin beta waɗanda ke iya samar da insulin har yanzu sun rayu a ciki? Ko duk sun mutu?
• Nawa ne aikin aikin huhu da yake inganta saboda yin aikin jiyya? Jerin waɗannan ayyukan sun haɗa da shirin kula da masu ciwon sukari na 2 da kuma shirin kula da masu ciwon sukari na 1. Shin akwai ƙarin ƙwayoyin beta a cikin pancreas? Shin samar da insulin ɗin ya ƙaru?
• Waɗanne rikice-rikice na ciwon sukari da suka rigaya suka inganta? Yaya karfin su? Tambaya mai mahimmanci shine a cikin wane yanayin kodan ke?
• Ta yaya girman haɗarin haɓaka sababbin rikice-rikice na ciwon sukari da kuma fadada waɗanda suke da can? Musamman, menene haɗarin ciwon zuciya da bugun jini? Shin yana raguwa sakamakon magani?

Ya kamata a sha gwaje gwajen cututtukan sukari akai-akai. Sakamakon bincikensu ya nuna a bayyane fa'idar fa'idodin tsari da kuma tabbatar da wadataccen sukari mai ƙarancin jini. Karanta labarin, “Makasudin yin magani ga nau'in 1 da nau'in ciwon sukari 2," da sashinta, "Abin da za a jira lokacin da sukarin jininka ya dawo daidai."

Ba za a iya hana rikice-rikice masu yawa na cututtukan fata ba, har ma da sake juyawa. Sakamakon lura da cututtukan sukari tare da rage cin abinci mai-carbohydrate da sauran hanyoyinmu zasu iya yin kyau sosai fiye da waɗanda aka bayar ta hanyar "gargajiya". A lokaci guda, da farko gwajin ya inganta, sannan kuma da ƙoshin lafiya. Don haka, gwaje-gwajen cututtukan cututtukan cututtukan cututtukan alamu sune ke nuna alamun tasiri.

Furtherarin bayani a cikin labarin, an yi bayani dalla-dalla sosai cewa yana da kyau a riƙa ɗauka don ciwon suga. Yawancin su zaɓi ne. Yana da kyau a dauki gwaje-gwaje a dakin gwaje-gwaje masu zaman kansu da aka biya, wanda yake tabbas mai zaman kansa ne, wato, ba ya karya sakamakon a cikin bukatun likitoci. Hakanan dakunan gwaje-gwaje masu zaman kansu suna amfani da sabbin kayan aiki da kuma kayan reagents, don haka sakamakon binciken da aka gabatar akwai ƙarin daidai. Idan ba zai yiwu a yi amfani da ayyukan su ba, to, ɗauki gwaje-gwaje kyauta a asibitin.

Idan wasu gwaje-gwaje baza su iya wucewa ba ko kuma sun yi tsada - zaku iya tsallake su. Babban abu shine siyayyen ingantaccen mitirin glucose na gida kuma yawancin lokuta sarrafa sukari na jini da shi. A cikin akwati kuma ba a ajiye a kan matakan gwaji na glucometer! Hakanan yana da mahimmanci ayi gwajin jini da fitsari akai-akai don bincika aikin koda. Gwajin jini don furotin na C-mai kunnawa (kar a rikita shi da C-peptide!) A cikin dakunan gwaje-gwaje masu zaman kansu yawanci ba su da tsada kuma alama ce mai kyau game da haɗarin bugun zuciya ko bugun jini, harma da yadda kuke sarrafawa don rage wannan haɗarin. Duk sauran gwaje-gwaje - mika a duk lokacin da zai yiwu.

Glycated haemoglobin assay

Gwajin jini don glycated (glycosylated) haemoglobin. Idan baku sami insulin ba, to ya kamata a ɗauki wannan gwajin sau 2 a shekara. Idan kun bi da ciwon sukari tare da allurar insulin - sau 4 a shekara. Don ƙarin cikakkun bayanai duba labarin “Gwajin jini don gemoclobin jini”.

Gwajin jini don glycated haemoglobin HbA1C ya dace sosai don farkon bayyanar cutar sankarau. Amma idan aka sarrafa maganin cutar tare da taimakonsa, wato, lamari mai mahimmanci. HbA1C yana nuna matsakaicin glucose na jini a cikin watanni 3 da suka gabata. Amma bai bayar da bayani kan nawa wannan matakin ya gudana ba.

A cikin watannin da suka gabata, mai cutar siga zai iya yin taɓarɓarewa akai-akai - daga ƙwanƙwasa jini zuwa yawan jini mai haɓaka, kuma lafiyar sa ta ɓaci sosai. Amma idan matsakaicin matakin glucose a cikin jini ya juya ya kasance kusa da al'ada, to, nazarin HbA1C ba zai nuna wani abu na musamman ba. Sabili da haka, a cikin ciwon sukari, bincike don haemoglobin na glycated ba ya kawar da buƙata don auna sukarin jininka yau da kullun sau da yawa tare da glucometer.

C-peptide gwajin jini

C-peptide wani sinadari ne wanda aka cakuda shi daga “kwayar ta proinsulin” yayin da aka hada insulin daga ciki a cikin fitsarin. Yana shiga cikin jini tare da insulin. Saboda haka, idan C-peptide ya yadu cikin jini, hakan yana nuna cewa jiki har yanzu yana ci gaba da samin insulin nasa. Kuma mafi C-peptide a cikin jini, mafi kyawun cututtukan fata suna aiki. A lokaci guda, idan maida hankali na C-peptide a cikin jini ya fi yadda aka saba, to, matakin insulin ya ƙaru. Wannan ana kiran shi hyperinsulinism (hyperinsulinemia). Wannan yakan faru ne a farkon matakan kamuwa da cuta na 2 ko lokacin da mara lafiyar ke da ciwon suga (kawai yana hana haƙuri).

