Yaya ake gudanar da gwajin haƙuri a cikin glucose (umarnin, transcript)

Fiye da rabin abincin yawancin mutane sun ƙunshi carbohydrates, suna narkewa a cikin ƙwayar gastrointestinal kuma an sake su zuwa cikin jini kamar glucose. Gwajin haƙuri na glucose yana ba mu bayani har zuwa wane lokaci da kuma yadda jikinmu yake da sauri don aiwatar da wannan glucose, amfani dashi azaman makamashi don aikin tsarin tsoka.

Kalmar "haƙuri" a wannan yanayin yana nufin yadda nagartattun ƙwayoyin jikinmu suke iya ɗaukar glucose. Gwajin lokaci na iya hana ciwon sukari da kuma wasu cututtuka da ke haifar da cuta na rayuwa. Nazarin yana da sauƙi, amma mai ba da labari kuma yana da mafi ƙarancin contraindications.

An ba shi izini ga duk shekaru 14, kuma lokacin daukar ciki galibi wajibi ne kuma ana aiwatar da shi sau ɗaya a lokacin haihuwar jariri.

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%

Hanyoyi don gwajin haƙuri haƙuri

Mahimmancin gwajin haƙuri na glucose (GTT) ya ƙunshi akai-akai don auna glucose jini: a karo na farko tare da rashin yawan sukari - a cikin komai a ciki, sannan - wani lokaci bayan glucose ya shiga cikin jini. Don haka, mutum zai iya gani ko sel jikin sun tsinkaye shi da kuma tsawon lokacin da suke buƙata. Idan ma'aunai suna da yawa akai-akai, zai yuwu a gina keɓaɓɓen sukari, wanda a cikin gani yake nuna dukkan abubuwanda suka faru.

Mafi yawan lokuta, don GTT, ana ɗaukar glucose ta baki, wato, kawai a sha maganinsa. Wannan hanyar ita ce mafi kyawun halitta kuma tana nuna cikakkiyar juyar da sukari a jikin mai haƙuri bayan, alal misali, kayan zaki mai yawa. Hakanan ana iya allurar glucose kai tsaye a cikin jijiya ta allura. Ana amfani da gudanar da jijiyoyin wuya yayin da ba za a iya yin gwajin haƙuri na glucose na baki ba - tare da guba da amai da juna, lokacin guba a lokacin daukar ciki, kazalika da cututtukan ciki da hanji waɗanda ke gurbata tafiyar jini a cikin jini.

Yaushe ne ake buƙata GTT?

Babban dalilin gwajin shine hana rikice-rikice na rayuwa da hana farkon ciwon sukari. Saboda haka, dole ne a ƙaddamar da gwajin haƙuri na glucose ga duk mutanen da ke cikin haɗari, kazalika da marasa lafiya da cututtuka, sanadin hakan na iya zama mai tsawo, amma ƙara ƙanƙancin sukari:

• kiba, BMI;
• jigilar hauhawar jini, wanda matsin lamba ya wuce 140/90 mafi yawan rana;
• cututtukan haɗin gwiwa sakamakon lalacewa na rayuwa, irin su gout;
• bincikar cutar vasoconstriction saboda samuwar plaque da filaye a jikin bango na ciki;
• da ake zargi da rashin lafiyar metabolism;
• cirrhosis na hanta;
• a cikin mata - ƙwayar polycystic, bayan lokuta na ashara, lalata, haihuwar babban yaro, manya masu ciwon sukari;
• a baya gano haƙuri na glucose don tantance yanayin cutar;
• tafiyar matakai masu kumburi akai-akai a cikin kogon bakinsa da kan fata;
• lalacewar jijiya, dalilin wanda ba a inganta shi ba;
• shan diuretics, estrogen, glucocorticoids wanda ya fi tsawon shekara guda;
• ciwon sukari mellitus ko cuta na rayuwa a cikin dangi na kusa - iyaye da 'yan uwan ​​juna;
• hyperglycemia, rikodin lokaci-lokaci yayin damuwa ko m cuta.

Lokacin da aka haramta GTT

Jarabawar ta tsaya idan, a kan komai a ciki, yawan glucose a ciki (GLU) ya wuce ƙima na 11.1 mmol / L. Additionalarin shan ɗamara a cikin wannan yanayin yana da haɗari, yana haifar da raunin hankali kuma yana iya haifar da cutar hyperglycemic.

