Abubuwan ƙirar sukari na sukari na jini sun halatta gwajin glucose

Written by Alla a ranar 18 ga Maris, 2019. An buga shi a cikin Cutar sankara

Cutar sukari bincikar lafiya lokacin da karatun jini ya haɓaka fiye da lafiyar mutum ya kamata, amma wannan matakin ya ƙanƙanta sosai don gano cutar sukari irin ta 2. Ba tare da magani ba, rashin yiwuwar kamuwa da ciwon sukari irin na 2 daga ciwon suga yana da girma sosai. Ana iya jayayya cewa gano wannan yanayin yana da matukar muhimmanci domin har yanzu akwai damar sauya hanyar rayuwa da hana cutar sankarau da illarta.

Ruwan sukari na sukari kamar yadda aka ƙaddara

An bayyana matsayin mai narkewa azaman glucose mai azumi mai narkewa (IFG) ko kuma rashin haƙuri na glucose (IGT).

Gwajin glucose mai azumi da gwajin magana ta baki (ana daukar glucose a baki) don yin haƙuri a cikin glucose (OGTT) ya zama dole don ganewar asali don tabbatar da shi.

Gwajin sukari na sukari na jini don maganin ciwon suga

Cutar cutar sankarau
Idan glucose mai azumi ya kai 5.6-6.9 mmol / L (100-125 mg / dL)An wajabta gwajin glucose na baka.

Idan sakamakon bayan awa biyu yana ƙasa da 140 mg / dl (7.8 mmol / L),Ana gano IGF (yanayin insulin-kamar ci gaban), wato, azancin azumin al'ada.

Sakamakon haka, tsakanin 140 mg / dL (7.8 mmol / L) da 199 mg / dL (11.0 mmol / L)An gano cutar ta IGT, wato, rashin haƙuri da ciwon suga.

Dukansu IGF da IGT suna nuna alamar ciwon suga.

Idan sakamakon gwajin glucose bayan sa'o'i biyu ya wuce 200 mg / dl (11.1 mmol / L)bincikar lafiya tare da nau'in ciwon sukari na 2.

Gwajin gwajin haƙuri

  • Ana yin fasalin sukari (a wasu kalmomin: glycemic curve, gwajin nauyin glucose na baka, gwajin OGTT) a cikin mutane waɗanda ke zargin nau'in sukari na 2 da ciwon sukari na gestational.
  • Gwajin OGTT ya ƙunshi a cikin auna sukarin jini mai azumi, sannan ɗaukar maganin glucose da sake sake duba matakan glucose - minti 60 da 120 bayan gwajin farko.
  • Yakamata mai sukari a lokacin daukar ciki ya kamata a yi sau biyu.

Dalilin gwajin shine gwada jikin don karuwar sukari kwatsam. Cutar sankara na iya nuna sakamakon glucose bayan awanni 2.

Yawan tallata sukari bayan awa 2

Sharaɗan sukari shine gwaji da ake gudanarwa a ƙarƙashin sunaye daban-daban, kamar su: glycemic curve, gwajin nauyin glucose, OGTT, gwajin haƙuri a cikin gwaji, gwajin haƙuri.

Gwajin OGTT shine raguwa don gwajin haƙuri na glucose, wanda ke nufin "gwajin glucose na baka".

Yin nazarin ƙwayar sukari yana taka muhimmiyar rawa a cikin binciken cututtukan ciwon sukari kuma yana taimakawa bayyanar cututtukan type 2.

Motsa Jiki na Glucose

Ana ba da shawarar gwajin nauyi a cikin glucose ga mutanen da ke ɗauke da sukarin jini mai yawa.

Abinci na Sugar - Matsayi:

  • Yin azumi sukari na jini - kasa da 5.1 mmol / L,
  • Matsayin sukari bayan minti 60 bayan gwajin ya kasa da 9.99 mmol / l,
  • Matsayin sukari bayan minti 120 bayan gwajin ya kasa da 7.8 mmol / L.

Yadda ake shirya domin gwajin glucose

  • Dole ne a yi gwajin nauyin glucose a kan komai a ciki - ba a ɓoye sama da sa'o'i 8 bayan abincin ƙarshe.
  • Ranar kafin gwajin sukari ya kamata a iyakance shi game da amfani da Sweets da abinci mai ɗaci.
  • Koyaya, bai kamata ku iyakance adadin carbohydrates a cikin abincinku ba - yana da kyau ku ci abincin da kuke ci yau da kullun, ba tare da hani ba.
  • An ba da shawarar kar a ɗauki ƙarin ƙarin aikin motsa jiki, shan taba ko shan giya awanni 24 kafin gwajin.

Cutar sukari wanda ke shafar sukarin jini

Kamuwa da cuta (har ma da sanyi) na iya karya sakamakon gwajin sukari. Amfani da wasu magunguna na iya shafar sakamakon gwajin OGTT - an bada shawara cewa ku daina shan diuretics, steroid da maganin hana haihuwa kwana uku kafin gwajin OGTT (bayan kun tattauna da likitan ku).

Mai tsananin damuwa na iya tasiri a sakamakon (sakamakon damuwa, jiki na iya bugu da ƙari a cikin jini).

Halin ƙwayar cutar abin da za a yi

Abubuwan da ke tattare da hadarin kamuwa da cutar sankarar mahaifa sun hada da:

  • ciwon sukari a cikin wata haihuwa da ta gabata,
  • sama da shekara 35
  • nau'in ciwon sukari guda 2 a cikin dangi,
  • kiba da kiba,
  • hauhawar jini kafin daukar ciki,
  • polycystic ovary syndrome.

