Glucose shine tushen samar da makamashi mafi mahimmanci ga sel, tare da taimakon taimakon kwayoyin halittar ATP, wanda, ta hanyar konewa, ya kawo “wannan” makamashi mai mahimmanci. Ana ajiye glucose mai wucewa a matsayin fili na musamman - glycogen: an yi niyya ne idan ana fama da yunwar abinci da kuma rashin glucose a cikin jini. Hakanan glycogen shima wajibi ne ga jiki yayin lokutan motsa jiki.

Daga cikin wadansu abubuwa, glucose wani bangare ne na hadaddun mahaukatan jiki - mai, furotin. Amma mahimmancin glucose bai iyakance garesu ba, tunda monosaccharide shima yana cikin haɓakar metabolism. Don haka, ya kamata a aiwatar da wannan mai na duniya baki daya ba tare da tsangwama ba saboda wutar lantarki.

Yaya ake mamaye glucose a cikin yara? Fasali na aiwatarwa

A cikin jarirai da yara a farkon shekarar rayuwa, matakan glucose na jini suna ƙasa da na manya. Amma yaron yana girma, kuma a lokaci guda, buƙatar ƙara wannan matakin yana ƙaruwa. Guda kamar na manya (ka'idodin har zuwa 6 mmol / l), matakin glucose na jini a cikin yara ya zama bayan shekara biyar.

A cikin mintuna 30 na farko bayan farawar shan sugars mai sauƙi (watau, daga gare su, kazalika da hadaddun carbohydrates a cikin jiki, an samar da glucose) a cikin hanji, matakin sukari na jini yana ƙaruwa da ɗan kadan: wannan kwatanci ne ga cututtukan jiki. Jiki yana fara aiki da jijiyoyin neuro-hormonal wanda ke daidaita matakin glucose don kunna amfani da shi ta hanyar kyallen takarda.

Gudanar da sukari a cikin jinin yara: a wane shekaru ya kamata a aiwatar?

Daga cikin yawancin cututtukan endocrine na yara, ciwon sukari shine jagora. Don haka, wannan nau'in cuta ta 1 ana haifar da ƙarancin insulin, wanda ke amfani da glucose a cikin jiki. Saboda haka, gwajin da aka yi akan lokaci da kuma maganin da aka fara nan da nan yana da matukar muhimmanci.

In ba haka ba, cutar tana ci gaba da sauri kuma tare da mummunan sakamako, saboda karuwar metabolism da saurin girma na jikin yaron. Kuma tunda a karo na farko a lokacin ƙuruciya, an lura da haɓakar haɓaka a cikin shekaru 6-7 (lokacin wannan lokacin ne yarinyar tayi girma), yana da matukar muhimmanci a bincika ko sukarin ɗan ku daidai yake a wannan matakin rayuwarsa.

Wanene ke haɗarin haɓakar haɓakar hauhawar jini

Increasearuwar yawan sukarin jini cikin jiki yakan faru:

• a cikin yara tare da gado na asali game da ciwon sukari da kuma malfunctions a cikin matakai na rayuwa,
• a cikin waɗannan yara waɗanda iyayensu (ɗaya ko duka biyu) suna fama da ciwon sukari - a farkon yanayin, haɗarin shine 10%, a cikin na biyu - fiye da 50,
• sau da yawa a cikin tagwaye tare da dacewar gado.

Me yakamata a kula dashi na musamman

Ga masu ciwon sukari na 2, cuta ce mai cutarwa ko kuma illa ce:

• kiba, yawanci yana da kiba wanda ya zama tsokanar matsaloli tare da metabolism,
• rauni, rigakafi, rashin bitamin D a jiki,
• lalacewar ƙwayar cuta ta farji - tare da mura, cytomegaly, da sauransu.
• yawan kiba a lokacin haihuwa,
• ciyar da jariri tun da abinci mara kyau,
• wuce haddi a cikin abinci na abinci mai kyau na carbohydrate.

Ya kamata yaro ya shirya don bayar da gudummawar jini don sukari?

Ee, dole ne a yi hakan kuma a shirya shi yadda ya kamata. Wato:

• ba da jini a kan komai a ciki (i.e., abincin da ya gabata ya kamata ya zama rabin rabin rana kafin bincike),
• daga maraice a ranar hagu na bincike a cikin abincin yaro yakamata ya zama babu wani dadi kuma mai cike da abincin carbohydrates mai sauƙi,
• Kada yaro ya tauna ɗan tauna, kuma a goge haƙoran haƙora da safe, saboda suna ɗauke da sukari,
• ana iya sha magunguna kawai da izinin likita, zai gaya muku ko sakamakon gwajin zai gurbata magunguna,
• wajibi ne don kauce wa yanayin damuwa da damuwa na jiki,
• bai kamata a gano shi a lokacin rashin lafiya ba.
• bai kamata uwar da ta shayar da jarirai ta ba jaririyar a gabanin bincike ba (a cikin 'yan awanni) kuma, bugu da kari, dole ne mace ta cire duk wainar daga cikin abincin na wannan lokacin.

Idan har yanzu ana gano ciwon sukari, kuna buƙatar auna ma'aunin glucose akai-akai ta amfani da glucometer. A matsayinka na mai mulkin, ana yin wannan sau da yawa a wata. Kuna iya yin ma'aunai a gida da kanku.

Dalilin da yasa karkacewa cikin matakan sukari na jini zai yiwu: dalilai

Ganowa a cikin alamomin da suka dace sun dogara da dalilai da yawa, musamman, yana iya zama:

• abincin yarinyar
• aikin narkewa,
• tasirin wasu kwayoyin halittar jini (glucagon, insulin), kazalika da kwayoyin halittun hypothalamus, glandon thyroid da sauransu.

Rage glucose na jini

Hypoglycemia na iya lalacewa ta:

• matsananciyar yunwar da isasshen ruwa,
• matsanancin cututtuka
• maganin cututtukan cututtukan zuciya na ciki,
• cututtuka na gastrointestinal fili ko tsarin juyayi,
• mummunan raunin kwakwalwa ko cututtukan da ke hade da wannan sashin,
• wata cuta mai saurin cutar - sarcoidosis,
• maye tare da arsenic ko chloroform.

Increara yawan glucose na jini

Irin wannan ilimin, na farko, yana nuna cewa yaro yana da ciwon sukari.

Hyperglycemia na iya kasancewa yana da alaƙa da:

• rashin shiri don shan gwaje-gwaje, alal misali, yaro ya ci abinci kafin hakan ko kuma ya sami damuwa, raunin jiki,
• cututtuka na pituitary gland shine yake, thyroid gland shine yake,
• kiba
• tsawanta amfani da glucocorticoids, kazalika da magungunan anti-mai kumburi marasa amfani na steroidal,
• neoplasms a cikin pancreas, a ƙarƙashin rinjayar wanda samar da insulin ya ragu.

Sakamakon

Sharp hypoglycemia a cikin yaro na iya faruwa kamar haka:

• jariri ya zama mai yawan motsa jiki da aiki mai yawa,
• yana iya neman wani abu mai daɗi, wanda bayan an fara jin daɗi a ɗan taƙaice, ɗan yaron ya yi ɗumi, ya zama mara nauyi, yana iya jin danshi, ko kuma ya daina tunaninsa.

Bayyanar cututtukan hyperglycemia sun yi kama sosai da waɗanda ke halayyar hypoglycemia. Don haka, yaro na iya fuskantar rauni da ciwon kai. Hakanan ana haɓaka glucose na jini kuma ta hanyar kwantar da hankulan ɗamara, jin busasshiyar baki da ƙishirwa, ƙoshin fata, da matsalolin gastrointestinal.

Ciwon sukari mellitus a cikin yara: matakan kariya

Don hana haɓakar ciwon sukari a cikin yaro, iyaye suna buƙatar kiyaye abincinsu da ayyukan jiki a ƙarƙashin kulawa.

Guji yawan wuce haddi na kayan gasa da abinci mai dadi da yaro, cire iri daban-daban, kwakwalwan kwamfuta daga abinci, da rage yawan abubuwan sha. Hakanan, idan yaro ya wuce kiba, kuna buƙatar canzawa zuwa abincin abinci.

Idan kuna da alamun bayyanar cututtukan hyperglycemia, ya kamata ku tuntuɓi likitan kwalliyar nan da nan ko likitan yara.

Game da ciwon sukari mellitus, yaro yana buƙatar koyon yadda ake tantance alamun glucose na jini da kansa: irin wannan bincike ya zama al'ada. Dole ne ya kula da lafiyar kansa kuma ya sami damar shiga kashi da ake buƙata na insulin.

Ana shirya don bincike: shin kuna yin daidai?

Nazarin da yakamata (tantance glucose) yakamata a gabatar da mai zuwa:

• Kada ku ba ɗanku akalla awanni 8 kafin gwaji. Yawancin lokaci ana yin samamen jini ne da safe, don haka ya kamata ɗan ya ci abincin dare kafin lokacin, kuma kawai sha ruwa da safe,
• Ba a ba da shawarar goge haƙo haƙoranku da safe: in ba haka ba sukari daga haƙori na iya shiga jikin yaro ta hanyar gum ɗin sannan kuma sakamakon gwajin zai gurɓata.

Matsakaicin sukari na jini a cikin yara: tebur da fassarar

Tsarin sukari na jini a cikin yara shine ɗayan manyan alamu na kiwon lafiya. A saboda wannan dalili, tantance matakin glucose a cikin jini yana daya daga cikin mahimman binciken da aka ba da shawarar yin su akai-akai don gano cututtukan da za a iya samu a farkon matakin haɓaka su.

