Ciwon sukari ba shine kawai ciwo ba wanda ke nuna kasancewar matsaloli a cikin farji. Baya ga ciwon sukari, ana iya gano mai cutar ta kamu da ciwon suga, sukari mai saurin azumi ko kuma raunin glucose mai rauni, wanda in babu magani da kulawa na lokaci ba karamin hadari bane.
Don sanin abin da ya faru daidai a jikin mai haƙuri, gwajin haƙuri na glucose ko PGTT yana taimakawa.
Gwajin haƙuri na glucose na baka: menene?
Wannan wani nau'in bincike ne mai zurfi wanda zai baka damar sanin matakin glucose a cikin plasma akan komai a ciki.
Gwaji ya haɗa da jerin matakan da aka ɗauka kowane minti 30 na sa'o'i 2 masu zuwa bayan ɗaukar wani adadin glucose.
Mai haƙuri yana ɗaukar wani yanki na glucose ta bakin ta hanyar dabi'a, yana shan maganin mai daɗi, wanda shine dalilin da yasa ake kiran gwajin a baka (shima a aikace na aikin likita, ana amfani da PGTT lokacin da aka gudanar da carbohydrates ga mai haƙuri a cikin jijiya). Irin wannan saka idanu game da halin da ake ciki yana ba ka damar gano duk wani take hakkin metabolism.
Me yasa ake gwada gwajin haƙuri a cikin jini da glycated haemoglobin?
Yin amfani da gwajin haƙuri na glucose na baka, yanayi irin su masu ciwon sukari na kowane nau'in ko maganin ciwon suga na iya ƙaddara, kazalika da matsayin haƙurin glucose na sel.
A matsayinka na mai mulkin, an tsara irin wannan gwajin ga wadanda suka kamu da aƙalla sau ɗaya a rayuwarsu da suka kamu da daskararru na dindindin ko na wucin gadi wanda ya samo asali daga yanayin damuwa, bugun zuciya, bugun jini, ciwon huhu.
Idan karuwar matakin sukari ya faru sau ɗaya, za a aika haƙuri don yin bincike bayan yanayinsa ya koma al'ada.
Gudanar da PHTT yana bayyana waɗannan take hakki:
- nau'in 1 ko nau'in ciwon sukari 2;
- ciwon sukari
- ciwo na rayuwa;
- kiba
- daban-daban mahaukacin endocrine na haifar da karuwa a cikin matakan glucose.
Ana iya yin gwajin baka a cikin dakin gwaje-gwaje da kuma a gida ta amfani da glucometer. Gaskiya ne, a magana ta biyu, zaku bincika jini gaba daya. Koyaya, don kame kai wannan zai isa.
Dokoki don shirya mai haƙuri don binciken
PGTT, kamar sauran gwaje-gwaje, na buƙatar shiri. Don jiki ya nuna tsayayya da glucose, ya zama dole kwanaki da yawa kafin samfurorin su ci abincin da ke da wadataccen carbohydrates, ko kuma ɗauke da adadinsu na yau da kullun. Yana da kyau a haɗa cikin samfuran abinci wanda ya ƙunshi daga g 150 na carbohydrates ko ƙari.
Biye da karancin abincin carb kafin fuskantar PGTT ba abin yarda bane. A wannan yanayin, zaku sami matakin rashin sanin kimar abu a cikin jini, wanda shima zai cutar da sakamakon. Sakamakon haka, ana iya sanya ku ku sake gwajin.
Baya ga gyaran abincin, za a kuma buƙaci wasu canje-canje a cikin jadawalin shan magunguna. A cikin kusan kwanaki 3, yana da kyau a daina shan magungunan thiazide, maganin hana haihuwa, glucocorticosteroids.
Ana bincika zurfin bincike akan komai a ciki! Sabili da haka, tsawon awanni 8-12 wajibi ne don dakatar da cin kowane abinci, kazalika da ware barasa daga menu. Zaku iya shan ruwan da ba a carbonated ba a cikin adadi kaɗan.
