Babban gwajin jini ga masu ciwon suga

Su jikin ne wadanda suke yin aikin farin jini. Tare da raunin su, hemostasis yana yin jinkiri, wanda ke ƙara haɗarin zubar jini da zubar da jini koda akan ƙananan lalacewar jijiyoyin jiki. Idan an lura da matakin platelet mai girman gaske, to jinin yana zub da jini fiye da yadda ake buƙata, wanda aka cika tare da haɓakar bala'in jijiyoyin jiki. Wannan halin yana faruwa ne a gaban ayyukan kumburi a cikin jiki.

Yi aikin masu tsaron lafiya. Babban aikin wadannan jikin shine gano da kuma kawar da masu kamuwa da cuta daga kasashen waje, kwayoyin cuta da ƙwayoyin cuta. Idan bincike ya nuna leukocytosis, wato, haɓaka fararen kayan adon farin jini, to kasancewar akwai yiwuwar kasancewar hanyoyin kumburi. Hakanan, halayen cutar kuturta ko cutar kuturta ba za a iya fitar da su ba. Decreasearin raguwa a matakin leukocytes yana nuna raguwa a cikin juriya na jiki, wanda aka nuna mummunan ra'ayi game da lafiyar ta gaba ɗaya. Hakanan ana lura da ƙananan matakan farin jini bayan fallasa ko chemotherapy.

Can jarrabawar jini gaba ɗaya ta tantance masu ciwon suga

Wannan gwajin bayyanar cututtukan mahaifa ba masu ciwon sukari bane; baya nuna cutar tarin fitsari. Sakamakon wannan gwajin, ba shi yiwuwa a tantance ko kuma zargin mellitus na ciwon sukari, don wannan kuna buƙatar aiwatar da takamaiman matakan - don tantance sukari na jini da glycosylated haemoglobin, don gudanar da gwajin haƙuri na glucose.

Don kula da wata cuta kamar su cutar sankara, yakamata a kasance ƙarƙashin kulawa ta likita. Yin alƙawarin daɗaɗɗa abinci don kanka daga kantunan kan layi na iya jinkirta tafiya zuwa ga endocrinologist.

Waɗanne gwaje-gwaje ne ya kamata a yi?

Tare da ciwon sukari, ana ba da shawarar yin gwaje-gwaje a kai a kai:

jini
glycated haemoglobin,
fructosamine
janar gwajin jini (KLA),
gwaji na jini
urinalysis (OAM)
tabbatar da microalbumin a cikin fitsari.

A cikin layi daya tare da wannan, ya zama dole a riƙa yin cikakken bincike na lokaci-lokaci, wanda ya haɗa da:

koda duban dan tayi
nazari na ophthalmic,
dopplerography of veins da arteries na ƙananan ƙarshen.

Wadannan karatuttukan suna taimakawa wajen gano ba kawai mellitus na sukari na latent ba, har ma da haɓaka halayensa na rikice-rikice, alal misali, jijiyoyin ƙwayoyin cuta, raguwar hangen nesa, raguwar ƙwayar cuta, da dai sauransu.

Guban jini

Wannan gwajin jini ga masu ciwon suga yana da matukar muhimmanci. Godiya gareshi, zaku iya bin diddigin matakin glucose a cikin jini da fitsari. Ana aiwatar da wannan bincike a matakai 2. Na farko yana kan komai a ciki. Yana ba ku damar gano ci gaban ciwo kamar "sanyin safiya", wanda haɓakar haɓaka mai yawa a cikin yawan glucose jini a cikin yanki na 4-7 a safiya.

Amma don samun ƙarin abin dogara sakamako, ana aiwatar da kashi na biyu na binciken - an sake ba da gudummawar jini bayan sa'o'i 2. Alamar wannan binciken ya ba mu damar sarrafa sha da abinci da gubar glucose ta jiki.

Ya kamata a yi gwajin jini ga masu ciwon sukari kowace rana. Don yin wannan, ba kwa buƙatar gudu zuwa asibiti kowace safiya. Ya isa kawai ka sayi glucometer na musamman, wanda zai ba ka damar aiwatar da waɗannan gwaje-gwaje ba tare da barin gidanka ba.

Glycated haemoglobin

Gajere sunan - HbA1c. Ana aiwatar da wannan bincike a cikin yanayin dakin gwaje-gwaje kuma ana ba shi sau 2 a shekara, muddin mara lafiya bai sami insulin ba, kuma sau 4 a shekara lokacin da ake gudanar da jiyya tare da allurar insulin.

