Ana buƙatar gwajin fitsari don sukari idan likitan da ke halarta sun yi zargin cewa mutum yana haɓaka ciwon sukari ko wata cuta mai alaƙa da aikin kodan.
Glucose wani mahimmin abu ne a cikin jini, amma kasancewar sa a cikin fitsari yana zama babbar alama ce ta bayyanar cutar sankara a cikin mutum. Don samun ingantaccen bayani, ana yin bincike ne game da fitsari don kasancewar glucose a ciki, wanda ya bambanta da daidaitaccen nazarin fitsari ta hanyar algorithm da hanyoyin aiwatarwa.
Me yasa suke wuce fitsari don sukari?
Glucose na iya kasancewa a cikin fitsarin mutum, amma cikin kasala mai zurfi. Za a yi la'akari da ƙaramin sukari al'ada. Tare da babban abun ciki na carbohydrate a cikin fitsari, zamu iya magana game da kasancewar glucosuria a cikin mutane.
Glucosuria yana faruwa ne saboda dalilai da yawa, babban cikinsu sune:
- rashin aiki na tsarin endocrine;
- akai damuwa;
- yawan aiki;
- maganin wuce gona da iri.
A matsayin mayar da martani ga jikin mutum, ana samun karin matakan glucose a cikin fitsari. Glucosuria ya bayyana a kan tushen ci gaban ciwon sukari mellitus kuma tare da ƙarancin sha na glucose ta hanta.
Shan samfurin fitsari don sukari ya zama dole tare da alamu masu zuwa:
- ciwon kai
- kullum jin busasshen baki da ƙishirwa;
- jin yunwar kullun;
- m urination;
- bayyanar matsalolin hangen nesa;
- kullun jin gajiya;
- yawan bugun kafafu da hannaye.
Dalilin binciken gaggawa shine saurin asarar nauyi daga mutum. A cikin maza, an lura da matsalolin ikon, a cikin mata - take hakkin sake zagayowar haila.
Ka'idojin tattarawa
Tarin fitsari don gano sukari a ciki yana buƙatar shiri na farko. Idan ba tare da shi ba, likita ba zai iya samun ingantaccen ingantaccen bayanai akan abubuwan da zasu iya haifar da yawan glucose a cikin fitsari ba.
Yawancin ya dogara da nau'in bincike. Zazzage safe da zaɓin urinalysis yau da kullun.
Accuratearin cikakken bayanai na samar da bincike na yau da kullun. Tare da taimakonsa, yana yiwuwa a tantance matakin bayyanawar glucosuria.
Shiri don isarwa
Tsarin shirye-shirye don wucewa duka nau'ikan bincike a cikin haƙuri ba su da bambanci. An ba da shawarar dakatar da shan magunguna kwana ɗaya kafin aiwatarwa. Kada ku ɗauki diuretics.
Bugu da ƙari, dole ne a kiyaye yanayi mai zuwa:
- kada ku cinye samfuran da zasu iya canza launin fitsari (buckwheat, tumatir, kofi, lemu, beets, shayi) yayin rana da ranar bincike;
- pre-stock bakararre bushe kwantena don bincike (karami don safe bincike, 3-lita na yau da kullum);
- kada ku yi aiki da jiki da motsa jiki kafin ɗaukar gwaje-gwaje;
- kar a wuce gona da iri;
- a ranar bincike, gudanar da tsabtace na al'aurar (shafa gabobin tare da sabulu kuma shafa da tawul ɗin takarda);
- a cikin bincike na safe, mara lafiya kada ya ci wani abinci da safe.
Yadda ake tattara bayanan yau da kullun?
Idan an ba da bincike na safe sau ɗaya, to, yau da kullun ya ƙunshi tattara fitsari duk rana. Don hanya, kuna buƙatar babban ƙarfin da zai iya ɗaukar litattafan fitsari sama da 3. A lokacin rana, mara lafiya yana cinye ruwa a daidai gwargwado, yana kiyaye al'ajin.
Lokacin ƙaddamar da bincike na yau da kullun, ana ba da algorithm na ayyuka na gaba:
- farkon safiyar safiya zuwa bayan gida tare da kwashe ƙwanji ba tare da tattara fitsari ba;
- daga tafiya ta biyu, ana tattara fitsari a cikin babban akwati guda;
- tarin yana faruwa ne cikin awanni 24 (daga safiya zuwa safe);
- kowane lokaci, ana saka akwati tare da fitsari da aka tara a cikin firiji, inda aka ƙirƙiri mafi yawan zafin jiki na 4-70C;
- washegari, mara lafiya ya rubuta adadin fitsari da aka kebe masa a rana;
- banki ya rubuta nauyi, tsayin mutum;
- bayan wucewa binciken, abubuwan da ke cikin tukunyar suna girgiza su;
- 200 ml kawai ana ɗauka daga ɗayan ƙwayar fitsari duka kuma an zuba su a cikin kwanon da aka shirya da bakararre da bushe;
- Wannan akwati an canja shi zuwa ƙwararren masani.
Marasa lafiya suna buƙatar kulawa da kulawa sosai da wannan algorithm. Ya kamata a tattara hanta a cikin kwantena guda. Bai kamata a ajiye shi a zazzabi a ɗakin ba. Bayanai masu dogaro sun nuna kayan da aka watsa a cikin sa'o'i 1.5 daga lokacin ɓullar ƙarshe na mafitsara. Idan wannan lokacin ya wuce, binciken yana ba da bayanai marasa inganci saboda canji mai sauri a cikin sinadaran fitsari.
