Binciko da daidaita matakan sukari na jini a cikin ciwon sukari yakamata ya zama al'ada ga mutanen da ke fama da wannan cuta, tunda wannan ita ce kawai hanyar da za a bi don guje wa rikice-rikice masu haɗari. Amma ta yaya mutum ba zai iya cutar da lafiya ba wajen bin daidaitattun halaye na alamun, kuma yana da daraja, gaba ɗaya, masu ciwon sukari su mai da hankali kan su? Bari muyi la’akari da abin da ake ɗauka matakin glucose wanda ya fi kyau, lokacin da kuma yadda ya fi kyau ɗaukar samfuri na jini don bincike, kazalika da abubuwan lura da kai.
Babban sukari - daga ina ya fito?
Carbohydrates suna shiga jiki ko dai da abinci ko daga hanta, wanda shine nau'in depot a gare su. Amma saboda rashiwar insulin, sel ba zasu iya metabolize glucose da yunwa ba. Ko da tare da isasshen abinci mai gina jiki, mai ciwon sukari na iya fuskantar jin yunwa kullun. Kamar na iyo a kan kogi mai cike da ruwa a cikin akwatin rufe - akwai ruwa a kusa, amma ba shi yiwuwa a bugu.
Sugar yana tarawa a cikin jini, kuma matakinsa na dindindin ya fara yin mummunan tasiri ga yanayin jikin: gabobin ciki sun kasa, tsarin jijiya yana aiki, kuma hangen nesa yana raguwa. Bugu da kari, saboda karancin kuzari, jiki ya fara kashe kitsen nasa, kayayyakin da ke cikin harkar su na shiga cikin jini. Hanya guda daya da za'a bi don magance cutarwa mara kyau shine gudanar da insulin.
Alamomin duniya
Don hana rikicewar yanayin, mai haƙuri ya kamata koyaushe da sanin yadda hanyoyin tafiyar matakai na jikinsa ke faruwa. Don wannan, ya zama dole don auna matakin sukari a kai a kai kuma ya sami damar sanin alamun farko na haɓakarsa cikin lokaci.
Tare da ƙara yawan sukari, kuna jin ƙishirwa
Alamar yawan glucose mai yawa:
- karuwar ci;
- ƙishirwa ta dindindin;
- bushe bakin
- nauyi mai nauyi;
- itching na fata;
- urination akai-akai da kuma yawan adadin fitsari da aka samar;
- ciwon kai, tsananin farin ciki;
- asarar hangen nesa;
- gajiya;
- jinkirin warkar da raunuka akan fata da membranes na mucous;
- karancin gani.
Sakamakon abubuwan kwantar da hankali na glucose na iya zama mai tsanani sosai
Mene ne mafi girma tare da matakan sukari mai girma?
Yawan wuce haddi a cikin jini yana haifar da rikitarwa mai yawa ga hanyar cutar, da bayyanar cututtuka da yawa mara dadi:
- Cutar kamuwa da cuta - tashin zuciya, amai, rage yawan zafin jiki da hauhawar jini, rauni da ciwon kai.
- Lactic acid coma - yana faruwa a nau'in ciwon sukari na 2. Kafin fitsari ya ɓace kuma ƙwaƙwalwar ta ragu sosai, mutum yana fuskantar matsananciyar ƙishirwa da yawan motsa jiki sau da yawa.
- Ketoacidosis - mafi yawan lokuta yakan shafi marasa lafiya masu fama da ciwon sukari na 1, a cikin wasu lokuta kuma marasa lafiya suna da mummunan nau'in 2. Yin saurin numfasawa, rauni yana tasowa, ƙanshi mai ɗaukar acetone yana fitowa daga bakin.
- Hypoglycemia - tsalle mai tsayi a matakan glucose ƙasa. Sugararancin sukari yana haifar da tsananin damuwa, rauni, rikicewar hankali. Magana da daidaituwa a cikin mota ba su da kyau.
