Koyi duk game da bayanin martaba na glycemic
Don gano bayanin martaba na glycemic, mai haƙuri yana gudanar da sau da yawa a rana sau da yawa sau da yawa na ma'aunin sukari na jini ta amfani da na'urar ta musamman - glucometer.
Irin wannan kulawa ya zama dole don aiwatar da shi don daidaita adadin da ake buƙata na insulin wanda aka gudanar a cikin nau'in ciwon sukari na 2 na sukari, da kuma kula da lafiyarku da yanayin lafiyar ku don hana haɓaka ko raguwar glucose jini.
Bayan an yi gwajin jini, ya zama dole a yi rikodin bayanan a cikin rubutaccen bayanin musamman.
Ya kamata a gwada marasa lafiyar da ke dauke da cutar sukari ta guda 2, wadanda ba sa bukatar insulin a kowace rana, don tantance bayanan su na yau da kullun a kalla sau daya a wata.
Thea'idar alamun da aka samo ga kowane mara lafiya na iya zama mutum ɗaya, gwargwadon haɓakar cutar.
Yaya ake yin sammacin jini don gano sukarin jini
Ana yin gwajin jini don sukari ta amfani da glucometer a gida.
Domin sakamakon binciken ya kasance daidai, dole ne a kiyaye wasu ƙa'idodi:
- Kafin a yi gwajin jini na sukari, kuna buƙatar wanke hannun ku da sabulu sosai, musamman kuna buƙatar kulawa da tsabtace wurin da za a yi aikin samin jini.
- Bai kamata a goge shafin fatar da maganin da ke dauke da maganin da zai sa maye don ya karkatar da bayanan da aka samu ba.
- Ya kamata a aiwatar da samfurin jini ta shafa a hankali a hankali a kan yatsan a cikin yanki na fukan. Babu matsala ya kamata ka matse jini.
- Don haɓaka kwararawar jini, kana buƙatar riƙe hannunka na ɗan lokaci a ƙarƙashin ramin ruwan dumi ko a hankali tausa yatsanka a hannunka, inda za a yi hujin.
- Kafin gudanar da gwajin jini, ba za ku iya amfani da mayukan shafawa da sauran kayan kwalliya waɗanda zasu iya shafar sakamakon binciken ba.
Yadda zaka tantance GP din yau da kullun
Eterayyade bayanin martaba na glycemic na yau da kullun zai ba ku damar kimanta halayen glycemia a ko'ina cikin rana. Don gano mahimmancin bayanan, ana yin gwajin jini don glucose a cikin sa'o'i masu zuwa:
- Da safe a kan komai a ciki,
- Kafin ka fara cin abinci,
- Bayan awa biyu bayan kowace abinci,
- Kafin a kwanta
- A awowi 24
- A awanni 3 da mintuna 30.
Hakanan likitocin sun bambanta gajeriyar hanyar GP, don ƙudurin wanda ake buƙatar yin bincike ba fiye da sau hudu a rana ba - daya daga farkon safiya akan komai a ciki, sauran kuma bayan abinci.
Yana da mahimmanci a tuna cewa bayanan da aka samo suna da alamomi daban-daban fiye da na plasma na venous, saboda haka ana bada shawarar yin gwajin sukari na jini.
Hakanan wajibi ne don amfani da glucometer iri ɗaya, alal misali, zaɓi taɓa taɓawa ɗaya, tunda ƙimar glucose na na'urori daban-daban na iya bambanta.
Wannan zai ba ku damar samun ingantattun alamomi waɗanda za a iya amfani da su don nazarin halin da ake ciki na haƙuri kuma ku kula da yadda al'ada take canzawa kuma menene matakin glucose a cikin jini. Musamman, yana da mahimmanci a kwatanta sakamako tare da bayanan da aka samo a cikin yanayin dakin gwaje-gwaje.
Abinda ya shafi ma'anar GP
Mitar ƙayyade bayanin martaba na glycemic ya dogara da nau'in cutar da yanayin mai haƙuri:
- A cikin nau'in farko na ciwon sukari mellitus, ana gudanar da binciken kamar yadda ya cancanta, lokacin jiyya.
- A nau'in ciwon sukari na 2, idan an yi amfani da abincin warkewa, ana gudanar da binciken sau ɗaya a wata, tare da rage yawan GP.
- Game da ciwon sukari na mellitus na nau'in na biyu, idan mai haƙuri ya yi amfani da kwayoyi, ana ba da shawarar yin nazarin gajerar hanyar sau ɗaya a mako.
- A nau'in ciwon sukari na 2 na sukari ta amfani da insulin, ana buƙatar taƙaitaccen bayanin martaba kowane mako da kuma bayanin glycemic na yau da kullun sau ɗaya a wata.