Glucose shine monosaccharide, babban tushen samar da makamashi a jikin mutum, yana samar da matakai na rayuwa. Yawan adadin glucose a cikin jini alama ce ta rashin lafiyar metabolism. Babban manajan glucose metabolism a cikin jiki shine insulin hormone wanda kwayar tayi.

Ana aiwatar da samin jini da safe a kan komai a ciki, bayan abincin da ya gabata yaro ya wuce akalla takwas, kuma zai fi dacewa awanni goma zuwa sha biyu, kawai sai a sha ruwa.

A cikin yara masu shekaru 6-7 da 10-12, haɓakar ƙwayar haɓaka, yana iya haɓaka da haɓakar yawan glucose a cikin jini. A wannan zamanin ne ake yawan samun cutar ciwon suga a cikin yara (na yara, ko nau'in ciwon sukari na 1).

Eterayyade sukarin jini a cikin yara

Don nazarin sukari, yawanci ana ɗaukar jini daga yatsa, amma kuma ana iya ɗauka daga jijiya. Ana aiwatar da samin jini da safe a kan komai a ciki, bayan abincin da ya gabata yaro ya wuce akalla takwas, kuma zai fi dacewa awanni goma zuwa sha biyu, kawai sai a sha ruwa. Da safe kafin bayar da gudummawar jini, ba a ba da shawarar yaro don goge haƙoransa, saboda abubuwan da keɓaɓɓen hakori na iya gurɓata sakamakon binciken. Saboda wannan dalili, kada a ba ɗan tauna. Hakanan za'a iya samun sakamako na tantancewa mara tushe idan yaro yana da cututtukan numfashi ko wasu cututtukan kumburi.

Lokacin yanke ma'ana sakamakon, ya kamata a ɗauka a hankali cewa beta-adrenergic agonists, adrenocorticotropic hormone, maganin kafeyin, corticosteroids, diuretics, glucagon, fructose, adrenaline, estrogens, phenothiazines, da kuma wasu masu hana ƙwayoyin cuta na iya ƙara yawan haɗuwa da glucose a cikin jini. Beta-blockers, angiotensin-canza mai hana enzyme, antihistamines na iya rage matakan glucose na jini.

Idan sakamakon binciken ya bambanta da ƙayyadaddun ƙaddarar shekaru na sukari na jini a cikin yara, ana yin ƙarin nazarin.

Idan sakamakon ya wuce iyaka na al'ada, ana yin gwajin haƙuri a kan suga. An bai wa yaro ciki komai ya sha maganin mai yalwar abinci, sannan kuma da yawa a jerin matakan glucose na jini ana yin su. Hakanan yana iya zama mahimmanci don ƙayyade matakin gemocosylated haemoglobin a cikin jini.

A gaban ciwon sukari a cikin iyaye biyu, haɗarin haɓaka shi a cikin yaro shine 25%, idan ɗayan iyayen suna fama da cutar sankara - 10-12%.

Idan kuna zargin sakamako mara tushe na gwajin sukari (alal misali, tare da shiri mara kyau don bayar da gudummawar jini, kurakurai a cikin bincike, da dai sauransu), ya kamata a maimaita karatun.

Siffofin gwajin jini ga yara

Hakanan yana da mahimmanci cewa ba a buƙatar tsari mai wahala don hanya ba: ana yin gwajin jini na gaba ɗaya har da haɗarin gaggawa zuwa asibiti. Koyaya, idan babu sauri, to don samun sakamako na ƙimar, zai fi kyau a bi wasu ƙa'idodi. Babban abu shine ba ciyar ko sha drinka beforean ba kafin ziyartar dakin gwaje-gwaje, wannan yana gurbata wasu alamun. Yana da kyau duka don bayar da gudummawar jini da sassafe saboda jariri bashi da lokacin da zai ji yunwa. Hakanan yana da mahimmanci a saita yaro don hanyar don kada ya sami damuwa a gaban allurar, tun da tsananin damuwa yana shafar kaddarorin jinin. Ana ɗaukar jini don babban bincike a cikin yara daga yatsa.

Manyan alamun gwajin jini

Jini ruwa ne mai hadadden hadaddun, wanda ya qunshi bangaren ruwa da abubuwan da aka kirkira - sel, wadanda ke da alhakin iskar oxygen da yin ayyukan kariya. Waɗannan ƙwayoyin ne - sel jini, fararen hular da farin farin jini - sune ainihin batun bincike lokacin yin gwajin jini na gaba ɗaya, saboda adadin su da bayyanar su na iya faɗi abubuwa da yawa game da abubuwanda ke haifar da rashin lafiyar ƙaramin mai haƙuri.

Designira da abun ciki na tsari tare da sakamakon UAC, waɗanda zaku karɓa daga dakin gwaje-gwaje, suna da halayen nasu. An ƙaddara wannan da farko ta hanyar ko taƙaitaccen bayani game da abin da binciken ya gudana. Likita ne ya yanke wannan shawarar.

Don dalilai na hanawa, lokacin da babu wani dalilin damuwa, an sanya yara a matsayin "sau uku" - bincike wanda ya haɗa da ƙayyade matakin Hemoglobin, erythrocyte sedimentation rate (ESR) da adadin leukocytes. Wannan hanyar tana ba ku damar samun ra'ayi gaba ɗaya game da lafiyar lafiyar yarinyar.

Koyaya, za'a iya ganin hoto mai cikakken hoto tare da cikakken gwajin jini, wanda ya haɗa da kirga yawan nau'ikan abubuwa masu fasali, da kuma wasu ƙarin alamu.

• Hemoglobin (Hb) . An samo wannan sinadarin a cikin sel jini kuma yana da alhakin musayar gas a jiki.
• Kwayoyin jini (RBC) . Yawancin ƙwayoyin jini, saboda abin da ya samo launin ja. Baya ga canzawar oxygen da carbon dioxide, ayyukan sel sel ja sun hada da canja wurin abinci, magunguna da gubobi.
• Manunin launi (ICSU) . Yaya za a gano idan akwai isasshen haemoglobin a cikin kowace ƙwayar ja? Auna mai nuna alamar launi ko, a cikin kalmomin masu sauki, ku fahimci yadda “erythrocytes” suke “canza launin” (saboda launinsu ya dace ta hanyar haemoglobin). Idan ƙwayoyin jan jini suna da kyan gani ko kuma suna da haske, ya kamata kuyi tunani game da matsalolin rashin lafiyar da ke faruwa a cikin yaran.
• Mawallafi (RTC) . Wannan alama ce mai mahimmanci a cikin binciken gabaɗaya na jini a cikin yara. Reticulocytes yara matasa ne masu jini a cikin jini, adadin abin da ke tantance yadda sauri yake cikin jinin jikin yaron.
• Filatoci (PLT) . Farashin jini yana da alhakin iyawar jini ya ɗaura da ɗaukar jini.
• Thrombocrit (PST) . Wannan manuniya yana tantance matsayin wanda platelets ke ɗauka a cikin ɗaukar ƙwayar jini yana gudana. Thrombocrit yana ba mu damar yankewa cewa tsarin coagulation na jini yana aiki. Matsaloli a cikin aikin platelet suna cikin mafi yawan lokuta asali, saboda haka yana da mahimmanci a tabbata cewa babu irin waɗannan take hakkin daga farkon farkon rayuwar jariri.
• ESR (ESR) . Idan aka lura da tsarin kumburi a jikin mutum, toshewar sel suna canza kyan su - suna manne da juna kuma suna zama "mai nauyi", wanda yawan saurin su a cikin bututun gwajin yana ƙaruwa. Sabili da haka, ESR shine ɗayan mahimman alamomi na gwajin jini gaba ɗaya, wanda ke ba da damar tabbatar da sauri ko ware gaban kamuwa da cuta a cikin yaro.
• Kwayoyin farin jini (WBC) . Kwayoyin farin jini sune “babban makamin” rigakafi. Wadannan sel suna da ire-ire iri iri, kowannensu na da nasa aikin na musamman. Amma koda kimantawa na adadin yawan leukocytes na iya gaya wa likita kai tsaye ko yarinyar tana da kumburi ko a'a.
  • Farin tantanin jinin farin yayi magana game da dangi na nau'in nau'ikan farin jinin sel a cikin gwajin jini.
  • Yanayin Neutrophils - Babban rukuni na farin jinin sel. Babban aikinsu shine kewaye da kwayoyin cutar a wurin kamuwa da cuta kuma su lalata ƙarshen. An rarraba waɗannan sel zuwa ƙungiyoyi da yawa dangane da matsayin balaga na sel - tsayayye, kashi, myelocytes, metamyelocytes. Likitoci sau da yawa suna amfani da irin waɗannan maganganun a matsayin canji a cikin tsari na leukocyte: muna magana ne game da mamaye tsakanin farin jini sel na matasa (matsawa tsari zuwa hagu) ko balaga (canza tsari zuwa hannun dama) neutrophils. Irin waɗannan yanayi ba kai tsaye suna nuna ƙarancin ƙwayoyin halittar jikin mutum na rigakafi a cikin 'yan kwanakin nan.
  • Eosinophils (EOS) . Wadannan sel suna da alhakin halayen rashin lafiyan da ke cikin jiki da kuma haɓakar ƙungiyar E immunoglobulins.Yawan ire-iren wadannan farin jinin halittar suna da muhimmanci a lokuta da ake zargin wasu cututtukan cututtukan cututtukan dabbobi ne waɗanda yara sukan sha fama da su.
  • Basophils (BAS) . Groupungiyar sel tare da ayyuka kusa da eosinophils. Matsayin su yana ba mu damar yanke shawarwari game da kasancewar kumburi a cikin jiki ko kuma alamun bayyanar cututtuka.
  • Kaya Yanar (LYM) . Wadannan kwayoyin suna lalata ƙwayoyin cuta kuma suna yaƙi da cututtukan fata. Akwai nau'ikan da yawa - sel T, sel B da sel masu kisan rai (ƙwayoyin NK).
  • Kwayoyin plasma . Don haka ake kira cikakke B-lymphocytes, wanda ke haifar da rigakafi don yaƙar cututtuka. Increaseara yawan ƙwayoyin ƙwayar plasma a cikin jinin yaro yana nuna tsayayyen juriya ga rigakafin kamuwa da cutar kwayar cuta.
  • Monocytes (MON) . Fewan kaɗan keɓaɓɓu cikin aiwatar da kewaya ta tasoshin ƙwararru kan yaƙi da wakilan ƙasashen waje, haka kuma, kamar masu tsoratar, suna cire halayen yaƙin "filin fagen fama" - sunadarai marasa amfani da gabobin sel da aka lalata.

