Gwajin jini don insulin: ka'idoji na isar da hukunci, ƙododi tsari da al'ada

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Yawan insulin a cikin jini yana canzawa koyaushe a cikin rana don amsa shigowar glucose a cikin tasoshin. A cikin wasu cututtuka, daidaitaccen ma'auni yana rikicewa, kira na hormone ya fara bambanta da ka'idojin kimiyyar lissafi. Gwajin jini don insulin zai baka damar gano wannan karkatarwar cikin lokaci.

A wasu halaye, alal misali, tare da ciwo na rayuwa, ganewar asali yana da mahimmanci musamman, tunda mai haƙuri yana da damar da zai warkar da rikice-rikice na rashin daidaituwa da hana ciwon sukari. Wannan bincike yana ba ku damar nazarin ayyukan ƙwayar cuta, sashe ne mai mahimmanci na tsarin binciken don sanin dalilin cututtukan jini. A cikin ciwon sukari mellitus, ana amfani da adadin insulin a cikin jini don yin lissafin jarin insulin juriya.

Dalilai na Rarraba Bincike

Insulin shine babban hormone a cikin hadaddun tsarin tsari na metabolism metabolism. An samar dashi a cikin ƙwayar cuta tare da taimakon sel na musamman - sel beta, suna cikin tsibiri na Langerhans. An saki insulin a cikin jini tare da karuwa a cikin yawan glucose a ciki. Yana karfafa canjin yanayin glucose a cikin kashin, saboda wanda matakin sa a cikin jini ya ragu, kuma bayan wani lokaci matakin hormone din ya ragu. Don tantance samar da insulin, ana ɗaukar jini a cikin komai a ciki, bayan yunwar wani lokaci. A wannan yanayin, adadinta a cikin mutane masu lafiya koyaushe ya yi daidai da al'ada, kuma duk wata karkacewa alama ce ta hargitsi a cikin ƙwayoyin carbohydrate.

Ciwon sukari da hauhawar jini zai zama abin da ya wuce

  • Normalization na sukari -95%
  • Cirewa kan jijiyoyin mara wuya - 70%
  • Cire zuciyar mai karfin zuciya -90%
  • Rabu da cutar hawan jini - 92%
  • Increasearuwar kuzarin rana, inganta bacci da dare -97%

Nazarin da aka yi akan komai a ciki a cikin dakunan gwaje-gwaje da yawa ana iya kiransa insulin din immunoreactive, insulin basal, IRI. Sanya shi a cikin lambobin masu zuwa:

  • karin nauyi ko asara wanda ba zai iya bayanin halayen abinci;
  • hypoglycemia a cikin mutane ba a shan magani don ciwon sukari. An bayyana su a cikin jin tsananin matsananciyar yunwa, raunin jiki, rawar jiki;
  • idan mai haƙuri yana da alamun halaye da yawa na kamuwa da ciwon suga: kiba tare da BMI> 30, atherosclerosis, cardiac ischemia, ƙwayar polycystic;
  • a cikin lokuta masu shakku, don fayyace irin nau'in ciwon sukari ko don zaɓin tsarin kulawa da aka fi so.

Abin da gwajin insulin ya nuna

Gwajin insulin ya baka damar:

  1. Bayyana ciwan kansa, wanda ya haɗa da sel waɗanda zasu iya samarda insulin. A wannan yanayin, ana saki hormone a cikin jini wanda ba a iya tsammani ba, a adadi mai yawa. Ana amfani da bincike ne ba kawai don gano cutar sankara ba, har ma don tantance nasarar aikin tiyata, don magance yiwuwar komawa.
  2. Don tantance yiwuwar kyallen takarda zuwa insulin - juriya insulin. A wannan yanayin, dole ne a lokaci guda ku ɗauki gwajin glucose. Jurewar insulin shine halayyar ciwon sukari na 2 da kuma rikice-rikicen da suka gabace shi: ciwon suga da cututtukan mahaifa.
  3. Game da ciwon sukari na 2 na tsawan lokaci, bincike ya nuna yadda hodar dake motsa jiki ta samar da kuma mara lafiyan zai sami isasshen magungunan rage sukari ko kuma idan za'a yi allurar insulin. Hakanan ana yin binciken ne bayan lura da mummunan yanayin rashin lafiyar, lokacin da mai haƙuri da ciwon sukari ke canza shi daga cikin insulin zuwa magani na al'ada.

