Gwajin gwajin haƙuri

Lokacin gudanar da gwajin haƙuri na glucose, dole ne a kiyaye yanayi mai zuwa:

jarrabawar aƙalla kwanaki uku kafin gwajin dole ne ya bi abinci na yau da kullun (tare da abun da ke cikin carbohydrate> 125-150 g kowace rana) da kuma yin aiki da yadda ya kamata a jiki

Ana gudanar da binciken da safe a kan komai a ciki bayan azumin dare na tsawon awanni 10-14 (a wannan lokacin bai kamata shan taba ya sha giya ba),

yayin gwajin, mara lafiya ya kamata ya yi kwance ko ya zauna a hankali, ba shan taba, ba ya yin sanyi, kuma kada ya shiga aikin jiki,

ba a bada shawarar gwajin ba bayan da kuma lokacin tasirin damuwa, cututtukan da ke ban tausayi, bayan aiki da haihuwa, tare da hanyoyin kumburi, guguwar hanta, hepatitis, a lokacin haila, tare da cututtukan gastrointestinal tare da nakasa glucose,

kafin gwajin, ya zama dole don ware hanyoyin likita da shan magunguna (adrenaline, glucocorticoids, rigakafin, maganin kafeyin, diuretics na jerin thiazide, magungunan psychotropic da antidepressants),

Ana lura da sakamako na gaskiya-tare da hypokalemia, dysfunction hanta, endocrinopathies.

Gyara hanyar | |Wanene yana buƙatar gwajin glucose?

Dole ne a yi gwajin haƙuri na glucose don tsayayya da sukari a matakin al'ada da kuma iyakar glucose matakan. Wannan yana da mahimmanci don rarrabe mellitus na ciwon sukari da kuma gano matsayin haƙuri haƙuri. Hakanan ana iya kiran wannan yanayin cutar sankara.

Bugu da ƙari, ana iya ba da umarnin gwajin haƙuri na glucose ga waɗanda suka yi aƙalla sau ɗaya sun kamu da hyperglycemia yayin yanayi mai damuwa, alal misali, bugun zuciya, bugun jini, huhu. GTT za a yi shi ne kawai bayan an daidaita yanayin mutum mara lafiya.

Da yake magana game da al'ada, mai nuna alama mai kyau akan komai a ciki zai kasance daga milliyan 3.3 zuwa 5.5 a kowace lita na jinin mutum, a haɗa. Idan sakamakon gwajin ya kasance adadi sama da milliyan 5,6, to a irin wannan yanayi zamuyi magana game da wahalar glycemia, kuma a sakamakon 6.1, ciwon sukari yana tasowa.

Me ya kamata kula ta musamman ga?

Yana da kyau a lura cewa sakamakon da aka saba amfani da su na glucose ba zai zama alamu ba. Zasu iya samarda sakamako na matsakaita, kuma ana bada shawarar ne kawai yayin maganin masu cutar sukari don sarrafa matakin glucose a cikin jinin mai haƙuri.

Kada mu manta cewa ana yin gwajin gwajin jini daga jijiya ta hanci da yatsa a lokaci guda, kuma akan komai a ciki. Bayan cin abinci, ana shan ƙoshin sukari daidai, wanda ke haifar da raguwa a matakin sa har zuwa miliyan 2.

Jarabawar jarabawa ce mai tsananin damuwa kuma wannan shine dalilin da ya sa aka bada shawarar sosai kar a fitar da shi ba tare da buƙatar ta musamman ba.

Ga wanda gwajin da aka contraindicated

Babban abubuwan da ake amfani da su don gwajin haƙuri na gwajin sun hada da:

mummunan yanayin gaba daya
tafiyar matakai masu kumburi a jiki,
hargitsi a kan aiwatar da abinci bayan tiyata a kan ciki,
cututtukan acid da cutar Crohn,
kaifi ciki
wuce gona da iri na basur, cututtukan mahaifa da tashin zuciya,
malfunctions a cikin al'ada aikin hanta,
kasa wadatar magnesium da potassium,
da amfani da steroids da glucocorticosteroids,
kwamfutar hannu hana amfani
Cutar Cushing
cututtukan zuciya
liyafar beta-blockers,
acromegaly
kumarasanna,
shan phenytoin,
thiazide diuretics
amfani da acetazolamide.

Yadda za a shirya jiki don gwajin haƙuri mai inganci?

Don sakamakon gwajin gwajin juriya a cikin glucose ya zama daidai, ya zama dole a gaba, watau 'yan kwanaki kafin hakan, don cin waɗannan abincin kawai waɗanda ake nuna yanayin al'ada ko haɓaka carbohydrates.