Sakamakon babban gwajin jini a cikin yara: al'ada da karkacewa

Biye da buƙatun ƙwayoyin haɓaka, abubuwan da ke cikin jinin yaron yana ɗaukar canje-canje. Dangane da wannan gaskiyar, don tantance sakamakon gwajin jini, an bambanta rukuni na shekaru 7, wanda kuna buƙatar mayar da hankali kan lokacin fassarar alamun da aka samo. A yadda aka saba, ana ba da damar don halayen yara masu zuwa: kwana 1, wata 1, watanni 6, shekara 1, shekaru 1-6, shekaru 7-12, shekaru 13-15. An gabatar da ka'idodi masu dacewa don nazarin jini a cikin tebur:

Rage raguwar haemoglobin a cikin gwajin jini na gaba ɗaya a cikin yaro yana haifar da rashin jini, zubar jini a cikin ciki, ko kasancewar ƙwararren huhun da ake zargi. Increaseara yawan faɗakarwa a cikin wannan alamar shima alama ce ta cuta, rashin ruwa ko ƙwaƙwalwar jiki.

Rage ƙwayoyin sel ja (erythropenia) alama ce ta rashin jini, zubar jini, da kumburi mai yawan gaske. An lura da haɓaka cikin adadin ƙwayoyin jini ja (erythrocytosis) tare da bushewa, cututtukan haihuwar cikin jini da wasu ciwace-ciwacen daji.

Biye da buƙatun ƙwayoyin haɓaka, abubuwan da ke cikin jinin yaron yana ɗaukar canje-canje. Dangane da wannan gaskiyar, don tantance sakamakon gwajin jini, an bambanta rukuni na shekaru 7, wanda kuna buƙatar mayar da hankali kan lokacin fassarar alamun da aka samo. A yadda aka saba, ana ba da damar don halayen yara masu zuwa: kwana 1, wata 1, watanni 6, shekara 1, shekaru 1-6, shekaru 7-12, shekaru 13-15. An gabatar da ka'idodin gwajin jini da ke dacewa a cikin tebur (duba tebur da ke ƙasa).

Yana da mahimmanci a kula da ƙimar ESR: a cikin yara, karuwa mara kyau a cikin wannan alamar shine koyaushe dalili ne don sake nazarin. A cikin yanayin da ake danganta ci gaban ESR da kamuwa da cuta, canji a cikin ƙirar iska na erythrocyte yana faruwa, a matsayin mai mulkin, ranar gobe bayan tashin zafin jiki. Amma raguwa a cikin ESR a cikin jarirai kusan koyaushe sabon abu ne na ilimin dabbobi.

Rashin farantin platelet (thrombocytopenia) yana nuna rashin daidaituwa a cikin tsarin coagulation na jini tare da cutar haemophilia da sauran cututtukan da aka gada ko kuma zubar jini a kwanannan. Wasu lokuta ana lura da rashi na platelet na jini tare da kamuwa da cuta, wasu nau'in anemia da cututtukan cuta, harma da wasu magunguna. Idan ƙididdigar platelet ta fi ta al'ada (thrombocytosis), to likitan yara zai tuhumi yaro da cuta mai saurin kamuwa da cuta (alal misali, tarin fuka).

Canje-canje a cikin farin ƙwayar ƙwayar farin jini a cikin gwajin jini na gaba ɗaya a cikin yara (leukocytosis ko leukopenia) kusan koyaushe yana nuna kamuwa da cuta a cikin jiki ko take hakkin aikin jini. Likita zai yi cikakkiyar daidaituwa a kan tushen nazarin alamomin leukocyte - mahimmancin wasu nau'ikan ƙwayoyin halitta da motsi da dabara hagu ko dama sune mahimman alamun alamun cutar hoto, ƙwayoyin cuta da cututtukan fata.

A wane zamani ne ya kamata a sarrafa sukarin jini a cikin yara

Ga yara 'yan kasa da shekaru 5, dabi'un sukari na al'ada sun bambanta da shekaru. Adadin sukari na jini a cikin yara 'yan shekaru 6 zuwa tsofaffi masu zuwa na manya (jinin glucose na jini a cikin manya shine 4-6 mmol / l).

Ciwon sukari mellitus ya kasance babban matsayi tsakanin duk cututtukan endocrine a cikin yara. Ba tare da bincike kan lokaci da kuma isasshen magani ba, cutar ta sami kyakkyawan ci gaba, saboda haɓakar haɓakar jikin yaro da haɓaka metabolism. Tunda farkon girma yana faruwa a cikin yara masu shekaru 6-7 (tsawan lokaci), yana da mahimmanci a bincika ko sukarin jini cikin yara ya cika shekaru 7.

Nau'in ciwon sukari na 1 ana faruwa ne sakamakon karancin insulin, wanda a ciki ake amfani da glucose a jiki.

Kamar yadda za'a iya gani daga tebur, tsarin sukari a cikin yara na shekaru 10 da haihuwa kusan yayi dace da wannan a cikin manya. Koyaya, a wannan zamani, haɓaka glucose na jini a cikin yara yawanci yakan faru ne saboda canji a cikin matakan hormonal.

Hyperglycemia da ciwon sukari a cikin yara

Ana kiran haɓakar sukari na jini a cikin jini. Babban dalilin da ya sa ake yawan haifar da cututtukan zuciya shine ciwon sukari. Sauran dalilan da ke haifar da karuwar glucose na jini a cikin yara:

• cututtuka
• maganin cututtukan zuciya,
• dysfunction na thyroid gland shine yake, hypothalamus, pituitary, adrenal gland,
• amfani da tsawo na glucocorticosteroids da magungunan anti-mai kumburi,
• Kuskuren abinci mai gina jiki (cin zarafin abinci mai ƙima da abinci mai girma a cikin carbohydrates mai sauri).

A cikin yara 'yan kasa da shekaru 10, a cikin 90% na lokuta, ana yin rajista na ciwon sukari na 1 1. Yana haifar da rashin insulin, saboda wanda ake amfani da glucose a cikin jiki. Ba a san dalilan haɓakar ciwon sukari a cikin yara ba, amma, an gano halin gado. Idan akwai wata cuta a cikin mahaifan biyu, haɗarin haɓaka shi a cikin yaro shine 25%, idan ɗayan iyayen suna fama da cutar sankara - 10-12%. Mafi yawan lokuta ba sau da yawa, ana gano yara tare da nau'in ciwon sukari na 2 na 2, wanda ke haifar da nauyin kiba da kuma haifar da tsayayya da kyallen takarda ga jikin insulin.

Edara yawan glucose na jini a cikin yara yana haifar da rauni, gajiya, ciwon kai, ƙarewar sanyi, fata mai ƙoshi, bushewar baki, da dyspepsia. Idan babu gyara, raɗaɗɗar cututtukan zuciya yana shafar aikin kwakwalwa.

A cikin yara masu shekaru 6-7 da 10-12, haɓakar ƙwayar haɓaka, yana iya haɓaka da haɓakar yawan glucose a cikin jini.

Gano hyperglycemia yana ƙarƙashin gyara, girmansa wanda ya dogara da bincike na ƙarshe. A matsayinka na mai mulki, ya kunshi bin tsarin abinci da kuma motsa jiki na yau da kullun, kuma cikin gano ciwon sukari mellitus - a cikin ilimin insulin, wanda aka gudanar don rayuwa. Hakanan yana da mahimmanci a kula da tsabtace fata da fatar jikin yara, wanda zai taimaka wajen kawar da ƙoshin fata da hana bayyanar rashes na pustular. Yankunan bushewa na fata na babba da na ƙasanci ana bada shawarar a shafa mai da kirim na yara, wanda zai rage haɗarin lalacewar su.

Wani muhimmin sashi na matakan inganta sukari na jini shine tsarin abincin. Matsakaicin sunadarai, mai da carbohydrates a cikin abincin yau da kullun an ayyana shi azaman 1: 0.75: 3.5. Yawancin mai yakamata yakamata a wakilta ta mai kayan lambu. Ana iya cire carbohydrates cikin saurin narkewa daga abincin yara tare da cututtukan hyperglycemia, da farko sukari, kek da kayan kwalliya, abinci mai sauri, abubuwan sha mai santsi, da sauransu. Ya kamata a ciyar da yaron aƙalla sau 5 a rana a cikin ƙaramin rabo.