Ana ɗaukar jini na Venous azaman kayan nazarin halittu na wannan binciken. Sakamakon da ya nuna, masu ciwon sukari dole ne a rubuta su a littafin su.

Fructosamine

Don nau'in 1 ko nau'in ciwon sukari na 2, ana bada shawarar wannan gwajin kowane mako 3. Tsarinodinta na zamani daidai yana ba ku damar bin tasirin magani da haɓakar rikice-rikice game da ciwon sukari. Ana gudanar da bincike a cikin dakin gwaje-gwaje kuma ana ɗaukar jini daga cikin lakar ciki na ciki don bincike.

Lokacin yanke wannan bincike, yana yiwuwa a gano rikice-rikice a cikin jikin mutum wanda ciwon sukari mellitus ya ƙunsa. Don haka, alal misali, idan mara lafiya yana da babban matakin fructosamine a cikin jijiyoyin jini, wannan na iya nuna cewa mai ciwon sukari yana da matsaloli tare da kodan ko hauhawar cututtukan thyroid. Idan wannan mai nuna alama yana ƙasa da al'ada, to wannan ya riga ya nuna rashin isasshen aikin thyroid da kuma yanayin tashin hankali na asali, harma da cigaban cutar sankarar mahaifa.

Babban gwajin jini yana ba ku damar bincika alamun ƙididdigar abubuwan da ke cikin jini, saboda ku iya gano hanyoyin tafiyar matakai daban-daban waɗanda ke faruwa yanzu a jiki. Don bincike, ana ɗaukar jini daga yatsa. A nau'in 1 ko nau'in ciwon sukari na 2, tarin kayan halitta yana gudana ne akan komai a ciki ko kuma nan da nan bayan cin abinci.

Yin amfani da UAC, zaku iya saka idanu kan waɗannan alamomi masu zuwa:

Hemoglobin. Lokacin da wannan alamar ke ƙasa da al'ada, wannan na iya nuna ci gaban ƙarancin iskar baƙin ƙarfe, buɗewar zubar jini a ciki da kuma keta alfarma na jini. Excessarfin haemoglobin da yawa a cikin ciwon sukari yana nuna rashin ruwa a jiki da bushewar shi.
Filatoci. Waɗannan jikuna ja ne waɗanda suke yin aiki mai mahimmanci - suna da alhakin matakin coagulation na jini. Idan hankalinsu ya ragu, jini zai fara ɗauka mara kyau, wanda hakan ke kara haɗarin zubar jini, koda da rauni mai rauni. Idan matakin platelets ya zarce matsakaiciyar al'ada, to wannan tuni yayi magana game da kara yawan karfin jini kuma yana iya nuna ci gaban aikin kumburi. Wani lokacin karuwa a wannan alamar alama ce ta tarin fuka.
Kwayoyin farin jini. Su masu tsaron lafiya ne. Babban aikinsu shine ganowa da kawar da ƙananan ƙwayoyin cuta daga ƙasashen waje. Idan, gwargwadon sakamakon bincike, an lura da yawan su, to wannan yana nuna ci gaban kumburi ko tafiyar matakai cikin jiki, kuma yana iya nuna alamar ci gaba da cutar kuturta. Rage matakin farin jinin sel, a matsayinka na mai mulki, ana lura da shi bayan bayyanar hasken rana kuma yana nuna raguwa a cikin kariya ta jiki, wanda hakan yasa mutum ya zama mai saurin kamuwa da cututtuka daban-daban.
Karyawanine. Yawancin mutane suna rikitar da wannan mai nuna alama tare da matakin ƙwayoyin sel ja, amma a zahiri yana nuna raunin plasma da jikunan jini. Idan matakin hematocrit ya tashi, to wannan yana nuna ci gaban erythrocytosis, idan ya ragu, anemia ko hauhawar jini.

Ana shawarar KLA don ciwon sukari don ɗaukar a kalla 1 lokaci a shekara. Idan aka lura da rikice-rikice akan asalin wannan cutar, ana gabatar da wannan bincike sosai sau da yawa - sau 1-2 a cikin watanni 4-6.

Magungunan jini

Abubuwan binciken kwayoyin sunadarai koda sun bayyana hanyoyin da ke gudana a jikin mutum. Don binciken, ana ɗaukar jinin venous a kan komai a ciki.

