Sau da yawa mutanen da ke fama da cututtukan endocrine sun danganta alamomin su zuwa shekaru, gajiya mai rauni, rashin bacci, da sauransu.
Zamuyi nazarin irin gwajin da yakamata a yiwa kowane mutum domin sanin halin da suke ciki a lokaci, wanda ke nuna cewa zasu kare kansu daga mummunan sakamakon cutar glucose na jini.
Wadanne alamomi kuke buƙatar dubawa game da ciwon sukari a asibitin?
Nazarin da zai ba ka damar sanin abubuwan da ke tattare da glucose a cikin jini yana samuwa ga kowa - ana iya ɗauka cikakke a cikin duk wani asibiti na likita, ko a biya ko a bainar jama'a.
Kwayar cutar dake nuna cewa ya kamata ka nemi likita kai tsaye:
- babban tsalle cikin nauyi (riba ko asara) ba tare da manyan canje-canje a tsarin abinci ba;
- bushe baki, yawan shan ƙishirwa;
- jinkirin warkar da raunuka, abrasions da yanke;
- rauni da / ko nutsuwa;
- gajiya;
- tashin zuciya (mara galibi - vomiting);
- fata mai ƙyalli;
- rage ƙarancin gani;
- bugun zuciya da numfashi;
- urination akai-akai, yawan fitowar fitsari kullum.
Verarfin bayyanar cututtuka ya dogara da tsawon lokacin cutar, halayen mutum na jikin mutum, da nau'in ciwon suga.
Misali, nau'ikan da aka fi sani da shi, wanda ake kira na biyu, ana nuna shi ta hanyar lalacewa a hankali, saboda haka mutane da yawa suna lura da matsaloli a jikinsu a wani babban mataki.
Wanne likita yakamata in sani idan na kamu da ciwon sukari?
A matsayinka na mai mulki, yawancin mutanen da suke zargin kasancewar rikice-rikice na rayuwa a jikinsu sun juya zuwa ga mai ilimin hanyoyin kwantar da hankali.
Bayan ya ba da izinin gwajin jini don glucose, likita ya kimanta sakamakonsa kuma, idan ya cancanta, ya tura mutumin zuwa ga endocrinologist.
Idan sukari abu ne na al'ada, aikin likita shine neman wasu dalilai na alamun rashin jin daɗi. Hakanan zaka iya juya wa likitan ilimin endocrinologist da kanka, tunda lura da ciwon sukari na kowane irin shine damar irin wannan likita.
Matsalar kawai ita ce ta nesa da duk cibiyoyin likitocin jihohi wannan kwararren likita yana nan.
Waɗanne gwaje-gwaje ne na buƙata in gwada wa masu ciwon sukari?
Bayyanar ciwon sukari ya hada da karatu da yawa. Godiya ga tsarin haɗin gwiwa, likita zai iya gano ƙarancin cin zarafin ƙwayoyin carbohydrate, nau'in cutar, da sauran fasalulluka, wanda ke ba ka damar tsara isasshen jiyya.
Don haka, ana buƙatar waɗannan karatun:
- gwajin glucose na jini. An ba shi tsananin a kan komai a ciki, daga yatsa ko jijiya. Sakamakon ana gane shi ne na al'ada a cikin kewayon daga 4.1 zuwa 5.9 mmol / l;
- yanke shawara na haemoglobin matakin. Mafi mahimmancin nuna alama wanda ke ba shi sauƙin gano cutar rashin ƙarfi a cikin jiki. Nuna matsakaicin glucose na jini tsawon watanni ukun da suka gabata tarin kwayoyin halitta. Ba kamar daidaitaccen gwajin jini ba, wanda ya dogara sosai akan abinci da abubuwa masu alaƙa da yawa, haemoglobin mai narkewa yana ba ka damar ganin ainihin hoton cutar. Al'ada har zuwa shekaru 30: kasa da 5.5%; har zuwa 50 - bai fi 6.5% ba, a lokacin tsufa - har zuwa 7%;
- gwajin haƙuri haƙuri. Wannan hanyar ganewar asali (tare da motsa jiki) yana ba ku damar sanin yadda jiki yake adana sukari. Ana ɗaukar jini a cikin komai a ciki, sa’annan a ba wa mai haƙuri maganin da zai sha, bayan awa ɗaya da awa biyu, an sake ɗaukar kayan tarihin. Ana ɗaukar darajar har zuwa 7.8 mmol / L a matsayin al'ada, daga 7.8 zuwa 11.1 mmol / L - yanayin ciwon sukari, sama da 11.1 - ciwon sukari;
- ƙuduri na C-mai amsawa mai aiki. Nuna irin yadda cutar kansa take tasiri. Al'ada: 298 zuwa 1324 mmol / l. An gudanar da jarrabawar ne tare da tsinkayar gado zuwa ga ciwon sukari, yayin daukar ciki, sannan kuma idan glucose na jini al'ada ne, kuma alamun asibiti na halayen metabolism masu rauni.
Menene sunan gwajin jini na gwajin jini don tabbatar da ciwon sukari?
Baya ga gwaje-gwajen da aka lissafa a sama, isar da abin da yake wajibi a cikin bincikar cutar sankara, ana iya tsara ƙarin gwaje-gwaje.
Ga sunayen ƙarin karatun:
- matakin insulin;
- tabbatar da alamar markade;
- gano ƙwayoyin rigakafi zuwa insulin da ƙwayoyin beta na pancreas.