Yaran da ke da ciwon sukari na iya buƙatar yin aiki tare da masanin ilimin tunani wanda zai iya taimakawa yarda da gaskiyar cewa yanayin rayuwa ya canza kaɗan, amma canje-canjen bai kamata ya zama dalilin jin ƙarancinsa ba. Don daidaitawa da yaron zuwa sabon yanayin rayuwa, ana gudanar da azuzuwan rukuni a makarantu na musamman don yara masu fama da cutar siga da iyayensu.

Ingancin da kuma tsammanin rayuwa na marasa lafiya da ke fama da cutar sankarar mahaifa sun dogara ne akan yanayin bayyanar cututtuka, cancantar magani da aiwatar da duk umarnin likitan halartar. Tare da ganewar asali da kuma maganin da aka zaɓa daidai, tsinkaya don rayuwa abu ne mai kyau.

Tunda farkon girma yana faruwa a cikin yara masu shekaru 6-7 (tsawan lokaci), yana da mahimmanci a bincika ko sukarin jini cikin yara ya cika shekaru 7.

Hypoglycemia

Ragewa cikin sukari na jini ana kiranta hypoglycemia. Hypoglycemia na iya zama alama ta ƙara yawan yara, isasshen abinci mai gina jiki ko matsananciyar ruwa, isasshen ƙwayar ruwa, tashin hankali, matsanancin damuwa, wasu cututtukan (gastritis, duodenitis, pancreatitis, cututtukan kwakwalwa), kazalika da guba arsenic ko chloroform guba. Hypoglycemia na iya faruwa sakamakon gudanarwar insulin sosai.

Tare da raguwa mai yawa a cikin taro na glucose a cikin jini, yaro ya zama mai hutawa, damuwa, motsi. Sweara yawan ɗumi, pallor na fata, tsananin farin ciki ya bayyana, yaro zai iya rasa hankali, a wasu halaye, ana lura da ƙananan cramps. Lokacin cin abinci mai daɗi ko allurar maganin glucose, yanayin yakan zama daidai. Idan babu gyara na kan lokaci, cutar sikila na iya haɓaka, wanda shine yanayin barazanar rayuwa.

Rage gwajin jini a cikin yara

Don ingantaccen ganewar asali, sakamakon gwaji na gaba ɗaya da na gwaje-gwajen jini suna da mahimmanci.

Gaskiya ne gaskiya ga yara, saboda yanayin rayuwar ƙuruciyarsu ya bar wasu alamomi akan duk halayen jini.

Saboda lambobin da ke kan nau'ikan karatun da aka ambata a sama ba su tsoratar da ku, bari mu sami masaniya game da kyawawan dabi'u na mahimman abubuwan ruwan babban jiki.

Babban gwajin jini a cikin yara: yankodi da kuma canjin yanayi

Kuma za mu fara ne da gwajin da likitoci suka fi so - wani gwajin jini na yaro, yanke hukunci wanda zai sauƙaƙa ba kawai gano cutar ba, har ma da warkarwa.

1. Hemoglobin. Sakamakon kwayoyin halitta na baƙin ƙarfe da ions globulin (wani nau'in furotin), kowane sel na jikin mu yana karɓar oxygen a cikin lokaci da cikakke, yayin da lokaci guda ke kawar da carbon dioxide. Wannan shine dalilin da ya sa likitocin yara na yin nazari a hankali kan wannan mai nuna yayin gwajin jini a cikin yara. Ka'idodin matakan haemoglobin a cikin yara masu shekaru daban-daban suna kama da haka:

• Jariri sabobin - 160-240 g / l,
• Jariri na farkon watan rayuwa - 140-180 g / l,
• 'Ya'yan farkon shekarar rayuwa - 100-130 g / l,
• Yara masu shekaru 1 zuwa 7 shekara - 107-140 g / l,
• Yara sama da shekaru 8 - 112-150 g / l.

2. Kwayoyin jini. Alamar da ta yi daidai ita ce ƙimar adadin adadin ƙwayoyin jini. Baya ga babban aikinsu - jigilar oxygen da carbon dioxide - suna da hannu wajen isar da glucose, amino acid, da magunguna ga sel. Bayyana gwajin jini a cikin yara, mai da hankali kan halayen da suka danganci shekaru masu zuwa gabobin jan jini:

• Har zuwa watanni 2 - 3.9-6.2 * 1012 / l,
• Daga watanni 2 zuwa shekaru 4 - 3.0-5.4 * 1012 / l,
• Daga shekaru 4 zuwa sama - 3.5-5.1 * 1012 / l,

3. Leukocyte dabara. Babban masu kare lafiyar jikin dan adam sune farin sel wadanda ake kira farin sel. Dangane da halayen aikin, leukocytes suna ɗaukar halayen kumburi, amsawar rigakafi, tashin hankali. A yadda aka saba, adadin farin jinin sel ya yi yawa:

• Sabbin jarirai - 12-37 * 109 / l,
• Jariri na farkon watan rayuwa - 5-20 * 109 / l,
• Yara har zuwa shekara 1 - 6-17 * 109 / l,
• Daga shekara 1 zuwa shekaru 6 - 5-14 * 109 / l,
• Yara sama da shekaru shida - 6.0-11.3 * 109 / l.

Idan matakin leukocytes ya haɗu da tsararraki na shekaru, wannan na iya nuna wata cuta mai kamuwa da cuta, cututtukan cututtukan ƙwaƙwalwar ƙwayar cuta, ƙwaƙwalwar ƙwayar cuta. Leukopenia halayyar cututtukan autoimmune ne, harma da cututtukan da suka shafi cuta kamar gudawa, amai da gudawa (kowane nau'in), zazzabin cizon sauro, da mura. Ana lura da hauhawar matakin leukocytes bayan bayyanar cutar siginal a jiki.

4. Filatoci. Bayar da gwajin jini a cikin yara bashi yiwuwa ba tare da yin nazarin wani bangaren ba - platelet. Babban aikinsu shine kirkiro wani nau'in toshe (thrombus) a wurin da lalacewar jirgin ruwa da kuma kunna hanyoyin da suka biyo baya don dakatar da zub da jini.

Ka'idodin halayen wannan mai nuna kamar haka:

• A cikin yara ‘yan kasa da shekaru 7 - 145-405 * 109 / l,
• A cikin yara da suka girmi shekaru 7 - 150-385 * 109 / l.

Thrombocytosis (babban platelet) yana yiwuwa tare da oncological jini pathologies, kamuwa da cuta tare da tarin fuka, anemia, a cikin bayan haihuwa. Ana lura da raguwar ƙididdigar platelet tare da kwayan cuta da cututtukan ƙwayar cuta, yawan zubar jini, cututtuka na tsarin ƙwayar jini, cututtukan ƙwayar thyroid.

5. ESR. Yawan erythrocyte sedimentation ba alama ce ta kowane takamaiman cutar ba. Wannan halayyar tana taimakawa a cikin tabbatar da cututtuka daban-daban, amma kawai tare da haɗin kai tare da hoton da ke gudana na alama da sauran alamomi na KLA.

A yadda aka saba, matakin ESR a cikin yara sun haɗu daga 2-10 mm / h. Haka kuma, a cikin jarirai, yawanci bai wuce 2 mm / h ba, yayin da a cikin yara 'yan kasa da shekaru 6 yana ƙaruwa zuwa 17 mm / h. Ana lura da matakin ESR mai girma tare da cututtukan cututtuka, anemia, da hanyoyin tumo.

Decreasearin raguwa a cikin wannan alamar na iya nuna alamun cututtukan cututtukan jini na hematopoietic.

Gwajin jinin kwayoyin halittun yaro: tantancewa da bambanci

Daga dukkan alamu na gwajin gwajin jini na yaro, yaddduka wanda zai iya ɗaukar sama da shafi ɗaya, zamu mai da hankali ga mafi mahimmanci:

1. Jimlar furotin. Matsakaicin adadin furotin ya bambanta sosai kuma kai tsaye ya dogara da shekarun jariri. A cikin jarirai, yana daga 50 zuwa 70 g / l, a cikin jarirai har zuwa shekara 1 yana cikin kewayon 50-75 g / l, a cikin tsofaffi yara shine 65-85 g / l. Idan matakin furotin gabaɗaya ya zama ƙasa da ƙayyadaddun ƙarancin yau da kullun, akwai ƙetarori a cikin jikin yarinyar, musamman, hypotrophy, ci, tsarin narkewa, ƙirar cutar ƙwararru yana yiwuwa, da dai sauransu. Increasearin wannan yanayin yana nuna kasancewar kamuwa da cuta a cikin jiki,
2. Glucose Cakuda glucose a cikin jinin yara kwata-kwata kwata-kwata kuma kwata-kwata baya bambanta da ka'idodin al'ada ga dattijo, wanda ya haɗu daga 3.3 zuwa 6.6 mmol / L. Koyaya, a cikin ƙananan yara, wannan darajar na iya raguwa sosai - 1.6-4.6 mmol / L. Anarin yawan sukari na jini halayyar ciwon sukari ne, kuma raguwa shine ga ƙoshin shan iska da yawan hauhawar insulin,
3. Bilirubin da transaminases. Likitocin sun mai da hankali ga waɗannan masu nuna alama yayin yanke shawarar gwajin jini a cikin yara tare da zargin hanta ko ƙwayar cuta ta biliary fili. A yadda aka saba, matakin bilirubin a cikin jarirai ya bambanta tsakanin 3.5-21 3.5mol / L, amma a cikin jarirai ƙimar zai iya kai 70 μmol / L. Increasearin bilirubin yana nuna fashewar ƙwayoyin sel ja a cikin jijiyoyin jijiyoyin jiki, lalata ƙwayar jijiyar bugun zuciya da kuma tsarin bile. Matsayin transaminases (ALAT, ASaT) ya tabbata a rayuwar yarinyar kuma kusan 40 U / L ne. Wuce wannan ka'ida dabi'a ce ga cututtukan hanta da dama,
4. Urea Tsarin urea ya dogara da ingancin kodan. Idan yawan ƙwayar wannan ɓangaren ya ƙaru, yana da kyau a tuntuɓi likitan nephrologist ko urologist. A yadda aka saba, a cikin crumbs har zuwa wata 1, darajar urea shine 2.4-6.4 mmol / L, a cikin jarirai masu shekaru 1 - 3.3-5.7 mmol / L, a cikin mazan yara - 4.5-7.4 mmol / l

Kuma yanzu zan so in sake tabbatarwa da iyayen da suka sami karkacewa daga dabi'un, tare da raba kansu da gwajin jini a cikin yara.

