Daga cikin alamun cutar endocrine pancreatic, ana lura da bayyanar sukari a cikin fitsari. Kodan ya shiga cikin damuwa damuwa babba. An fassara ma'anar kalmar cutar daga Girkanci a matsayin "wuce". Ana fitar da ruwa mai narkewa daga jiki tare da wuce haddi na glucose, yana lalata komai a hanyar sa. Menene haɗarin glucosuria a cikin ciwon sukari? Ta yaya ake bayyana alamar? Wadanne matakan ne mai haƙuri ke buƙata ya ɗauka?
Dabarun Kula da Ciwon sukari
Theudurin sukari a cikin fitsari a cikin dakin gwaje-gwaje da yanayin gida ana aiwatar dashi ta amfani da alamun nuna inda aka shafa yankin mai hankali. Hanyoyin warkewa don aiwatar da kariya daga matsanancin cuta da rikicewar rikice-rikice suna ba da takamaiman bayani ko haɗin kai (cikakken bayani) game da yanayin jikin.
Irin waɗannan ayyukan sune dabarun sarrafa ciwon sukari. Zai dace idan ana amfani da lambar mashaya ga abubuwan nuna alama don yanke shawarar a lokaci guda na jikin ketone. Hakanan za'a iya tabbatar da kasancewarsu ta amfani da allunan irin wannan matakin - "Biochemical reagent". Mai haƙuri, a matsayin mai mulkin, yana asarar nauyi sosai, ƙanshi na acetone yana jin daga bakinsa.
Idan ana yin ma'aunin glucose a daidai lokaci guda kamar yadda ake auna ma'aunin jini, to ana samun sakamako mai kamani sosai. Fitsari don gwaje-gwaje na musamman na iya tarawa a cikin awanni 12 ko duka kwanaki. Irin wannan gwaje-gwaje suna ba da sakamakon haɗin gwiwa.
Masu ciwon sukari suna buƙatar sani game da ainihin hanyoyin da kayan aikin da ake amfani dasu don magance cutar. Kwararrun likitocin da marasa lafiya suna amfani da su don samun ingantaccen bayani game da abubuwan da ke faruwa a jiki, game da cutar da kuma yadda take.
Nau'in ma'aunin glucosuria, amfaninsu da rashin amfanin su
Mai fama da ciwon sukari yana da ƙishirwa mai yawan maye. Akwai, gwargwadon haka, haɓaka yawan adadin fitsari kowace rana (polyuria). An kiyasta cewa 70% na marasa lafiya da ke dauke da ciwon sukari suna da "ƙofa na koda." Ba'a gano sukari a cikin fitsari ba ta hanyar gwaje-gwaje na yau da kullun tare da glycemia da ke ƙasa da 10,0 mmol / L.
Yarjejeniyar da aka kafa:
- 0.5% glycosuria lokacin da sukarin jini ya wuce 11.0 mmol / l;
- 1.0% - 12.0 mmol / L;
- 2.0% - 13.0 mmol / L.
Idan dabi'u suka kai 2.0% ko sama da haka, to ana iya yin hukunci daidai game da sukarin jini cewa yana sama da 15.0 mmol / L. Wannan lamari ne mai haɗari kuma yana iya sauƙi daga hannun.
Binciken fitsari, wanda aka dauka yayin rana, yana ba ku damar samun matsakaicin darajar sukarin jini. Idan ba a cikin fitsari a kullun (babu alama), to lallai ana rama masu ciwon sukari daidai. Kuma a cikin sa'o'i 24, "ƙimar renal" ba ta taɓa wucewa ba. Ana tattara ragowar ɓangarori huɗu a tsaka-tsakin lokaci. Misali, ana daukar samfurin farko daga awanni 8 zuwa awanni 14; na biyu - daga awanni 14 zuwa awanni 20; na uku - daga awanni 20 zuwa awa 2; na huɗu - daga awanni 2 zuwa awa 8
A cikin bincike guda, sanin dabi'u da kuma amfani da matakan gwaji don ƙididdige sukari a cikin fitsari, mai haƙuri na iya karɓar bayani game da matakin glycemia.
Lessarancin ingantacce kuma hanya mai ma'ana yana da fa'idodi masu yawa:
- babu buƙatar tsawan yatsanka, wani lokacin yakan faru da zafi, da samun digo na jini;
- Ya fi sauƙi ga mai rauni ko mai saukin ra'ayi ya rusa mai nuna alama a cikin jita-jita tare da fitsari fiye da ɗaukar ma'aunin glucometer;
- Takaddun gwaji don tantance sukari a cikin fitsari ya fi ƙwari fiye da na na'urar.
Wadansu 'yan kasuwa masu ciwon sukari suna yanke alamu a cikin kunkuntar tabarmar fata kuma suna kara samun kayan bincike. Gwaje-gwaje don tantance sukari a cikin fitsari dabara ce ta dabi'a. Ana yin su a kai a kai, yayin da suke bin dabarun manufa: don mafi kyawun raunin cutar sankara.
