Mai nuna alamun insulin al'ada shine kiyaye matakan glucose na jini wanda bai wuce 5.5 mmol / L ba lokacin da aka auna akan komai a ciki. Wannan taro wani cikas ne na sakin glucose da kodan, don haka mutane masu lafiya na iya samun karancin sukari (alama) a cikin fitsarinsu wanda ba za'a iya gano shi ba a cikin yanayin aikin fitsari na al'ada.
A cikin masu ciwon sukari, lokacin da akasarin bakin koda ya wuce, glucose ta fara ficewa daga jiki tare da wani babban ruwa. Wannan alamar cutar sankarau ana kiranta glucosuria.
Bayyanar glucose a cikin fitsari a cikin ciwon sukari yana nuna isasshen diyya na cutar, idan an kiyaye duk ka'idodin binciken.
Hanyar glucose a cikin fitsari
Fitsari a cikin jiki ana yin sa ta hanyar tace jini da kodan. Abun da ya ƙunsa ya dogara da yanayin tafiyar matakai na rayuwa, aikin ƙwaƙwalwar ƙwayar ɗan adam da glomeruli, akan tsarin sha da abinci mai gina jiki.
Da farko, ana yin fitsari na farko, wanda babu wasu ƙwayoyin jini da manyan ƙwayoyin furotin. Sannan, a daina cire abubuwa masu guba tare da fitsari na biyu, kuma amino acid, glucose, da abubuwan da suka wajaba don tafiyar matakai na rayuwa su koma ga jini.
Ga glucose, akwai tsaka-tsakin matakin abin da ke cikin sa a cikin jini, wanda ba ya shiga fitsari. Ana kiranta bakin ƙofa. Ga balagaggu, lafiyayyen mutum shine 9-10 mmol / L, kuma tare da shekaru, ƙarar ƙararren dan ƙasa na iya ƙasa da ƙasa. A cikin yara 'yan kasa da shekaru 12, wannan matakin shine 10-12 mmol / L.
Take hakkin lalata abu ya shafi ba kawai da abubuwan glucose a cikin jini ba, har ma da yanayin tsarin tace kodan, sabili da haka, a cikin cututtuka, musamman a cikin cututtukan ƙwayar cuta mai narkewa, glucose na iya bayyana a cikin fitsari tare da glucose na al'ada a cikin jini.
Glucosuria na Jiki
A al'ada, glucose na iya fitowa a cikin fitsari tare da babban ci na carbohydrates mai sauƙi tare da abinci, babban adadin maganin kafeyin, har ma da matsananciyar damuwa, bayan wucewar jiki. Irin waɗannan abubuwan yawanci gajere ne kuma, tare da maimaita karatun, urinalysis yana nuna ƙarancin sukari.
Corticosteroids, thiazide diuretics, anabolics, estrogens zasu iya haifar da glucosuria na ɗan lokaci. Bayan dakatar da shan irin waɗannan magunguna, sukari a cikin fitsari ya koma al'ada.
Ana ganin bayyanar glucose a cikin fitsari a cikin mata masu juna biyu cikin uku. Irin waɗannan mata suna buƙatar ƙarin gwaje-gwaje na dakin gwaje-gwaje don kawar da ciwon sukari na gestational. Idan babu shi bayan haihuwa, glucosuria ta ɓace ba tare da wata alama ba.
Dalilin cin zarafin metabolism a cikin mata masu ciki shine sakin kwayoyin hormones wadanda ke aiki da insulin. A lokaci guda, juriyawar insulin zai yi girma, kuma ɓoyewar sa yana ƙaruwa da ramuwa. Kwayar cutar cututtukan da ta haɗu da sukarin jini da glucosuria sun haɗa da:
- Asedara yawan ci da ƙishirwa.
- Cutar cututtukan fata
- Hawan jini.
- Urination akai-akai.
Suna iya zama alamomin cutar sankarar hanji.
Rukunin haɗarin sun haɗa da mata masu fama da rashin haihuwa, babban tayi a cikin haihuwa da suka gabata, waɗanda ke da halin gado game da ciwon sukari kuma suna da kiba.
Glucosuria a cutar koda
Cutar sankarar mahaifa cuta ce ta juzuɓawar glucose a cikin tubules na kodan, sakamakon cututtukan da ke cikin tsarin na koda. Tare da glucourur na koda, sukari a cikin fitsari na iya kasancewa a matakin al'ada na glycemia.
A lokaci guda, ƙwanƙwasa na ƙirar glucose yana raguwa, ana iya kasancewa a cikin fitsari koda tare da hypoglycemia Irin waɗannan glucosuria mafi yawan lokuta ana lura da su a cikin yara masu cututtukan ƙwayar cuta na yara kuma ana kiranta na farko na renal glucosuria.
Sun haɗu da: Fanconi syndrome, wanda tsarin tubules na kodan ya rikice kuma cututtukan ƙwayar cuta na tubulo-interstitial, wanda a cikin lalata ƙwayar koda ke lalacewa. Irin waɗannan cututtukan suna haifar da bayyanar furotin a cikin fitsari da kuma babban pH na fitsari.
Secondary glucosuria ya bayyana a irin wannan yanayin:
- Kwayar cuta
- Ciwon mara na wucin gadi.
