Ciwan ciki a cikin sukari mellitus shine ɗayan alamun bayyanar cutar wannan cuta ta endocrine. A yadda aka saba, yakamata a ƙayyade glucose a cikin babban urinalysis. Tunda an gaba daya an sake shi a cikin reabsorption a cikin koda tubules kuma a dawo cikin tsarin kewaya. A tsakanin likitoci, yanayin da ake ƙaddara sukari a cikin fitsari ana kiransa glucosuria.
Ko a zamanin da, lokacin da kyaututtukan wayewa basu wanzu ba, mutane sun sami damar tantance wasu yanayin yanayin cutar. Ofayan waɗannan yanayin shine mellitus na ciwon sukari, kuma an ƙaddara shi da abun da ya faru na fitsari na mai haƙuri. Fitsari a cikin ciwon sukari mellitus ya zama mai daɗi a cikin dandano, wanda ya nuna kasancewar cutar a cikin mutane. Yau, likitoci suna kwantar da hankalinsu game da buƙatar yin nazarin abubuwan da ke tattare da ƙwayoyin halittar ruwa, kuma masu nazarin zamani suna iya tare da daidaito masu ban mamaki su nuna abubuwan da ke tattare da keɓaɓɓun kwayoyin halitta, musamman fitsari.
Sanadin sukari a cikin fitsari
A cikin ilimin halittar jiki na yau da kullun na aikin jikin mutum, an yarda da cewa fitsari wani nau'in kyallen ne wanda yake motsa jikin sassan ruwa, i.e. plasma. Dangane da tsarin kwayoyin halitta da na lantarki, fitsari da plasma suna da alaƙa da kamala. Ya kamata a lura cewa a cikin aikin urinary tsarin al'ada yana bambanta nau'ikan fitsari guda biyu: na farko da sakandare.
Fitsari na farko
Yana da nau'ikan abu guda zuwa ga plasma, ban da sunadaran da ba za su iya wuce aikin ɗakin da kodan ba. A cikin fitsari na farko, ƙwayar glucose ya dace da tattarawar glucose a cikin jini. Bayan haka, daga fitsari na farko a cikin tsarin tirinles na koda, akwai cikakken juyarwar karuwar glucose, idan yana cikin dabi'un kayan aikin jiki.
Secondary fitsari
Fitsari ne da aka maida hankali a kai, wanda a kusan shi za'a cire duk ion na sodium, potassium da chlorine, da glucose. Yawan fitsari na biyu yayi daidai da matakin ruwan da aka cinye lokacin rana.
Wannan ƙofa na iya bambanta tsakanin raka'a 1-2 ga kowane mutum. Resarfin ƙyallen ya dace da 6-7% na glycosylated haemoglobin na jini na mai haƙuri da ciwon sukari mellitus, wanda ya ba mu damar nuna hoton asibiti a cikin 'yan watanni da suka gabata. Farin fitsari a cikin nau'in 2 na ciwon sukari mellitus an riga an ƙaddara shi a farkon farkon cutar, yayin da har yanzu babu wani cikakken hoto na asibiti game da cututtukan endocrinological da cuta na rayuwa.
Idan matakin glucose ya hauhawa cikin jini, to shima yana iya fitowa a cikin fitsari.Kayan kwalliya
Babban yawan glucose a cikin fitsari yana haifar da matsanancin motsa jiki a cikin fitsari, wanda ke haifar da cire ruwa mai yawa daga jiki. Don wannan, ɗayan alamun farko na nau'in ciwon sukari na 2 shine urination akai-akai - polyuria. Sakamakon ciwon sukari, fitsari ya zama ƙasa da hankali, saboda Tare da sukari, ana cire ruwa mai yawa daga jiki. Tsarin urinary a cikin mutanen da ke fama da ciwon sukari an yi niyya ne don rama cutar hauka - hawan jini.
Sauke sukari
Yadda ake auna sukari na jiniLokacin wucewa gaba ɗaya na gwajin fitsari, bai kamata a ƙayyade sukari na yau da kullun ba, ƙimar maida hankali bakin ƙima shine 1.5 mmol / L. Haka kuma, idan an ƙaddamar da ƙimar ƙima, a sakamakon binciken don sukari a cikin fitsari zai zama tabbatacce. Baya ga tarawar glucose kai tsaye a cikin fitsari na karshe, akwai wani muhimmin sashi - ma'anar yawan fitsari. Ensarancin al'ada na yau da kullun ya bambanta daga 1.011 - 1.025, wanda ake kira normostenuria. A cikin ciwon sukari na mellitus, takamaiman nauyi yana da girma fiye da 1.025, kuma a hade tare da polyuria ana kiranta hyperstenuria.
Yana da mahimmanci a lura cewa maida hankali na glucose a cikin fitsari ba zai iya ba da cikakkiyar bayanai game da yanayin mai haƙuri ba, saboda bambance-bambance na sigogin kowane mutum yana haifar da babban kuskure. Saboda wannan, babban hanyar shine dagewar glucose a cikin jini mai narkewa da glycosylated haemoglobin don kafa ingantaccen ganewar asali.
Akwai takaddama na musamman na gwaji don hanzarta tantance yawan sukari a cikin fitsariNau'in ciwon suga
Duk da gaskiyar cewa ana fitar da glucose tare da fitsari don kowane nau'in ciwon sukari, wannan alamar ita ce mafi yawan halaye ga masu ciwon sukari na 1, i.e. insulin-dogara, wanda fitsari ke yanke mafi girman matakin sukari.
Insulin na hormone yana da mahimmanci don sake sarrafa glucose na al'ada, duk da haka, a cikin nau'in farko, samarwarsa tayi ƙanƙanta ko kuma tana iya kasancewa gabaɗaya, wanda ke haifar da hauhawar hauhawar ƙwayar osmolar a cikin plasma kuma zuwa glucosuria. Yana da muhimmanci a lura cewa ramawar sukari daga jini tare da fitsari yana haifar da karuwa a cikin jiki, wanda shine babban damuwa ga dukkan tsoka da gabobin jiki.
Jiyya
Sakamakon glucosuria a cikin ciwon sukari shine haɗari ga cutar koda, tun da kodan a cikin wannan yanayin yana aiki a cikin yanayin haɓaka kuma yana saurin sauri. Masu ciwon sukari da irin wannan cutar dole ne a kula dasu. Ga marasa lafiya da ke da nau'in ciwon sukari da ke dogaro da sukari, dole ne a rubuto maganin maye gurbin insulin tare da insulin. Ga marasa lafiya da ke fama da ciwon sukari na 2, lura ya ƙunshi shan magunguna masu rage sukari da kuma bin ingantaccen abinci tare da iyakance abincin carbohydrate. Tare da siffofin ci gaba na wannan cuta, ya kamata marasa lafiya su sha magani ta hanyar amfani da kwayoyi - nephroprotectors.