Ana yin gwajin jini ga C-peptide da safe akan komai a ciki, kuma a daidai lokacin da sukarin jini yayi daidai, ba a ɗaga shi ba. Lokaci guda tare da wannan nazarin, yana da kyau a ɗauki gwajin glucose na jini ko kawai auna sukarin jini tare da mit ɗin glucose na gida. Kuna buƙatar bincika sakamakon duka binciken a lokaci guda. Idan sukari na jini al'ada ne kuma C-peptide an ɗaga shi, to wannan yana nufin juriya insulin (menene kuma yadda ake bi dashi), ciwon suga ko ƙarancin farko na nau'in ciwon suga 2. A irin wannan yanayin, lokaci ya yi da za a fara jiyya tare da rage cin abinci na karas, a motsa jiki tare da nishaɗi kuma (in ya zama dole) Allunan Siofor (Glucofage). A lokaci guda, kada a yi sauri a yi allurar insulin - tare da babban yiwuwar zai yuwu a yi ba tare da su ba.

Idan duka sukari na jini da C-peptide suna haɓaka, to wannan shine "ciwon sikari" mai nau'in 2 na sukari. Koyaya, wataƙila za'a juya shi ƙarƙashin kulawa ba tare da insulin ba, ta amfani da hanyoyin da aka lissafa a sama, duk da cewa mai haƙuri zai lura da tsarin aikin sosai. Idan sukari na jini ya hauhawa, kuma C-peptide din yayi karami, to hakika cutar amaren ta riga ta lalace. Zai iya zama dogon ciwan sukari na 2 mai hawa ko ciwon sukari na 1. Anan, da wuya a yi ba tare da insulin ba. Da kyau, idan ba za a iya canzawa cututtukan cututtukan cututtukan cututtukan ƙwayar cuta ba su da lokaci.

Yana da kyau a dauki gwajin jini don magani na C-peptide yayin da kawai za ku fara yin jinya. Nan gaba, ba za ku iya maimaita shi ba kuma ku ajiye ta wannan hanyar, idan ya cancanta.

Babban gwajin jini da jini

Tsarin ilimin halittar jini wani yanki ne na gwaje-gwajen da aka saba wucewa yayin da suka yi duk wani binciken likita. Ana buƙatar su don gano cututtukan ɓoye a jikin mutum, ban da ciwon sukari, da kuma fara kulawa da su a cikin lokaci. Mataimakin dakin gwaje-gwaje zai tantance adadin nau'ikan sel a cikin jini - ja da fari jini, da platelet. Idan akwai fararen ƙwayoyin sel na farin jini, hakan yana nuna cewa ci gaba da kumburi ke gudana. Kuna buƙatar nemo kamuwa da cuta kuma kuyi magani dashi. Idan ƙarancin sel da ke cikin jini, wannan alama ce ta rashin jini.

Abubuwan da ke haifar da haifar da cututtukan type 1, rashin alheri, sau da yawa a lokaci guda suna haifar da gazawar thyroid. Ana nuna wannan matsalar ta rage adadin farin jinin sel. Idan gwajin jini na gaba daya "alamu" a cikin raunana aikin ƙwayar thyroid, to kuna buƙatar ɗaukar ƙarin gwaje-gwajen jini don kwayoyin halittunsa. Ya kamata ku sani cewa don nazarin ƙwayar thyroid, bai isa ba don gudanar da gwajin jini don hormone mai motsa jini (thyrotropin, TSH). Hakanan dole ne a duba sauran kwayoyin halittu nan da nan - T3 kyauta kuma T4 kyauta.

Bayyanar cututtuka na cututtukan thyroid sune gajiya na kullum, ƙarewar sanyi, da ciwon wuya. Musamman idan mai gauraya ya ci gaba bayan an rage sukarin jini zuwa al'ada tare da rage cin abinci mai-carbohydrate. Nazarin don kwayoyin hormones ba su da arha, amma tilas ne a yi su idan ya cancanta. Ayyukan glandon thyroid an daidaita shi tare da taimakon allunan da endocrinologist ya tsara. Halin marasa lafiya sau da yawa yana inganta sosai saboda shan waɗannan kwayoyin, saboda sakamakon binciken ya tabbatar da kuɗin da aka kashe, lokaci da ƙoƙari.

Magani ferritin

Serum ferritin alama ce ta tasoshin ƙarfe a cikin jikin mutum. Yawancin lokaci ana yin wannan gwajin jini idan ana zargin mai haƙuri da anemia saboda ƙarancin ƙarfe. 'Yan likitoci kalilan ne suka san hakan, a gefe guda, wuce haddi baƙin ƙarfe shine sananniyar hanyar sanadiyyar raguwar ƙwayar jijiyoyin jiki zuwa insulin, i.e., juriya na insulin. Hakanan yana lalata ganuwar jijiyoyin jini kuma yana haɓaka farkon bugun zuciya. Don haka yana da matukar kyau a sanya wani bincike game da magani a cikin kowane yanayi, tare da dukkan hadaddun kwayoyin halittar jini. Idan wannan bincike ya nuna cewa kuna da baƙin ƙarfe da yawa a jiki, to zai zama da amfani ya zama mai bayar da gudummawar jini. Wannan ba wargi bane. Ba da gudummawar jini kyakkyawar hanya ce ta magance jure insulin da hana bugun zuciya ta hanyar kawar da jikin ku da yawa.

Serum Albumin

Wannan gwajin galibi yana kunshe ne a cikin ilimin halittar jini. Rage hatsin albumin yana nufin haɗarin mutuwa sau biyu daga kowane dalili. Kuma, ƙarancin likitoci sun san wannan. Idan an sami karancin albumin serum, kuna buƙatar neman dalilin kuma kula dashi.

