A nau'in ciwon sukari na 2 na sukari, yana da matukar muhimmanci a gano yadda ƙwayoyin jijiyoyin da ke cikin jijiya suke a cikin hormone, domin wannan, ana iya yanke duka glucose da insulin bayan motsa jiki, ƙa'ida bayan 2 sa'o'i.
An yarda da irin wannan binciken a cikin yara (tun daga 14 shekara) da kuma a cikin manya, tsofaffi har ma da mata masu juna biyu tare da dogon lokaci.
Kasancewa hanya ce mai sauki ta gwajin jini, gwajin haƙuri a jiki yana ba ka damar sanin daidai sukari da insulin a cikin jini. Yaya ake yin sa kuma menene matakan al'ada na insulin bayan cin abinci? Za mu fahimta.
Yaushe ake buƙatar yin gwaji?
Saboda cutar sankara cuta cuta ce da ta zama ruwan dare, WHO ta bada shawarar ƙarfi ga gwaji don glucose da insulin aƙalla sau biyu a shekara.
Irin waɗannan al'amuran zasu kare mutum daga mummunan sakamako na "mummunan cuta", wanda wani lokacin yakan sami ci gaba cikin sauri ba tare da alamun bayyanannu ba.
Kodayake, a zahiri, hoton asibiti na ciwon sukari yana da faɗi sosai. Babban alamun cutar shine polyuria da ƙishirwa wanda ba a san shi ba.
Wadannan hanyoyin guda biyu ana haifar dasu ne ta hanyar hauhawar kaya akan kodan, wanda ke tace jini, yana kwantar da jiki daga dukkan nau'ikan gubobi, gami da kara yawan glucose.
Hakanan akwai wasu alamun da ke nuna ci gaban ciwon sukari, duk da cewa ba a faɗi ƙima sosai ba, waɗannan alamomin masu zuwa:
- asarar nauyi mai sauri;
- jin yunwar kullun;
- bushe bakin
- tingling ko numbness na kafafu;
- ciwon kai da farin ciki;
- narkewa cikin damuwa (tashin zuciya, amai, gudawa, zazzabi);
- lalata abubuwa na gani;
- karuwa cikin karfin jini;
- rage hankali span;
- gajiya da haushi;
- matsalolin jima'i;
- a cikin mata - rashin daidaituwa na maza.
Idan irin waɗannan alamun an bayyana su a cikin kai, mutum ya kamata kai tsaye nemi likita. Bi da bi, kwararrun galibi suna ba da umarnin yin amfani da hanyar bayyana don tantance matakin glucose. Idan sakamakon ya nuna ci gaban cutar sankarau, likitan ya umarci mara lafiyar ya yi gwajin nauyi.
Wannan binciken zai taimaka wajen ƙayyade matakin haƙuri na glucose.
Alamu da contraindications don binciken
Gwajin damuwa yana taimaka wajan tantance aikin koda. Babban mahimmancin bincike shine cewa ana gudanar da wani sinadari na glucose ga mara lafiyar, kuma bayan awanni biyu sai suka dauki jini domin kara bincike. Akwai ƙwayoyin beta a cikin pancreas waɗanda ke da alhakin samar da insulin. A cikin ciwon sukari na mellitus, kashi 80-90% na waɗannan sel suna cutar.
Akwai nau'ikan irin waɗannan karatun guda biyu - na ciki da na baka ko na baka. Ana amfani da hanyar farko da wuya. Wannan hanyar glucose ta gwamnati tana da amfani ne kawai lokacin da mai haƙuri da kansa ba zai iya shan ruwan mai daɗi ba. Misali, yayin daukar ciki ko ciwon ciki. Nau'in nazari na biyu shine cewa mai haƙuri yana buƙatar shan ruwan zaki. A matsayinka na mai mulki, 100 na sukari na narkewa a cikin ruwa na 300 ml.
Waɗanne cututtukan likita ne likita zai iya rubutawa don gwajin haƙuri haƙuri? Lissafinsu ba ƙaramin abu bane.
An gudanar da bincike tare da nauyin tare da tuhuma:
- Type 2 ciwon sukari.
- Type 1 ciwon sukari.
- Ciwon ciki.
- Maganin cutar metabolism.
- Jihar mai magani.
- Kiba.
- Pancreatic da adrenal gland dysfunctions.
- Rashin lafiyar hanta ko ƙwayar ƙwayar ciki.
- Cutar cututtukan endocrine daban-daban.
- Rashin lafiyar haƙuri.
Ko ta yaya, akwai wasu hanyoyin hana aiwatar da wannan binciken binciken da za a jinkirta su zuwa wani lokaci. Wadannan sun hada da:
- tsari mai kumburi a cikin jiki;
- general malaise;
- Cutar ta Crohn da kuli-kuli;
- matsaloli tare da cin abinci bayan tiyata a ciki;
- matsanancin bugun jini;
- kumburi kwakwalwa ko bugun zuciya;
- yin amfani da maganin hana haihuwa;
- ci gaban acromegaly ko hyperthyroidism;
- ci acetosolamide, thiazides, phenytoin;
- amfani da corticosteroids da steroids;
Kari akan haka, yakamata a jinkirta binciken a gaban rashi na magnesium da alli a jiki.