Gudanar da irin waɗannan karatun suna ba ku damar guje wa rikice-rikice da ragi a cikin sukari na jini.
Alamu don bincike
Bincike galibi ake yi don dalilai na kariya. Profileayyade bayanin martaba na glycemic zai baka damar gano ƙarancin ciki a cikin farji da daukar lokaci. Ga mutanen da ke cikin haɗari, ya kamata a aiwatar da bayanin martaba na shekara.
Mafi sau da yawa, ana gudanar da bincike ga mutanen da ke fama da ciwon sukari mellitus, duka nau'in 1 da nau'in 2.
Bayanin glycemic don nau'in 1 na ciwon sukari ya zama dole don gyara kullun kashi na insulin. Tunda idan ana yin amfani da allurai masu yawa sosai, matakin glucose na iya raguwa a kasa da al'ada kuma wannan zai haifar da asarar hankali har ma da rashin lafiya.
Idan matakin glucose ya wuce iyakar halatta izini, to mai ciwon sukari na iya samun rikitarwa daga koda da tsarin zuciya. Tare da haɓaka haɓakawa cikin matakan sukari, ƙarancin ƙwaƙwalwa da ƙwaƙwalwa suma suna iya yiwuwa.
Babu ƙarancin mahimmanci shine nazarin ga mata masu juna biyu.
A wannan yanayin, yawan sukarin jini na mace na iya yin barazanar zubar da ciki ko haihuwa.
Yadda za a wuce?
Ana gudanar da binciken ne ta amfani da gwajin jini a lokuta daban daban na rana. Zai dace a lura cewa karatun 2-3 a rana ba zai iya ba da cikakken hoto ba. Don samun cikakken fahimta, ana buƙatar bincike daga 6 zuwa 9 kowace rana.
Anna Ponyaeva. Ta sauke karatu daga Cibiyar Nazarin Kiwon Lafiya na Nizhny Novgorod (2007-2014) da kuma Gidan zama a Clinical Laboratory Diagnostics (2014-2016) Tambayi wata tambaya >>
Dokokin yin samfurin jini
Ana iya samun sakamako na al'ada. kawai za a bi dukkan ka'idodin samfuran jini. Ana amfani da farin yatsa don bincike. Kafin shan jini, wanke hannayenka sosai tare da sabulu da ruwa.
Zai fi kyau mu guji rukunin shinge tare da maganin maganin maye.
Bayan fyaɗe, yakamata jinin ya bar rauni ba tare da ƙarin matsin lamba ba.
Kafin yin samfurin jini, zaku iya tausa hannu da yatsunku. Wannan zai inganta kewayawar jini da sauƙaƙe hanyar.
Ka'idodi na asali:
- shinge na farko yana gudana da safe akan komai a ciki,
- m fences ko dai kafin abinci, ko 2 hours bayan cin,
- An dauki samfurori ba kawai kafin lokacin barci ba, amma kuma a tsakar dare da kuma kusan 3 na safe.
Yadda za a shirya don bincike?
Don ware yiwuwar samun karatun ko ba daidai ba, ya zama dole kafin gudummawar jini Guji abubuwanda ke haifar da sukari na jini.
Kafin yin bincike, zai fi kyau mu guji shan taba da shan giya da abubuwan shaye-shaye. Kawar da yawan kiba a jiki da kwakwalwa. Guji damuwa da yanayin juyayi.
Rana kafin bincike, kuna buƙatar dakatar da shan duk kwayoyi waɗanda ke shafar sukarin jini.
Yana halatta barin barin insulin canzawa kawai.
Bayyana sakamakon
Dangane da yanayin jikin mutum ko nau'in cutar sankara a halin yanzu, za a yi la'akari da alamun da yawa a matsayin al'ada. Ga mutumin da ke da lafiya, ana ganin alamun daga 3.5 zuwa 5.8 mol na al'ada ne. Manuniya daga 6 zuwa 7 sun riga sun nuna kasancewar abubuwan jijiyoyin jini a cikin jiki. Idan alamu sun wuce alamar 7, zamu iya magana game da bayyanar cutar sukari.
A cikin mutane tare da insulin-dogara da nau'in ciwon sukari, alamomi har zuwa 10 mol. Tare da nau'in ciwon sukari na 2 a kan komai a ciki, matakan sukari na iya wuce ƙimar al'ada, amma bayan cin abinci ya wuce zuwa 8 ko 9.
A cikin mata masu juna biyu, ma'aunai da aka ɗauka akan komai a ciki yakamata su nuna fiye da 6 mol.
Bayan cin abinci, ƙaramin ƙara yawan sukari na jini ya karɓa, amma da tsakar dare ya kamata ya zama ƙasa da 6.