Gwajin jini na biochemical yana baka damar waƙa da alamun masu zuwa:

Matsayin glucose. Lokacin da ake bincika jinin venous, sukari jini bai wuce 6.1 mmol / L ba. Idan wannan mai nuna alamun ya wuce waɗannan dabi'u, to zamu iya magana game da raunin glucose mai ƙarancin ƙarfi.
Glycated haemoglobin. Matakan wannan alamar ana iya ganowa ba kawai ta hanyar wuce HbA1c ba, har ma da amfani da wannan bincike. Manuniyar ba da ƙwayoyin cuta suna ba ka damar ƙayyade hanyoyin dabarun magani na nan gaba. Idan matakin cutar haemoglobin ya wuce 8%, to za'ayi gyaran jiyya. Ga mutanen da ke fama da ciwon sukari, matakan glycated haemoglobin da ke ƙasa da 7.0% ana ɗauka cewa al'ada ce.
Cholesterol. Ta maida hankali ne a cikin jini ba ka damar sanin jihar na metabolism na mai. Kwayar cholesterol tana ƙara haɗarin thrombophlebitis ko thrombosis.
Nazarce mai sanyi. Yawancin ƙaruwa a cikin wannan alamar ana lura da mafi yawan lokuta tare da haɓakar ciwon sukari na mellitus na insulin, kamar yadda tare da kiba da ciwon sukari mai narkewa.
Lipoproteins. A cikin nau'in 1 na ciwon sukari, waɗannan ƙididdigar yawanci suna zama al'ada. Za'a iya lura da 'yar karkatarwa zuwa ga al'ada, wanda baya haɗari ga lafiyar. Amma tare da nau'in ciwon sukari na 2, ana lura da hoto mai zuwa - ƙarancin lipoproteins mai yawa, kuma ana rage girman lipoproteins mai yawa. A wannan yanayin, ana buƙatar gyaran gaggawa da gaggawa. In ba haka ba, mummunan matsalolin kiwon lafiya na iya faruwa.
Insulin Matsayinsa yana ba ku damar saka idanu kan adadin kuzarin ku na jini. A cikin nau'in 1 na ciwon sukari, wannan nuna alama koyaushe yana ƙasa da al'ada, kuma a cikin nau'in ciwon sukari na 2, ya kasance cikin kewayon al'ada ko dan kadan ya zarce shi.
C peptide. Manuni mai mahimmanci wanda yake ba ka damar kimanta ayyukan ƙwayar cutar huhu. A cikin DM 1, wannan nuna alama shima yana da ƙananan ƙarancin ka'ida ko daidai yake da sifili. Tare da nau'in ciwon sukari na 2, matakin C-peptides a cikin jini, a matsayin mai mulkin, al'ada ne.
Pecide Pancreatic. Tare da ciwon sukari, sau da yawa ba a yin la'akari da shi. Babban ayyukanta sune ke sarrafa samar da ruwan 'ya'yan itace ta hanji don lalata abinci.

Don samun cikakken ƙididdigar matsayin lafiyar masu ciwon sukari, kuna buƙatar ɗaukar gwajin jini da fitsari a lokaci guda. OAM yana mika wuya 1 lokaci a cikin watanni 6 da kuma yadda OAK zai ba ku damar gano hanyoyin ɓoye daban-daban a cikin jiki.

Wannan bincike yana ba ku damar kimantawa:

kayan jikin fitsari, asalinta, yanayin bayyanawa, kasancewar laka, da dai sauransu,
sunadarai na fitsari
takamaiman nauyin fitsari, wanda zaka iya sanin yanayin kodan,
matakan furotin, glucose da ketones.

Eterayyade microalbumin a cikin fitsari

Wannan bincike yana ba da damar gano hanyoyin cututtukan ƙwayoyin cuta a cikin kodan a farkon haɓaka. Ga alama haka: da safe mutum yana fitar da mafitsara, kamar yadda ya saba, kuma kashi 3 na fitsari an tattara su a cikin akwati na musamman.

Idan aikin kodan ya zama al'ada, ba a gano microalbumin kwata-kwata a cikin fitsari ba. Idan akwai riga matsala game da haihuwa, to matakin nata yana ƙaruwa sosai. Kuma idan yana cikin kewayon 3-300 mg / rana, to wannan yana nuna mummunar keta a cikin jiki da kuma buƙatar gaggawa na magani.

Dole ne a fahimci cewa cutar sankarau cuta ce da za ta iya lalata ƙwayoyin halittu gabaɗaya kuma lura da hanyarta tana da matukar muhimmanci. Saboda haka, kar a manta da isar da gwajin gwaje-gwaje. Wannan ita ce kadai hanyar da za a magance wannan cutar.