- Rashin maganin ciwon sukari - haɓakar cutar myopia da makanta a cikin waɗanda ke fama da wata cuta ta nau'in ta biyu fiye da shekaru 20. Thearfin kwarjin kwandon da na jini da na jini su zama sanadin keɓance shi.
- Angiopathy - asarar filastik, ƙaruwa mai yawa da kuma katange bangon jijiyoyin jini, wanda ke haifar da damuwa a cikin aiki na kwakwalwa da ƙwaƙwalwar zuciya, har ila yau yana tsokani arrhythmia, angina pectoris, bugun jini da bugun zuciya, yayin da mai haƙuri ya tashi cikin matsin lamba.
- Nephropathy - ƙanshi na capillaries da matattara na koda. Marasa lafiya na fuskantar rauni, ciwon kai, matsananciyar ƙishirwa, mara nauyi mai rauni a cikin yankin lumbar. Kodan bazai iya tsarkake jinin ba, amma a lokaci guda, abubuwan gina jiki da ake buƙata suna fitowa daga jiki, don haka yana da mahimmanci a bincika kasancewar sa a cikin fitsari.
- Polyneuropathy shine asarar hankali na hankali na yatsunsu da yatsun kafa saboda lalacewar gemun jijiya da ƙarewa. Tashin hankali ya fara bayyana kamar lankwashewar jiki da wata gabar jiki, wanda akan lokaci gaba daya ya rasa hankalin sa.
- Kafar cutar malaria - take hakkin yaduwar jini a cikin kafafu da raguwa cikin azanci. Raunuka na fata a cikin wannan yanki suna warkar da dogon lokaci kuma suna iya haifar da mutuwar nama da cutar ƙwarya.
- Cutar sankarar mahaifa cinikin abubuwa ne yayin daukar ciki, wanda zai iya haɓaka zuwa wani nau'in cuta ta 2. Akwai babban haɗari da yaro zai sha wahala daga kiba da ciwon sukari.
Bayan waɗannan rikice-rikice, rashin ikon sarrafa adadin glucose a cikin jini a cikin masu ciwon sukari na iya haifar da ci gaban stomatitis, gingivitis, cututtukan cututtukan tari, cututtukan hanta da haɓaka ciki. A cikin maza masu fama da ciwon sukari mai nau'in 2, yawanci yakan kamu da cutar. A cikin ciki, tufatarwa, mutuwar tayi, ko haihuwarta na iya faruwa yayin daukar ciki.
Cire tasirin hyperglycemia yana da wahala sosai fiye da barin shi.
Yaushe yakamata ayi gwajin jini?
A cikin ciwon sukari, abubuwan da ke cikin glucose a cikin jini na iya canzawa sau da yawa kuma na cika fuska, saboda haka yana da muhimmanci a bi wani tsari don auna matakinsa. Daidai ne, ana daukar jini kimanin sau 7 a rana:
- nan da nan bayan farkawa;
- bayan goge hakora ko kafin karin kumallo;
- kafin kowane abinci yayin rana;
- bayan awa 2 bayan cin abinci;
- kafin yin bacci;
- a tsakiyar lokacin bacci na dare ko kuma da misalin karfe 3.00 na safe, saboda a wannan lokacin da ake ciki matakin glucose yana da karancin yawa kuma yana iya tayar da jijiyar wuya;
- kafin fara kowane aiki da bayan sa (aiki mai zurfin tunani shima yana cikin nau'ikan aiki), idan ana cikin mawuyacin hali, firgita ko tsoro.
Dole ne sarrafawa ya zama cikin al'ada
Waɗanda suka yi rashin lafiya na tsawon lokaci na iya yawanci ta hanyar jin nasu ragi ko karuwa a matakan glucose, amma likitocin sun bada shawarar a ɗauki matakan ba tare da gajiyawa ba don kowane canje-canje na kyautatawa. Nazarin da masana kimiyya na Amurka suka yi ya nuna cewa mafi ƙarancin ma'aunin shine sau 3-4 a rana.