Hanyar tantance bayanan yau da kullun na glycemic profile:
- da safe bayan farkawa a kan komai a ciki,
- Kafin babban abinci,
- 1.5 awa bayan abincin rana
- 1.5 awa bayan abincin dare,
- kafin a kwanta
- a tsakar dare
- da 3.30 da safe.
Ma'anar bayanin martaba ta amfani da glucometer
Samun glucose a gida na saukaka rayuwa ga masu ciwon sukari. Tare da shi, zasu iya sa ido kan canje-canje a cikin sukari na jini kuma suna ɗaukar matakan da suka dace ba tare da barin gida ba.
Don ƙayyade bayanin martaba na gida tare da glucometer, waɗannan ka'idoji iri ɗaya sun shafi binciken bincike a asibiti.
- an shirya farfaji don huda, an tsabtace shi da kyau,
- an saka allurar da za'a iya zubar dashi cikin alkairin mitar da aka yi niyyar yi,
- aka zaɓi zurfin huɗa,
- Na'urar ke kunnawa, bincike kan na'urar
- ana yin huda akan wani yanki da aka zaɓa na fata (wasu samfuran suna yin hujin kai tsaye bayan danna maɓallin "fara"),
- Ya danganta da tsarin sikirin mitir, ana amfani da digo daya na jini a tsiri na gwaji ko an kawo tip na firikwensin,
- Bayan nazarin na'urar, zaku iya ganin sakamakon ku.
Mahimmanci! Yawanci, ana yin huɗa a yatsa, amma idan ya cancanta, ana iya yin wannan a wuyan hannu ko a ciki.
Labarin Glucometer
Hanyar Accu-Chek
Devicearamin naƙurar da aka haɗa a cikin abin da huda take ɗauke da allura 6, cassette na gwaji don nazarin 50 ana haɗuwa, duka a cikin ɗayan yanayi ɗaya. Mita tana nuna mataki na gaba kuma yana nuna sakamakon bayan 5 seconds. Aunawa yana farawa ta atomatik bayan cire maɓallin fis ɗin. Kudin daga 4000 rub.
Tauraron Dan Adam
Kyakkyawan na'urar ƙoshin tsada wanda aka yi a Rasha. Farashin kayayyaki masu cirewa kadan ne, yayin da sigogi na mita ba ku damar amfani da shi ba kawai a gida ba, har ma a cikin asibiti. Na'urar tana tattara adadin jinin da ya wajaba domin yin binciken. Tunawa da sakamakon binciken ƙarshe 60 da suka gabata. Kudin daga 1300 rub.
Deacon
Ya bambanta, watakila, ta mafi ƙarancin farashi tare da aikin da ba shi da ƙima ga na'urori masu tsada. An yi shi a Rasha. Mita tana kunnawa ta atomatik bayan an saka tsararren gwaji, sakamakon zai nuna 6 seconds bayan samamen jini. An ƙaddara matakin sukari ba tare da coding ba. Sanye take da rufe kai bayan minti 3 na rashin aiki. Mai ikon adana sakamakon binciken ƙarshe na 250. Cost daga 900 rub.
OneTouch Ultra Easy
Veryaramar veryarama da nauyi mara nauyi wacce ta dace ɗauka. Girman na'urar shine kawai 35 gr. Don saukaka karanta sakamakon, allon yana da girma kamar yadda zai yiwu; yana mamaye dukkan gaban na'urar. Idan ya cancanta, za'a iya haɗa na'urar ta hanyar komputa. Na'urar na iya adana bayanan bincike tare da lokaci da ranar gwajin. Kudin daga 2200 rub.
Kalli bidiyo game da wannan na'urar
Siffofin Kulawa a cikin Mata masu juna biyu
Matsayin glucose na jini na mace mai ciki raguwa da ƙima fiye da marasa ciki. Wannan shi ne saboda halaye na tafiyar matakai na rayuwa a cikin jiki. Amma idan kai mai kiba ne ko kuma kana da tsinkayar jinin sankarar mama, mace mai ciki zata iya yin ciwon sikari.
Includedayyade sukari na jini yana cikin jerin gwaje-gwajen da aka bai wa mata masu juna biyu. Idan mace tana da alaƙa da zazzabin ciwon sukari, ban da gwajin sukari na asali, an wajabta mata gwajin haƙuri na glucose.
Pewarewarsa shine farkon bincike wanda aka yi da safe a kan komai a cikisannan a tsakanin mintuna 5 zuwa 10 mace ta sha gilashin ruwa tare da glucose da ke narkewa a ciki (75 MG).
Bayan awa 2, ana yin gwaji na biyu.
Ga mutanen da ke cikin koshin lafiya idan babu ƙwayoyin cuta, ana ganin alamun masu zuwa kamar al'ada:
Testsauki gwaje-gwajen sukari ya kamata a kai a kaidon samun damar sanin matsalar.