Ka tuna cewa ban da hoto mai daidaituwa, bayanan da aka nuna a sakamakon binciken lambobi ne kawai. Sai kawai a gaban wasu alamomin asibiti ne lambobin da ke kan sinadaran kimiyyar halittu ko OAC suka bada ma'ana.

Sabili da haka, baka buƙatar damuwa da lokaci, kawai jira jira da kuma bayanin likita.

Gwajin jini don sukari a cikin manya da yara: nau'ikan, al'ada da ma'ana

Mutanen da ke da gunaguni na kiwon lafiya daban-daban suna zuwa don gudummawar jini don sukari. Wannan na iya zama gajiya, matsalolin da ake zargi da tsarin endocrine ko ciwon sukari.

Gwajin jini don sukari ya nuna matakin glucose a cikin tsarin jini, wanda shine asalin tushen ƙarfin mutum.

Amintaccen tabbaci na sakamakon binciken zai ba likita damar fahimtar yadda jikin mai haƙuri yake aiki da kyau.

Me yasa ake yin gwajin jini don sukari ga manya da yara

Ya kamata a gwada mutum mai lafiya don sukari aƙalla 1 lokaci a cikin shekaru 3 don gano cututtukan endocrine, ciwon sukari da kuma wasu cututtukan haɗari.

Marasa lafiya da ke cikin haɗari (kiba, fiye da shekaru 45, rayuwar rashin aiki) yakamata a gudanar da irin waɗannan gwaje-gwajen gwajin a kowace shekara.

Ko da kuwa lokacin da gwajin jini na sukari ya ƙare, kuna buƙatar yin gwaji na biyu na gwaji tare da alamu masu zuwa:

• kaifi sosai,
• urination akai-akai
• bushe mucous membranes
• m ƙishirwa
• gajiya,
• raunuka marasa warkarwa da raunuka a jiki.

A lokacin daukar ciki, ya kamata a gwada mata tsawon ajalin kuma wani lokaci bayan hakan.

Lallai, a cikin wannan halin akwai yiwuwar malfunctions, kuma a cikin sati na biyu, ana iya lura da yanayin ciwon sukari: glucose ta tara a cikin tayin, ana canzawa zuwa mai. Yaron yana da haɗarin haɓakar ciwon sukari da kuma yiwuwar kiba a gaba.

Don hana wannan yanayin daga haɓaka cikin mellitus na ciwon sukari, ya kamata a bincika mace mai juna biyu da kulawa da alamun sukari, wanda bai kamata ya wuce 6.1 mmol / lita ba.

Tare da taimakon nazarin sukari, yana da sauƙi a yi hukunci da yanayin gabobin ciki a cikin yara. Dangane da sakamakon binciken, likita na likitan yara na iya yin hukunci ba kawai yiwuwar haɓakar ciwon sukari ba a cikin yaro, amma kuma kula da aikin hanta, zuciya, kodan, cututtukan fata. Hakanan, tare da wannan bincike, ana duba tasirin magani na wasu cututtuka.

A matsayinka na mai mulki, ana ɗaukar gwajin jini don sukari ta hanyar yatsa da yatsa tare da allura na ƙarfe.

Idan kun dauki jini daga jijiya, to yanayinsa zai zama 12% mafi girma, saboda wani adadin glucose ya riga ya shiga cikin sel daga abubuwan ƙonewa, kuma babu inda sukari ya fito daga manyan tasoshin.

Akwai nau'ikan karatu da yawa na wannan, amma mafi amintacce shine ƙididdigar ƙaddarar dakin gwaje-gwaje, wanda aka gudanar a duk cibiyoyin kiwon lafiya.

Counididdigar jinin al'ada na yau da kullun shine 3.3-5.5 mmol / lita, venous - 6.1 mmol / lita.

Idan jini daga yatsa a kan takardar bincike yana nuna yawan sukari sama da raka'a 5.5, to, akwai haɗarin haɓaka ciwon sukari, kuma alamomi sama da 6.1 mmol / L don maganin ƙwaƙwalwa da 7 mmol / L don jinin venous tuni sun kasance dalilai don gano ciwon sukari ". Ka'idojin sukari na jini a cikin yara, manya da tsofaffi iri ɗaya ne.

Babban gwajin jini na sukari shine dakin gwaje-gwaje da hanyoyin bayyanawa. Ana gudanar da nazarin daidaitattun a cikin asibiti a cikin jagorancin likita da safe a kan komai a ciki, soki yatsa tare da allura na musamman.

Har ila yau, akwai gwajin bayyani, wanda ya ƙunshi auna sukari ta amfani da glucometer mai šaukuwa. Wannan hanyar dai-dai ce kan yanayin sabbin batura, cikar aiki na na'urar da ingantaccen ajiyar abubuwan gwaji.

Ana siyar da glucose a cikin magunguna cikin farashi mai araha, wanda ke bawa mutane masu ciwon sukari damar saka idanu akan matakan glucose a gida.

Tare da kaya

Idan likita ya tsara gwajin jini tare da kaya, to wannan yana nufin cewa za a yi gwaje-gwaje biyu.

Da farko, zasu dauki babban dakin gwajin jini na sukari da safe akan komai a ciki, sannan kuma zasu basu gram 100 na suga a cikin sikirin ko allunan. Bayan 'yan awanni bayan shan glucose, za a ɗauki wani gwaji.

A wannan yanayin, ana zana jini daga jijiya, tunda yana ba da cikakkiyar alamun alamun canji a matakan sukari.

Glycated haemoglobin

Hakanan akwai bincike wanda zai baka damar sanin daidai adadin adadin haemoglobin da ke cikin kwayoyin glucose, kuma ana kiran shi gwajin haemoglobin.

Yana taimaka wajen sanin yadda ake yin nasara game da cutar sikari, da kuma gudanar dashi daga mara lafiya, ana daukar jini a kowane lokaci na rana. Ana ba wa marasa lafiya irin wannan nazarin mako-mako tsawon watanni 3.

Duba bidiyon don cikakken bayanin wannan binciken:

Gwajin gwajin haƙuri

Don ɓoye ko tabbatar da ganewar, ana yin ƙarin gwaje-gwaje, alal misali, gwajin tashin hankali na glucose, lokacin da aka ɗauki mutum jini na awanni biyu sau huɗu: na farko akan komai a ciki da safe, na biyu - sa'a daya bayan mutum ya sha gram 75 na glucose, sannan kuma kowane rabin sa'a. Sakamakon shinge daga likitoci ana kimantawa a duk gwajin.

Nazarin sukari da Maganin Cholesterol

Za a nuna babban sukari da cholesterol ta hanyar gwajin jini na biochemical, wanda ake amfani dashi a duk wuraren da ake magani, yana nuna yanayin aiki na dukkanin tsarin da gabobin. Shinge don wannan binciken an yi shi ne akan komai a ciki daga jijiya.

Kafin wannan, ba za ku iya goge haƙoranku ba, ku sha magani don kwana ɗaya, kuma daga sanyin safiya an hana ku shan ko cin komai.

Binciken nazarin halittu ba wai kawai ya nuna matakin cholesterol da sukari ba, a cewarta, likitoci za su san matakin urea, furotin, creatinine, transaminase, dukkan ma'adanai: sodium, magnesium, alli, potassium da sauransu.

Yadda za a shirya mai haƙuri da kyau kafin hanya

Take hakkin da dokokin shiri muhimmanci gurbata karshe sakamakon duk gwaje-gwaje gwaje-gwaje.

Kafin yin gwajin jini don sukari, likitoci ba su ba da shawarar yin aiki mai zurfi na tunani ko samun juyayi ba, saboda bayan glucose damuwa ya tashi sosai.

Dole ne mu manta da cewa nan da nan kafin mika ragamar mulki, dole ne ku wanke hannuwanku ku tsaftace yatsanka tare da barasa ko mai-hana maye don gurbata sakamakon ƙarshe saboda dalilan waje. Shiri don bincike:

1. Lokacin yin samfur a kan komai a ciki, abinda yake nuna shine 8, ko ma ya fi, yin azumin awa 12. Sha ruwan da ba a cika sha ba.
2. Ba da shawarar da safe don goge haƙoranku da hayaki ba.
3. Idan an ɗauki bayanan bayan cin abinci, to, ana ba shi 1-1.5 bayan cin abinci.
4. Ba za ku iya ba da gudummawar jini nan da nan bayan tausa, x-ray, ultrasounds da sauran hanyoyin warkewa.
5. Rana kafin, ba a bada shawarar yin motsa jiki a motsa jiki ba.
6. Halin da ya fi dacewa: motsawa da ci a cikin yanayi na al'ada ba tare da matsananciyar damuwa da damuwa ba.