Hanya don ƙayyade sukari fitsari ta amfani da matakan gwaji ana ɗaukar mafi tattalin arziƙi
Ana bada shawarar Glucosometry sau 4 a rana kuma sau biyu a mako. Idan yawan sukari ya wuce 2%, to zaka iya fayyace darajar ta amfani da mitar. Hanyar ƙuduri na yau da kullum na sukari a cikin fitsari yana da mummunar faduwa: ba ya da sassauci don zaɓar wani kashi na insulin, wanda ke nufin cewa ba zai yiwu a yi amfani da abinci mai bambancin abinci ba.
Binciken hanji don ciwon sukariA cikin rashi na glycosuria da alamun hypoglycemia (a ƙarancin ƙima), ba shi yiwuwa a ƙayyade daidai ba tare da na'urar abin da matakin sukari mai haƙuri yake da shi ba: a cikin kewayon daga 4.0 zuwa 10 mmol / L. Mai haƙuri na iya fuskantar alamun cutar rashin ƙarfi a cikin glycemic background saboda ƙarancin insulin, ƙoshin abinci, tsawaita ko aiki mai ƙarfi.
A wasu masu ciwon sukari, sau da yawa tare da dogon tarihin cutar, bayyanar alamun alamun rikice-rikice yana faruwa a 5.0-6.0 mmol / L. Ana cire zafin nama da hancin jiki, girgiza kai na sanyin jiki, gumi mai sanyi da rauni ta hanyar cin abinci mai kauri na lokaci mai guba (zuma, jam, muffin). Bayan harin hypoglycemia da kawar dashi, mai haƙuri yana buƙatar kulawa ta musamman.
Ci gaban glucosuria mara nauyi
Harin kananan jiragen ruwa na iya haifar da mummunan sakamako. Rashin ƙwayar koda na wucin gadi ko cutar sankara mai narkewa tana yiwuwa tare da cututtukan biyu. Statisticsididdigar likita sun kasance cewa 1/3 na marasa lafiya da ke fama da ciwon sukari-na insulin, tare da shekaru ashirin na gwaninta, suna fama da gazawar renal.
Alamomin cutar sankara mai kwakwalwa:
- rauni, gajiya, barcin mara kyau, karkatar da hankalin mutum;
- rashin abinci, rashin ci, amai;
- narkewar cikin kasusuwa na nama.
Babban sashin jikin urinary shine tace jikin mutum. Kodan adsorb abubuwa masu cutarwa waɗanda ke tara ƙwayoyin jikin mutum kuma su zubo su cikin fitsari. Tare da sukarin jini, yawan glucose shima yana fitar da jiki. Tsarin kariya na halitta yana faruwa. Nan ne sukari ya fito daga cikin fitsari. Amma aikin koda ba shi da iyaka. Abubuwan da suka wuce haddi da suke a cikin babban taro baza su iya barin jiki da sauri ba.
Akwai shaidun cewa fiye da 40% na masu ciwon sukari masu nau'in 1 waɗanda ke kula da kyakkyawan sakamako na kulawa don guje wa matsalar koda
Kodan sun ƙunshi ƙwayoyin nama wanda yawancin ƙwaƙwalwar ƙwayar cuta ta soke. Manyan sukari suna lalata ƙananan ƙwayoyin jini. Tare da hauhawar jini da tsawan lokaci, kodan bata jimre da aikin tacewa ba. Akwai rikicewar marigayi - microangiopathy. Alamar ta farko: bayyanar a cikin fitsarin furotin (albumin). Wani lokaci cutar sankara ce ke haifar da kumburi da kumburi, kamuwa da cuta da gwuwar ciki.
A cikin mawuyacin hali, maye yana faruwa. Akwai daɗin guba na yanayin ciki na jiki tare da wuce haddi na abubuwan cutarwa. A wannan yanayin, ana kiyaye rayuwar mai haƙuri akan “ƙirar wucin gadi”. Ana amfani da tsakaitaccen kayan aikin tsabtace kayan aikin don tsabtace farjin cikin jiki daga samfuran samfuran sakamako (dialysis). Ana aiwatar da hanyar a kowane kwanaki 1-2.
Insarfin rikitarwar marigayi ya ta'allaka ne akan cewa yana haɓaka sannu a hankali kuma ba a haɗa shi da abin mamaki. Ya kamata a bincika aikin koda na masu fama da ciwon sukari sau ɗaya a shekara (gwajin fitsari don albumin, gwajin Reberg, gwajin jini ga urea nitrogen, serum creatinine).
Ana magance rashin nasarar Rashin rigakafi tare da diuretics, inhibitors, magungunan da ke daidaita karfin jini. Babban rigakafin cutar nephropathy shine kyakkyawan diyya ga masu ciwon sukari.