Idan kuna zargin ko kuna da haɗari Zai fi kyau a gudanar da gwajin jini a cikin tsauri (bayanin martaba na glycemic). Gano lokaci-lokaci game da cututtuka kusan koyaushe yana ba da damar don kyakkyawan jinya ko riƙewa a farkon matakan haɓaka.
Babban bayani
Gwajin glucose na jini don sukari ya sa ya yiwu a fahimci yadda matakin glucose a cikin jini yake canzawa yayin rana. Godiya ga wannan, zaka iya tantance matakin glycemia a kan komai a ciki kuma bayan cin abinci.
Lokacin da ake ba da irin wannan bayanan, likitancin endocrinologist don shawara, a matsayin mai mulkin, ya ba da shawarar a kan ainihin lokacin da mai haƙuri yake buƙatar yin samfurin jini. Yana da mahimmanci a bi waɗannan shawarwarin, kuma kada su keta alƙalin da ake bi don samun ingantaccen sakamako. Godiya ga bayanan wannan binciken, likita zai iya kimanta tasiri na maganin da aka zaɓa kuma, idan ya cancanta, gyara shi.
Mafi kyawun nau'ikan gudummawar jini yayin wannan bincike sune:
- sau uku (misalin karfe 7:00 a kan komai a ciki, da karfe 11:00, ya bayar cewa karin kumallo ya kusan 9:00 kuma a 15:00, wato, awanni 2 bayan cin abincin rana),
- sau shida (a kan komai a ciki da kowane 2 sa'o'i bayan cin abinci a rana),
- sau takwas (ana yin wannan binciken ne a cikin kowane sa'o'i 3, gami da cikin daren).
Auna ma'aunin glucose yayin rana fiye da sau 8 ba shi da amfani, wani lokacin kuma yawan karanto karatu ya wadatar. Don gudanar da irin wannan binciken a gida ba tare da alƙawarin likita ba ya da ma'ana, saboda kawai zai iya ba da shawarar mafi kyawun adadin samfuran jini da fassara sakamakon daidai.
Karatun nazari
Kashi na farko na jini ya kamata a sha da safe akan komai a ciki. Kafin matakin farko na binciken, mai haƙuri zai iya shan ruwan da ba a carbonated ba, amma ba za ku iya goge haƙoran ku da haƙogin da ke ɗauke da sukari da hayaki ba. Idan mai haƙuri ya ɗauki kowane magani na tsararru a wasu sa'o'i na rana, wannan ya kamata a ba da rahoton ga likitan halartar. Daidai ne, ba za ku iya shan wani magani na kasashen waje a ranar bincike ba, amma wani lokacin tsalle-tsintsin kwayar cuta na iya zama haɗari ga lafiyar, don haka kawai likita ya kamata ya yanke irin waɗannan maganganun.
A gabanin bayanin martaba na glycemic, yana da kyau a bi tsarin da aka saba da shi kuma kada ku shiga motsa jiki sosai.
Dokokin Samun jini na jini:
- Kafin yin amfani da fata, fata na hannayen ya zama mai tsabta da bushewa, ya kamata a kasance akwai sauran sabulu, cream da sauran kayayyakin tsabta a kanta,
- ba a so a yi amfani da mafita na barasa azaman maganin rigakafi (idan mai haƙuri ba shi da magani mai mahimmanci, dole ne a jira har sai mafita ta bushe a kan fata kuma a bugu da bushe bushe allurar tare da mayafin tsami),
- ba za a iya fitar da jini ba, amma idan ya cancanta, don haɓaka kwararar jini, zaku iya taɓo hannun ku dan kadan kafin ɗaukar ruwa ku riƙe shi na mintuna biyu a cikin ruwan dumi, sannan ku goge shi bushe.
Lokacin aiwatar da bincike, ya zama dole a yi amfani da wannan naúrar, tunda calibrations na glucoeters daban-daban na iya bambanta. Dokar guda ɗaya takan shafi silarorin gwaji: idan mit ɗin ya goyi bayan amfani da nau'ikansu, don binciken har yanzu kuna buƙatar amfani da nau'i ɗaya kawai.
Likitoci suna ba da irin wannan binciken ga marasa lafiya da ke fama da ciwon sukari, iri biyu da na biyu. Wasu lokuta ana amfani da kimar glycemic bayanin martaba don gano ciwon sukari a cikin mata masu juna biyu, musamman idan dabi'un glucose din jinin su na azumi sun bambanta tsawon lokaci. Manyan alamomi game da wannan binciken:
- bincike game da tsananin tsananin cutar tare da kafaffen bincike na ciwon sukari mellitus,
- gano cutar a farkon matakin, wanda sukari yakan tashi bayan cin abinci, kuma a kan komai a ciki ana kiyaye halaye na yau da kullun,
- kimantawa game da tasirin aikin magani.