Contraindications don gwajin haƙuri haƙuri

1. A cikin m cututtuka ko mai kumburi.
2. A cikin sashin karshe na ciki, musamman bayan makonni 32.
3. Yara ‘yan kasa da shekara 14.
4. A cikin lokacin exacerbation na kullum pancreatitis.
5. A gaban cututtukan endocrine da ke haifar da karuwa a cikin glucose jini: Cutar Cushing, haɓaka ayyukan thyroid, acromegaly, pheochromocytoma.
6. Yayin shan magungunan da za su iya gurbata sakamakon gwajin - kwayoyin steroid, COCs, diuretics daga rukunin hydrochlorothiazide, diacarb, wasu magungunan antiepilepti.

A cikin kantin magani da kantin sayar da kayan aikin likitanci zaka iya siyar da maganin glucose, da kuma matsakaitan sikeli, har ma da ƙwararrun masu nazarin halittu waɗanda ke tantance ƙididdigar jini 5-6. Duk da wannan, gwajin don haƙuri na glucose a gida, ba tare da duba lafiya ba, an haramta. Da fari dai, irin wannan ‘yancin kai na iya haifar da tabarbarewa dama har zuwa motar asibiti.

Abu na biyu, daidaiton dukkanin na'urori masu šaukuwa basu isa ba don wannan bincike, saboda haka, alamomin da aka samo a cikin dakin gwaje-gwaje na iya bambanta sosai. Kuna iya amfani da waɗannan na'urorin don sanin sukari mai azumi da kuma bayan nauyin glucose na halitta - abinci na yau da kullun. Zai dace don amfani da su don gano samfuran da suke da babban tasiri ga matakan sukari na jini da kuma cin abincin mutum don rigakafin kamuwa da cutar sankara ko diyyarsa.

Abubuwanda ke Shafar Dogarawar GTT

Lokacin ƙaddamar da gwajin, ana yin kashi na farko na glucose a cikin komai a ciki. Ana ɗaukar wannan sakamakon matakin da za'a auna sauran matakan. Manuniya na biyu da masu zuwa sun dogara da ingantaccen gabatarwar glucose da daidaiton kayan aikin da aka yi amfani da su. Ba za mu iya rinjayar su ba. Amma don amincin ma'aunin farko marasa lafiya da kansu suna da cikakken alhaki. Yawancin dalilai na iya karkatar da sakamakon, saboda haka, ya kamata a ba da kulawa ta musamman ga GTT.

Rashin daidaitattun bayanan da aka samu na iya haifar da:

1. Barasa a ranar hawan binciken.
2. Zawo, zazzabi mai zafi, ko kuma karancin ruwan da ya haifar da rashin ruwa.
3. Mai wahalar aiki na jiki ko horo mai ƙarfi na kwana 3 kafin gwajin.
4. Canje-canje masu lalacewa a cikin abincin, musamman haɗe da ƙuntatawa na carbohydrates, yunwa.
5. Shan taba da dare da safe kafin GTT.
6. Yanayin wahala.
7. Colds, gami da huhu.
8. Ayyukan sakewa a cikin jiki a cikin bayan aikin.
9. Kwancen bacci ko raguwa mai yawa a cikin ayyukan jiki na yau da kullun.

Tsarin Gwaji

Duk da gaskiyar cewa gwajin haƙuri na glucose yana da sauƙi, dakin gwaje-gwaje dole ne ya ɗauki kimanin sa'o'i 2, a lokacin za a bincika canjin matakin sukari. Yin fita yawo a wannan lokacin ba zai yi aiki ba, saboda lura da ma'aikaci wajibi ne. Yawancin lokaci ana tambayar marasa lafiya su jira a kan benci a farfajiyar ɗakin binciken. Yin wasa da wasanni masu kayatarwa akan waya shima bai cancanci hakan ba - canje-canje na motsin rai na iya shafar gulkin glucose Mafi kyawun zabi shine littafin fahimta.

Matakai na gano haqurin glucose:

1. Bayar da gudummawar jini na farko dole ne da safe, akan komai a ciki. Lokaci daga abincin da ya gabata shine tsayayyen tsari. Bai kamata ya zama ƙasa da awanni 8 ba, saboda a iya amfani da ƙwayoyin carbohydrates da suka ƙare, kuma ba za su wuce 14 ba, don kada jiki ya fara matsananciyar yunƙuri da shan gullu a cikin adadin da ba na yau da kullun ba.
2. Nauyin glucose gilashin ruwan zaki ne wanda ke buƙatar shan giya cikin minti 5. Adadin glucose din da ke cikinsa an kaddara shi akayi daban-daban. Yawanci, ana narke 85 g of glucose monohydrate cikin ruwa, wanda yayi dace da gram 75 na mai. Ga mutanen da ke da shekaru 14-18, ana lissafta nauyin da ya dace gwargwadon nauyin su - 1.75 g na gllu mai tsabta ta kowace kilogram na nauyi. Tare da nauyin fiye da kilogiram 43, an yarda da kashi na yau da kullun. Ga mutane masu kiba, nauyin ya karu zuwa 100 g. Lokacin da aka gudanar da shi ba tare da izini ba, ana rage ɓangaren glucose da yawa, wanda ke ba da damar yin la'akari da asarar sa lokacin narkewar abinci.
3. Aka maimaita gudummawar jini sau 4 - kowane rabin awa bayan motsa jiki. Za'a iya hukunci da kuzari na rage sukari a kan take hakkin sa. Wasu dakunan gwaje-gwaje suna shan jini sau biyu - a kan komai a ciki kuma bayan awanni 2. Sakamakon irin wannan binciken na iya zama ba abin dogaro ba ne. Idan mafi girman glucose a cikin jini ya faru a wani lokaci da ya gabata, ba za a yi rijista ba.

Gwajin glucose na dakin gwaje-gwaje

A halin yanzu, kusan babu jini da aka karɓa daga yatsa. A cikin dakunan gwaje-gwaje na zamani, ma'aunin shine aiki tare da jini mai ɓacin rai. Lokacin bincika shi, sakamakon ya fi daidai, tunda ba a cakuda shi da ruwan intercellular da lymph, kamar jini mai ƙarfi daga yatsa. A zamanin yau, shinge daga jijiya ba ya rasa ko da a cikin rudewar hanyar - allura tare da laser na lanƙwasawa suna sa ƙyallen kusan ba shi da ciwo.

Lokacin ɗaukar jini don gwajin haƙuri mai haƙuri, an sanya shi cikin shambura na musamman da aka bi da abubuwan kiyayewa. Mafi kyawun zaɓi shine amfani da tsarin injin, wanda jini ke gudana a cikin jini koda saboda bambance-bambancen matsin lamba. Wannan yana gujewa lalata rukunin sel ja da kuma haifar da ƙwayar cuta, wanda zai iya gurbata sakamakon gwajin ko kuma ya sanya ya gagara.

Aikin mai taimakawa dakin gwaje-gwaje a wannan matakin shine don guje wa lalacewar jini - hadawan abu da iskar shaka, glycolysis da coagulation. Don hana oxidation glucose, sodium fluoride yana cikin cikin shambura. Ion dake cikin iska yana hana fashewar kwayar ta glucose. Canje-canje a cikin haemoglobin mai narkewa ta amfani da shambura mai sanyi sannan sanya samfuran cikin sanyi. Kamar yadda maganin anticoagulants, ana amfani da EDTU ko sodium citrate.

Sannan an sanya bututun a cikin centrifuge, yana rarraba jini cikin plasma da abubuwa masu fasali. An canza plasma zuwa sabon bututu, kuma ƙudurin glucose zai faru a ciki. An kirkiro hanyoyi da yawa don wannan dalili, amma yanzu ana amfani da biyu daga cikinsu a dakunan gwaje-gwaje: glucose oxidase da hexokinase. Dukkan hanyoyin suna enzymatic; aikin su ya dogara da halayen sunadarai na enzymes tare da glucose. Abubuwan da aka samo a sakamakon waɗannan halayen ana bincika su ta amfani da ƙirar ƙwaƙwalwar ƙwaƙwalwar ƙwayoyi ko a kan masu nazarin ta atomatik. Irin wannan ingantaccen tsari da ingantaccen tsari na gwajin jini yana ba ka damar samun ingantaccen bayanai akan abin da ya ƙunsa, kwatanta sakamako daga ɗakunan gwaje-gwaje daban daban, da amfani da ƙa'idodi na yau da kullun don matakan glucose.

GTT na al'ada

Dokokin glucose na samfuran jini na farko tare da GTT

Dokokin glucose na mutum na biyu kuma na gaba yana daukar jini a cikin jini tare da GTT

Bayanan da aka samo ba maganin rashin lafiya bane, wannan shine bayani kawai ga likitan halartar. Don tabbatar da sakamakon, ana gudanar da gwajin haƙuri na glucose akai-akai, gudummawar jini don wasu alamun, an tsara ƙarin gwajin kwayoyin. Bayan duk waɗannan hanyoyin za mu iya magana game da ciwo na rayuwa, rashin tasirin glucose da kuma, musamman, ciwon sukari.