Abin da ba za ku iya ci ba kafin wucewa da bincike

Hakanan ana nuna wasu takaddun ƙuntatawa na abinci don shiri na farko don samfurin jini. Domin sakamakon ya zama abin dogaro, zai fi kyau a ci abinci na musamman kwanaki 2 kafin a ziyarci asibitin, a lokacin ba a ba da shawarar yin amfani da:

• kyafaffen, soyayyen, mai abinci,
• sugar, confectionery, Sweets a adadi mai yawa,
• kayan yaji
• barasa

Yadda ake rage sukari

Yaushe, bayan wucewa gwajin jini don sukari, sakamakon yana nuna karuwar abun ciki, yana nufin cewa jiki yana buƙatar ƙarin adadin insulin.

Amfani da samfurori irin su sabo ne cucumbers, buckwheat, Jerusalem artichoke, kabeji, radish, karas, beetroot da ruwan 'ya'yan itace dankalin turawa zasu taimaka rage glucose a gida.

Zai fi kyau watsi da amfani da sukari mai girma, farin burodi, kofi, Sweets, barasa. Ku ci yakamata a rarrabuwar rabo aƙalla a kowane awanni 2.

Idan ma'aunin sukari ya tashi zuwa 6-7 mmol / l, to mai haƙuri yana haɓaka hyperglycemia, wanda zai haifar da coma. Baya ga magunguna, motsa jiki na jiki zai kuma taimaka ƙananan matakan glucose: yin iyo, tsere, tsere, hawan keke, tafiya mai kauri.

A lokacin azuzuwan, kowane minti 20 ya kamata ku sha jiko na rosehip ko ruwan ma'adinai ba tare da gas ba. Tare da motsi mai aiki, makamashi yana ɓacewa sau da sauri, don haka jiki yana ciyar da glucose a adadi mai yawa, kuma da sauri ya dawo da ƙimarsa zuwa al'ada.

Yadda ake kara sukari

Babu ƙarancin haɗari shine ƙarancin sukari lokacin da gabobin ba su sami abinci na yau da kullun ba. Sakamakon wannan, ƙwaƙwalwa ta sha wahala, wanda zai iya haifar da cire haɗin (coma). Bayyanar cututtukan glucose na jini (hypoglycemia) sun haɗa da alamu masu zuwa:

• zazzabi fuska
• yi farin ciki, tare da ciwon kai,
• tsananin rauni
• rawar jiki, rawar jiki a cikin jiki.

Babban dalilin ƙananan matakan glucose shine ƙarancin abinci, abinci mai lalacewa tsakanin abinci, matsanancin motsa jiki, yawan giya da barasa a cikin abincin.

Don kauce wa faduwar sukari, dole ne a bi daidai da tsarin abincin, babban fasali wanda shine gabatarwar manyan samfurori tare da ƙarancin glycemic index a cikin abincin: kayan lambu, abincin teku, ruwan sha-madara, gurasar hatsi gaba ɗaya.

Menene daidaitaccen glucose na jini? Sharuɗɗan bayarwa

Kyautatawar mutum da kuma aiki da tsarin jikin mutum ya dogara ne da kwanciyar hankali matakin matakin glucose a cikin jini. Duk tafiyar matakai na rayuwa suna da alaƙa da juna. ciki har da metabolism, wanda a mafi yawanci ake kira da “sugar”, kodayake daga mahangar likita wannan ba daidai bane, tunda sukari daya ne na glucose.

Kwanan nan an lura sukari sama sama Trend ba wai kawai tsakanin mutanen da ke da mutunci ba, har ma tsakanin samari da ma yara. Wannan shi ne saboda yawan amfani da abinci mai sauri, abinci mai ɗorewa da sauran samfuran da ke ɗauke da babban adadin ƙwayoyin carbohydrates masu sauƙin narkewa.

Don guje wa cutarwa mai cutarwa ga lafiya, kowane mutum ya kamata yi hankali da gulub din jininka kuma ɗaukar gwajin jini don sukari aƙalla duk shekara.

Tabbas, yana da mahimmanci don sanin yanayin abin da ya ƙunsa, kuma idan akwai manyan ɓarna a cikin gaggawa suna aiwatar da aiki.

Menene daidaituwar glucose a cikin manya?

A cikin manya, sukari jini a matsayin wani ɓangare na al'amuran al'ada 3.3-5.5 mmol / L akan komai a ciki da 3.9-6.9 mmol / L bayan gudanarwa, rubuta.

Idan an ƙaddamar da bincike bisa ga duk ka'idodi, wato, a safiya kuma a batun nisantar abinci don sa'o'i 8-10, to, dabi'u a cikin kewayon 5.6-6.6 mmol / l suna ba da dalilin shakatawa rage haƙuri haƙuri. abin da ya shafi jihohin kan iyaka tsakanin ƙa'ida da keta doka.

Yin saurin tattarawar glucose na jini sama da 6.7 mmol / L na iya yiwuwa yana nuna ciwon sukari. Ana buƙatar ƙarin ƙarin nazarin abubuwa don tabbatarwa.

Idan akwai shakku game da amincin sakamakon gwajin, ana ba mutumin ci gabagwaji na musamman. 'yan' yan awanni bayan saukar da jiki tare da glucose, an sake ɗaukar jini.

Idan matakin glucose ya zama ba sama da 7.7 mmol / l. sannan babu wani dalilin damuwa.

Daraja 7.8-11.1 mmol / L yana nuna yankin kan iyaka da matakin glucose 11.1 mmol / L da ƙari kusan koyaushe yana ba ku damar bincika ciwon sukari.

Yana da kyau a lura da hakan ga mutanen da suka manyanta da mutunta shekaru a yarda ya ƙaru jini, wanda ba cuta ba ne.

Don haka, ga waɗanda suka riga sun yi bikin cikarsu shekaru 50, dabi'un al'ada sun zama 4.4-6.2 mmol / l, ga wadanda shekarunsu suka haura 60 zuwa 90 - 4.6-6.4 mmol / l.

enarancin ƙarni suna da matakin glucose jini a ciki 4,2 —6.7 mmol / L. Duk dabi'u sun haɗa da ɗaukar nazari don komai a ciki.

Mata masu juna biyu yawanci suna da ƙara girman matakan glucose a cikin jini, dabi'un, waɗanda ba tare da lahani ga lafiya ba, na iya bambanta cikin kewayon 3.4-6.6 mmol / l .

Menene daidaituwar glucose a cikin yara?

A cikin yara yara, sukari jini ya kamata kasa da manya. A halin yanzu, ma'anar "yara" suna canzawa yayin da yaron yayi girma:

• daga haihuwa zuwa watanni 12 - 2.78-4.4 mmol / l,
• daga shekara 1 zuwa shekaru 6 - 3.3-5.0 mmol / l,
• daga shekaru 7 da haihuwa - 3.3-5.5 mmol / l (kamar yadda yake a cikin manya).

A cikin yara, glucose jini da safe, ƙimar wane ya wuce 5.4 mmol / l. zancen zai yiwu hyperglycemia kuma yana buƙatar ƙarin gwaje-gwaje. Rage glucose zuwa 2.5 mmol / L ko ƙananan nuni yawan haila. ko karancin jini.

A al'ada, haƙuri na glucose a cikin ƙuruciya ya fi bayyana a cikin manya, don haka gwajin jini bayan cin abinci ya nuna ƙananan ƙimar.

Dakatar da ciwon sukari a cikin yaro ya faɗi idan gwajin jini ya nuna glucose sama da 5.5 mmol akan komai a ciki ko 7.7 mmol / l ko ƙari bayan ɗaukar abin da ke dauke da ƙwayar carbohydrate.

Fewan sharudda kana buƙatar sanin lokacin sa jini a cikin glucose

Abubuwan da ake buƙata don bayar da gudummawar jini don sukari za'a iya bambanta. Sau da yawa mafi yawan lokuta ba shakka, ciwon sukari mellitus da kuma bukatar sarrafa sigogi kamar yawan glucose a cikin jini. Amma kuma ana gudanar da wannan binciken ne a binciken shekara-shekara na ma’aikata a wasu fannonin ayyuka, a matakin shirya domin tiyata ko wasu cututtukan.

Ana ɗaukar jini don bincike daga jijiya ko daga yatsa. Valuesimar dabi'un dakunan gwaje-gwaje na iya bambanta dan kadan, bi da bi, don kiminka game da sakamakon binciken, kuna buƙatar fadakar da halayen wani dakin gwaje-gwaje.