Ana shirin yin gwajin
Don samun sakamako mafi aminci, kuna buƙatar sanin yadda ake shirya don gudummawar jini don sukari. Da fari dai, aƙalla kwanaki 3-4 kafin gwajin tare da nauyin glucose, ba kwa buƙatar ƙin abincin da ke ɗauke da carbohydrates. Idan mai haƙuri ya yi watsi da abinci, babu shakka wannan zai shafi sakamakon bincikensa, yana nuna ƙananan matakan glucose da insulin. Sabili da haka, ba za ku iya damu ba idan wani samfurin ya ƙunshi 150g ko fiye da carbohydrates.
Abu na biyu, kafin a dauki jini na akalla kwanaki uku, haramun ne a dauki wasu kwayoyi. Waɗannan sun haɗa da hana maganin hana haihuwa, glucocorticosteroids, da thiazide diuretics. Kuma awanni 15 kafin gwajin tare da kaya an haramta shan giya da abinci.
Bugu da kari, ingantaccen lafiyar mai haƙuri ya shafi amincin sakamakon. Idan mutum ya yi aikin motsa jiki da yawa a rana kafin bincike, sakamakon binciken ba zai zama da gaskiya ba. Saboda haka, kafin shan jini, mai haƙuri yana buƙatar samun bacci mai kyau na dare. Idan mai haƙuri dole ne ya bincika bayan motsi na dare, yana da kyau a jinkirta wannan taron.
Dole ne mu manta game da yanayin-tunanin mutum-danniya: danniya shima yana shafar hanyoyin tafiyar da rayuwa a jiki.
Bayyana sakamakon binciken
Bayan likita ya karbi sakamakon gwajin tare da kaya a hannunsa, zai iya yin ingantaccen bincike ga mai haƙuri.
A wasu halaye, idan gwani ya yi shakku, to ya jagoranci mai haƙuri don sake dubawa.
Tun daga 1999, WHO ta kafa wasu alamomi na gwajin haƙuri a cikin gwajin.
Abubuwan dabi'un da ke ƙasa suna da alaƙa da samin jini da yatsa da kuma nuna ƙididdigar glucose a cikin yanayi daban-daban.
| A kan komai a ciki | Bayan shan ruwa tare da sukari | |
| Al'ada | daga 3.5 zuwa 5.5 mmol / l | kasa da 7.5 mmol / l |
| Cutar sukari | daga 5.6 zuwa 6.0 mmol / l | daga 7.6 zuwa 10.9 mmol / l |
| Ciwon sukari mellitus | fiye da 6.1 mmol / l | fiye da 11.0 mmol / l |
Dangane da alamu na yau da kullun na glucose a cikin jinin venous, sun ɗan bambanta da ƙimomin da ke sama.
Tebur mai zuwa yana ba da alamun.
| A kan komai a ciki | Bayan shan ruwa tare da sukari | |
| Al'ada | daga 3.5 zuwa 5.5 mmol / l | kasa da 7.8 mmol / l |
| Cutar sukari | daga 5.6 zuwa 6.0 mmol / l | daga 7.8 zuwa 11.0 mmol / l |
| Ciwon sukari mellitus | fiye da 6.1 mmol / l | fiye da 11.1 mmol / l |
Mene ne yanayin insulin kafin da bayan motsa jiki? Ya kamata a lura cewa masu nuna alamun na iya bambanta dan kadan dangane da abin da dakin gwaje-gwaje ke haƙuri a cikin binciken. Koyaya, madaidaitan dabi'un da suka nuna cewa komai yana cikin tsari tare da metabolism na metabolism a cikin mutum sune masu zuwa:
- Insulin kafin saka kaya: 3-17 μIU / ml.
- Insulin bayan motsa jiki (bayan awanni 2): 17.8-173 μMU / ml.
Kowane marasa lafiya 9 cikin 10 da suka gano game da cutar sankarar ƙwayar mellitus sun faɗi cikin tsoro. Koyaya, ba za ku iya yin fushi ba. Magungunan zamani ba su tsaya cik ba kuma yana ƙara samun sababbin hanyoyin magance wannan cutar. Babban abubuwanda aka samu nasarar sakewa sun kasance:
- maganin insulin da kuma amfani da kwayoyi;
- saka idanu akai-akai na cutar glycemia;
- kula da salon rayuwa mai aiki, watau, motsa jiki don maganin ciwon siga na kowane nau'in;
- kiyaye daidaitaccen abinci.
Gwajin haƙuri a jiki shine bincike mai amintacce wanda yake taimaka wajan tantance ƙimar glucose kawai, amma har da insulin tare da kuma ba tare da motsa jiki ba. Idan an bi duk ka'idodi, mai haƙuri zai sami sakamako mafi aminci.
Bidiyo a cikin wannan labarin ya bayyana yadda za a shirya don gwajin.