Muna magana ne game da abincin da abun cikin su ya kasance daga giram 150 ko fiye. Idan kun bi tsarin abinci mai ƙarancin carbi kafin gwaji, wannan zai zama babban kuskure, saboda sakamakon zai zama mai nuna ƙarancin ƙima na matakin sukari na mai haƙuri.

Bugu da ƙari, kimanin kwanaki 3 kafin binciken da aka gabatar, ba a ba da shawarar yin amfani da irin waɗannan magungunan ba: maganin hana haihuwa, thiazide diuretics, da glucocorticosteroids. Aƙalla awanni 15 kafin GTT, bai kamata ku sha giya ku ci abinci ba.

Yaya ake gudanar da gwajin?

Ana yin gwajin haƙuri na sukari don sukari da safe a kan komai a ciki. Hakanan, kar a sha taba sigari kafin gwajin kuma kafin ƙarshen shi.

Da farko, ana ɗaukar jini daga jijiya na ciki a kan komai a ciki. Bayan wannan, mai haƙuri ya kamata ya sha 75 grams na glucose, a baya an narkar da shi a cikin mil 300 na tsarkakakken ruwa ba tare da gas ba. Ya kamata a cinye dukkan ruwayen a cikin mintuna 5.

Idan muna magana ne game da nazarin yara, to, ana tono glucose a cikin nauyin 1.75 na kilogram na nauyin yaran, kuma kuna buƙatar sanin menene. Idan nauyinta ya wuce kilogiram 43, to, ana buƙatar cikakken ma'aunin tsufa.

Ana buƙatar auna matakan glucose kowane rabin sa'a don hana tsallake kogin suga. A kowane irin lokaci, matakinsa bai wuce milimo 10 ba.

Yana da mahimmanci a lura cewa yayin gwajin glucose, ana nuna duk wani aiki na jiki, kuma ba kawai kwance ko zaune a wuri ɗaya ba.

Me yasa zaku sami sakamakon gwajin da ba daidai ba?

Wadannan abubuwan zasu iya haifar da sakamako mara kyau na karya:

sha da glucose a cikin jini,
cikakken ƙuntatawa na kanka a cikin carbohydrates a ranar Hawan gwajin,
matsanancin motsa jiki.

Ana iya samun sakamako na gaskiya na gaskiya idan:

tsawanta azumi na binciken haƙuri,
saboda yanayin pastel.

Yaya ake tantance sakamakon gwajin glucose?

A cewar Kungiyar Lafiya ta Duniya ta 1999, sakamakon da wani gwajin haƙuri na glucose da aka gudanar bisa tushen jinsi ya nuna sune:

18 mg / dl = 1 milimole a kowace lita na jini,

100 MG / dl = 1 g / l = 5.6 mmol,

dl = deciliter = 0.1 l.

A kan komai a ciki:

za a yi la'akari da al'ada: kasa da 5.6 mmol / l (ƙasa da 100 mg / dl),
tare da glycemia mai yawan rauni: farawa daga mai nuna 5.6 zuwa 6.0 millimoles (daga 100 zuwa ƙasa da 110 mg / dL),
don ciwon sukari: ƙa'idar ta fi 6.1 mmol / l (fiye da 110 mg / dl).

2 sa'o'i bayan shan glucose:

na yau da kullun: ƙasa da 7.8 mmol (ƙasa da 140 mg / dl),
haƙuri mai raɗaɗi: daga matakin 7.8 zuwa 10.9 mmol (farawa daga 140 zuwa 199 mg / dl),
ciwon sukari mellitus: fiye da miliyan 11 (mafi girma ko daidai yake da 200 MG / dl).

Lokacin ƙayyade matakin sukari daga jini da aka ɗauka daga ƙwayar ƙwayar jijiji a kan komai a ciki, alamomin zasu zama iri ɗaya, kuma bayan sa'o'i 2 wannan adadi zai zama 6.7-9.9 mmol kowace lita.

Gwajin ciki

Gwajin maganin haƙuri da aka bayyana za a gauraye shi da ba daidai ba tare da wanda aka yi a cikin mata masu juna biyu a lokacin daga 24 zuwa 28 makonni. An umurce shi da likitan ilimin mahaifa don gano abubuwan haɗari don cututtukan bacci a cikin mata masu juna biyu. Bugu da kari, irin wannan cutar za a iya ba da shawarar ta hanyar endocrinologist.

A cikin aikin likita, akwai zaɓuɓɓukan gwaji daban-daban: sa'a daya, sa'a biyu da wacce aka tsara don 3 hours. Idan zamuyi magana game da waɗancan alamun da ya kamata a saita lokacin shan jini a cikin komai a ciki, to waɗannan zasu zama lambobi ba ƙasa da 5.0.