Muhimmi: abubuwan da ke biyo baya suna tasiri sosai ga ƙimar sakamakon gwajin:
- duk wani cuta na yau da kullun a cikin matsanancin aiki;
- kasancewa cikin yanayin damuwa;
- ciki
- anemia
- gout
- matsanancin zafi a titi;
- yawan zafi;
- kasancewa a tsayi mai tsayi;
- aikin motsi na dare.
Waɗannan abubuwan suna shafar haɗuwa da jini, gami da adadin glucose da ke ciki.
Yadda ake yin samfur na jini
Ga masu ciwon sukari, musamman waɗanda ke kan siyarwar insulin, yana da matukar muhimmanci bayan gwaje-gwaje don koyon yadda za a kula da yanayinsu da kansu da wuri-wuri. Na'urar kamar glucometer, wacce dole ne ta kasance ga kowane mai haƙuri, yana taimakawa jure wannan aikin.
Gwanaye na zamani suna ba ku damar saka idanu a kowane yanayi
A rayuwar yau da kullun, ana amfani da nau'ikan glucose guda biyu a yau: talakawa kuma mafi samfurin zamani.
Don bincike, ana iya ɗaukar jinin farko daga yatsa. Don yin wannan, fentin da ke kan shi an soke shi da lancet (allura mai kaifi na musamman), an ɗora digo na jini da aka sa akan wani gwajin gwaji. Sannan yakamata a saukar dashi cikin glucometer, wanda a cikin dakika 15 zaiyi nazarin samfurin kuma ya bada sakamakon. Ana iya ajiye darajar da aka samu a ƙwaƙwalwar na'urar. Wasu masu ba da haske suna iya sanin matsakaicin darajar bayanai na wani lokaci na lokaci, kuma suna nuna sauyin alamun da ke nuna fasali da zane-zane.
Sabbin abubuwan kwantar da hankali suna nazarin jinin da aka dauka ba kawai daga yatsa ba, har ma da goshin hannu, gindin yatsa har ma da cinya. Ya kamata a sani cewa sakamakon samfuran gwaji da aka ɗauka daga wurare daban-daban zasu bambanta, amma canji mafi sauri a matakin sukari zai nuna jini daga yatsa. Wannan lamari ne mai mahimmanci, saboda wani lokacin kuna buƙatar samun bayanai da sauri-wuri (alal misali, kai tsaye bayan motsa jiki ko abincin rana). Idan ana zargin hypoglycemia, yana da kyau a dauki jini daga yatsa don ingantaccen sakamako.
Abubuwan gwaji, kamar mita kanta, za'a iya sayansu a kantin magani. Idan tsararren da ake buƙata don yin rigar yayin aikin, ulu na auduga ko tawul ɗin takarda ba tare da fargaba mai sauƙi ba wannan ya fi dacewa (wannan na iya rinjayar daidaito na sakamakon).
Akwai wani sigar na mita - a cikin nau'i na alkalami na marmaro. Irin wannan na'urar tana sa tsarin samfurori kusan ba shi da ciwo.
Duk nau'in na'urar da kuka zaɓi, zai zama dace kuma mai sauƙi don auna sukari tare da kowannensu - har ma yara suna amfani da su.
Karatun sukari na jini ga masu ciwon sukari
Matsakaicin glucose a cikin jini yana da matukar mahimmanci ga marasa lafiya da ke fama da "cutar sukari". Kowane mai ciwon sukari yana da nasa matakan glucose na jini - wanda kake buƙatar ƙoƙari. Ba zai iya zama ɗaya da mai nuna alama ta al'ada a cikin mutum mai lafiya ba (bambancin zai iya zama daga 0.3 mmol / l zuwa raka'a da yawa). Wannan wani nau'in haske ne ga marassa lafiya domin su san abin da ya dace da shi don jin dadi. Dokar mutum guda ɗaya ga kowane mai ciwon sukari an yanke shi ne ta likita, dangane da cutar, shekarun mai haƙuri, yanayin gabaɗaya, da kasancewar wasu cututtukan.