Tare da hauhawar jini - gwajin jini don magnesium

Idan mai haƙuri yana da cutar hawan jini, to, a cikin Amurka "ta atomatik" sanya wani gwajin jini don magnesium a cikin sel jini. A cikin ƙasashen masu magana da Rasha, ba a yi wannan binciken ba tukuna. Kada ku rikita shi tare da nazarin magnesium a cikin jini na jiniwanda ba abin dogaro ba ne! Kullum yakan zama al'ada, koda mutum yana da raunin magnesium. Sabili da haka, idan kuna da hauhawar jini, amma har yanzu kodan suna aiki fiye da ƙasa da al'ada, kawai kuyi ƙoƙarin ɗaukar Magnesium-B6 a cikin allurai masu yawa, kamar yadda aka bayyana anan. Kuma kimantawa bayan makonni 3 ko lafiyarku ta inganta.

Magnesium-B6 kwaya ne na mu'ujiza wanda ke da amfani don ɗaukar kashi 80-90% na yawan jama'a. Su ne:

• ƙananan jini;
• taimaka tare da duk matsalolin zuciya - arrhythmia, tachycardia, da sauransu .;
• kara jijiyar nama zuwa insulin;
• nutsuwa, kwantar da haushi, inganta bacci;
• hana yin aiki na hanji;
• sauƙaƙa ciwo na maza a cikin mata.

Lura Kada ku ɗauki kowane kwayoyin, ciki har da magnesium-B6, ba tare da tuntuɓarku da likitanku ba idan kun sami ƙwaƙwalwar ƙwayar cutar koda (nephropathy). Musamman idan adadin filtular duniya yana ƙasa da 30 ml / min / 1.73 m2 ko kuna fuskantar dialysis.

Hadarin bugun zuciya da bugun jini: yadda za a rage shi

Abubuwa da yawa suna gudana cikin jinin mutum, wanda ke nuna ƙarancinsa, matsakaici ko babban matakin haɗarin bugun zuciya da bugun jini. Yanzu fasahar ta ba da damar yin amfani da gwaje-gwajen jini don ƙayyade taro cikin sauƙi a cikin waɗannan abubuwa, kuma ya dace sosai ga likitoci da masu haƙuri. Akwai matakan warkewa waɗanda zasu iya rage haɗarin cututtukan zuciya, kuma a gaba cikin labarin zaku koya game da su.

Yana da mahimmanci kula da hankali game da rigakafin bugun zuciya da bugun jini, gami da lura da masu cutar siga. Bayan haka, menene ma'anar daidaitaccen sukari na jini kawai wanda a cikin farkon rayuwa bugun zuciya zai buge ku? Bi shawarwari masu sauƙi, bi tsarin mulki - kuma zaku iya rayuwa har zuwa tsufa ba tare da rikice-rikice na ciwon sukari ba, tare da zuciya mai lafiya da adana aikin jima'i, ga hassada na takwarorina.

Labari mai dadi shine cewa abincin low-carbohydrate yana daidaita sukari jini kuma a lokaci guda yana rage haɗarin cututtukan zuciya. Wannan zai tabbatar da banbanci a sakamakon binciken da aka yi “gabanin” da “bayan” sauyawa zuwa sabon salon abinci mai gina jiki. Ilimin na jiki shima yana da tasiri mai warkarwa sau biyu mai ban mamaki. Koyaya, yin rigakafin hankali game da bugun zuciya da bugun jini na iya buƙatar ƙarin matakan, waɗanda zaku koya game da ƙasa. Idan kuna son yin rayuwa tsawon rai, bai kamata ku manta da waɗannan ayyukan ba.

Karanta cikakken labarin

• Yin rigakafin bugun zuciya da bugun jini. Abubuwan haɗari da yadda za'a kawar dasu.
• Atherosclerosis: rigakafi da magani. Atherosclerosis daga cikin tasoshin zuciya, kwakwalwa, ƙananan sassan.
  

Matsalar thyroid: Ciwon ciki da magani

Kamar yadda aka ambata a sama, idan kun yi amfani da abinci mai ƙayyadaddun carbohydrate don sarrafa nau'in 1 ko nau'in ciwon sukari na 2, to a mafi yawan lokuta sakamakon gwaje-gwajen jini don abubuwan haɗari na zuciya kuma suna inganta. Koyaya, wani lokacin bincike yayi nuni da cewa ba a rage haɗarin cututtukan zuciya ba, ko ma ya karu. A irin waɗannan halayen, kuna buƙatar yin gwaje-gwaje don kwayoyin hormones. Kuma koyaushe (!) Ya juya cewa matakin su a cikin jinin mai haƙuri yana ƙasa da al'ada.

Ofaya daga cikin abubuwan da ke haifar da ciwon sukari shine rashin aiki a cikin tsarin rigakafi. A sakamakon wadannan gazawar, tsarin na rigakafi ya kan kawo hari kuma yana lalata sel beta da ke haifar da insulin. Abin takaici, glandar thyroid galibi ana kaiwa hari "don kamfani", a sakamakon abin da yake rage yawan ayyukanshi.

Hypothyroidism wani rashi ne mai tsawo, m rashi na hormones thyroid. Yana yawan faruwa a cikin masu ciwon sukari da kusancinsu. Hypothyroidism na iya farawa shekaru da yawa kafin ciwon sukari ya hauhawa, ko kuma daga baya. Nazarin ya nuna cewa matsaloli tare da glandar thyroid suna kara yawaita yiwuwar kamuwa da ciwon zuciya da bugun jini, kuma wannan yana nuna sakamakon gwajin jini ga abubuwan da ke tattare da hadarin cututtukan zuciya.