Idan mace a cikin halin da ake ciki tana da ciwon sukari, to a wannan yanayin alamun za su yi magana game da shi:

bayan awa 1 - fiye ko daidai da miliyan 10.5,
bayan 2 hours - fiye da 9.2 mmol / l,
bayan 3 hours - fiye ko daidai yake da 8.

A lokacin daukar ciki, yana da matukar muhimmanci a sanya idanu a kan yawan sukari na jini, saboda a wannan matsayin yaro a cikin mahaifar yana ƙarƙashin nauyin sau biyu, kuma musamman, kumburinsa. Ari da, kowa na sha'awar wannan tambaya,.

Bayyanar jikin mutum hanya ce ta musamman na gwaje-gwaje don tantance ciwon sukari mellitus (DM) da yanayin da ya gabata. Akwai iri biyu:

gwajin cikin jini
nazarin haƙuri haƙuri glucose.

Binciken ya nuna yadda jikin mutum ke narke glucose a cikin jini. Za a tattauna abubuwa, hanyoyi da yiwuwa na gwajin haƙuri a cikin gwaji a ƙasa. Zaka gano menene matsayin wannan binciken da kuma matsalolin sa.

Glucose shine monosaccharide wanda jiki yayi amfani dashi don kula da mahimmancin makamashi. Idan mutum yana da ciwon sukari, wanda ba a taɓa jin shi ba, to akwai abubuwa da yawa a cikin jini. Ana buƙatar gwajin don tantance lokacin cutar da kuma farkon jiyya a farkon matakin. Yadda za a gudanar da bincike kan haƙuri - za mu yi bayanin ƙasa.

Idan bincike ya nuna babban matakin, mutum yana da ciwon sukari na 2. Mata masu juna biyu kada su ji tsoro, saboda tare da “matsayi mai ban sha'awa”, maida hankali kan sukari a cikin jini ya tashi.

Gudanar da gwajin haƙuri na glucose hanya ce mai sauƙi wanda dole ne a yi shi akai-akai azaman prophylaxis.

Gwajin gwaji

Cikakke shiri ya gabace bincike. Kafin gwajin haƙuri na farko na glucose, likitoci sun ba da shawarar ku bi abincin: cire fat, abinci mai yaji da abinci mai girma a cikin carbohydrates daga abincin. Ku ci sau 4-5 a rana (karin kumallo, abincin rana, abincin dare da kuma abubuwan ciye-ciye 1-2) ba tare da yawan damuwa da matsananciyar yunwa ba - yawan jijiyar jiki tare da abubuwa masu amfani don rayuwar yau da kullun ya zama cikakke.

Yaya ake ɗaukar gwaje-gwajen haƙuri haƙuri? Musamman a kan komai a ciki: ware abinci na tsawon awa 8. Amma kar a wuce gona da iri: An halasta yin azumin bai wuce awa 14 ba.

Ranar kafin gwajin haƙuri, ya daina shan barasa da sigari gabaɗaya.

Kafin fara shiri don binciken, shawarci likitan ku game da shan magunguna. Gwajin zai zama ba daidai ba lokacin shan magungunan da ke shafar sukarin jini. Waɗannan sun haɗa da magunguna waɗanda suka ƙunshi:

maganin kafeyin
adrenaline
abubuwa na glucocorticoid
diuretics na jerin thiazide, da sauransu.

Yadda za'a gwada don haƙuri haƙuri

Yadda ake yin bincike don haƙuri game da haƙuri - zai bayyana likita wanda zai jagoranci aikin. A takaice zamuyi magana game da sifofin gwajin. Da farko, yi la'akari da ƙayyadaddun hanyoyin yin magana.

Ana ɗaukar samfurin jini don bincike. Mai haƙuri yana shan ruwa mai ɗauke da adadin adadin glucose (75 grams). Sannan likita ya dauki samfurin jini don nazari a duk rabin sa'a ko awa daya. Hanyar tana ɗaukar kimanin sa'o'i 3.

Na biyu hanya da wuya amfani. Ana kiran shi babban gwajin sukari na jini. Siffar ta ita ce haramcin amfani da cutar don kamuwa da cutar sankarau. Anyi gwajin jini ta wannan hanyar kamar haka: an shigar da kayan cikin jijiyar mai haƙuri na mintina uku, bayan tantance matakin insulin.

Bayan yin allurar, likita yana kirgawa a minti na 1 da 3 bayan allurar. Lokacin aunawa ya dogara da ra'ayi na likita da hanyar aiwatarwa.

Sanarwa yayin gwajin

Lokacin yin gwajin haƙuri na glucose, rashin jin daɗi ba a yanke hukunci ba. Kada ku firgita: wannan ita ce al'ada. Nazarin yana halin:

ƙara yin gumi
karancin numfashi
kadan tashin zuciya
fainting ko pre -aini jihar.