Wasu dalilai na iya bayar da gudummawa. murdiya na karshe sakamakon da bincike. Don haka, yakamata a kiyaye ƙa'idodi don shirya samammen jini don ƙayyadadden matakan glucose:

• Bayan wasu 'yan kwanaki kafin a gudanar da bincike, a guji ƙara yawan damuwa da damuwa da damuwa. Abu daya: damuwa yana iya tayar da jini. A cikin mutane masu lafiya, hawan jini da ke haifar da tashin hankali wani lokaci ne na ɗan lokaci. Koyaya, a cikin kwarewar banza da ɓata lokaci akan ɗaukar binciken ba shi da amfani,
• Idan an karɓi jini daga yatsa, to ya kamata a wanke hannaye sosai kuma a kula da shi da maganin da keɓaɓɓu kafin aikin,
• Kada ku ci awanni 8 kafin gudummawar jini. Hakanan haramun ne da giya da giya. Amma zaku iya shan ruwa gwargwadon abin da kuke so,
• Da safe, kada kuyi amfani da liƙa-sukarin da sukari don goge hakora,
• Kuma da safe da maraice a kan Hauwa da bincike ba za ku iya shan taba,
• Mai tsananin shan kwayoyi. Idan ya zama dole don magance cututtukan ƙwayar cuta ko m, to ya zama dole a tattauna tare da likita canja wurin ranar bincike don guje wa sakamakon karya saboda aikin kwayoyi,
• Kada ku yi gwajin sukari a lokacin sanyi - sakamakon na iya haɓaka ƙarya,
• A gabanin binciken, ba a yarda da wuce gona da iri, cin mutuncin abinci mai daɗi da mai kitse ba. Amma wanda bai isa ya shiga wancan yanayin ba kuma kusan yana cikin yunwar,
• Babban aiki na jiki a ranar da ya kamata a cire hanyoyin, saboda sun sami damar ƙara yawan glucose na jini na ɗan lokaci.

Karanta game da abin da zaku iya ci tare da cututtukan ƙwayar ƙwayar cuta. Menene alamun cutar?

Kyakkyawan shawara, a nan zaku koyi ƙimar cholesterol a cikin jinin maza.

Idan kuna tsammanin duk wani rashin aiki a cikin jiki, wasu mutane suna ƙoƙarin yaudarar dabara da zama akan tsauraran abinci kafin bincike, gaba ɗaya sun ƙi sirashin. Amma yaudarar kai tabbas bazai taimaka ba. Kuma gano lokaci na rashin bacci a cikin yawan glucose a cikin jini yana nisanta rikice-rikicen cututtuka masu yawa.

Duba kuma

Yaya za a ba da gwajin jini ga cholesterol? Marasa lafiya suna da sha'awar tambayoyin yadda ake yin bincike na cholesterol, su faɗi sakamakon gwajin.Idan ka ga likita cikin lokaci, zaka iya guje wa cututtukan da yawa mara dadi, gami da cututtukan zuciya da na jijiyoyin jini ko atherosclerosis.

Gwajin jini na ƙirar halitta shine ɗayan shahararrun hanyoyin bincike don haƙuri da likitoci. Idan kun san abin da binciken ƙirar ƙwayar cuta ta jini daga jijiya, za ku iya gano ƙarancin cututtuka a farkon matakai, gami da cutar hepatitis, ciwon sukari, da kuma ƙwayoyin cuta marasa ƙima.

Hanyoyi Gwajin jini don sukari, yadda za a shirya don bincike da rarrabe sakamakon da kanka Ciwon sukari a farkon matakinsa bai nuna alamun ba.

Cutar sankara a cikin farkon farkon wasu lokuta asymptomatic ne, sabili da haka, har ma da mutane masu lafiya, likitoci suna ba da shawarar gwajin sukari na jini kowace shekara 3. Sau da yawa, irin wannan binciken ana tantance shi ta likita tare da alamomin alamomin riga-kafin masu ban tsoro a cikin mutane.

Likitoci sun kira glucose din jini a cikin shi sukari. Glucose yana samar da makamashi ga rayuwar jiki. Mutum na samun wannan kashin ne daga abincin da ke dauke da sukari da kuma carbohydrates.

Gwajin jini ga cholesterol: menene sakamakon ke faɗi? A cikin karni na 21, cututtukan zuciya sun kasance cikin yaduwa tsakanin shugabannin da yawaitar rikice-rikice masu barazanar rayuwa.

Gwajin jini don sukari shine ɗayan manyan hanyoyin bincike don ƙayyade wata cuta kamar su cutar sankara. Bugu da ƙari, binciken ya bayyana wasu matsaloli tare da tsarin endocrine.

Gwajin cholesterol: yadda ake ɗauka, shiri, sakamako. Jini ga cholesterol A yau dole ne mu gano yadda ake yin gwaji a game da cholesterol. Wannan tsari, a matsayin mai mulkin, ba ya haifar da tambayoyi da matsaloli masu yawa.

Mene ne raguwa na cholesterol a cikin gwaje-gwaje na jini? Gwajin jini na ƙirar ƙwaƙwalwa shine cikakken binciken da zai ba ka damar gano cututtukan jiki daban-daban.

Likitoci sun kira glucose din jini a cikin shi sukari. Glucose yana samar da makamashi ga rayuwar jiki. Mutum na samun wannan kashin ne daga abincin da ke dauke da sukari da kuma carbohydrates.

Dole ne a dauki jini don glucose a cikin komai a ciki, idan ya cancanta, ana maimaita karatun bayan cin abinci. A cikin tsofaffi, ana amfani da kashi glucose na 3.89 - 5.83 mmol / L a matsayin al'ada.

A cikin tsofaffi, dabi'u har zuwa 6.38 mmol / L sun halatta, duk da haka, yanayin da mutanen wannan zamanin ya kamata suyi shine 4.50 mmol / L.

Irin wannan alamar - yanayin rayuwar sukari - shine mafi kyawun ma'aunin glucose na manya.

Ana shirya da kuma yanke hukunci na gwaji na jini cholesterol Rashin narkewar ƙwayar cuta na iya haifar da mummunan cututtuka na tsarin zuciya. Babban haɗarin shine cewa rashin daidaituwa na LDL da HDL ba ta bayyana ta bayyanar cututtuka.

Ka'idodi na yau da kullun da karkacewar sukari da cholesterol a cikin jini Alamomi masu yawa kamar sukari da cholesterol, da hawan jini, sune manyan alamomin da ke nuna yanayin jijiyoyin jini da bangon ciki musamman.

Yaya za a rage sukarin jini da cholesterol a cikin adadinsu mai girma? Sugar da cholesterol a cikin jini yakamata su zama na al'ada, kuma idan gwaje-gwajen suka nuna ƙarancinsa, tambayar yadda za'a rage ƙimar waɗannan abubuwan ba tare da cutar da sauran abubuwan abubuwan da ke cikin jini ba.

Menene gwajin jini ga cholesterol da glucose na? Adadin cholesterol da sukari na jini sune sigogi masu mahimmanci a cikin nazarin ingantaccen aiki na tsarin da gabobin jikin mutum.

A cikin jinin mutum akwai abubuwa da yawa waɗanda ke taimaka wa jiki don aiwatar da ayyukanta yadda ya kamata. Akwai wasu ƙa'idodi don kasancewarsu, karuwa ko raguwa wanda zai iya cutar lafiyar lafiyar mutum.

Gwajin jini ga cholesterol - alamomi na yau da kullun. Yadda ake hawa da kuma gwajin gwajin jini don cholesterol Sanin matakin cholesterol abin so ne ga kowa, yana da muhimmanci a kula da saurayi da ƙoshin lafiya.

Gwajin jini ga cholesterol shine mafi mahimmancin binciken da ke taimaka wajan tantance matakin ƙwayoyin cholesterol a cikin jini, wanda ke iya nuna lafiyar mutum.

Yawan alamu na jikinmu wanda za'a iya bincika shi a cikin dakin gwaje-gwaje yana ƙaruwa kowace rana. Amma, duk da wannan, gwajin jini ga cholesterol da sukari ya kasance mafi mashahuri kuma ana buƙata, kuma wannan ba haɗari bane.

Bayyana sakamakon gwajin jini na sukari da cholesterol a cikin manya Lokacin bayar da gwaji na sukari da cholesterol, ana nuna sakamakon a cikin tebur daga jerin alamu. Fassarar sakamakon ta bambanta dangane da shekaru, jinsi, halin kiwon lafiya na wani mutum.

A cikin gwajin jini, kuna buƙatar sanin menene raunin cholesterol, yawan sukari a cikin jini. A cikin ciwon sukari, gwaje-gwaje na dakin gwaje-gwaje an shirya su ne da farko don gano ƙarancin jini a cikin sukari na jini da kuma cholesterol.

Ka'idodin al'ada na cholesterol da sukari na jini: fassarar da magani Tsarin al'ada na cholesterol da sukari na jini sune alamomi masu mahimmanci na lafiyar kowane mutum, wanda ke ƙayyade halayen mai da carbohydrate metabolism, bi da bi.

Leave a comment 3,079 Masana kimiyya sun gano cewa adadin sukari da cholesterol suna hade. Sabili da haka, idan kuna da babban cholesterol, kuna buƙatar yin gwaji don sukari, da kuma ƙari.

Manuniya na sukari da cholesterol: alakar, dabi'a da karkacewar Cholesterol da sukari sune abubuwan hadewar dan adam, duk da haka, wuce haddi na al'ada yanayin yanayin rayuwa ne.

Mene ne alamun hyperglycemia?

Da farko, iyaye suna buƙatar fahimtar lokacin da yakamata su tuntuɓi ƙwararre. Don yin wannan, kuna buƙatar sanin menene alamun sutturar jiki wanda ke nuna karuwa ko raguwar glucose jini.

Manyan alamomin guda biyu na cutar hawan jini, duka a cikin yaro da kuma manya, ƙishirwa ne da saurin kamuwa.

