Abin takaici, ƙididdigar ciwon sukari na duniya ya zama abin takaici. Mutane da yawa suna samun wannan cutar. Cutar sankarar mellitus an riga an kirata annobar karni na XXI.
Cutar ta bulbula a cikin wannan, har zuwa wani matsayi, yana gudana ba a lura da shi ba, a cikin yanayin latent. Abin da ya sa farkon gano cutar sankarau tana da matukar muhimmanci.
Don wannan, ana amfani da gwajin haƙuri na glucose (GTT) - gwajin jini na musamman wanda ke nuna matakin haƙuri a cikin jikin mutum. Game da batun keta haƙurin haƙuri, mutum na iya yin magana akan ko guda ɗaya na masu ciwon sukari, ko na ciwon sukari - yanayin da ba shi da haɗari fiye da ciwon sukari da kansa.
Don yin GTT, zaku iya samun wasiƙa daga mai ilimin hanyoyin kwantar da hankali (wanda aka haɗa da matsalolin ku) ko zaku iya bincika kanku a cikin dakunan gwaje-gwaje. Amma a wannan yanayin, tambaya mai ma'ana ta taso: a ina ake yin gwajin haƙuri a kan ciwon suga? Kuma menene farashinsa?
Alamu
Gwajin haƙuri na glucose ya dogara ne da ƙudurin matakan glucose guda biyu a cikin jini: yin azumi da kuma bayan motsa jiki. A karkashin kaya a wannan yanayin yana nufin kashi ɗaya na maganin glucose.
Don yin wannan, an narke wani adadin glucose a cikin gilashin ruwa (ga mutanen da ke da nauyi na al'ada - 75 gram, ga mutanen da ke kiba - gram 100, ga yara bisa ƙididdigar 1.75 na glucose a kowace kilogram na nauyi, amma ba fiye da 75 grams ba) kuma an ba su damar sha ga mai haƙuri.
A cikin mawuyacin yanayi, idan mutum ba zai iya shan “madarar ruwa” da kansa ba, ana shayar da maganin ne a cikin zuciya. Matsayin glucose a cikin jini awa biyu bayan motsa jiki ya zama daidai da matakan al'ada.
A cikin mutane masu lafiya, alamar glucose ba zata iya wuce darajar 7.8 mmol / L ba, kuma idan kwatsam ƙimar da aka samu ta wuce 11.1 mmol / L, to tabbas zamu iya magana game da ciwon sukari. Matsakaicin matsakaici suna nuna rashin haƙuri na glucose kuma yana iya nuna "ciwon suga."
A wasu dakunan gwaje-gwaje, alal misali, a cikin dakin gwaje-gwaje na Gemotest, ana auna glucose bayan motsa jiki sau biyu: bayan minti 60 da bayan minti 120. Ana yin wannan ne don kar a ɓike kolo, wanda zai iya nuna alamar ƙwayar cutar sankarar ƙwaƙwalwa ta hanji.
Baya ga wucewar bincike, don saka idanu kan kai akwai wasu alamomi da yawa na tabbatar da shawarar GTT:
- glucose na jini a cikin bincike na yau da kullun ya fi 5.7 mmol / l (amma bai wuce 6.7 mmol / l ba);
- gado - lokuta na ciwon sukari a cikin dangi na jini;
- kiba (BMI ya wuce 27);
- ciwo na rayuwa;
- hauhawar jini;
- atherosclerosis;
- a baya gano haƙuri raunin glucose;
- shekaru sama da shekaru 45.
Hakanan, mata masu juna biyu sukan karbi sakonni ga GTT, tunda ciwon da ke ɓoye sau da yawa "yakan fito" a wannan lokacin rayuwa. Bugu da ƙari, yayin daukar ciki, haɓakar abin da ake kira mellitus na ciwon sukari - "ciwon sukari na ciki" yana yiwuwa.
Tare da haɓakar tayin, jikin yana buƙatar samar da ƙarin insulin, kuma idan wannan bai faru ba, matakin glucose a cikin jini ya tashi kuma ciwon sukari yana fitowa, wanda ke ɗaukar haɗari ga duka yara da mahaifiyar (har zuwa sake haihuwa).