Kamar yadda aikin ya nuna, gwajin haƙuri a cikin jiki yana haifar da sakamako masu illa da wahala. Kafin ɗaukar gwajin, kwantar da hankali ka yi horo na atomatik. Tsarin juyayi yana tabbata, kuma hanya zata tafi ba tare da rikitarwa ba.

Mene ne ƙa'idar gwajin haƙuri ta glucose

Kafin binciken, karanta halayen bincike don kusan fahimtar sakamakon. Naúrar shine milligrams (mg) ko deciliters (dl).

Norm a 75 gr. abubuwa:

60-100 MG - sakamakon farko,
200 MG bayan awa 1,
har zuwa 140 MG a cikin 'yan awanni biyu.

Ka tuna cewa raka'a don ƙayyade matakan sukari na jini suna dogara ne da dakin gwaje-gwaje - bincika likitanka.

Jarabawar wani lokaci yana nuna ba ta hanyar ƙarfafa sakamako ba. Kada ku karaya idan alamu basu cika ka'ida ba. Wajibi ne a gano dalilin da kuma magance matsalar.

Idan sukari na jini ya wuce 200 MG (dm) - mai haƙuri yana da ciwon sukari.

Kwayar cutar ta bayyana ne ta hanyar likita: musamman matakan sukari zai yiwu tare da wasu cututtuka (cututtukan Cushing, da sauransu).

Muhimmancin bincike yana da wahalar shawo kan lamarin. Samun lafiyar mutum ya dogara da matakin glucose, wannan alamar tana buƙatar sarrafawa. Idan kuna son jin daɗin rayuwa kuma ku kasance cikin aiki koyaushe, kar ku watsi da sukarin jini.

Likita, likitan dangi, endocrinologist, har ma da likitan fata tare da likitan fata yana iya bayar da kwaskwarimar gwajin halayyar glucose - duk ya dogara ne akan wanda kwararrun ke zargin cewa mara lafiyar ya gamu da cikas din glucose din.

Lokacin da aka haramta GTT

Gwajin ya tsaya idan, a kan komai a ciki, yawan glucose din da ke ciki (GLU) ya zarce zuwa bakin 11.1 mmol / L. Additionalarin shan ɗamara a cikin wannan yanayin yana da haɗari, yana haifar da illa da tsinkaye kuma yana iya haifar da shi.

Contraindications don gwajin haƙuri haƙuri:

A cikin m cututtuka ko mai kumburi.
A cikin sashin karshe na ciki, musamman bayan makonni 32.
Yara ‘yan kasa da shekara 14.
A cikin lokacin da exacerbation na kullum pancreatitis.
A gaban cututtukan endocrine da ke haifar da karuwa a cikin glucose jini: Cutar Cushing, haɓaka ayyukan thyroid, acromegaly, pheochromocytoma.
Yayin shan magungunan da za su iya gurbata sakamakon gwajin - kwayoyin steroid, COCs, diuretics daga rukunin hydrochlorothiazide, diacarb, wasu magungunan antiepilepti.

A cikin kantin magani da kantin sayar da kayan aikin likitanci zaka iya siyar da maganin glucose, da kuma matsakaitan sikeli, har ma da ƙwararrun masu nazarin halittu waɗanda ke tantance ƙididdigar jini 5-6. Duk da wannan, gwajin don haƙuri na glucose a gida, ba tare da duba lafiya ba, an haramta. Da fari dai, irin wannan ‘yancin kai na iya haifar da tabarbarewa dama har zuwa motar asibiti .

Abu na biyu, daidaiton dukkanin na'urori masu šaukuwa basu isa ba don wannan bincike, saboda haka, alamun da aka samo a cikin dakin gwaje-gwaje na iya bambanta sosai. Kuna iya amfani da waɗannan na'urorin don ƙayyade sukari a kan komai a ciki kuma bayan nauyin glucose na halitta - abincin yau da kullun. Zai dace don amfani da su don gano samfuran da suke da babban tasiri ga matakan sukari na jini da kuma cin abincin mutum don rigakafin kamuwa da cutar sankara ko diyyarsa.

Hakanan kuma ba a son ɗauka don yin gwajin haƙuri na glucose da baki da na ciki da kullun, tun da yake babban nauyi ne ga ƙwanƙwasa kuma, idan an yi shi a kai a kai, na iya haifar da lalacewa.