Wadannan gwaje-gwaje sun fi "kunkuntar", yiwuwa likita ya tabbatar da yiwuwarsu.
Bambanci ganewar asali na ciwon sukari nau'in 1 da 2
Ana yin wannan nau'in cutar a lokacin gwaji na farko don gano takamaiman nau'in ciwon sukari. A matsayinka na tushen, ana ɗaukar abun cikin matakin insulin a cikin jinin mutum.
Dangane da sakamakon, an bambanta ɗayan nau'ikan ciwon sukari:
- angiopathic;
- neurotic;
- a hade.
Binciken ya kuma ba ku damar rarrabe a fili tsakanin cutar da ke kasancewa da yanayin da ake kira "ciwon suga."
A lamari na biyu, gyaran abinci da salon rayuwa yana taimaka wajan nisantar da yanayin yanayin, koda ba tare da amfani da magunguna ba.
Tsarin gwajin asibiti na mara lafiya
Mutumin da ya kamu da cutar zazzabin cizon sauro dole ne a yi masa rajista a asibiti a wurin da yake, ko a cibiyar musamman, ko kuma a asibitin da ke biya.
Dalili: lura da yanayin jinya, tare da hana haɓakar rikice-rikicen da zasu iya haifar da mummunan lalacewar yanayin.
Don haka, shirin binciken likita kamar haka:
- gwajin jini (asibiti da kuma biochemical). Surrender sau biyu a shekara. Sun bayyana kasancewar matsalolin ciwon sukari a farkon matakan su;
- urinalysis. Hayar sau ɗaya kwata. Tunda tsarin urinary yana wahala a farkon wuri a cikin lokuta na rashin lafiyar metabolism, ingantaccen saka idanu wajibi ne don yanayinsa;
- fitsari yau da kullun don microalbuminuria. Ba da kai don kawar da haɗarin haɓaka irin wannan rikitaccen rikicewar cutar cutar sankara mai ciwon sukari. A matsayinka na mai mulkin, ana gudanar da binciken sau ɗaya a shekara;
- ECG. An ƙayyade shi da mitar daga ɗaya zuwa sau da yawa a cikin watanni 12 (ya danganta da shekarun mai haƙuri da yanayin tsarin zuciya). Yana bayyanar alamun alamun ischemia, rudani, da sauransu. Wajibi ne saboda ciwon sukari yana kara hadarin cututtukan zuciya da jijiyoyin jini sau da yawa;
- labarin sauƙaƙawa. An tsara shi sau ɗaya a shekara, saboda masu ciwon sukari sun rage rigakafi, wanda ke ba da damar ƙwayoyin cuta da ƙwayoyin cuta su wuce, wanda ke ƙara haɗarin haɓakar cutar tarin fuka;
- ziyarci likitan mahaifa. Likita ya duba acuity na gani, hauhawar jini, yanayin jijiyoyin jini da sauransu. Dalili: don ware haɓakar cututtukan ciwon sukari, kuma idan sun wanzu, don zaɓin ingantaccen magani;
- Duban dan tayi na kodan. Ana yin shi akai-akai idan ciwon sukari ya kasance a cikin matakin ci gaba. Nazarin yana ba ka damar lura da ci gaban lalacewa na koda da sauran rikice-rikice cikin lokaci;
- dopplerography na tsokoki na ƙananan ƙarshen. An wajabta shi idan akwai ƙarin nauyi da gunaguni na jijiyoyin jini.
Algorithm don tantance sukari na jini a gida
Hanya mafi sauƙi kuma mafi yawan amfani ita ce amfani da glucometer. Wannan kayan aikin yakamata ya kasance ga duk wanda ya kamu da cutar sankara.
Dokokin Samun jini na jini:
- wanke hannaye da sabulu;
- a hankali a tausa yankin kashin domin jini ya manne a wannan wurin;
- bi da yankin tare da maganin ƙwari, alal misali, tare da adiko na goge baki na musamman ko auduga ulu da ke cikin barasa;
- shinge tare da tsananin disposable bakararre allura. A kan mitirin glucose na jini na zamani, danna maɓallin "Fara", ɗaukar fansa zata faru ta atomatik;
- lokacin da jini ya bayyana, sanya shi a cikin reagent (tsiri gwajin);
- A auduga swab tsoma a cikin barasa, hašawa zuwa ga huda shafin.
Mutumin kawai yana buƙatar kimanta sakamakon kuma rubuta shi a kan takarda tare da kwanan wata da lokaci. Tunda likitoci sun bada shawarar nazarin matakan sukari sau da yawa a rana, lallai ne ku kiyaye irin wannan "diary" a kai a kai.
Bidiyo masu alaƙa
Game da irin gwaje-gwaje da kuke buƙatar ɗauka don ciwon sukari, a cikin bidiyon:
Binciken ciwon sukari ba shi da wahala - bayan kimanta sakamakon binciken uku zuwa huɗu kawai, likita zai iya ƙirƙirar cikakken hoto game da cutar, ya ba da magani na gyara, kuma ya ba da shawarwari game da abinci da salon rayuwa.
Akwai matsala guda ɗaya kawai a yau - marasa lafiya sun zo ganin likita a matakai masu tasowa, saboda haka muna ba da shawarar kula da lafiyar ku sosai - wannan zai kuɓutar da ku daga nakasa da mutuwa.