Sugar a cikin gwajin fitsari yayin daukar ciki
Yayin aiki na yau da kullun na macen da ke da juna biyu, wannan nau'in carbohydrate kada a lura dashi cikin fitsari.
Daga mako na 27 na ciki, mata galibi suna da alamomi a cikin yawan sukari fitsari. Wannan yana faruwa ne saboda buƙatar tayin na glucose. A saboda wannan dalili, jikin mahaifiyar yana fara fitar da sukari mai yawa, yana rage jinkirin samar da insulin na dan wani lokaci.
Kasancewar glucose a cikin fitsari na mata masu juna biyu yana da alaƙa da babban nauyi a kan kodan. Ba koyaushe suna iya iya wuce haddi ba, wuce wani sashi cikin fitsari. Lokaci-gajere kuma lura da wani yawan sukari mai urinary a cikin mata masu ciki ana daukar su dabi'a ce ta al'ada.
Tare da tsarin tabbatar da wannan sabon abu, mace mai juna biyu zata fi kamuwa da ciwon suga.
An bayyana wannan ta alamu:
- karfi da ci;
- m ƙishirwa, bushe bakin;
- urination akai-akai;
- karuwa cikin karfin jini;
- bayyanar cututtuka a cikin farji.
Rukunin hadarin sune mata:
- ta kasance cikin ciki bayan shekara 30;
- da ciwon sukari mai yawa da fitsari kafin samun juna biyu;
- kiba;
- haihuwar ɗa ta farko tana nauyin kilogram 4.5.
Shawarwarin da ke gaba zasu taimaka wajen kawar da bayyanar glucose a cikin fitsari a cikin mata masu juna biyu:
- hutawa;
- lura da kuzarin nauyi;
- kasancewa karkashin kulawar likitan kwararru;
- daina shan sigari da barasa yayin daukar ciki;
- bayarwa na gwaji akai-akai.
- abincin abinci.
Hanyoyi don ƙaddara glucose a cikin fitsari
Tabbatattun gwaje-gwaje sun kasa gano kasancewar ko rashin sukari a cikin fitsari.
Don wannan, ana amfani da hanyoyi na musamman:
- Gwajin Nilander;
- gwajin glucose oxidase;
- Samin gwaji;
- Hanyar launi;
- hanyar polarimetric.
Tebur bayanin yadda hanyoyin tabbatar da glucose:
Hanyar gano glucose | Bayanin Hanyar |
| Gwajin Nilander | Toarin ƙari ga fitsari na reagent dangane da sinadarin bismuth da gishiri na Rochelle, narkar da shi a cikin maganin soda na caustic. Samun ruwan sha da ruwan kwalliya yana nuna kasancewar sukari a ciki. Gwajin yana bayar da sakamako na gaskiya. |
| Glucose oxidase gwajin | Glukotest alamar takarda takarda yana nitsar da fitsari a cikin 'yan dakiku kaɗan. Tsiri yana canza launi lokacin da akwai babban glucose. |
| Samfuran Guinness | Hanyar hanyar ta samo asali ne daga ƙari 20 na saukad da reagent zuwa fitsari bisa gaurayawar jituwa tare da juna a cikin tasoshin da keɓaɓɓun jan karfe da ruwa mai narkewa, soda da ruwa, glycerin da ruwa. Jirgin farko da na biyu suna gauraye kuma an zuba su a na uku. Idan aka sake juyawa a cikin fitsari, yakan samu ruwan shuɗar shuɗi, bayan haka maɓallin yana motsawa a cikin ɓangaren har sai ya tafasa. Maganin a gaban glucose a cikin fitsari ya zama launin rawaya. |
| Hanyar launi | Launin fitsari da aka haɗe da alkali yana ƙayyade matakin glucose a ciki. Ana amfani da ma'aunin launi na Althausen na musamman. |
| Hanyar polarimetric | Amfani da polarimita, ƙarfin zirin carbohydrate don ƙyalle katako na hasken wutar lantarki ta wani lungu na musamman an ƙaddara shi. Amfani da wuya. |
Norms da fassarar bincike
Farashin fitsari yana da alamomi:
- yawan fitsari a kowace rana - daga 1200 zuwa 1500 ml;
- launi - rawaya mai launin shuɗi;
- Tsarin fitsari a bayyane;
- matakin sukari - ba ya fi 0.02%;
- matakin pH - ba kasa da 5 ba, ba fiye da 7;
- rashin kamshi mai daurewa;
- adadin furotin ya kai 0.002 g / l.
Abubuwan bidiyo daga Dr. Malysheva game da ka'idoji da dalilai na canje-canje a cikin nazarin fitsari:
Idan ƙimar al'ada ta wuce, ƙwararrun na kulawa da tattara cikakkiyar hoto tare da tantance bayanan bincike kamar haka:
- yawan fitowar fitsari a kowace rana - ci gaban polyuria a kan asalin babban nauyin ruwa a jiki a matsayin alama bayyananniyar cutar sankara ko ciwon insipidus;
- launi mai duhu - ƙarancin ruwa a jiki ko riƙewa cikin kyallen takarda;
- turbid fitsari - ci gaban urolithiasis ko cututtukan kumburi na kodan, mafitsara saboda kasancewar farji;
- karuwar taro na sukari - ciwon sukari mellitus, na koda glucosuria;
- babban pH - malfunction na kodan;
- ƙanshi mai daɗi - ciwon sukari, yawancin jikin ketone;
- wuce haddi gina jiki - pyelonephritis, cystitis, hauhawar jini, urethritis, koda da tarin fuka, prostatitis (a cikin maza).