Menene gwajin sukarin jini da aka ɗora tare da kaya yana nuna?
Sakamakon gwajin haƙuri na glucose na baka yana ba ka damar sanin yadda cikakken glucose a cikin jini da ɗaukar abin da zai biyo baya.
Increasedara yawan matakin abu a cikin jini yana nuna ƙarancin shanshi ta jiki.
Kuma tun da yake ana daukar glucose babbar hanyar samar da kuzari ga dukkanin sel na jikinta, raunin da yake dauke dashi ana daukar shi cuta ne, sabili da haka dukkanin tsarin kwayoyin halitta suke wahala.
Baya ga haɓaka hanyoyin cututtukan ciwon sukari, gudanar da gwajin sukari tare da kaya kuma yana ba ku damar pre-gano haɗarin hypoxia intrauterine yayin ciki da kuma wasu rikicewar cututtukan sukari wanda zasu iya cutar da jariri da ba a haife shi ba.
Yaya ake yin gwajin ciwon sukari?
Jarabawar tana daɗewa. Hanyar tana ɗaukar kimanin sa'o'i 2, a cikin abin da za'a samfuri mara lafiya kowane rabin sa'a (30, 60, 90, 120 minutes).
Ana ɗaukar jini kafin da bayan glucose don kwatanta bambanci a matakan sukari.
Irin wannan tsari mai rikitarwa saboda gaskiyar cewa matakin glucose a cikin jini ba shi da tabbas, kuma yanke hukunci na ƙarshe na ƙwararren likita zai dogara da yadda ƙwayar ta ta ke gudana. Yayin nazarin, mai haƙuri ya sha maganin glucose mai dumi, wanda aka sayar a cikin kantin magani a cikin foda.
Manya na shan ruwa kimanin 250-300 ml na ruwa, a ciki ana narke 75 g na glucose. Ga yara, sashi zai zama daban. A gare su, 1.75 g / kg na nauyin jiki yana narkewa, amma ba fiye da 75 g ba.
Idan muna magana ne game da iyaye mata masu fata, sun narke 75 g na glucose a cikin 100 g na ruwa. Idan mace tana da guba mai guba, za a maye gurbin GTT na baka ta hanyar binciken cikin ciki.
Fassara sakamakon: dabi'un zamani da karkacewar alamu
Sakamakon da aka samu yayin gwajin, kwararren kwatancen ya yi daidai da tsarin da aka gindaya don mutane masu lafiya.
Yana da kyau a sani cewa ga wakilan nau'ikan shekaru daban-daban, iyakokin da aka yarda za su bambanta:
- ga jarirai, yanayin shine 2.22-3.33 mmol / l;
- ga yara daga wata 1 - 2.7-4.44 mmol / l;
- ga yara sama da shekara 5 - 3.33-5.55 mmol / l;
- don mutanen da ke ƙasa da shekara 60 - 4.44-6.38 mmol / l;
- ga mutanen da suka girmi shekaru 60, 4.61-6.1 mmol / L ana daukar su a matsayin al'ada.
Duk wani karkacewa daga dabi'ance ana daukar cutar kansa.
Rage ragin hujjoji ne na ci gaban hypoglycemia, kuma waɗanda aka ɗaukaka alama ce ta ciwon sukari.
Contraindications wa binciken
Duk da tasiri da kuma isa ga wannan gwajin, ba za a iya tura shi ga dukkan masu haƙuri ba.
Daga cikin abubuwan da ke haifar da tantancewar sun hada da:
- rashin haƙuriwar glucose;
- m hanya na wani cutar.
- mummunan guba (a cikin mata masu juna biyu);
- lokacin aiki;
- buƙatar hutawa na gado;
- cututtukan gastrointestinal.
Game da PHTT a cikin yanayin da ke sama, lalacewa mai ƙarfi a cikin yanayin mai haƙuri yana yiwuwa.
Nessoshin lafiya bayan bincike da illa
A mafi yawancin halayen, marasa haƙuri suna iya haƙurin gwajin haƙuri na glucose.