Kammalawa: idan, akasin tsarin abinci mai ƙirar carbohydrate, sakamakon gwaje-gwaje na jini don abubuwan da ke tattare da haɗarin cututtukan zuciya sun lalace, to ya kamata a duba kuma a kula da glandar thyroid. A wannan yanayin, ci gaba da biye da tsarin abinci mai ƙirar carbohydrate. Don rama maganin hypothyroidism, endocrinologist zai ba da magungunan kwayoyi waɗanda ke dauke da kwayoyin halittar da basu isa ba a jiki. Ana shan su sau 1-3 a rana, bisa shawarar likita.

Manufar magani shine a ƙara jawo hankali na kwayoyin halittar triiodothyronine (T3 kyauta) da thyroxine (T4 kyauta) zuwa matsakaici na al'ada. A matsayinka na mai mulkin, an cimma wannan burin da yawa. Sakamakon haka, marasa lafiya suna jin daɗi kuma ana rage haɗarin bugun zuciya da bugun jini. Ka tuna cewa gwajin jini don ƙwayar ƙwayar ƙwayar tsoka ta thyroid (thyrotropin, TSH) bai isa ba. Sauran kwayoyin thyroid suna buƙatar bincika su - T3 kyauta kuma T4 kyauta.

Wuce baƙin ƙarfe a cikin jiki

Iron muhimmin abu ne ga dan adam. Amma wuce haddi na iya zama da m. Idan jiki ya tara kayan ajiyar ƙarfe da yawa, wannan yana rage jijiyar jijiyoyin jiki zuwa insulin (yana ƙara jure insulin), haɗari ne ga cututtukan zuciya, da kuma cutar kansa. Wannan matsalar ta zama ruwan dare a cikin maza fiye da mata kafin lokacin haila. Domin mata suna rasa ƙarfe yayin haila.

Testsauki gwajin jini don albumin da ferritin, waɗanda aka tattauna a sama cikin labarin. Idan sakamakon ya wuce al'ada, to ku zama mai bayar da jini don cire baƙin ƙarfe daga jiki don haka rage haɗarin bugun zuciya. Yi ƙoƙarin ɗaukar allunan multivitamin waɗanda basu da baƙin ƙarfe. Misali, wadannan sune magungunan motsa jiki.

A gefe guda, ƙarancin baƙin ƙarfe na rashin ƙarfi na iya haifar da yawan zafin jiki mara kyau. A irin wannan yanayin da ciwon sukari, ba shi yiwuwa a sarrafa sukari na jini yadda yakamata. Idan ya cancanta, a sauƙaƙe shirye-shiryen baƙin ƙarfe suke yi don rashi wannan rashi a cikin jiki. Matsalar ƙarancin baƙin ƙarfe ya fi sauƙi sauƙin warwarewa fiye da matsalar wuce haddi.

Gwajin jini na cholesterol

Gwajin jini na cholesterol an shiga cikin jerin gwaje-gwaje na metabolism na lipid. Wadannan sun hada da:

• jimlar cholesterol;
• Cholesterol mai kyau "mai yawa - mai yawa na lipoproteins;
• Cholesterol “mara kyau” - mara yawa na lipoproteins;
• triglycerides.

Kada ku ƙuntata wa kanku ga gwajin jini na yawan ƙwayoyin cuta, amma tabbatar da gano abubuwan da alamominku suka nuna dabam “mai kyau” da “mummunan” cholesterol, da kuma triglycerides. Wadannan gwaje-gwajen za a iya sake ɗaukar su makonni 4-6 bayan canzawa zuwa rage cin abinci mai ƙayyadari. Idan babu matsaloli tare da cututtukan thyroid, to, sabon sakamakon ya kamata ya fi kyau fiye da waɗanda suka gabata. Gano abin da triglycerides suke a cikin Sunadarai, Fats, da Carbohydrates don abinci mai lafiya don Ciwon sukari.

Abinda ke da kyau ko kuma mummunan cholesterol

Bayan karanta labarin mu, zaku san cewa cholesterol ya kasu kashi biyu “mai kyau” da “mara kyau”. Kyakkyawan cholesterol - yawan ƙwayoyin lipoproteins mai yawa - yana kiyaye tasoshin jini. A akasin wannan, mummunan ƙwayar cholesterol ana ɗauka shine sanadin atherosclerosis da cututtukan zuciya na gaba. Wannan yana nufin cewa gwajin jini don jimlar cholesterol, ba tare da rarraba shi zuwa “kyakkyawa” da “mara kyau” ba ya bamu damar tantance hadarin cututtukan zuciya.

Yakamata ya kamata ka san cewa yawancin sinadarin cholesterol da ke yaduwa cikin jini ana samarwa a hanta, kuma baya zuwa abinci kai tsaye. Idan ka ci abinci mai kyau a cikin cholesterol, wanda a al'adance ana tsammanin yana da haɗari (nama mai kitse, ƙwai, man shanu), to hanta zata samarda ƙarancin cholesterol "marasa kyau". Bayan haka, idan kun ci abinci mara kyau a cikin cholesterol, hanta tana haɓaka ta, saboda cholesterol ya zama dole ga rayuwa, yana yin ayyuka masu mahimmanci a jiki.

Increasedara yawan ƙwayar cuta "mara kyau" - ƙarancin lipoproteins mai yawa - yana nufin haɗarin haɗari na atherosclerosis, bugun zuciya ko bugun jini. Wannan matsalar sau da yawa tana faruwa ne a cikin mutane masu kiba ko ciwon sukari. Idan kun kiyaye tsarin abinci mai karancin carbohydrate, to matakin "mummunan" cholesterol a cikin jini yawanci yana raguwa bayan makonni 6.