Sakamako shine yanayin haƙuri yayin da canje-canje masu raɗaɗi da ake ciki an daidaita su kuma kada su shafi yanayin jiki gaba ɗaya.Dangane da ciwon sukari mellitus, don wannan ya zama dole don cimmawa da kuma ci gaba da matsayin matakan glucose a cikin jini da rage ko kuma cire cikakkiyar isnadin da ke cikin fitsari (dangane da nau'in cutar).
Score
Ka'ida a cikin wannan binciken ya dogara da nau'in ciwon sukari. A cikin marasa lafiya da ke da nau'in cuta ta 1, ana ɗaukar rama idan matakin glucose a cikin kowane ma'aunin da aka samu kowace rana bai wuce 10 mmol / L ba. Idan wannan darajar ta bambanta, to wataƙila ya zama dole a duba tsarin sarrafawa da kuma yawan insulin, kamar yadda kuma a ɗan lokaci bi wani tsarin cin abinci mai tsauri.
A cikin marasa lafiya waɗanda ke da nau'in ciwon sukari na 2 na sukari, ana kimanta alamun 2:
- azumi glucose (bai kamata ya wuce 6 mmol / l ba),
- matakin glucose na jini yayin rana (kada ya zama bai wuce 8.25 mmol / l ba).
Don tantance matsayin diyya na cutar sankara, ban da bayanan glycemic, ana yin allurar sau da yawa akan gwajin fitsari na yau da kullun don tantance sukari a ciki. Tare da nau'in ciwon sukari na 1, har zuwa 30 g na sukari ana iya fitar da shi ta hanyar kodan a rana, tare da nau'in 2 ya kamata ya kasance gaba ɗaya cikin fitsari. Wadannan bayanan, da kuma sakamakon gwajin jini don glycosylated haemoglobin da sauran sigogi na kwayoyin suna sa ya yiwu a tantance halaye na yadda cutar take.
Sanin canje-canje a matakan glucose na jini a duk tsawon rana, zaku iya ɗaukar matakan warkewa na lokaci a cikin lokaci. Godiya ga cikakkun hanyoyin bincike na likita, likita zai iya zaɓar mafi kyawun magani ga mai haƙuri kuma ya ba shi shawarwari game da abinci mai gina jiki, salon rayuwa da aikin jiki. Ta hanyar kiyaye matakin sukari, mutum yana rage hadarin bunkasa mummunan rikice-rikice na cutar da inganta ingantacciyar rayuwa.
Ma'anar Hanyar
A cikin nau'in 2 na ciwon sukari na mellitus, kulawa akai-akai game da matakan sukari na jini ya zama dole don tantance yanayin kiwon lafiya, tare da daidaita lokaci na kashi na allurar insulin. Kulawa da alamu na faruwa ne ta amfani da bayanan bayanan glycemic, watau gwaji da aka gudanar a gida, a ƙarƙashin dokokin da suka kasance. Don ƙididdigar ma'auni, a gida, ana amfani da glucose, wanda dole ne ku iya amfani da shi daidai.
An rage sukari nan take! Ciwon sukari na tsawon lokaci na iya haifar da tarin cututtuka, kamar matsalolin hangen nesa, yanayin fatar da gashi, ulcers, gangrene har ma da cutar kansa! Mutane sun koyar da ƙwarewar haushi don daidaita matakan sukari. karanta a.
Alamu don amfanin bayanin martaba na glycemic
Mutanen da ke fama da ciwon sukari na 2 ba sa buƙatar ɗaukar allurar insulin akai-akai, wanda ke haifar da buƙatar bayanin martaba na glycemic a kalla sau ɗaya a wata. Alamun suna kan mutum ɗaya ga kowane, gwargwadon ci gaban ilimin halittu, saboda haka ana bada shawara don adana abubuwan rubutawa tare da rubuta dukkan alamomin can. Wannan zai taimaka wa likita don kimanta alamomi da daidaita sashi na allurar da take bukata.
Gungun mutanen da ke buƙatar bayanin martaba na yau da kullun sun hada da:
- Marasa lafiya suna buƙatar mahimmin allura. Gudanar da halayen GP ana tattaunawa kai tsaye tare da likitan halartar.
- Mata masu juna biyu, musamman masu fama da cutar siga. A matakin karshe na ciki, ana yin GP ne don ware ci gaban ciwon suga.
- Mutanen da ke da nau'in ciwon sukari na biyu waɗanda ke kan abinci. Za'a iya aiwatar da GP a taƙaice sau ɗaya a wata.