Ana gano ciwon sukari a cikin gwajin sukari na sukari lokacin da sukari ya wuce: 100 mg / dl (5.5 mmol / L) akan komai a ciki ko 180 mg / dl (10 mmol / L) 1 sa'a bayan cinye maganin 75 g glucose ko 140 mg . / dl (7.8 mmol / L) 2 hours bayan cin 75 g na glucose.

Alamar cututtukan jihar

Ofaya daga cikin alamun bayyanar cututtuka waɗanda ke iya nuna alamar cutar maleriya ita ce fata mai duhu a wasu sassa na jiki, kamar yatsan hannu, wuya, gwiwoyi, da gwiwar hannu. Wannan sabon abu ana kiransa duhu keratosis (acanthosis nigricans).

Sauran bayyanar cututtuka sune na kowa ga masu ciwon suga da ciwon suga kuma sune:

  • karuwa da ƙishirwa
  • karuwar ci
  • urination akai-akai
  • nutsuwa
  • gajiya
  • karancin gani.

Babu alamun cutar da yakamata a yi watsi dashi. Idan kana cikin damuwa cewa kana iya kamuwa da cutar sankara, sai ka tuntuɓi GP ɗin ka kuma tambaye su su binciki glucose ɗin jininsu. Hakanan likita ya kamata ya bincika mai haƙuri, a cikin abin da zai tantance abubuwan haɗari don haɓakar rikice-rikicen metabolism.

Abubuwan da ke tattare da Hadarin Lafiyar

Abubuwan haɗari don haɓaka matsayin masu ciwon sukari sun zama ruwan dare tare da abubuwan haɗari ga masu ciwon sukari na 2.

Yakamata ayi bincike a kowace shekara 3, sama da shekaru 45, shekara ko kuma duk shekara idan aka sami ƙarin abubuwan haɗari, kamar su:

  • ciwon sukari wanda ke shafi dangi - iyaye, 'yan'uwa,
  • kiba ko kiba - BMI fiye da 25 kg / m2, keɓewa ta sama sama da 80 cm a cikin mata ko 94 cm a cikin maza,
  • dyslipidemia - wato, bayanin martaba na rashin lafiyar mahaifa - maida hankali ne kan HDL na 150 mg / dl 1.7 mmol / l,
  • hauhawar jini (≥140 / 90 mmHg)
  • matsalolin mata masu ciki da na jijiyoyin mata a cikin mata, kamar: ciki tare da ciwon suga na mahaifa, haihuwar yaro wanda yai nauyi sama da 4 kilogiram, polycystic ovary syndrome (POCS),
  • ƙarancin motsa jiki
  • bacci mai bacci.

Sanadin masu ciwon sukari

Ba a san ainihin ainihin ci gaban cututtukan ciwon suga ba. Koyaya, wannan nauyin iyali da lafiyar jiki an nuna shi a matsayin babban abin da ke haifar da haɓaka matsayin masu ciwon sukari. Kiba, musamman kiba marassa karfi, da kuma rayuwa mai kauri, suna da babban tasiri ga ci gaban wannan yanayin.

Maganin ciwon sukari

Mafi haɗarin rikicewar cututtukan cututtukan ƙwaƙwalwar ƙwayar cuta shine haɓaka kamuwa da cutar siga mai nau'in 2. Canza ingantaccen salon rayuwa a mafi yawan lokuta yana taimakawa wajen dawo da matakin glucose na jini zuwa al'ada ko hana shi hauhawa zuwa matakin da aka lura da shi a cikin masu ciwon suga. Koyaya, a cikin wasu mutane, koda rayuwa ta canza, ciwon sukari na 2 ya fara ci gaba.

Shawarwari don mutanen da suka kamu da cutar sankarau sun haɗa da:

  • Abinci mai lafiya - ana bada shawara a iyakance abincin mai-mai-mai-mai da-mai-mai-mai-fure ga abinci mai wadatar fiber.
  • A matsayin abincin da yake da sauƙin aiwatarwa a rayuwar yau da kullun, suna amfani da jita-jita na Rum,
  • increaseara cikin aiki na jiki - maƙasudin shine minti 30-60 na motsa jiki a kowace rana. Dole ne a tabbatar cewa fashewa daga aikin jiki bai wuce kwana 2 ba. Kuna iya farawa da akalla tafiya ta yau da kullun, hawan keke ko iyo a cikin ruwa,
  • rasa karin fam - asarar nauyi da kimanin 10% na iya rage haɗarin kamuwa da ciwon sukari na 2. Lokacin rasa nauyi ko da kilo kaɗan, zaku sami lafiyar lafiya, ƙarin kuzari da sha'awar rayuwa, ingantacciyar darajar kanku.

Magunguna na magunguna - kawai idan canjin rayuwa ya zama mara amfani. Zaɓin farko shine metformin, wanda, a tsakanin wasu abubuwa, yana ƙara ƙarfin jijiyar jiki ga insulin yana yaduwa cikin jini, wanda ke rage matakin glucose a cikin jini.

Dangane da nau'in ciwon sukari na 1, a matsayin mai mulkin, babu alamun gargadi game da cutar sankarau. Koyaya, a cikin nau'in ciwon sukari na 2, ciwon sukari shine daidai lokacin da alamun damuwa ke bayyana. Idan kuna zargin ciwon sukari, sukarin jininka zai iya taimaka muku da sauri don gano asali kuma, mahimmanci, motsa ku zuwa hanzarta canza yanayin rayuwarku don haka jinkirta ko gaba ɗaya hana ci gaba da ciwon sukari. Waɗanda ba su kula da wannan gargaɗin ba da alama suna iya dogara gaba ɗaya ga ilimin insulin a nan gaba.

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