Kyakkyawan cholesterol - lipoproteins mai yawa - yana kare tasoshin jini daga ciki daga lalacewa ta atherosclerosis. A sakamakon wannan, ana kiyaye wadataccen jini zuwa ga zuciya da kwakwalwa. Abincin abinci mai kyau cikin cholesterol yana haɓaka matakin “mai kyau” cholesterol a cikin jini. Yi ƙoƙarin rage cin abinci na carbohydrate, ka ɗauki gwajin jini “kafin” da “bayan” - ka gani da kanka. Kuma masu yaduwar abinci mara nauyi wadanda suke ganin sunada kyau ga zuciya da jijiyoyin jini kwalliya ce kawai. A cikin ciwon sukari, "daidaitaccen" abincin yana da haɗari musamman saboda yana haifar da tsalle-tsalle a cikin sukarin jini da haɓaka mai saurin ci gaba.

Wadansu mutane basu da sa'a - suna da niyyar an sami hauhawar jini cholesterol a cikin jini. A wannan yanayin, rage cin abinci mai karas ba tare da shan magunguna na musamman ba ya taimaka. Amma akwai karancin irin wadannan marasa lafiya; ba kasafai ake samun su ta bangaren likitanci ba. A matsayinka na mai mulkin, ba kwa buƙatar ɗaukar kwayoyin don rage cholesterol. Idan kana shan wasu nau'ikan magani daga ajin mutum don inganta cholesterol dinka, to bayan ka canza zuwa abinci mai karancin carbohydrate, zaka iya yin watsi da wadannan kwayoyin magungunan kuma ka daina shan tasirinsu.

Kafiri na atherogenic

Don tantance hadarin zuciya, ana kirga rabo na "mara kyau" da "kyakkyawa" cholesterol a cikin jinin mara lafiya. Wannan shi ake kira atherogenic coefficient (CA). An kirga ta hanyar dabara:

HDL sune mahimmancin lipoproteins, wato, "mai kyau" cholesterol. Kammalallen ƙwayoyin ƙwayar cuta da ƙwaƙwalwa ya kamata ya zama ƙasa da 3.

Mun yanke shawara:

• Kuna iya samun babban adadin cholesterol kuma a lokaci guda ƙananan haɗarin zuciya da jijiyoyin jini. Wannan yakan faru ne a kan karancin abinci mai ƙirar carbohydrate, lokacin da cholesterol “mai kyau” yake da girma kuma “mara kyau” yana cikin ƙayyadadden al'ada, kuma babban adadin atherogenic yana ƙasa da 2.5.
• Totalarancin kolestarol ba yana nufin rashin haɗarin zuciya ba. Saboda karancin cholesterol mara kyau “mai kyau”, coeffic coefficient na iya zama mai girma.
• Ka sake tunawa cewa rabin bugun zuciya na faruwa ne a cikin mutanen da suka yi daidai da na al'ada. Sabili da haka, kuna buƙatar kula da wasu abubuwan haɗarin cutar zuciya. Karanta cikakken bayani a kasa.

A baya can, akwai "mai kyau" da "mara kyau" cholesterol. A ƙarshen shekarun 1990, wannan hoto mai sauƙi na duniya ya zama mafi rikitarwa. Saboda "mummunan" cholesterol, masanan kimiyya sun gano ƙarin "mummunar". Yanzu zaku iya ɗaukar wani gwaji don lipoprotein (a). Yana da amfani a yanke shawara ko mai haƙuri yana buƙatar shan kwayoyin cutar don rage cholesterol da ake kira statins.

Idan “mummunar” cholesterol tayi yawa, amma lipoprotein (a) al'ada ce, to ba za'a iya yin maganin waɗannan kwayoyin magani ba. Magunguna daga aji na mutum-mutumi ba su da arha kuma suna da sakamako masu illa. Idan zaka iya ba tare da su ba, to zai fi kyau kar a yarda da su. Koyi hanyoyin halitta don rage atherosclerosis, sau da yawa ba tare da statins. An tattauna Lipoprotein (a) dalla-dalla a ƙasa a cikin labarin.

Hadarin cholesterol da Rashin lafiyar zuciya: Gano

Mafi yawan mutane suyi al'ada cholesterol ya isa abinci mai karancin carbohydrate, ba tare da kwayoyin hana daukar jini ba. Ka tuna babban abu: atsaci mai cin abinci ba ya haɓaka matakin “mara kyau”, amma “cholesterol” mai kyau cikin jini. Ka ji daɗin cin ƙwai, nama mai ƙiba, man shanu da sauran abubuwa na kirki. Gwada sukari na jini tare da mitirin glucose na jini sau da yawa a rana. Yi gwajin cholesterol a yanzu, sannan kuma bayan watanni 1.5. Kuma ka tabbata wacce abincin zahiri yake taimaka maka.

Bayan "cholesterol" mai kyau "da" mara kyau ", akwai wasu dalilai na haɗarin cututtukan zuciya:

• C-mai amsawa mai narkewa;
• Fibrinogen;
• Lipoprotein (a);
• Hankalin.

An tabbatar da cewa zasu iya hango hadarin bugun zuciya ko bugun jini sosai fiye da gwajin jini na cholesterol. Rabin cututtukan zuciya suna faruwa ga mutanen da suke da cholesterol na al'ada. Lokacin da mai ciwon sukari yayi iko da iko da sukarin jininsa tare da rage cin abinci mai-carbohydrate, sakamakon duk gwaje-gwajen jini don abubuwan haɗarin cututtukan zuciya yawanci suna inganta. Koyaya, yin taka tsantsan game da haɗarin cututtukan zuciya na iya buƙatar ƙarin matakan. Kara karantawa a ƙasa.

Cakuda sinadarin C-reactive da / ko fibrinogen a cikin jini yana ƙaruwa lokacin da tsarin kumburi ya faru, kuma jiki yayi yaƙi dashi. Cutar kumburin Latent cuta ce ta gaba daya kuma cuta ce mai wahala. Masu ciwon sukari suna buƙatar sanin menene mafi mahimmanci fiye da sauran mutane. Ciwon mara na yau da kullun shine haɗarin cutar zuciya. A nau'in 1 ko nau'in ciwon sukari na 2, shima ya kara dagula lamunin kyallen takarda zuwa aikin insulin. Saboda haka, sarrafa sukari na jini ya zama da wahala. Bincika labarin bugun zuciyar mu da bugun jini. Bi jerin matakan da aka ba da shawarar a wurin.