Ya kamata a ɗauka a hankali cewa zaɓuɓɓuka don matakan glucose na al'ada a cikin uwaye masu tsammani sun bambanta da alamun "marasa ciki".
Koyaya, don gwajin haƙuri mai haƙuri, akwai contraindications:
- rashin haƙuriwar glucose;
- ARVI;
- wuce gona da iri na gastrointestinal cututtuka;
- lokacin aiki;
- Matsayi na glucose yayin samin jini daga yatsa ya fi 6.7 mmol / l - a wannan yanayin, hyperglycemic coma yana yiwuwa bayan motsa jiki.
Don sakamakon gwajin haƙuri a cikin glucose ya zama daidai, ya zama dole a shirya don isar da saƙo:
- a cikin kwanaki uku kuna buƙatar bin abin da aka saba da aiki na yau da kullun, ba za ku iya ci gaba da abinci ba ko kuma iyakance kanku ga sukari;
- Ana gudanar da karatun ne da safe akan komai a ciki, bayan awanni 12-14 na azumi;
- wata rana kafin gwajin, ba za ku iya shan taba da shan barasa ba.
A ina ake yin gwajin haƙuri a kan ciwon suga?
Gwajin haƙuri da ke cikin glucose ba sabon abu bane ko kuma ba kasada ba, kuma ana iya yin shi ko dai a cikin asibitin jihar tare da umarnin likita, ko a dakin gwaje-gwaje masu zaman kansu don biyan kuɗi, wanda yawanci yana da sassan a kowane birni.
Asibitin Jiha
A matsayinka na mai mulkin, ba a ba da sabis na jihar da aka biya a cikin polyclinics na gundumar.
Duk wani bincike, gami da gwajin haƙuri na glucose, ana iya gwada shi a cikin su kawai bayan karɓar farkon bayani daga likita: mai ilimin hanyoyin kwantar da hankali, endocrinologist ko likitan mata.
Sakamakon bincike zai kasance a cikin 'yan kwanaki.
Kamfanin likita na Invitro
Invitro Laboratory yana ba da zaɓuɓɓuka da yawa don ɗaukar gwajin haƙuri haƙuri
- yayin daukar ciki (GTB-S) - sunan yayi magana don kansa: ana yin wannan gwajin ne ga mata masu juna biyu. Invitro ya ba da shawarar yin bincike a makonni 24-28 na gestation. Don gudanar da bincike a cikin Invitro, dole ne a sami takarda daga likitan ku tare da sa hannu na kansa;
- tare da ƙuduri na glucose da C-peptide a cikin jinin venous a kan komai a ciki kuma bayan motsa jiki bayan 2 hours (GTGS) - wannan nazarin bugu da examari yana bincika matakin da ake kira C-peptide, wanda ke ba da izinin raba insulin-dogara da cututtukan da ba su da insulin ba, kazalika da gudanar da ingantaccen bincike a cikin marasa lafiyar da ke fama da ilimin insulin;
- tare da venous jini glucose a kan komai a ciki kuma bayan motsa jiki bayan awanni 2 (GTT).
Zamanin da aka yanke akan kowane bincike shine wata rana (ba kirga ranar da aka dauki kwayar halitta ba).
Helix Lab Sabis
A cikin dakunan gwaje-gwaje na Helix, zaku iya zaba daga nau'ikan nau'ikan GTT:
- misali [06-258] - daidaitaccen samfurin na GTT tare da iya sarrafa glucose awa biyu bayan motsa jiki. Ba don yara da mata masu juna biyu ba;
- tsawa [06-071] - Ana gudanar da ma'aunin sarrafawa a kowane minti 30 na tsawon awanni 2 (a zahiri, gwargwadon sau huɗu);
- yayin daukar ciki [06-259] - Ana aiwatar da ma'aunin sarrafawa a kan komai a ciki, haka nan da awa ɗaya da awanni biyu bayan motsa jiki;
- tare da insulin jini [06-266] - sa'o'i biyu bayan motsa jiki, ana yin gwajin jini don sanin matakin glucose da insulin;
- tare da C-peptide a cikin jini [06-260] - Baya ga matakan glucose, an ƙaddara matakin C-peptide.