Abubuwanda ke Shafar Dogarawar GTT

Lokacin ƙaddamar da gwajin, ana yin farkon kashi na glucose akan komai a ciki. Ana ɗaukar wannan sakamakon matakin da za'a auna sauran matakan. Manuniya ta biyu da masu zuwa sun dogara da ingantaccen gabatarwar glucose da kuma daidai kayan aikin da aka yi amfani dasu. Ba za mu iya rinjayar su ba. Amma don amincin ma'aunin farko marasa lafiya da kansu suna da cikakken alhaki . Yawancin dalilai na iya karkatar da sakamakon, saboda haka, ya kamata a ba da kulawa ta musamman ga GTT.

Zuwa rashin kuskuren bayanan da aka samu na iya haifar da:

Barasa a ranar hawan binciken.
Zawo, zazzabi mai zafi, ko kuma karancin ruwan da ya haifar da rashin ruwa.
Mai wahalar aiki na jiki ko horo mai ƙarfi na kwana 3 kafin gwajin.
Canje-canje masu lalacewa a cikin abincin, musamman haɗe da ƙuntatawa na carbohydrates, yunwa.
Shan taba da dare da safe kafin GTT.
Yanayin wahala.
Colds, gami da huhu.
Tsarin dawo da jiki a cikin aikin bayan aikin.
Kwancen bacci ko raguwa mai yawa a cikin ayyukan jiki na yau da kullun.

Bayan karɓar aikawa don bincika daga likitan halartar, ya zama dole a sanar da duk magungunan da aka karɓa, gami da maganin hana haihuwa. Zai zabi waɗanne ne dole ne a soke su kwanaki 3 kafin GTT. Yawancin lokaci waɗannan magunguna ne waɗanda ke rage sukari, hanawa da sauran magungunan hormonal.

Tsarin Gwaji

Duk da gaskiyar cewa gwajin haƙuri na glucose yana da sauƙin sauƙi, dakin gwaje-gwaje dole ne ya shafe kimanin awanni 2, a lokacin za'a bincika canjin matakin sukari. Yin fita yawo a wannan lokacin ba zai yi aiki ba, saboda lura da ma'aikaci wajibi ne. Yawancin lokaci ana tambayar marasa lafiya su jira a kan benci a farfajiyar ɗakin binciken. Yin wasa da wasanni masu kayatarwa akan waya shima bai cancanci hakan ba - canje-canje na motsin rai na iya shafar abubuwan motsa jiki Mafi kyawun zabi shine littafin ilimi.

Matakai na gano haqurin glucose:

Bayar da gudummawar jini na farko dole ne da safe, akan komai a ciki. Lokaci ya wuce daga abincin da ya gabata yana tsayayyen tsari. Bai kamata ya zama ƙasa da awanni 8 ba, saboda a iya amfani da ƙwayoyin carbohydrates da suka ƙare, kuma ba za su wuce 14 ba, don kada jiki ya fara matsananciyar yunƙuri da shan gullu a cikin adadin da ba na yau da kullun ba.
Nauyin glucose gilashin ruwan zaki ne wanda ke buƙatar shan giya cikin minti 5. Adadin glucose din da ke cikinsa an kaddara shi akayi daban-daban. Yawanci, ana narke 85 g of glucose monohydrate cikin ruwa, wanda yayi dace da gram 75 na mai. Ga mutanen da ke da shekaru 14-18, ana lissafta nauyin da ya dace gwargwadon nauyinsu - 1.75 g na gllu mai tsabta ta kowace kilogram na nauyi. Tare da nauyi sama da kilogiram 43, an yarda da kashi na yau da kullun. Ga mutane masu kiba, nauyin ya karu zuwa 100 g. Lokacin da aka gudanar da shi ba tare da izini ba, ana rage ɓangaren glucose da yawa, wanda ke ba da la'akari da asarar sa yayin narkewar abinci.
Aka maimaita gudummawar jini sau 4 - kowane rabin awa bayan motsa jiki. Ta hanyar sauƙaƙe raguwar sukari, yana yiwuwa a yanke hukunci a take hakkinsa a cikin aikinsa. Wasu dakunan gwaje-gwaje suna shan jini sau biyu - a kan komai a ciki kuma bayan awanni 2. Sakamakon irin wannan bincike na iya zama abin dogaro. Idan mafi girman glucose a cikin jini ya faru a wani lokaci da ya gabata, ba za a yi rijista ba.

Bayani mai ban sha'awa - a cikin syrup mai zaki ƙara citric acid ko kawai bayar da yanki na lemun tsami. Me yasa ruwan lemun tsami kuma ta yaya yake shafar ji da haƙuri? Ba shi da ɗan ƙaramin tasiri a matakin sukari, amma yana ba ku damar kawar da tashin zuciya bayan yawan cin abinci na lokaci guda na adadin carbohydrates.