- Nau'in masu ciwon suga da ke buƙatar allurar insulin. Ana yin cikakken GP sau ɗaya a wata, ba a cika aiki kowane mako.
- Mutanen da suka karkata daga abincin da aka wajabta.
Yaya ake ɗaukar abu?
Samun kyakkyawan sakamakon kai tsaye ya dogara da ingancin shinge. Harshen shinge na yau da kullun yana faruwa ne da wasu mahimman dokoki:
- A wanke hannu tare da sabulu, a guji kamuwa da cuta tare da giya a wurin samin jini,
- jini yakamata a bar yatsa, ba za a iya sanya matsi a kan yatsa ba,
- don inganta kwararar jini, ana bada shawara don tausa yankin da ake buƙata.
Yaya ake ɗaukar gwajin jini?
Kafin binciken, ya kamata ku bi wasu fewan umarni don tabbatar da sakamako daidai, wato:
- hana kayayyakin sigari, kauda tunanin tunani da damuwa na jiki,
- guji shan ruwa mai bayyanawa, an ba da ruwa mara kyau, amma a cikin kananan allurai,
- don bayyananniyar sakamako, ana bada shawara don dakatar da amfani da kowane irin kwayoyi waɗanda ke da tasiri a kan sukari na jini, sai insulin, na yini ɗaya.
Ya kamata a gudanar da bincike tare da taimakon glucose guda ɗaya don guje wa rashin kuskure a cikin karatun.
Dole ne a dauki gwajin jini don tantance bayanan glycemic ɗin daidai, bin umarnin da aka bayar:
- ɗauki gwajin farko ya kamata da sassafe a kan komai a ciki,
- a cikin kullun, lokacin samin jini ya zo kafin cin abinci da 1.5 sa'o'i bayan cin abinci,
- ana yin wannan aikin kafin lokacin kwanciya,
- shinge mai zuwa yana faruwa da karfe 00:00 na dare,
- Nazarin karshe yana faruwa ne da karfe 3:30 na dare.
Matsayi na alamomi
Bayan samfurin, ana yin rikodin bayanan a cikin littafin rubutu da aka keɓance musamman kuma a bincika su. Yanke sakamakon sakamako yakamata a gudanar da shi nan da nan, karatun yau da kullun yana da karamin fuska. Dole ne a gudanar da tantancewa tare da yin la'akari da bambance-bambance masu yiwuwa tsakanin wasu nau'ikan mutane. Ana ganin alamun al'ada ne:
- na manya da yara daga shekara a 3.3-5.5 mmol / l,
- don mutanen da suka tsufa - 4.5-6.4 mmol / l,
- don kawai haifuwa - 2.2-3.3 mmol / l,
- ga yara har zuwa shekara - 3.0-5.5 mmol / l.
Baya ga shaidar da aka gabatar a sama, hujjojin da:
Don gano sakamakon, kuna buƙatar dogara da daidaitattun alamun sukari na jini.
- A cikin jini na jini, ƙimar sukari bai wuce darajar 6.1 mmol / L ba.
- Alamar glucose cikin sa'o'i 2 bayan cin abinci na carbohydrate kada ya zama bai wuce 7.8 mmol / L ba.
- A kan komai a ciki, ƙasan sukari kada ta zama 5.6-6.9 mmol / l.
- Ba a yarda da sukari a cikin fitsari.
Abisawa
Ana yin rikice-rikice daga ƙa'idar aiki idan aka lalata tsarin glucose na metabolism, wanda a cikin yanayin karatun zai tashi zuwa 6.9 mmol / L. Idan ya wuce karatu na 7.0 mmol / l, ana tura mutumin zuwa gwaje-gwaje don gano ciwon sukari. Bayanin glycemic a cikin ciwon sukari zai ba da sakamakon binciken da aka yi akan komai a ciki, har zuwa 7.8 mmol / L, kuma bayan cin abinci - 11.1 mmol / L.
Menene zai iya shafan daidaito?
Ingancin bincike shine daidaito na sakamakon. Abubuwa da yawa zasu iya shafar amincin sakamakon, wanda na farkon shine watsi da hanyoyin bincike. Kuskuren aiwatar da matakan aunawa yayin rana, yin watsi da lokaci ko tsallake duk wasu ayyukan, zai gurbata daidaiton sakamakon da dabarar magani mai zuwa. Ba wai kawai daidaitaccen bincike ba ne kawai, har ma da lura da matakan shirye-shiryen yana shafar daidaito. Idan a kowane dalili an keta shirye-shiryen tantancewar, ƙirar shaidar za ta zama makawa.