Idan ka kwatanta shi dangane da darajar kara kuzari da cutarwa da abinci, zai zama kamar karin kumallo wanda ya kunshi shayi mai zaki da bayarwa tare da lemun tsami. Saboda haka, maganin glucose ba zai iya haifar da mummunar cutar ga jiki ba.
A wasu halaye, marasa lafiya bayan shan glucose sun lura da bayyanar tashin zuciya, jin zafi a ciki, asarar abinci na ɗan lokaci, rauni, da kuma wasu alamun. A matsayinka na mai mulkin, sun ɓace bayan ɗan gajeren lokaci kuma ba cutarwa ga lafiya.
Idan bayan wucewa gwajin lafiyarka ba ta inganta a cikin kwana ɗaya, tabbatar ka nemi likita. Zai yiwu cewa kuna buƙatar yin amfani da ƙarin magunguna don kawar da alamun da suka bayyana.
Kudin jarabawa
Kuna iya ɗaukar gwajin haƙuri na glucose na baka a cikin asibiti na birni ko cikin dakin bincike na kansa.
Duk abin zai dogara ne akan abubuwan da ake so da kuma ƙarfin kuɗi na haƙuri.Matsakaicin farashin bincike a cikin dakunan shan magani na Tarayyar Rasha shine 765 rubles.
Amma gaba ɗaya, farashin sabis na ƙarshe zai dogara da manufofin farashi na ma'aikatar kiwon lafiya da inda take. Misali, farashin wucewar tsakiyar birni a Moscow zai kasance tsari ne na girma sama da na Omsk ko wasu ƙananan biranen a Rasha.
Neman Masu haƙuri
Shaidar marasa lafiya akan gwajin jini don kyamar glucose:
- Olga, 38 years old. Wai, ina tsoron kar in wuce wannan gwajin! Kai tsaye ta firgita, ta tsorata ni! Amma ba komai. Ta zo asibiti, ta ba ni glucose a cikin mur, suka sha shi, sannan kuma sun sha jinina sau da yawa. Glucose shine cetona, saboda a lokacin wuce jarabawa na kasance ina jin yunwa kamar kyarkeci! Don haka kada ku ji tsoron wannan bincike. Hakanan yana iya yiwuwa a yi amfani da abin ci, misali nawa, misali.
- Katya, shekara 21. Ban jure binciken ba da kyau. Ban san dalilin ba Wataƙila saboda da zarar ya taɓa samun hepatitis, amma har yanzu. Bayan shan glucose a cikina, sai gajiyi yake yi. Ya kasance kwanaki da yawa a yanzu, kuma bana son cin abinci saboda wani ɗanɗano da yaji a ciki na. Hankalin hanta da ƙwayar cuta suna tasiri sosai ta hanyar bincike da ciwo lokaci-lokaci.
- Oleg, shekara 57. Komai ya banbanta ga kowa. Na riga na wuce irin wannan bincike sau biyu. Karo na farko, gabaɗaya, yayi kyakkyawan aiki, kuma a karo na biyu yana ɗan ɗan lallacewa na kusan awa ɗaya bayan canji. Amma sai duk ya tafi. Amma ban san abin da ya sa na kamu da rashin lafiya ba, ko yawan zaƙi ko gurnani.
- Ekaterina Ivanovna, shekara 62. Jarrabawar ba sauki. Amma idan kun daidaita da halayen jikin ku, canja shi da kyau. Misali, na lura cewa idan ban dauki wani abu tare da ni ba, to ina jin ciwo a duk rana. Don haka nan da nan bayan kammala dukkan hanyoyin Ina ƙoƙarin cin abinci da kyau.
Bidiyo masu alaƙa
Game da gwajin haƙuri na glucose a cikin bidiyo:
Gwajin haƙuri na glucose na baka shine hanya mafi kyau don gano cututtukan cututtukan metabolism. Sabili da haka, da karɓar magana game da ƙwararren masani don bincike mai dacewa, mutum bai kamata ya ƙi bi ta ba.
