Duk da bambance-bambance masu yawa tsakanin jinin venous da capilla jini, a cikin ciwon sukari mellitus, abu daya ne kawai ake kimantawa - kirgawar jini don sukari daga jijiya (al'ada ko cuta).
Amma binciken bai cika ba - yana ba da ra'ayi kawai game da janar, matsakaici a lokacin jini yana gudana ta tasoshin.
A lokaci guda, nazarin yatsa yana nuna abun da sukari kai tsaye a cikin kyallen, wanda shine babban burin tafiya na glucose - anan an cinye shi.
Bayyanar cututtuka na karuwar sukari jini
Alamomin hyperglycemia (yawan wucewar jini, karin glucose daidai) alamomi ne na waje da na ciki.
Alamar farko ta waje sun hada da karuwar tsari:
- jin yunwar (zuwa halin da za a iya jurewa ta jiki);
- ƙishirwa (zama ba a haƙuri);
- urin yawan urin ciki;
- ƙazantawa (asarar nauyi), ba tare da la'akari da yawan abinci da wadatar abinci ba.
Ofaya daga cikin alamu yanayin shine fitsarin fitsari wanda ya rage akan rigunan, wanda, lokacin bushewa, canza launi suturar ta yi fari, amma wuraren da kasancewar su ta kasance tauraron farashi ne (idan tufafin sun sa na ɗan lokaci mai tsawo, sai su ce ya “bushe kamar cola”). Kuma idan na kasance cikin urin gwada gwada yare (masu maganin tsufa sun yi haka), to za ta dandana dandano mai kyau sosai.
Abin lura shine canje-canje a ɓangaren tsarin juyayi da ma'amaloli (fata da membranes na mucous). Na farko canje-canje ne a tsinkaye (saboda aikin kwakwalwa mai rauni), da farko daga gefen hangen nesa. Wannan lamari ne mai dusashewa, mara kyau ga hoto, bayyanar itching, zafi, "yashi a idanun" a farkon matakan cututtukan hyperglycemia - da kuma asarar filayen gani, abin da ya faru na kamuwa da cuta da kusan makanta a wasan karshe.
The psyche canza, haƙuri zama:
- juyayi
- m;
- m
- haushi;
- rashin hankali mara hankali (har zuwa cikakken rushewa).
Rashin daidaituwa na metabolism na nama yana haifar da canji a cikin yanayin fata (daga yanayin wucewarsa zuwa "rashin ƙarfi na katako"), musamman ƙwanƙwasa mai haƙuri tare da itching fata a cikin wurare masu taushi (a cikin ƙwanƙwasawa, yanki mai kima).
Sakamakon rikice rikice na metabolism metabolism, canje-canje trophic a cikin membranes mucous faruwa:
- seizures (fasa a kusurwar bakin);
- na zahiri ko zurfin raunuka (har zuwa rauni) a cikin rami na baka;
- mai da hankali ko kuma duka gajimare na cornea.
Har ma fiye da tsawanta (tsawon shekaru) kasancewar yawan sukari a cikin jini yana haifar da gazawar duk tsarin jikin mutum - gazawar sassan jikin mutum:
- hepatic;
- na koda
- cardiopulmonary;
- jijiyoyin bugun jini;
- endocrin.
Sakamakon cututtukan hyperglycemia, wanda ya kai ga cutar sankarau da ke daɗewa, sune:
- mai hanta hepatosis;
- myocardial dystrophy;
- bugun zuciya na gabobin (zuciya, kwakwalwa, huhu);
- cututtukan ƙafafun ciwon sukari;
- rauni na ƙafafu na ƙafa da kafafu;
- masu ciwon sukari tare da buƙatar datse ƙananan ƙarshen nan da nan zuwa matakin gwiwa na gwiwa (barin kututture mafi girma daga baya har yanzu ya zama cikin buƙatar datse ƙafafun da ƙayyadaddun matakin).
Sakamakon raguwar endocrine da rashin isasshen jijiya da jijiyoyin jijiyoyin jiki suna haifar da matsalolin maza da mata, rasa haihuwa ko haihuwar bayyane yara marasa lafiya.
Masu nuna alamun damuwa na ciki sun haɗa da bincike:
- jini - zuwa matakin sukari a ciki;
- fitsari: cancanta - don glucose; ƙididdigewa - don ƙayyade adadin glucose ɗin da jiki ya ɓace tare da fitsari.
Yadda za a ba da gudummawar jini?
Shirya don gwajin ya ƙunshi kasancewa cikin komai a ciki, abincin da yakamata yakamata a gama shi awanni 8 kafin a yi amfani da shi.
Shan giya ya ƙunshi abin sha na musamman - ruwan kwalba ko tsarkakakken ruwa. Abubuwan da ke cikin ruwan inabi an keɓe su gaba ɗaya; duk da rashin kulawa da sha'awar shaye-shaye, batun ya kamata ya daina shan giya kwanaki 2 kafin binciken. Abubuwan buƙatun guda ɗaya sun shafi shan sigari (dakatar da rabin rana kafin aiwatar). Yin amfani da abin taunawa ya kamata kuma a jinkirta shi na ɗan lokaci.
