Gwajin jini don sukari: ka'idodi na bayarwa, al'ada, yanke hukunci
Gwajin sukari na jini wani suna ne gama gari wanda ake amfani dashi don nuna ƙaddarar dakin gwaje-gwaje na haɗuwar glucose a cikin jini.
Gwajin jini don sukari, saboda haka, yana ba ka damar samun ra'ayi game da mafi mahimmanci - metabolism metabolism a jiki. Wannan binciken yana nufin manyan hanyoyin da ake bi don gano cutar siga. Tare da saiti na yau da kullun, ana iya gano canje-canje na ƙwayoyin cuta a cikin ciwon sukari mellitus shekaru da yawa kafin a tabbatar da bayyanar cututtukan asibiti.
Ana nuna gwajin sukari lokacin da ake tantance abubuwan da ke haifar da kiba, raunin glucose mai rauni. Don dalilai na rigakafi, ana yin ta ne a cikin mata masu juna biyu, da kuma yayin gwaje-gwajen lafiya na yau da kullun.
An hada gwajin jini don sukari a cikin shirin duk jarrabawar rigakafin yara, zai baka damar gano nau'in 1 na ciwon sukari akan lokaci. Ana shawarar shawarar kowace shekara na tattara glucose a cikin jini ga duk mutanen da suka wuce shekaru 45 da haihuwa don gano ciwon sukari na 2 na lokacin.
Shiri don bincike da sharuddan samin jini
Kafin nazarin, zaku iya tuntuɓar likita wanda zaiyi bayanin yadda aka nuna sukari a cikin kwafin binciken, yadda za ku ba da gudummawar jini daidai don samun sakamakon abin dogaro, kuma zai amsa tambayoyin da suka tashi dangane da binciken.
Wani nuni don tantance matakin glucose a cikin jini wata tuhuma ce ta wadannan hanyoyin:
- nau'in 1 ko nau'in ciwon sukari na 2
- cutar hanta
- ilimin halittar jini na tsarin endocrine - glandar adrenal, glandar thyroid ko glandar pituitary.
Bugu da ƙari, ana nuna gwajin sukari don sanin abubuwan da ke haifar da kiba, ƙarancin haƙuri na glucose. Don dalilai na rigakafi, ana yin ta ne a cikin mata masu juna biyu, da kuma yayin gwaje-gwajen lafiya na yau da kullun.
Kafin binciken, yana da kyau a daina shan magungunan da zasu iya shafar glucose na jini, amma ya kamata ka fara bincika likitanka idan akwai bukatar hakan. Kafin bayar da gudummawar jini, dole ne a guji damuwa ta jiki da ta hankali.
Don ƙayyade matakin glucose, ana yin samfuran jini da safe a kan komai a ciki (sa'o'i 8-12 bayan abincin ƙarshe). Kafin bayar da gudummawar jini, zaku iya shan ruwa. Yawancin lokaci ana yin gwajin jini kafin 11:00. Shin zai yiwu a ɗauki gwaje-gwaje a wani lokaci, ya kamata a fayyace su a cikin wani ɗakunan bincike na musamman. Jini don bincike ana samunshi daga yatsa (jini mai ɗaukar hankali), amma ana iya jan jini daga jijiya, a wasu halaye an fi son wannan hanyar.
Yawan ci gaba a cikin jinin mata masu ciki na iya nuna ciwon suga, ko ciwon sukari na ciki.
Idan sakamakon binciken ya nuna ƙaruwa a cikin glucose, ana amfani da ƙarin gwajin haƙuri na glucose ko gwajin haƙuri na glucose don bincika cututtukan fata da ciwon sukari.
Gwajin gwajin haƙuri
Binciken ya ƙunshi ƙayyade matakan sukari na jini kafin da bayan saukar glucose. Gwajin na iya zama na baki ko na ciki. Bayan ɗaukar jini a cikin komai a ciki, mara lafiya yana ɗauka ta bakinsa, ko kuma maganin glucose yana allura a ciki. Na gaba, auna matakin glucose a cikin jini kowane rabin sa'a na awa biyu.
Don kwanaki uku kafin gwajin haƙuri na haƙuri, mai haƙuri ya kamata ya bi abinci tare da abun da ke ciki na carbohydrate na yau da kullun, tare da bin ayyukan jiki na yau da kullun kuma lura da ingantaccen tsarin sha. Ranar da za a fara yin amfani da jini, ba za ku iya shan giya ba, bai kamata ya bi hanyoyin likita ba. A ranar binciken, dole ne a daina shan sigari kuma ku ɗauki magunguna masu zuwa: glucocorticoids, hana haihuwa, epinephrine, maganin kafeyin, magungunan psychotropic da antidepressants, thiazide diuretics.
Abubuwan da ke nuna alamun gwajin haƙuri a jiki sune:
An nuna gwajin tare da tsawaita amfani da glucocorticosteroids, shirye-shiryen estrogen, diuretics, da tare da tsinkaye dangi don lalata tasirin carbohydrate.
An yi gwajin ne a gaban manya manyan cututtuka, bayan an yi masu aikin tiyata, haihuwa, da cututtukan narkewar abinci tare da malalar-haihuwa, da kuma lokacin zubar jinin haila.
Lokacin gudanar da gwajin haƙuri na glucose, haɗuwa da glucose a cikin jini sa'o'i biyu bayan shigowar glucose kada ya wuce 7.8 mmol / L.
Tare da cututtukan endocrine, hypokalemia, aikin lalata hanta, sakamakon gwajin na iya zama tabbataccen ƙarya.
Bayan karɓar sakamakon da ya wuce ƙimar al'ada ta glucose jini, wani babban urinalysis, ƙuduri na glycosylated haemoglobin a cikin jini (yawanci ana rubuta shi cikin haruffan Latin - HbA1C), C-peptide da sauran ƙarin nazarin.
Yawan sukarin jini
Yawan glucose din jini iri daya ne ga mata da maza. An gabatar da ƙimar al'ada na nuna alama dangane da shekaru a cikin tebur. Lura cewa a cikin ɗakunan gwaje-gwaje daban-daban, ƙimar tunani da raka'a ma'auni na iya bambanta dangane da hanyoyin bincike da aka yi amfani da su.
Ka'idodin glucose na jini na Venous