- Ciwon ƙwayar cutar sankara.
- Rashin wahala.
- Glomerulosclerosis a cikin ciwon sukari.
Tare da cututtukan koda, fitsari yana da ƙayyadaddun nauyi, ƙwayoyin jan jini, sel jini, da furotin an ƙaddara su.
Glucosuria a cikin ciwon sukari
Tare da warewar cututtukan cututtukan koda, cututtukan cututtukan cututtukan ƙwayar pituitary da glandon, glandon adrenal, ana iya ɗauka cewa bayyanar glucose a cikin fitsari yana nuna ci gaba da hauhawar jini a cikin ƙwayar cutar sankarar fata.
A cikin tubules na kodan, shan glucose yana faruwa tare da halartar hexokinase enzyme, wanda aka kunna tare da halartar insulin, sabili da haka, tare da ƙarancin insulin, ƙarancin ƙirar yana raguwa, sabili da haka, a cikin marasa lafiya da nau'in ciwon sukari na 1, matakin glucosuria baya nuna matsayin ƙara yawan sukari na jini.
Tare da haɓakar rikice-rikice na ciwon sukari mellitus a cikin nau'in ciwon sukari mai narkewa, ana maye gurbin ƙwayar koda na al'ada ta hanyar haɗin nama, sabili da haka, har ma da sukarin jini, ba a samo shi a cikin fitsari.
A cikin maganganun lokuta na ciwon sukari mellitus ta kasancewar gaban glucose a cikin fitsari na mai haƙuri, mutum zai iya yin hukunci game da nasarar biyan diyya, bayyanar sa alama ce don ƙara yawan ƙwayoyin sukari mai rage ƙwayar ko insulin.
A cikin cututtukan sukari na mellitus, glucose, saboda iyawar jawo ruwa daga kyallen takarda, yana haifar da alamun bayyanar rashin ruwa a jiki:
- Needarin buƙatar ruwa, da wuya a datse ƙishirwa.
- Dry bakin tare da ciwon sukari.
- Yawan urination.
- Fata da bushe na mucous membranes.
- Weaknessara rauni.
Rashin glucose a cikin fitsari lokacin da ba zai yiwu a sha shi ba daga kyallen takarda yana haifar da gaskiyar cewa carbohydrates ba zai iya zama tushen samar da makamashi ba, kamar yadda yake a cikin lafiyar jiki. Sabili da haka, marasa lafiya, duk da karuwar ci, suna da haɗarin asara nauyi.
A cikin jiki, tare da karancin glucose a cikin sel, jikin ketone wanda yake da guba ga kwakwalwa ya fara zama.
Karin Glucosuria
Baya ga ciwon sukari, raunin da ya shafi kwanyar kai da kwakwalwa, da cutar sankarar mahaifa, meningitis, bugun jini, da kuma tsawon lokaci na rashin bacci na iya haifar da bayyanar glucose a cikin fitsari. A cikin waɗannan yanayin, akwai haɓakar glucose na jini saboda karuwar glycogen hanta.
Jiki na wucin gadi da glucosuria suna haɗuwa da mummunan cututtukan ƙwayar cuta, yayin da bayyanar ta nuna matsayin matakin kumburi da kuma yawanta. A matsayinka na mai mulkin, tare da nasara cikin jiyya na cututtukan da ke tattare da cutar, glucose a cikin fitsari ya ɓace.
Glucosuria na iya kasancewa tare da cututtukan da ke haɗuwa da yawan zafin jiki, cutar ta kwalara da cututtukan ƙwayar cuta, tare da guba ta hanyar strychnine, morphine, carbon monoxide.
Idan glucose a cikin fitsari gaba daya ba ya nan, to wannan na iya zama wata alama ta kamuwa da ƙwayar cuta ta hanjin urinary, amma wannan alamar ba shi da ƙimar bincike.
Yaya za a ƙayyade glucose a cikin fitsari?
Ana iya tsara gwajin fitsari don sukari a cikin ganewar asali na ciwon sukari mellitus da kimantawa game da tasirin magani, tare da tantance aikin kodan ko tare da cututtuka na tsarin endocrine da cututtukan fata.
Kwanaki 2 kafin binciken, ba a bada shawarar diuretics ba, kuma ranar ta ware barasa, damuwa da damuwa ta jiki, har ma da abinci mai wadatar carbohydrates. Magunguna na iya shafar sakamakon binciken, saboda haka dole ne a amince da gudanarwar su tare da likitan halartar.
Don ganewar asali na ciwon sukari mellitus, ƙuduri na glucosuria hanya ce ta taimako kuma ana kimantawa tare da haɗu da ƙarar haƙuri da gwajin jini don glycemia, gwajin haƙuri na glucose da sauran nazarin ƙwayoyin cuta.
A gida, ana iya amfani da takaddun gwaji don gwadawa don glucosuria. Wannan hanyar bayyanawa tana ba ku damar kimanta kasancewar sukari a cikin fitsari a cikin mintuna 3-5, wanda zai iya zama alama kai tsaye ga karuwar sukarin jini.
Bidiyo a cikin wannan labarin zai yi magana game da abubuwan da ke faruwa a tsakanin masu ciwon sukari - kasancewar glucose a cikin fitsari.