C-mai amsawa mai narkewa

Sinadarin C-mai mai da rai na daya daga cikin kariya ta plasma ta “rukuni mai kauri”. Hankalinsu a cikin jini ya hau tare da kumburi. Sinadarin C-mai kunnawa yana taka rawa ta kariya ta hanyar ɗaukar kwayar cutar kwayan ƙwayar cuta ta polysaccharide Streptococcus pneumoniae. Anyi amfani dashi a cikin binciken asibiti a matsayin ɗayan alamun nuna kumburi. Idan babu kamuwa da cuta, to, mafi yawan lokuta sanadiyyar matakan karuwar sunadarin C-mai kunnawa a cikin jini shine maganin hakori. A wuri na biyu shine cutar koda da mai kumburi, tare da rheumatism. Sanya hakoranku don rage haɗarin bugun zuciya!

Karanta cikakken labarin “Gwajin jini don furotin na C-reactive. Ka'idodin sunadarai na C-mai kunnawa. "

Hankalin

Homocysteine ​​shine amino acid wanda ba'a samar dashi da abinci, amma yana hade ne daga methionine. Ana tattarawa cikin jiki, homocysteine ​​ya fara kai farmaki ga bangon ciki na tsokoki. Abun fashewarsa an yi shi ne, wanda jiki ke ƙoƙarin warkarwa, manne. Ana saka cholesterol da alli a farfajiya da ta lalace, suna yin matsi na atherosclerotic, sakamakon abin da kyankyasar jirgin ruwa take, wani lokacin ma har sai da aka toshe. Sakamakon shine bugun jini, infarction na zuciya na huhu, ƙwaƙwalwar jini na huhu.

An yi imanin cewa shan sigari na kara maida hankali sosai a cikin jini. Hakanan, yawan amfani da kofuna waɗanda kofi ɗaya kowace rana yana ɗayan mahimman abubuwan da ke ba da gudummawa ga haɓaka matakan homocysteine. Mutanen da ke da tsauraran matakan homocysteine ​​a cikin jini suna da haɗarin kamuwa da cutar Alzheimer da ƙwaƙwalwar datti. Tare da haɗuwa da haɓakar homocysteine ​​da ciwon sukari, rikitarwa na jijiyoyin jiki ya fi faruwa sau da yawa - cuta na jijiyoyin hannu, nephropathy, retinopathy, da sauransu.

Matsayin homocysteine ​​a cikin jini yana tashi saboda rashi na folic acid, da kuma bitamin B6, B12 da B1. Dr. Bernstein ya yi imanin cewa shan bitamin B12 da folic acid a cikin jini zuwa rushewar homocysteine ​​ba shi da amfani har ma yana kara mace-mace. Koyaya, yawancin masana kimiyyar zuciyar Amurka suna da goyon baya a wannan matakin. Baranka mai tawali'u, haka ma, Ina ɗaukar hadadden bitamin B a cikin allurai masu yawa (50 M kowace na bitamin B6, B12, B1 da sauransu), Allunan 1-2 a kowace rana.

Fibrinogen da lipoprotein (a)

Fibrinogen shine furotin wanda aka samar dashi a cikin hanta kuma ya zama juzu'in da za'a iya canzawa - tushen garkuwa yayin coagulation jini. Daga baya Fibrin ya samar da suturar jini, yana kammala aikin hadin jini. Abinda ke cikin fibrinogen a cikin jini yana ƙaruwa tare da faruwa na cututtukan cututtukan cututtukan ƙwaƙwalwa da na nesa da na mutuwa da mutuwar nama. Fibrinogen, kamar furotin na C-mai amsawa, yana nufin ƙayyadaddun matakan kariya.

Lipoprotein (a) - "mummunan gaske" cholesterol. Yana da haɗari ga cututtukan zuciya da sauran cututtukan zuciya. Har yanzu ba a kafa matsayin ilimin halittar jiki ba.

Idan a cikin jini akwai babban matakin ɗayan ko dama daga abubuwan da aka lissafa a sama, to wannan yana nufin cewa tsarin kumburi yana gudana. Da alama jikin yana yakar kamuwa da cuta. Me yasa wannan mummunan? Domin a cikin wannan yanayin, tasoshin suna rufe da sauri daga ciki tare da filayen atherosclerotic. Musamman haɗari shine haɗarin haɗari na ƙwanƙwasa jini da clogging na jini. A sakamakon haka, bugun zuciya ko bugun jini na iya faruwa. A cikin masu ciwon sukari, kumburin bacci kuma yana cutar da insulin juriya kuma yana kara bukatar insulin. Karanta "Cutar kumburi shine ɓoye sanadin jure insulin."

Testsarancin gwaje-gwaje don ƙwayar fibrinogen ko lipoprotein (a) na masu ciwon sukari shima yana nufin haɗarin haɓakar haɓakar koda ko matsalolin hangen nesa. Kiba, koda yake da sukarin jini na yau da kullun, yana haifar da kumburi mai kumburi saboda haka yana ƙaruwa da furotin na C-mai amsawa. Gwajin jini don furotin na C-reactive, fibrinogen, da lipoprotein (a) sune alamomin ingantattu masu haɗarin haɗarin bugun zuciya ko bugun jini fiye da cholesterol. Lokacin da sukari na jini ya zama al'ada sakamakon karancin abinci mai narkewa, sakamakon gwaje-gwaje na jini ga duk abubuwan da ke tattare da hadarin cututtukan zuciya yawanci suna inganta.