Gwajin glucose na dakin gwaje-gwaje

A halin yanzu, kusan babu jini da aka karɓa daga yatsa. A cikin dakunan gwaje-gwaje na zamani, ma'aunin shine aiki tare da jini mai ɓacin rai. Lokacin bincika shi, sakamakon ya fi daidai, tunda ba a cakuda shi da ruwan intercellular da lymph, kamar jini mai ƙarfi daga yatsa. A zamanin yau, shinge daga jijiya ba ya rasa ko da a cikin rudewar hanyar - allura tare da laser na lanƙwasawa suna sa ƙyallen kusan ba shi da ciwo.

Lokacin ɗaukar jini don gwajin haƙuri mai haƙuri, an sanya shi cikin shambura na musamman da aka bi da abubuwan kiyayewa. Mafi kyawun zaɓi shine amfani da tsarin injin ciki, wanda jini ke gudana koda yaushe saboda bambancin matsin lamba. Wannan yana gujewa lalata rukunin sel ja da kuma haifar da ƙwayar cuta, wanda zai iya gurbata sakamakon gwajin ko kuma ya yuwu yin gudanarwa.

Aikin mai taimakawa dakin gwaje-gwaje a wannan matakin shine don guje wa lalacewar jini - hadawan abu da iskar shaka, glycolysis da coagulation. Don hana oxidation na glucose, sodium fluoride yana cikin cikin shambura. Ion dake cikin iska mai gudana ya hana fashewar kwayar ta glucose. Canje-canje a cikin haemoglobin mai narkewa ta amfani da shambura mai sanyi sannan sanya samfuran cikin sanyi. Kamar yadda maganin anticoagulants, ana amfani da EDTU ko sodium citrate.

Sannan an sanya bututun gwajin a cikin centrifuge, yana rarraba jini cikin plasma da abubuwa masu fasali. An canza plasma zuwa wani sabon bututu, kuma ƙudurin glucose zai faru a ciki. An inganta hanyoyin da yawa don wannan dalili, amma yanzu ana amfani da biyu daga cikinsu a dakunan gwaje-gwaje: glucose oxidase da hexokinase. Dukkan hanyoyin suna da enzymatic; aikin su ya dogara da halayen sunadarai na enzymes tare da glucose. Abubuwan da aka samo a sakamakon waɗannan halayen ana bincika su ta amfani da ƙirar ƙwaƙwalwar ƙwaƙwalwar ƙwayoyi ko a kan masu nazarin ta atomatik. Irin wannan ingantaccen tsari da ingantaccen tsari na gwajin jini yana ba ka damar samun ingantaccen bayanai akan abin da ya ƙunsa, kwatanta sakamako daga ɗakunan gwaje-gwaje daban-daban, da amfani da ƙa'idodi na yau da kullun don matakan glucose.

GTT na al'ada

Dokokin glucose na samfuran jini na farko tare da GTT

Dokokin glucose na jini na biyu kuma na gaba yana daukar jini a cikin jini tare da GTT

Bayanan da aka samo ba cuta bane, wannan bayani ne kawai ga likitan halartar. Don tabbatar da sakamakon, ana gudanar da gwajin haƙuri na glucose akai-akai, gudummawar jini don wasu alamun, an tsara ƙarin gwajin kwayoyin. Bayan duk waɗannan hanyoyin za mu iya magana game da ciwo na rayuwa, rashin tasirin glucose da kuma, musamman, ciwon sukari.

Tare da ingantaccen ganewar asali, dole ne ka sake tunanin yanayin rayuwarka: dawo da nauyi zuwa al'ada, iyakance abincin carbohydrate, dawo da sautin tsoka ta hanyar motsa jiki na yau da kullun. Bugu da kari, marasa lafiya an wajabta magungunan rage sukari, kuma a cikin manyan lokuta, injections na insulin. Yawan adadin glucose a cikin jini yana haifar da jin daɗin kullun gajiya da rashin jin daɗi, yana cutar da jiki daga ciki, tsokani da wuya shawo kan sha'awar cin zaki mai yawa. Jikin kamar yana tsayayya da sakewa. Kuma idan kun bugu da shi kuma bar cutar ta ɓaci - akwai babban haɗari bayan shekara 5 don samun canje-canje da ba a jujjuyawar a idanun ba, kodan, ƙafafunku, har ma da nakasa.

Idan kun kasance cikin ƙungiyar masu haɗari, ya kamata a fara ciwon sukari kafin gwaje-gwajen haƙuri haƙuri yana nuna alamun rashin ƙarfi. A wannan yanayin, da alama tsawon rai da lafiya ba tare da ciwon sukari yana ƙaruwa sosai ba.

Gwajin haƙuri a lokacin gwaji

Idan wani ya ce cewa mata masu juna biyu ba sa buƙatar shan GTT, wannan ba daidai ba ne!