Tare da ingantaccen ganewar asali, lallai ne ku sake tunanin yanayin rayuwarku: dawo da nauyi zuwa al'ada, iyakance abincin carbohydrate, dawo da sautin tsoka ta hanyar motsa jiki na yau da kullun. Bugu da kari, marasa lafiya an wajabta magungunan rage sukari, kuma a lokuta masu tsauri, injections insulin. Yawan adadin glucose a cikin jini yana haifar da jin daɗin kullun gajiya da rashin jin daɗi, yana cutar da jiki daga ciki, tsokani da wuya shawo kan sha'awar cin zaki mai yawa. Jikin kamar yana tsayayya da sakewa. Kuma idan kun bugu da shi kuma bar cutar ta ɓaci - akwai babban haɗari bayan shekara 5 don samun canje-canje da ba a canzawa a idanun, ƙodan, ƙafa, har ma da tawaya.

Idan kun kasance cikin ƙungiyar masu haɗari, ya kamata a fara ciwon sukari kafin gwaje-gwajen haƙuri haƙuri yana nuna alamun rashin ƙarfi. A wannan yanayin, da alama tsawon rai da lafiya ba tare da ciwon sukari yana ƙaruwa sosai ba.

Gwajin haƙuri a lokacin gwaji

Idan wani ya ce cewa mata masu juna biyu ba sa buƙatar shan GTT, wannan ba daidai ba ne!

Ciki - lokacin sake tsarin jikin mutum don abinci mai kyau na tayin da kuma samar dashi da iskar oxygen. Akwai canje-canje a cikin metabolism na glucose. A farkon rabin lokacin, GTT yayin daukar ciki yana ba da ƙananan ƙimar fiye da yadda aka saba. Daga nan sai aka kunna wani tsari na musamman - wani sashin sel na tsoka ya daina sanin insulin, akwai karin sukari a cikin jini, sannan yaro ya sami karin kuzari ta hanyar jini don girma.

Idan wannan tsari ya gaza, suna magana ne game da cutar sankarar mahaifa. Wannan shi ne wani nau'in daban daban na ciwon sukari, wanda yakan faru ne a lokacin lokacin haihuwar jariri, kuma ya wuce kai tsaye bayan haihuwa.

Sharuɗɗan ganewar asali ga masu ciwon suga

Idan glucose mai azumi ya fi 7 girma, kuma bayan kaya - 11 mmol / l, wannan yana nuna cewa an gurɓatar da ciwon sukari a lokacin daukar ciki. Irin waɗannan kuɗaɗe masu yawa ba za su iya dawowa al'ada ba bayan haihuwar yaro.

Zamu gano tsawon lokacin da yakamata ayi GTT domin bin diddigin abubuwan data shafi cikin lokaci. An tsara lokacin gwajin sukari na farko da zarar an tuntuɓi likita. An ƙaddara glucose na jini ko glycated haemoglobin. Dangane da sakamakon waɗannan karatun, mata masu juna biyu da masu ciwon sukari keɓewa sun keɓe (glucose sama da 7, haemoglobin glycated sama da 6.5%). An gudanar da ciki a cikin tsari na musamman. Bayan karɓar sakamako na ƙasa mai ban mamaki, mata masu juna biyu suna cikin haɗarin kamuwa da cutar sankara. Ana yin gwajin haƙuri na glucose na farko ga mata a wannan rukunin, da kuma waɗanda ke haɗuwa da abubuwan haɗari da yawa ga masu ciwon sukari.

Gwajin ciki na makonni 24 zuwa 27 na wajibi ne ga kowa, wannan bangare ne na gwajin rubutu.

Ana yin gwajin haƙuri na glucose a lokacin daukar ciki tare da kulawa mai girma, tunda babban sukari bayan motsa jiki na iya lalata tayin. Ana yin gwaji mai sauri na farko don gano matakin glucose, kuma tare da abubuwan yau da kullun sa ne aka yarda da GTT. Ana amfani da glucose ba fiye da 75 g ba, tare da ƙaramar cututtuka na gwaji an soke gwajin, ana yin bincike tare da nauyin da ya wuce har zuwa makonni 28, a lokuta na musamman - har zuwa 32.

Don taƙaitawa, taƙaitaccen bayanin bincike

Ka kasance cikin koshin lafiya ka kuma lura da yawan jinin ka.

Zai zama da amfani: Ka'idoji na yau da kullun don bayar da gudummawar jini don sukari, don samun ƙarin ingantaccen sakamako - //diabetiya.ru/analizy/analiz-krovi-na-sahar.html