Wadannan bayyanar cututtuka ana haifar da su ta hanyar ƙara damuwa akan kodan. Tunda sashin haɗin da aka haɗa yana tace jini, yana cire wuce haddi daga jiki. A sakamakon haka, kodan suna buƙatar ƙarin ruwa, sun fara diba shi daga ƙwayar tsoka kuma cire sukari mai yawa. Irin wannan mummunan da'irar yana haifar da gaskiyar cewa yaro yana son shan kullun, sannan kuma - zuwa bayan gida "kaɗan kaɗan".

Bayyanar cututtuka na matakan glucose mai tsayi yawanci suna ɓoye. Ba abin mamaki bane cewa rarraba sakamakon ga marasa lafiya da yawa ya zama babban abin mamaki.

Mama tana buƙatar kulawa da irin waɗannan alamun a cikin yara:

• bushe bakin
• rauni, gajiya,
• tsananin fushi, ciwon kai (wani lokacin),
• fitsari a kan fata,
• itching, musamman a cikin m yankin.

Gudun aiki akan lokaci yana haifar da rikitarwa masu yawa. Dogaro da hauhawar jini na haifar da nakasawar gani a sakamakon kumburi, wanda hakan na iya haifar da asara gaba daya.

Hakanan, haɓaka yawan glucose yana haifar da gazawar koda, cututtukan zuciya, ƙafafun sukari da sauran matsaloli.

Mene ne alamun cututtukan hypoglycemia?

Rage yawan sukari na jini yana haifar da karuwar narkewar cututtukan adrenal da karuwa a cikin ayyukan jijiyoyin jijiya. Adrenaline da aka cire, shine, zai fara sakin kwatankwacin glucose a jiki.

Wasu alamun hypoglycemia ba su da bambanci da alamun hyperglycemia.

Yaro na iya yin gunaguni da ciwon kai, tsananin farin ciki, gajiya, da malalata baki ɗaya.

Akwai takamaiman alamun bayyanar cututtukan glucose na jini:

1. Damuwa da tashin hankali
2. Chills da rawar jiki a cikin jiki.
3. Doduwa da kayan aiki na gani.
4. Tachycardia (palpitations).
5. Jin rashin jin tsoron yunwar.

Dogaro da hauhawar jini zai iya haifar da mummunan sakamako - rikicewa, rashi da rashin daidaituwa. Bugu da kari, raunin sukari yana haifar da rikicewar rikicewar ƙwayar cerebral. Saboda haka, ana buƙatar gudanar da karatu sau biyu a shekara don tantance hanyoyin aiwatar da cututtukan cikin mutum.

Tarihi ko labarin karya ne cewa hyper- da hypoglycemia sune gaba daya yankuna daban daban da suke zama daban.

Za'a iya lura da ƙaramar glucose a cikin masu ciwon sukari sakamakon shan magungunan hypoglycemic.

Babban nau'ikan gwajin jini

Lokacin da mahaifiyar ta lura da alamun shakku a cikin yaro wanda zai iya nuna haɓaka ko raguwa a cikin yawan sukari, ya kamata ta hanzarta kai hannunsa zuwa ga endocrinologist. Bi da bi, likitan, bayan yayi nazarin ƙaramin mai haƙuri, ya aika don bincike.

A halin yanzu, mafi mashahuri shine hanya mai sauri, nazarin halittu, tare da kaya akan haemoglobin glycated. Bari mu bincika kowane daki-daki daki-daki.

Hanyar Bayyanawa. Kawai akan sunan, za'a iya fahimtar cewa wannan ita ce hanya mafi sauri don auna tarowar glucose. Ana yin gwaji ta amfani da glucometer, duka da kansa kuma a cikin wuraren likita.

Don sanin sakamako daidai, ya kamata ka:

• Wanke hannuwanku gabaɗayan samarin jini,
• shimfiɗa yatsa inda za a yi hujin,
• bi da shi da giya kuma kuyi huɗa ta amfani da sassaka,
• goge farkon fari tare da adiko na goge baki,
• na biyu - matsi a kan tsirin gwajin kuma saka shi cikin na'urar,
• jira sakamako kan allon nuni.

Koyaya, saboda keta ka'idoji don amfani da na'urar, kuskuren samun sakamako na ƙarya wani lokacin ya kai 20%.

Nazarin kwayoyin. Irin wannan bincike yana buƙatar jinin mara lafiya ko ƙwayar cuta mai narkewa. A matsayinka na mai mulkin, ana aiwatar da shi a kan komai a ciki da safe, don haka mara lafiya kada ya ci akalla sa'o'i 10 kafin ɗaukar nazarin halittun. Don samun sakamako abin dogara, kuna buƙatar shiri don bayar da gudummawar jini don sukari ga yaro. Rana kafin gwajin, ba kwa buƙatar zubar da yaro tare da aikin jiki, bar shi ya huta more. Hakanan ba a ba shi damar cin abinci mai yawa mai ɗauke da sukari ba. Sakamakon binciken yana rinjayi dalilai kamar damuwa, cututtuka na yau da kullun ko cututtuka, da gajiya.

Gwajin saukowa (gwajin haƙuri na gwajin jini). Idan daidaitaccen gwajin jini bai gano karkacewa ba, don tabbatar da cewa babu tsinkayar cutar siga, ana yin irin wannan binciken. Ya ƙunshi matakai biyu. Da farko, mara lafiya yana karbar jini daga jijiya zuwa ciki mara komai. A cikin mataki na biyu, yana shan ruwan zaki (na 300 ml na ruwa g 100 na glcose). Sannan, kowane rabin sa'a, ana ɗaukar jini mai ban sha'awa awa biyu. Lokacin wucewa gwajin, an haramta shan giya da cin abinci.

Bincike a kan glycated haemoglobin. Yin amfani da wannan bincike, an ƙaddara yawan abubuwan da ake buƙata na maganin insulin. An dauki hanyar hanya mai tsawo don tantance matakan sukari, tunda ana yin shi tsawon watanni uku.

Sakamakon binciken shine mai nuna alamun wadatarwa wanda ya nuna daidai glucose.

Bayyana sakamakon binciken

Bayan ɗaukar adadin abubuwan da ake buƙata na ƙirar halitta, gwajin jini don sukari yana ƙare. Ya kamata a sani cewa sigogi ba su da illa ta kowace hanya ta jinsi na mai haƙuri.

Amma zamani yana da babban matsayi, kuma an tsara tebur na musamman ga yara, waɗanda ke rarraba matakan sukari don nau'ikan shekaru daban-daban.

Sau da yawa, ana ɗaukar rukuni na ma'aunin sukari mol / lita. Commonarancin na kowa sune mg / 100ml, mg / dl, da kuma mg%. Lokacin da aka samar da sakamakon gwaje-gwajen kwayoyin, ana nuna ƙididdigar azaman "Glu" (glucose).

Tebur mai zuwa yana ba da sakamako na sakamakon gwaje-gwajen jini na sukari a cikin yara.

Lokacin gudanar da gwajin haƙuri na glucose, sakamakon da ke nuna matakin al'ada na sukari shine kewayon darajar daga 3.5 zuwa 5.5 mmol (a kan komai a ciki) da ƙasa da 7.8 mmol / l (bayan ruwan dadi).

Valuesimar dabi'a ta al'ada lokacin ƙaddamar da gwajin ga haemoglobin ya zama ƙasa da kashi 5.7. Game da ciwon sukari ya ce irin wannan darajar kamar 6.5% ko fiye.

Wanne bincike ne mafi kyau?

Ba za a iya bayar da amsar daidai ga tambayar wanne bincike ya fi kyau ba. Dukkanta ya dogara da matakin hypo- ko hyperglycemia, alamun mai haƙuri, abubuwan da likitan likitanci da kayan aiki a cikin asibitin likita.

Yawancin marasa lafiya suna mamakin wanne ne gwajin ciwon sukari ya fi daidai - bayyana ko dakin gwaje-gwaje? Kodayake yawancin glucose ana tantance su ta hanyar hanyar bayyana, ana ganin sakamakon sa na farko. Idan sun tabbatar da karuwa ko raguwar sukari, da yawa wasu gwaje-gwaje ana wajabta su.

Gwajin da ke sama ba su tantance nau'in ciwon sukari ba. Don gano yanayin da ke da insulin-inshinin ko rashin jarin insulin, ana yin gwajin C-peptide. Yawanci, nau'in 1 na ciwon sukari sau da yawa yana tasowa a cikin ƙuruciya. Ofaya daga cikin abubuwan da zasu iya shafar ƙaruwa a cikin glycemia shine rashin daidaituwar hormonal a cikin samartaka da tashin hankali.

An yi imanin cewa wani lokacin gwajin guda ɗaya ba zai iya nuna kasancewar karkacewa ba. A zahiri, tare da alamun bayyanar cutar sankara, nazarin daya ya isa don samun sakamakon da ke nuna raguwa ko haɓaka sukari.

Ko yaya, ciwon sukari ba shine kawai cutar da ke haifar da ciwon sukari ko hyperglycemia ba. Abubuwan da ke biyo baya na iya shafar matakan glucose:

1. Rashin wahala.
2. Dysfunction hanta.
3. Cutar Ciwon Jiki.
4. Rikicin Endocrine

Idan sakamakon ya nuna cewa yaron yana da abin da ke cikin damuwa mai zurfi ko ƙima a ciki, dole ne a bi duk shawarar likitan. Ciwon sukari ba jumla ba ce, don haka kuna buƙatar yin ƙoƙari don matakan glucose na yau da kullun a cikin jini. Don haka, iyaye za su iya tabbatar da cikakkiyar rayuwa ga yaransu.

A cikin bidiyon a cikin wannan labarin, Dr. Komarovsky yayi magana game da ciwon sukari a cikin yara.