Tare da nau'in ciwon sukari na 1, ba a yi amfani da wannan binciken ba. A farkon cutar, kwayoyin da aka kirkira za su iya yin katsalandan tare da fassarar da ta dace da sakamakonsa; bayan fara maganin, shirye-shiryen insulin wadanda suka yi kama da tsarin jikinsu. Mafi kyawun madadin a wannan yanayin shine c-peptide assay. Wannan abu yana haɗe tare da insulin. Kwayoyin rigakafi ba su amsa ba, kuma shirye-shiryen insulin na C-peptide basu dauke da shi.

Tare da dystrophy na tsoka, cututtukan Itsenko-Cushing, rashin aiki na ƙwayar ƙwayar ƙwayar ƙwayar cuta, da cututtukan hanta, ya zama dole don kulawa da kullun ayyukan kowane gabobin, don haka marasa lafiya, tare da wasu karatun, dole ne a gwada su akai-akai don insulin.

Yadda ake ɗaukar nazari

Yawan insulin a cikin jini ya dogara ba kawai kan matakin glucose ba, har ma da wasu dalilai da yawa: aikin jiki, kwayoyi har ma da yanayin tunanin mutum. Domin sakamakon binciken ya kasance abin dogaro, shiri don ita yana buƙatar kulawa ta kusa:

  1. Don kwanaki 2, ware abinci mai ƙiba sosai. Ba lallai ba ne a ƙi abinci tare da yawan adadin mai.
  2. Don kwana ɗaya, cire duk nauyin da ya wuce kima, ba kawai na zahiri ba, har ma da ilimin halin dan Adam. Damuwa a kan tsayuwar bincike shine dalilin dakatar da gudummawar jini.
  3. Ranar ba ta shan giya da kuzari, kada ku canza abincin da aka saba. A daina amfani da magunguna na wani lokaci idan hakan ba ya haifar da lahani ga lafiya. Idan sokewa ba zai yiwu ba, sanar da ma'aikaci.
  4. Awanni 12 baya cin abinci. Ruwa mara tsabta ba tare da gas ba a yarda a wannan lokacin.
  5. 3 hours ba shan taba.
  6. Minti 15 kafin shan jininsa, zauna a natse ko kwanciya a kan kujera.

Mafi kyawun lokacin don gwajin shine 8-11 da safe. Ana ɗaukar jini daga jijiya. Don sauƙaƙe wannan hanya don yara matasa, rabin sa'a kafin farawa suna buƙatar bayar da gilashin ruwa don sha.

Magungunan da ke shafar matakan insulin:

.AraRage
Duk magunguna waɗanda ke ɗauke da glucose, fructose, sucrose.Diuretics: furosemide, thiazides.
Hormones: hana hana haihuwa, danazole, glucagon, hormone girma, cholecystokinin, prednisone da sauransu.Hormones: thyrocalcitonin.
Magungunan Hypoglycemic da aka wajabta don ciwon sukari: acetohexamide, chlorpropamide, tolbutamide.Magungunan ƙwaƙwalwar ƙwayar cuta: Metformin.
SalbutamolPhenobarbital
Calcium gluconateMasu tallata Beta

Yanke shawara da ka'idoji

Sakamakon bincike, adadin insulin a cikin jini an bayyana shi a cikin raka'a daban: mkU / ml, mU / l, pmol / l. Canza su wuri guda zuwa abu ne mai sauki: 1 mU / l = 1 μU / ml = 0.138 pmol / l.