Zai yiwu a sami matakan fibrinogen na jini saboda lalacewar koda koda (nephropathy). Labari mai dadi shine cewa a farkon matakin, cutar rashin lafiya ta hanta ba za a iya hana shi kawai ba, har ma da sake juyawa. Akwai wata shaidar cewa aikin koda yana sannu a hankali idan kuka runtse sukari na jini zuwa al'ada kuma ku kiyaye shi al'ada a koyaushe. Sakamakon haka, abun cikin fibrinogen a cikin jini shima zai sauka zuwa al'ada.

Lokacin da mai ciwon sukari ya rage sukarin jininsa zuwa al'ada tare da rage cin abinci mai-carbohydrate, sakamakon gwajin jininsa na lipoprotein (a) yawanci yana inganta. Koyaya, watakila basu inganta zuwa al'ada idan aka ƙaddara maka jini na cholesterol mai jini. A cikin mata, ƙarancin matakan estrogen na iya cutar da bayanin martabar cholesterol.

Rashin kwayoyin hodar iblis shine sanadiyyar haɓaka matakan "mummunan" cholesterol, homocysteine, da lipoprotein (a) a cikin jini. Gaskiya ne gaskiyar cutar ga masu ciwon sukari, wanda tsarin rigakafi yawanci ke kaiwa da glandar thyroid “don kamfani” tare da cututtukan fitsari. Abin da za a yi a wannan yanayin an bayyana shi dalla-dalla a cikin labarin da ke sama.

Gwajin koda

Tare da ciwon sukari, kodan sun lalace saboda gaskiyar cewa yawan sukarin jini yana ɗaukar shekaru. Idan an gano cutar sankarau (lalacewar koda) a farkon matakin, to zaku iya ƙoƙarin rage shi. Idan ka cimma nasarar sukari na jini ya zama al'ada yadda yakamata, to aikin kodan akalla bai ragu cikin lokaci ba, harma zai iya murmurewa.

Gano abin da matakan lalacewar koda suke a cikin labarin “Lalacewar koda a cikin Cutar”. A cikin farkon farkon cutar cututtukan zuciya, ya kamata ku gwada rage cin abinci mai-carbohydrate don sauƙaƙe saukar da sukarin jini zuwa al'ada, kiyaye shi low, kuma don haka kare kodanku. A wani mataki na gaba na lalacewar koda (farawa daga 3-A), an haramta rage cin abinci mai-carbohydrate, kuma kadan za'a iya yi.

Mutuwa daga gaɓar koda shine zaɓi mafi raɗaɗi ga masu ciwon sukari. Shiga halayen maganin cututtukan dial din shima ba abin jin daɗi bane. Sabili da haka, yi gwaje-gwaje akai-akai don bincika kodanku don ciwon sukari. Idan an fara jiyya akan lokaci, to hana rigakafin koda na hakika ne. Karanta cikakkun bayanai a ƙarƙashin mahaɗin “Analysis da kuma nazarin kodan a cikin ciwon sukari mellitus”.

Wasu ayyukan na iya gurbata sakamakon gwaje-gwajen da ke gwada aikin koda. A cikin awanni 48 kafin gwajin, aikin motsa jiki, wanda ke haifar da babban kaya akan ƙananan rabin jikin, ya kamata a guji shi. Wannan ya hada da kekuna, babur, hawa dawakai. Ba zai dace ku ɗauki gwaje-gwaje a ranar da za ku kamu da zazzabi ba, lokacin haila, cututtukan urinary tract ko jin zafi saboda ƙodan koda. Yakamata a jinkirta bayar da gwaje gwaje har sai yanayin ya wuce.

Insactor-kamar Ci gaban Gaskiya (IGF-1)

Ciwon kansar na ciwon sikila cuta ce mai wahala kuma mai yawan kamuwa da ciwon suga a ido. Rage sukari na jini zuwa al'ada a cikin cututtukan siga yana da ban mamaki a kusan dukkanin lokuta. Amma wani lokacin ma saurin raguwar glucose na jini zai iya haifar da wuce gona da iri na maganin ciwon sukari. Wannan fashewar yanayin an bayyana shi ta fuskoki masu yawa a cikin cikin retina kuma yana iya haifar da makanta. Mafi yawanci ana samunshi ne ta hanyar haɓakar ƙwayar insulin-kamar girma girma (IGF-1) a cikin ƙwayar magani.

Ya kamata a ba da bincike game da ci gaban insulin-kamar ci gaba ga marasa lafiya da ke kamuwa da cutar tarin fuka. Dole ne a gudanar da wannan bincike akai-akai, kowane watanni 2-3. Idan matakin IGF-1 ya tashi daga lokacin ƙarshe, to, kuna buƙatar rage hanzarin rage hauhawar sukari cikin jini don guje wa barazanar rasa hangen nesa.

Menene mahimmancin gwaje-gwajen cututtukan ciwon sukari?

Kowane ɗayan gwaje-gwajen da aka jera a wannan labarin suna da mahimmanci saboda yana ba ku damar fahimtar yanayin yanayin wani mai haƙuri na musamman. A gefe guda, babu ɗayan waɗannan gwaje-gwajen da ke da alaƙa kai tsaye da sarrafa sukari na jini. Sabili da haka, idan kudi ko wasu dalilai a wata hanya ba za su iya ba ku damar yin bincike ba, to kuna iya rayuwa ba tare da su ba. Babban abu shine siyan ingantaccen glucometer kuma a hankali kula da sukarin jininka da shi. Ajiye akan komai, amma ba akan tsaran gwajin gwaji na glucose ba!