Kowane mai ciwon sukari yana da nasa “sukari na al'ada”
Teburin yana nuna matsakaicin ƙimar da mai haƙuri ke iya mai da hankali lokacin auna sukari kafin cin abinci:
| Mataki | ||||||||||
Mai inganci | Matsakaici | M | |||||||||
Hba1c | 4,0 | 5,0 | 6,0 | 7,0 | 8,0 | 9,0 | 10,0 | 11,0 | 12,0 | 13,0 | 14,0 |
Glucose (mg%) | 50 | 80 | 115 | 150 | 180 | 215 | 250 | 280 | 315 | 350 | 380 |
Glucose (mmol / L) | 2,6 | 4.7 | 6.3 | 8,2 | 10,0 | 11,9 | 13.7 | 15,6 | 17.4 | 19,3 | 21,1 |
A zahiri, bayan kowane mutum ya ci abinci, yawan glucose a cikin jininsa zai karu sosai. Sai kawai a cikin mutane masu lafiya, zai fara raguwa, amma a cikin masu ciwon sukari - ba. Matsakaicin matsakaicinsa an saita shi zuwa minti 30-60 bayan cin abinci kuma bai wuce 10,0 mmol / L ba, kuma mafi ƙarancin - 5.5 mmol / L.
Glycated haemoglobin - menene
Ana ba da shawarar irin wannan nau'in haemoglobin don samun ƙarin ƙimar sakamakon cutar sankara. Binciken matakin Hemoglobin na HbA1C shine gwajin jini ta amfani da hadewar haemoglobin jan jini tare da glucose, wanda ke da fa'idodi da yawa:
- ana yin gwajin jini a kowane lokaci, wato, kodayake ba lallai bane akan komai a ciki;
- kafin ba a buƙatar ɗaukar maganin glucose;
- shan kowane magani daga mai haƙuri ba ya shafar sakamakon;
- yanayin damuwa, kasancewar mai haƙuri tare da kamuwa da kwayar cuta ko cutar catarrhal ba ta tsoma baki cikin binciken ba;
- bincike ana daukar abin dogara sosai;
- yana bada damar tantance nawa mara lafiyar ya sarrafa matakan glucose a cikin watanni 3 da suka gabata.
Glycated haemoglobin yana ba ku damar samun mafi daidaitattun bayanai.
Rashin dacewar HbA1C sune:
- babban farashin bincike;
- tare da rashi na kwayoyin halittar thyroid, alamu za a iya wuce gona da iri;
- a cikin yanayin anemia da ƙananan haemoglobin, akwai damar gurbata sakamakon;
- an gudanar da gwajin ne nesa da kowane asibiti;
- akwai zaton cewa ɗaukar adadin bitamin E da C yana shafar amincin bayanan bincike.
Tebur na glycated haemoglobin a cikin ciwon sukari mellitus:
| Mataki | ||||||||||
Mai inganci | Matsakaici | M | |||||||||
HbA1c (%) | 4,0 | 5,0 | 6,0 | 7,0 | 8,0 | 9,0 | 10,0 | 11,0 | 12,0 | 13,0 | 14,0 |
Ana gudanar da bincike kan taro na haemoglobin a cikin waɗannan lambobin:
- jihar prediabetic da ciwon sukari;
- lura da kuzarin yanayin masu ciwon sukari;
- duba ingancin maganin da aka wajabta.
Kula da ingantaccen matakan sukari na jini a cikin sukari shine babban aiki ga waɗanda ke da wannan cutar. Abin farin ciki, a yau, masu ciwon sukari suna da damar a kowane lokaci don gano adadin glucose a cikin jini kuma, idan ya cancanta, ɗauki matakan don ware yiwuwar rikice-rikice ko kuma kawai jin rashin lafiya.