Ciki - lokacin sake tsarin jikin mutum don abinci mai kyau na tayin da kuma samar dashi da iskar oxygen. Akwai canje-canje a cikin metabolism na glucose. A farkon rabin lokacin, GTT yayin daukar ciki yana ba da ƙananan ƙimar fiye da yadda aka saba. Daga nan sai aka kunna wani tsari na musamman - wani bangare na sel tsoka ya daina sanin insulin, akwai karin sukari a cikin jini, sannan yaro ya sami karin makamashi ta hanyar jini don girma.

Idan wannan tsari ya gaza, suna magana ne game da cutar sankarar mahaifa. Wannan wani nau'in ciwon sukari ne daban wanda ke faruwa musamman lokacin jariri, kuma yana wucewa nan da nan bayan haihuwa.

Yana haifar da haɗari ga tayin saboda raunin jini da ke gudana ta cikin tasoshin mahaifa, haɓakar haɗarin kamuwa da cuta, har ila yau yana haifar da babban nauyin jariri, wanda ke rikitar da lokacin haihuwar yara.

Sharuɗɗan ganewar asali ga masu ciwon suga

Idan glucose mai azumi ya wuce 7, kuma bayan an saka shi shine 11 mmol / l, wannan yana nuna cewa an gurbata sukarin a lokacin daukar ciki. Irin waɗannan kuɗaɗe masu yawa ba za su iya dawowa al'ada ba bayan haihuwar yaro.

Zamu gano tsawon lokacin da yakamata ayi GTT domin bin diddigin abubuwan data shafi cikin lokaci. An tsara lokacin gwajin sukari na farko da zarar an tuntuɓi likita. An ƙaddara glucose na jini ko glycated haemoglobin. Dangane da sakamakon waɗannan karatun, mata masu juna biyu da masu ciwon sukari keɓewa sun keɓe (glucose sama da 7, haemoglobin glycated fiye da 6.5%). An gudanar da ciki a cikin tsari na musamman. Bayan karɓar sakamako na ƙasa mai ban mamaki, mata masu juna biyu suna cikin haɗarin kamuwa da cutar sankara. Ana yin gwajin haƙuri na glucose na farko ga mata a wannan rukunin, da kuma waɗanda ke haɗuwa da abubuwan haɗari da yawa ga masu ciwon sukari.

Gwajin ciki na makonni 24 zuwa 27 na wajibi ne ga kowa, wannan bangare ne na gwajin rubutu.

Ana yin gwajin haƙuri na glucose a lokacin daukar ciki tare da kulawa mai girma, tunda babban sukari bayan motsa jiki na iya lalata tayin. Ana yin gwaji mai sauri na farko don gano matakin glucose, kuma tare da abubuwan yau da kullun sa ne aka yarda da GTT. Ana amfani da glucose ba fiye da 75 g ba, tare da ƙaramar cututtuka na gwajin an soke gwajin, ana yin bincike tare da nauyin da ya wuce har zuwa makonni 28, a lokuta na musamman - har zuwa 32.

Gwajin gwajin haƙuri - matakai da yawa da kuma rikitarwa, amma ingantaccen tsarin bincike ne. Mafi sau da yawa, ana wajabta shi ne ga mutanen da ke cikin haɗarin ƙungiyar masu ciwon sukari na mellitus ko (cututtukan da aka gano a cikin dangi na kusa, kiba, ciki).

Amfanin gwajin haƙuri a cikin glucose shine cewa matakan carbohydrates a cikin jini an ƙaddara su akan komai a ciki kuma bayan shan maganin glucose.

Don haka, yana yiwuwa a gano matakin farko na sukari a cikin jini, har ma don gano yadda jikin yake buƙatarsa.

Iri gwaje-gwaje

Baya ga daidaitaccen gwajin haƙuri na glucose, tare da sakamako mai ban mamaki, likita na iya yin wasiyya Gwajin gwajin gwajin haƙuri na ƙwayar cuta ta prednisone , wanda shine nau'in nazarin haƙuri na glucose ta amfani da corticosteroids.

Hakanan akwai bambance-bambance a cikin tattarawar maganin glucose don gwajin. Misali, ga manya, ana amfani da syrup na 75 g na glucose, kuma ga yara - a cikin nauyin 1.75 g a kilogiram na nauyin jiki.

Manuniya don

Don aiwatar da ayyuka, jikinmu yana buƙatar makamashi, babban abin da shine glucose. A yadda aka saba, adadinta a cikin jini na iya kaiwa daga 3.5 mmol / L zuwa 5.5 mmol / L.

A cikin yanayin yayin da matakin sukari bisa ga sakamakon daidaitaccen gwajin jini ya tashi sama da iyakar ƙimar ƙa'idodi, suna magana game da yanayin cutar sankara, kuma bayan haɓaka mai mahimmanci a cikin matakinsa (a kan 6.1 mmol / l), mara lafiya yana cikin haɗarin kuma an tsara bincike na musamman.