Kullum GP
GP na yau da kullun - gwajin jini don matakan sukari, ana aiwatarwa a gida, a cikin sa'o'i 24. Gudanar da GP yana faruwa ne bisa ga ka'idodi na wucin gadi don gudanar da ma'auni. Wani mahimman abu shine sashin shirye-shirye, da kuma ikon amfani da na'urar aunawa, misali glucose. Gudanar da HP kullun, dangane da ƙayyadaddun cutar, watakila kowane wata, ma'aurata sau ɗaya a wata ko mako.
Mutanen da ke da sukari jini ya kamata a kula da sukarin jininsu koyaushe. Ana amfani da GP a matsayin ɗayan ingantacciyar hanyoyin sarrafa sukari yayin rana, musamman ga masu nau'in cutar 2. Wannan yana ba ku damar sarrafa halin da ake ciki kuma, dangane da sakamakon, daidaita magani a hanyar da ta dace.
Shin har yanzu yana da alama ba zai yiwu a warkar da ciwon sukari ba?
Yanke hukunci da cewa kuna karanta wadannan layin yanzu, nasara a yaki da cutar hawan jini ba a bangaren ku ba tukuna.
Kuma kun riga kunyi tunani game da maganin asibiti? Abu ne mai fahimta, saboda cutar sankarau cuta ce mai matukar hatsari, wanda, idan ba a yi maganin ta ba, na iya haifar da mutuwa. Tsammani mai ƙishi, saurin fitar iska, hangen nesa. Duk waɗannan alamun suna sane da ku.
Amma yana yiwuwa a bi da sanadin maimakon tasirin? Muna ba da shawarar karanta wata kasida game da cututtukan cututtukan ciwon sukari na yanzu. Karanta labarin >>
Jin dadi da cutar amai da gudawa
Ba ƙari bane a faɗi game da cutar sankarau ta duniya. Halin da ake ciki shine bala'i: ciwon sukari yana ƙara yin ƙarama kuma yana kara tsanantawa. Gaskiya ne gaskiya ga cututtukan type 2, wanda ke da alaƙa da abinci mai gina jiki da salon rayuwa gaba ɗaya.
Glucose shine ɗayan manyan playersan wasa a cikin aikin ɗan adam. Ya yi kama da mai da iskar gas a cikin tattalin arzikin ƙasa - babban tushen samar da makamashi ga duk tafiyar matakai na rayuwa. Matsayi da tasiri na wannan "man" yana sarrafa insulin, wanda aka samar a cikin ƙwayar ƙwayar cuta. Idan aikin ƙwayar cutar ta lalacewa (wato, wannan yana faruwa tare da ciwon sukari), sakamakon zai zama mai lalacewa: daga bugun zuciya da bugun jini zuwa asarar hangen nesa.
Glycemia ko glucose na jini shine babban abin nuni ga kasancewar ko rashin ciwon sukari. Fassarar ma'anar kalmar "glycemia" shine "jini mai daɗi." Wannan shine mafi mahimmancin canji da aka sarrafa a cikin jikin mutum. Amma kuskure ne a dauki jini don sukari sau daya da safe kuma a kwantar da hankali akan wannan. Ofayan mafi mahimmancin nazarin shine bayanin martaba na glycemic - fasahar "mai ƙarfi" don ƙayyade matakin glucose a cikin jini. Glycemia alama ce mai sauƙin yanayi, kuma ya dogara da abinci sosai.
Yadda za a ɗauki bayanin martaba na glycemic?
Idan kun yi aiki daidai da ƙa'idodin, kuna buƙatar ɗaukar jini sau takwas, daga safiya zuwa dare. Shinge na farko - da safe akan komai a ciki, duk mai zuwa - daidai minti 120 bayan cin abinci. Takenaukar sassan jikin dare na dare da karfe 12 na safe kuma daidai sa'o'i uku daga baya. Ga waɗanda ba su da lafiya tare da ciwon sukari ko kuma ba su karɓar insulin a matsayin magani, akwai ɗan gajeren fasali na bincike don bayanin martaba na glycemic: shinge na farko da safe bayan bacci + hidiman uku bayan karin kumallo, abincin rana da abincin dare.
Ana ɗaukar jini ta amfani da glucometer dangane da ƙa'idodi na m:
- Wanke hannu tare da sabulu mara ƙanshi.
- Karku sanya fata tare da barasa a wurin allurar.
- Babu shafawa ko ruwan shafa mai a fata!
- Rike hannunka mai ɗumi, tausa yatsanka kafin allura.
Norm a cikin bincike
Idan iyakokin abubuwan da ke cikin sukari a cikin jinin mutum mai lafiya sun kasance 3.3 - 6.0 mmol / l, to, ana la'akari da alamun bayanin martaba na al'ada tare da lambobi daban-daban:
- Tare da bayyanar cututtuka na nau'in 1 na ciwon sukari, yanayin yau da kullun na bayanan glycemic shine 10.1 mmol / L.