Binciken ya ɗauki wata rana.
Gemotest Medical Laboratory
A cikin dakin bincike na Hemotest, zaku iya ɗauka ɗayan zaɓuɓɓukan bincike masu zuwa:
- daidaitaccen gwaji (0-120) (lamba 1.16.) - GTT tare da ma'aunin glucose sa'o'i biyu bayan motsa jiki;
- Gwajin haƙuri na gwaji (0-60-120) (lamba 1.16.1.) - ana sarrafa ma'aunin sarrafa glucose na jini sau biyu: awa daya bayan motsa jiki da awanni biyu bayan motsa jiki;
- tare da ƙudurin glucose da insulin (lamba 1.107.) - ban da matakin glucose, sa'o'i biyu bayan kaya, an kuma ƙaddara darajar insulin: wannan ya zama dole don tantance hyperinsulinemia na rama. Ana gudanar da binciken ne kamar yadda likita ya tsara;
- tare da ƙuduri na glucose, C-peptide, insulin (lambar 1.108.) - ƙayyade ƙimar glucose, insulin da C-peptide don ware tasirin kwayoyi da bambancin nau'in 1 da ciwon sukari na 2. Mafi tsada na dukkanin nazarin binciken GTT;
- tare da ƙudurin glucose da C-peptide (lamba 1.63.) - Ana ƙaddara matakan glucose da C-peptide.
Lokacin aiwatar da nazari shine wata rana. Sakamakon za a iya tattarawa da kanka a cikin dakin gwaje-gwaje ko samu ta hanyar imel ko a cikin asusun ku na sirri akan gidan yanar gizon Gemotest.
Farashin haƙuri haƙuri
Farashin haƙuri na gwajin haƙuri yana bambanta dangane da garin zama da dakin gwaje-gwaje (ko asibiti mai zaman kansa) wanda a cikin gwajin. Misali, kayi la'akari da tsadar GTT a cikin shahararrun dakunan gwaje-gwaje a Moscow.
Kudin a asibitin jihar
A cikin asibitin jihar, bincike ba shi da wata matsala, amma a cikin umarnin likita ne kawai. Don kuɗi, ba za ku iya yin bincike a asibiti ba.
Nawa ne bincike a cikin wani asibiti mai zaman kansa?
Kudin gwaje-gwaje a cikin Invitro ya tashi daga 765 rubles (kawai GTT) zuwa 1650 rubles (GTT tare da ma'anar C-peptide).Kudin gwaje-gwajen a dakin gwaje-gwaje na Helix a Moscow shine mafi ƙanƙanci: farashin daidaitaccen (mafi arha) GTT shine 420 rubles, farashin GTT mafi tsada - tare da ƙuduri na matakin C-peptide - shine 1600 rubles.
Kudin gwaje-gwaje a cikin Hemotest daga 760 rubles (GTT tare da ma'aunin guda na matakan glucose) zuwa 2430 rubles (GTT tare da ƙudurin insulin da C-peptide).
Bugu da kari, ya zama dole a sami darajar glucose a cikin jini kafin motsa jiki, a kan komai a ciki. Da kyau, idan akwai damar yin amfani da glucometer na mutum, in ba haka ba a wasu dakunan gwaje-gwaje to dole ne ku sake yin wani gwaji - ƙayyade matakin glucose, wanda ke kimanin 250 rubles.
Bidiyo masu alaƙa
Game da gwajin haƙuri na glucose a cikin bidiyo:
Kamar yadda kake gani, ɗaukar gwajin haƙuri a cikin glucose ba mai wahala bane: ba ya buƙatar manyan kuɗi ko matsaloli a cikin binciken dakin gwaje-gwaje.
Idan kuna da lokaci kuma kuna son adana kuɗi, zaku iya zuwa polyclinic na jihar, idan kuna son samun sakamako cikin sauri, kuma akwai damar biyan ku - maraba da dakunan gwaje-gwaje na masu zaman kansu.