Renal glucosuria

Mafi yawan lokuta ana gado ga Rashin glucosuria azaman cututtukan cututtukan cututtukan kansa.

Gwajin haƙuri a cikin gwajin ya bayyana wani lebur mai sukari mai laushi. Ainihin, yanayin mutane tare da wannan cutar ba ya wahala. Idan akwai karancin glucose, raunin safarar wannan abun yafi bayyana a cikin hanji fiye da kodan, sabili da haka, wannan cutar ana nuna shi ta hanyar ci gaban narkewa kamar yadda yake zama matattarar ruwa. Yaron riga a cikin makonni na farko na rayuwa yana tasowa cikin rashin abinci mai gina jiki (rashin nauyin jiki). Ka'ida ta asali don magance glucoseur na koda shine hana yunwa (ana buƙatar abinci akai-akai). Game da ƙwayar glucose mai ƙaran gaske, gudanarwar fitsari a matsayin babban abincin abinci yana da tasiri. Tare da shekaru, alamun bayyanar nakasar sufuri na iya lalacewa.

Renal Glucosuria

1. Primary na koda glucosuria (laifofin gado na tubular jigilar glucose):

1) glucosuria ya zama ruwan dare,

3) malabsorption na glucose da galactose,

4) Cutar Fanconi (ciwon sukari na glucoamine phosphate).

2. Na biyu na renal glucosuria (hanawa da hanzarin sufurin glucose):

Bayyanar cututtuka na Renal Glucosuria

Kodan shine tace jini. Ruwan da aka tace a cikin koda yana wucewa ta hanyar tubule, inda abubuwa da yawa da ke cikin jini, gami da glucose, suna komawa zuwa cikin kewaya, kuma kayayyakin abubuwan da basa cancanta a jikinsu ana fitar dasu ne cikin fitsari.
A al'ada, yakamata a mayar da glucose cikin jini.
A cikin marasa lafiya da wannan cuta, yawancin glucose sun ɓace a cikin fitsari, yayin da matakinsa a cikin jini ya kasance al'ada. Dalilin duk wannan shine maye gurbi a cikin hanyar, wanda ke da alhakin sinadarin da ke buƙatar karɓar sukari a cikin jini.
Nau'in gado shine mallakar kansa (idan mahaifi ɗaya yana da ƙwaƙƙwaran ƙwayar cuta mai ɗorewa wanda aka watsa shi ga zuriya, to, za'a haifi ɗa tare da wannan cutar)
Tare da lalacewa mai tsawo na glucose da raguwa a cikin yawan ƙwayar carbohydrates daga abinci, mummunar cuta tana faruwa a jiki. Matsayin glucose a cikin jini ya ragu, sel suna samun isasshen abinci mai gina jiki, musamman ƙwayoyin kwakwalwa, wanda ke tare da asibitin da ya dace. Bayan glucose, ruwa da abubuwan ma'adinai, musamman potassium, an kebe su a cikin fitsari. Wannan yakan haifar da rashin ruwa a jiki.

Likita zai taimaka wurin magance cutar

Binciko

Tarin tarihin likita da gunaguni na cutar: a matsayin mai mulkin, ba zato ba tsammani a cikin nazarin fitsari an ƙaddara matakin sukari mafi girma. Yawancin marasa lafiya ba su da asibiti, kodayake wasu tare da asarar ci gaba na urinary glucose suna da gunaguni na gajiya, kafafu masu rauni, yunwar ciki, tsananin farin ciki, gumi, zafin ƙwayar tsoka, karuwar fitowar fitsari a kowace rana, tashin hankali na zuciya, damuwar ruwa.

Janar jarrabawa: kasa a cikin ci gaban jiki na jarirai da yara.

An gano cutar ne a mafi yawan lokuta kan binciken gwaje-gwaje:

nazarin halittar jini - glucose yana tsakanin iyaka,
glucose a cikin dukkan sassan fitsari,
daidaitaccen sukari na sukari (gwajin haƙuri haƙuri) bayan saukar glucose. Kafin binciken, mai haƙuri ya kamata ya ci akalla awanni 10. Ana ɗaukar jini kuma an ƙaddara glucose. Sukari na yau da kullun shine 3.5-5.5 mmol / L a kan komai a ciki. Bayan haka, mai haƙuri ya ɗauki 75 g na sukari da aka narkar da a cikin ruwa na 200 ml. Bayan minti 30, 60, 90 da 120, ana ɗaukar jini kuma ana nazarin matakin glucose. Sugar a cikin awa daya ya kamata ba sama da 11 mmol / L ba. Bayan wani awa 1 (wato, sa'o'i 2 bayan shan glucose), sukari ya zama ƙasa da lambar farko ko ta farkon.
Glucose a cikin fitsari safe. Glucose a cikin fitsari yawanci ba ya nan ko kuma ana samun shi a cikin adadi kaɗan, har zuwa 0.8 mmol / L. Tare da wannan cutar, matakin glucose ya wuce na yau da kullun, har ya kai 10.0 mmol / l ko fiye.
Hanya don ƙaddara glucose a cikin fitsari ta hanyar amfani da alamun nunawa. Wannan hanya tana dogara ne da takamaiman hadawan abu da iskar shaka wanda yake amfani da sinadarin enzyme glucose oxidase. Sakamakon hydrogen peroxide an lalata shi ta hanyar peroxidase (enzyme) kuma yana lalata fatsi. Canza launin fenti yayin lokacin hada ƙarfi yana nuna kasancewar glucose a cikin fitsari.
Gano glucose a cikin fitsari ta amfani da gwajin Guinness. Hanyar ta dogara da ikon glucose don ragewa a cikin matsakaici na alkaline lokacin da aka mai zafi, farin ƙarfe oxide hydrate (launin shuɗi) zuwa jan karfe na farin ƙarfe (launin rawaya) da jan ƙarfe na farin ƙarfe (launin ja).
Gano glucose a cikin fitsari ta amfani da gwajin Benedict. Hankalin ya samo asali ne daga kayan glucose don rage sinadarin farin ƙarfe oxide a cikin matsakaiciyar alkaline zuwa oxide jan ƙarfe (rawaya) ko jan ƙarfe na jan karfe (jan).

Renal Glucosuria Jiyya

Yawancin lokaci ba a buƙatar magani. Koyaya, yara ƙanana da wannan cuta yakamata su bi abinci tare da isasshen ƙwayoyin carbohydrates don haɓaka ta jiki, don haka cewa hypo- (rage ƙananan yawan sukari na jini a ƙasa da 3.5 mmol / L) da hyperglycemia (ƙara yawan ƙwayar sukari na jini sama da 5.5 mmol / l). A saboda wannan, wajibi ne don la'akari da aiki na jiki da kuma matakin karɓar carbohydrate daga abinci. A cikin mummunan yanayin cutar, an wajabta magani wanda ke kawar da alamun cutar.
Tare da raguwa sosai a cikin glucose jini, ana saka shi cikin ciki.
Idan rashin ruwa ya faru, mafita tare da ma'adanai suna narkewa.
Hakanan ana ba da umarnin rage cin abinci mai arzikin potassium, kamar 'ya'yan itatuwa bushe.

Rigakafin Glucosuria

Takamaiman rigakafin cutar glucoseur na koda ba ta wanzu.
Tun da wannan cutar ta gado ce, ga iyayen da ke da yaro mara lafiya, a cikin batun tsara juna biyu, ya zama dole a nemi shawarar kwayoyin.

BAYANIN HANKALI

Ana buƙatar shawara tare da likita