Bi wani nau'in shirin ciwon sukari na 2 ko nau'in 1 na ciwon sukari. Idan zaku iya rage sukarin jinin ku zuwa al'ada kuma ku tabbatar da shi barcin, to duk sauran matsalolin ciwon sukari zasuyi hankali da kansu. Amma idan ba ku dauki sukari na jini a ƙarƙashin kulawa ba, to babu gwaje-gwajen da zai iya ceton mai ciwon sukari daga matsaloli tare da ƙafafunsa, ƙodan sa, idanu, da sauransu. Don magance cutar da ƙwaƙwalwa yadda ya kamata, kuna buƙatar kashe kuɗi kowane wata akan tsararrakin gwaji don glucometer, tare da siyan samfurori. domin karancin abinci mai narkewa. Duk waɗannan zasu zama abubuwanku na fifikon kuɗi. Kuma kudin shan gwaji shine yadda yake tafiya.

Idan za ta yiwu, to da farko kana buƙatar ɗaukar gwajin jini don glycated haemoglobin. Masu ciwon sukari sau da yawa suna da matsaloli tare da saka idanu na sukari na jini, wanda wannan bincike ne kawai zai iya ganowa. Misali, mitan ba daidai bane - nuna sakamakon da ba'a tantance ba. Yadda zaka bincika mitanka don daidaito. Ko mara lafiya, da sanin cewa zai jima da ziyartar likita, 'yan kwanaki kafin hakan zai fara ci a koda yaushe, ban da abinci mai-carbohydrate daga abincin. Musamman sau da yawa, matasa masu ciwon sukari suna "zunubi" wannan. A irin wannan yanayin, kawai bincike don haemoglobin mai narkewa zai ba ka damar gano gaskiya. Kuna buƙatar shan shi kowane watanni 3, ba tare da la'akari da irin nau'in ciwon sukari ba kuma yadda kuke gudanar da shi don sarrafa shi.

Gwajin jini na gaba shine sanadin C-reactive. Farashin wannan bincike yana da araha sosai, kuma a lokaci guda yana bayyana matsalolin ɓoye da yawa. Tsarin kumburi mai saurin kawo matsala sune sanadiyar cutar bugun zuciya, amma yan kadan daga cikin likitocin mu har yanzu suna da masaniya game da wannan. Idan furotin C-reactive ku ya girma, ku ɗauki matakan dakatar da kumburi don haka kare kanku daga masifar zuciya. Don yin wannan, rheumatism, pyelonephritis, cututtuka na numfashi na yau da kullun dole ne a bi da su a hankali. Kodayake galibi galibi sanadin hakan shine hakori. Warkar da hakoranku kuma rage haɗarin bugun zuciya. Gwajin jini ga furotin na C-mai amfani da ƙwayar cuta ya fi mahimmanci gwajin cholesterol!

A lokaci guda, gwajin jini don wasu dalilai na haɗarin zuciya yana da tsada sosai. Wannan gaskiya ne musamman don gwaje-gwaje na homocysteine ​​da lipoprotein (a). Da farko kuna buƙatar kashe kuɗi akan gwaje-gwaje, sannan kuma a kan kari don rage waɗannan alamomi zuwa al'ada. Idan babu wani karin kudi, to yanzun nan zaka iya fara shan bitamin B da man kifi don rigakafin.

Yana da kyau a dauki gwajin jini don cholesterol da sauran abubuwan da ke tattare da hadarin cututtukan zuciya kafin fara shirye-shiryen kula da ciwon sukari tare da rage cin abinci na carbohydrate da sauran ayyukan da muke ba da shawara. Sannan a sake duba lipids na jini (triglycerides, “good” da “bad” cholesterol) kuma bayan watanni 1.5. A wannan lokacin, yawan sukarin jininka ya zama daidai gwargwado, kuma sakamakon gwaje-gwaje zai kara tabbatar da cewa kana kan hanya madaidaiciya. Idan kun bi tsarin abinci a hankali, amma a wannan lokacin bayanin martaba na cholesterol bai inganta ba - ɗaukar gwajin jini don hormones thyroid.

Idan an gano ƙananan matakan kwayoyin triiodothyronine (T3 kyauta) da thyroxine (T4 kyauta), to, yi alƙawari tare da endocrinologist don shawara. Kuna buƙatar shawararsa game da yadda za ku kula da glandar thyroid, amma ba yadda za ku bi tsarin "daidaitaccen" abincin don ciwon sukari ba! Masana ilimin kimiyya na endocrinologist zai ba da magungunan da za a sha, kamar yadda ya ce. Bayan da aka daidaita matakin matakan hodar iblis a cikin jini, bayan watanni 4, ya kamata ku sake yin gwajin jini don cholesterol da sauran abubuwan haɗari na zuciya. Wannan zai bayyana yadda lura da glandon thyroid ta shafe su. Bugu da kari, ana bada shawarar ayi gwajin don a sha sau daya a duk shekara. Amma idan babu isasshen kuɗi, to ya fi kyau a ajiye akan gwaje-gwaje na ɗakin gwaji fiye da kan kwatancen gwaji don glucometer.

Nazarin da kuma ziyartar likitoci

Sayi wani tonometer kuma auna hawan jini a kai a kai (yadda ake yin shi da kyau), aƙalla lokaci 1 a mako, a lokaci guda. Ka sami daidaitattun daidaito a gida kuma ka auna kanka kai tsaye, amma ba sau da yawa fiye da sau ɗaya a mako. A lokaci guda, tuna cewa sauye sauye a tsakanin kilogiram 2 na al'ada ne, musamman ma a cikin mata. Binciki idanunku tare da likitan mahaifa (abin da kuke buƙatar bincika) - aƙalla lokaci 1 a shekara.

Kowace rana, bincika ƙafafunku a hankali, karanta "Kula da ciwon sukari: cikakkun bayanai." A alamar farko na matsaloli - kai tsaye ka nemi likitan da “ke jagorantar ka”. Ko yin rajista nan da nan tare da podiatrist, wannan ƙwararre ne a lura da ƙafafun ciwon sukari. Idan ba'a rasa ciwon sukari ba, lokaci tare da matsalolin ƙafa na iya haifar da yankan kashi ko kuma mai haɗari mai kisa.