Ma'aikatan jiki da 'yan wasa a wannan lokacin ya kamata su soke nauyin wutar lantarki da horo.
Ko da kuwa yanayin sabis ɗin (aiki), ya kamata a guji yanayin damuwa.
Binciken na iya shafar ranar binciken:
- zaman tausa;
- ilimin halittar jiki;
- Gwajin X-ray.
Idan za ta yiwu (kuma da izinin likita mai halartar), ya kamata a soke magunguna a wannan lokacin, idan ba zai yiwu a yi hakan ba, to, ku gargadi likitan dakin gwaje-gwaje.
Idan aka cika waɗannan sharuɗɗan, amincin gwajin jini ta hanyar karɓa (glucometer) zai zama mafi girma. Don ƙarin ƙimar ƙididdigar mai nuna alama, yakamata ku ɗauki jini daga yatsa ko jijiya (daidai da umarnin likita).
Bidiyo daga gwani:
Menene banbanci tsakanin gwajin ƙwayar cuta ta ciki da gwajin jini?
Gwajin jini don sukari ta hanyar ɗauka daga yatsa (daga cibiyar sadarwa mai ƙarancin ra'ayi) ba karamin ƙididdigar bincike ba ne saboda yawancin abubuwan da suka shafe shi - daga ƙwanƙwasa hannu zuwa janyewar alamura ko karɓar narkewa.
Rashin tasiri na metabolites nama, venous jini sanar da game da matsakaita jini sukari ga dukan kwayoyin.
Cikakken lambobi don ƙwayar plasma (jinin venous) shine iyakoki daga 4.6 zuwa 6.1, don ƙaddamarwa (daga yatsa) - daga 3.3 zuwa 5.5 mmol / L.
Ana iya gudanar da binciken a cikin dakin gwaje-gwaje na kowane ma'aikacin likita a cikin shugabanci da aka karɓa daga likitan halartar (endocrinologist, therapist, pediatrician).
Al'ada a cikin yara da mata masu juna biyu
Sakamakon wannan ƙididdigar yana motsawa ba kawai ta hanyar ɗanɗani matsanancin wahalar jiki ko damuwa ba, har ma da shekaru, jinsi, da kuma wani yanayin yanayin binciken (alal misali, ciki).
Norms ga mata masu juna biyu sunada yawa saboda girman aikin, wanda ke buƙatar kara haɓaka metabolism da kuma babbar buƙatar glucose.
Nazarin da aka gudanar aƙalla sau biyu (a 8-12 da makonni 30) karatun ya ba da dama ga mata masu juna biyu adadi (a mmol / l) har zuwa:
- 6.0 don cin gashin kansa;
- 7.0 don maganin ɓacin rai.
A duk yanayin shakku, ana gudanar da gwajin haƙuri na glucose ko an yi amfani da wani gwaji (alal misali, fructosamine ko don abubuwan da ke cikin haemoglobin).
Idan dabi'un alamomin sukari na jini ga maza da mata masu juna biyu iri ɗaya ne (daga 3.3 zuwa 5.5 don maganin ƙawancen kuma daga 3.7 zuwa 6.1 mmol / l don venous), to ga yara akwai wasu iyakoki saboda tsufa.
Don haka, wannan alamar da ke nuna jini a cikin yara daidai yake da:
- har zuwa shekara 1 na 2.8-4.4;
- daga shekara 1 zuwa shekaru 3.3-5.0;
- sama da shekaru 5 yayi dace da alamomi na manya (3.3-5.5 mol / l).
Binciken yara da ake zargi da kamuwa da cutar sankara (hyperglycemia) da cututtukan siga, da kuma mata masu juna biyu (waɗanda haɗarin haɓaka da cutar ya fi na matan da ba su haihuwa) ba a iyakance ga gwajin jini da fitsari don matakan glucose.
Ana gudanar da cikakken binciken duk yanayin asalin hormonal da kuma aikin kowane glandon endocrine, gami da abubuwan da ke cikin jijiyoyin pituitary da glandon adrenal. Tunda hadarin ga wannan cutar ya yi yawa sosai kuma yana ƙaruwa da kowace tsara, ana ɗaukar matakan rarrabewa game da wanzuwar ƙwayoyin gado waɗanda ke zama tushen tushen wanzuwar irin waɗannan cututtukan cututtukan cututtukan ƙwayar cuta kamar cutar DIAMOND.
Hanyar gwajin kwayoyin halitta har ma da ƙarin bincike na yau da kullun na iya rage haɗarin ciwon sukari na MODY - ciwon sukari na LADA da sauran nau'ikan cutar tare da etiology ba a fahimta sosai ba.
Tare da magance matsalolin dabarun (kulawa da marasa lafiya, kulawa da ciki kamar yadda ya kamata, lura da ci gabanta ta amfani da hanyar duban dan tayi, taimako a tsarin iyali), da kuma daukar matakan da suka fi karfin komawa rayuwa al'adun abinci da jiki, binciken dakin gwaje-gwaje ya kasance ɗayan manyan ayyukan magunguna. cututtukan inda hanya mai sauƙi da gwadawa har yanzu yana da amfani - nazarin jini da aka karɓa daga jijiya ko daga yatsa.