Kimanin ka'idodi:

Popuungiyar yawan jama'aAl'ada
μU / ml, zuma / lpmol / l
Yara2,7-10,419,6-75,4
Manya a ƙarƙashin 60 tare da BMI <302,7-10,419,6-75,4
Manya a ƙarƙashin 60 tare da BMI> 302,7-24,919,6-180
Manya bayan shekara 606,0-36,043,5-261

Ka'idodin insulin na yau da kullun sun dogara da fasaha na bincike, don haka a cikin dakunan gwaje-gwaje daban daban zasu iya bambanta. Bayan karɓar sakamakon, ya zama dole a mai da hankali kan bayanan tunani da ɗakin binciken ya bayar, bawai kan ƙaddarafin ƙa'idodi ba.

Insulin sama ko a kasa na al'ada

Rashin insulin yana haifar da yunwar sel da kuma ƙaruwa cikin haɗarin glucose na jini. Sakamakon zai iya zama dan kadan fiye da na al'ada tare da cututtuka na pituitary da hypothalamus, tare da damuwa da ƙoshin juyayi, tare da tsawaita aiki na jiki a hade tare da karancin carbohydrates, tare da cututtuka masu yaduwa kuma nan da nan bayan su.

Significantarin raguwa a cikin insulin yana nuna farkon nau'in mellitus na 1 na sukari ko lalata a cikin aikin ƙwayar ƙwayar cuta a cikin marasa lafiya da ke fama da ciwon sukari na 2. Cutar cututtukan cututtukan fata da kuma cututtukan ƙwayar ƙwayar ƙwayar ƙwayar cuta na ciki ma na iya zama sanadin.

Inganta insulin a cikin jini yana nuna rikice-rikice masu zuwa:

  • Mellitus na rashin insulin-da ke fama da cutar sankara. Yayinda cutar ta ci gaba, matakan insulin zasu ragu, kuma glucose jini zai karu.
  • Insulinoma shine tumo wanda ke da ikon samarda da ɓoye insulin da kansa. A lokaci guda, babu wata alaƙa tsakanin ciwan sukari da kwayar insulin, don haka hypoglycemia alama ce ta wajaba ta insulinoma.
  • Resistancearfin insulin mai ƙarfi. Wannan wani yanayi ne wanda karfin jikinsa ya gane insulin ya raunana. Saboda wannan, sukari baya barin cikin jini, kuma yana tilastawa inganta ayyukan halittar. Jurewar insulin alama ce ta raunin rayuwa, gami da nau'ikan cututtukan guda 2. Yana da alaƙa da kiba: yana haɓaka yayin da kake samun nauyin jiki, kuma insulin wuce haddi, bi da bi, yana taimakawa wajen jinkirta sabon mai.
  • Cututtukan da ke da alaƙa da haɓakar ƙwayoyin insulin antagonist: Ciwon kansa na Acenko-Cushing ko acromegaly. Tare da acromegaly, adenohypophysis yana samar da adadin wuce haddi na haɓakar girma. Cutar ta herenko-Cushing tana tare da haɓakar samar da kwayoyin halittar jini daga ciki. Wadannan kwayoyin sun raunana aikin insulin, saboda haka inganta aikin sa.
  • Rashin rikice-rikice na rayuwa na galactose da fructose.

Restarya yawan ƙwayar insulin yana faruwa tare da shiri mara kyau don bincike da gudanarwar wasu magunguna.

Farashi

Kudin bincike a cikin dakunan gwaje-gwaje daban-daban daga 400 zuwa 600 rubles. Ana biyan tarin jini dabam; Farashinsa ya kai kusan rubles 150. Nazarin yana farawa nan da nan, don haka gobe aiki mai zuwa zaku iya samun sakamakon sa.

Onari akan batun:

>> Gwajin jini don sukari - don menene, yadda ake ɗaukar sakamako da sakamakon.

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