- Tare da bayyanar cututtuka na nau'in ciwon sukari na 2, matakin glucose na safe bai wuce 5.9 mmol / L ba, kuma matakin yau da kullun bai wuce 8.9 mmol / L ba.
Ana gano ciwon sukari mellitus idan azumin (bayan azumin 8 na dare) yayi daidai ko sama da 7.0 mmol / L aƙalla sau biyu. Idan muna magana ne game da glycemia bayan cin abinci ko nauyin carbohydrate, to a wannan yanayin matakin mahimmanci shine daidai ko mafi girma daga 11.0 mmol / L.
Yana da matukar muhimmanci cewa alamun glycemic rate na iya bambanta dangane da shekaru da kuma wasu dalilai (ga tsofaffi, alal misali, ɗan ƙaramin matakan da aka yarda da shi), sabili da haka, ya kamata a ƙayyade iyakokin daidaitattun abubuwa tare da bayanin ilimin glycemic profile gabaɗaya daban-daban daban-daban kawai ta hanyar endocrinologist. Yin watsi da wannan shawara ba shi da daraja: a kan sikeli sun yi mummunan yanke shawara game da dabaru da kuma maganin cutar sankara. Kowane kashi goma na alamun za su iya taka muhimmiyar rawa a ci gaba na rayuwar “sukari” ta mutum.
Nuances masu dadi
Yana da mahimmanci a bambanta bayanin glycemic daga abin da ake kira curve sugar curve (gwajin haƙuri na glucose). Bambance-bambance a cikin wannan nazarin na asali. Idan an dauki jini akan bayanan glycemic a wasu takaddama a kan komai a ciki kuma bayan abinci na yau da kullun, to, ƙwayar sukari tana ɗaukar bayanan sukari a cikin komai a ciki kuma bayan ɗaukar nauyi "mai dadi". Don yin wannan, mai haƙuri bayan ɗaukar samfurin farko na jini ya ɗauki gram 75 na sukari (yawanci shayi mai zaki).
Irin waɗannan nazarin ana kiran su fata ne. Su, tare da tsarin sukari, sune mafi mahimmanci a cikin binciken cututtukan sukari. Bayanin glycemic shine ƙididdigar bayani mai zurfi don haɓaka dabarun magani, lura da sauye sauyen cutar a mataki yayin da aka riga aka gano cutar.
Wanene yana buƙatar tantancewa kuma yaushe?
Ya kamata a tuna cewa an tsara bincike don GP, har ma da fassarar sakamakonsa, kawai likita! An yi wannan:
- Tare da farkon nau'i na glycemia, wanda aka tsara ta hanyar abinci kuma ba tare da kwayoyi ba - kowane wata.
- Idan an gano sukari a cikin fitsari.
- Lokacin shan magunguna waɗanda ke daidaita glycemia - kowane mako.
- Lokacin ɗaukar insulin - ɗan gajeren bayanin martaba - kowane wata.
- A nau'in 1 na ciwon sukari, wani tsarin samfuri na mutum dangane da yanayin asibiti da ƙirar ƙwayar cuta.
- Ciki a cikin wasu halaye (duba ƙasa).
Cutar glycemia na ciki
Mata masu juna biyu na iya haɓaka nau'in nau'in ciwon sukari na musamman - gestational. Mafi yawan lokuta, irin wannan ciwon sukari ya ɓace bayan haihuwa. Amma, abin takaici, akwai lokuta da yawa yayin da ciwon sukari na mata masu juna biyu ba tare da kulawa da kulawa da kyau ba kuma kulawa ya juya zuwa ciwon sukari na 2. Babban “mugu” shi ne mahaifa, wanda ke ɓoye abubuwan homon da ke da tsayayya wa insulin. Mafi bayyane, wannan gwagwarmayar hormonal don iko an bayyana shi a cikin makonni 28 - 36, lokacin da aka wajabta bayanin glycemic a lokacin daukar ciki.
Wasu lokuta a cikin jini ko fitsari na mata masu juna biyu, abubuwan da ke cikin sukari ya wuce al'ada. Idan waɗannan maganganun ba su da aure, kada ku damu - wannan shine "rawar" ilimin halittar jiki na mata masu juna biyu. Idan an lura da girman glycemia ko glycosuria (sukari a cikin fitsari) fiye da sau biyu kuma a kan komai a ciki, zaku iya tunani game da ciwon sukari na mata masu juna biyu kuma ku sanya bincike don bayanin martaba na glycemic. Ba tare da jinkiri ba, kuma nan da nan kuna buƙatar sanya irin wannan bincike a cikin yanayi:
- kiba ko mai ciki
- dangi na farko-farkon masu cutar siga
- cutar ovaria
- mata masu ciki sama da shekara 30.