Abubuwa da yawa zasu iya shafar matakan glucose na jini:

Abincin da ba a tsammani ba tare da yawancin abincin da ke da wadataccen sukari mai ladabi,
Damuwa
Almubazzaranci
Rashin aikin jiki,
Cututtukan Endocrine
Tsarin kwayoyin halitta
Ciki
Kiba

Tare da wannan, an ƙaddara ƙungiyar haɗari.

Norms da fassarar

Lokacin yin gwajin haƙuri haƙuri ka’ida shine idan adadin sukari a kashi na farko na jini yana tsakanin 5.5 mmol / L, kuma a na biyu - ƙasa da 7.8 mmol / L.

Idan a farkon samfurin yawan glucose shine 5.5 mmol / L -6.7 mmol / L, kuma bayan sa'o'i biyu - har zuwa 11.1 mmol / L, to, muna magana ne game da cin zarafin glucose (prediabetes).

Ciwon sukari an saita idan an tabbatar da yin azumi a wani yanki na jini fiye da 6.7 mmol / l glucose, kuma bayan sa'o'i biyu - sama da 11.1 mmol / L, ko kuma, a lokacin gwajin farko, matakin sukarin jini ya wuce 7 mmol / L.

Menene idan sakamakon gwajin yayi kyau

Idan aka gano cuta mai narkewar ƙwayar cuta a yayin gwajin haƙuri na glucose, mahaɗa na endocrinologist na iya yin magani sake gwadawa ko zaɓi na gaba tare da corticosteroids. Koyaya, hanyar tana da inganci sosai, kuma an kawar da sakamakon ne kawai idan ba a bi umarnin likita ba.

Idan ba a sami sakamako mai kyau ba, ana tura mai haƙuri don yin shawara ga masanin ilimin endocrinologist, wanda zai ba da cikakken isasshen magani ko gyaran yanayin cutar sankara.

Hanyoyi don gwajin haƙuri haƙuri

Mahimmancin gwajin haƙuri na glucose (GTT) ya ƙunshi akai-akai don auna glucose jini: a karo na farko tare da rashin yawan sukari - a cikin komai a ciki, sannan - wani lokaci bayan glucose ya shiga cikin jini. Don haka, mutum zai iya gani ko sel jikin sun tsinkaye shi da kuma tsawon lokacin da suke buƙata. Idan ma'aunai suna da yawa akai-akai, zai yuwu a gina keɓaɓɓen sukari, wanda a cikin gani yake nuna dukkan abubuwanda suka faru.

Mafi yawan lokuta, don GTT, ana ɗaukar glucose ta baki, wato, kawai a sha maganinsa. Wannan hanyar ita ce mafi kyawun halitta kuma tana nuna cikakkiyar juyar da sukari a jikin mai haƙuri bayan, alal misali, kayan zaki mai yawa. Hakanan ana iya allurar glucose kai tsaye a cikin jijiya ta allura. Ana amfani da gudanar da jijiyoyin wuya yayin da ba za a iya yin gwajin haƙuri na glucose na baki ba - tare da guba da matsanancin ciki, lokacin guba yayin ciki, da kuma cututtukan ciki da hanji waɗanda ke gurbata hanyoyin narkewa cikin jini.

Yaushe ne ake buƙata GTT?

Babban dalilin gwajin shine hana rikice-rikice na rayuwa da hana farkon ciwon sukari. Saboda haka, ya zama dole a dauki gwajin haƙuri a cikin glucose ga duk mutanen da ke cikin haɗari, kazalika da marasa lafiya da ke fama da cututtuka, sanadin hakan na iya zama mai tsawo, amma ƙara ƙanƙancin sukari:

kiba, BMI,
m hauhawar jini, wanda matsin lamba ya wuce 140/90 mafi yawan rana,
hadin gwiwa cututtukan da ke haifar da cututtukan rayuwa, kamar gout,
bincikar cutar vasoconstriction saboda samuwar plaque da filaye a jikin bango na ciki,
da ake zargi da rashin lafiya na rayuwa,
cirrhosis na hanta
a cikin mata - polycystic ovary, bayan lokuta na ashara, lalatattu, haihuwar wani yaro mai girma da yawa, ciwon suga na cikin mahaifa,
da aka sani da haƙurin glucose a baya don sanin yanayin cutar,
tafiyar matakai masu kumburi akai-akai a cikin kogon bakinsa da kan fata,
lalacewar jijiya, sanadin abin da bai fito fili ba,
shan diuretics, estrogen, glucocorticoids wanda ya fi tsawon shekara guda,
ciwon sukari mellitus ko cuta na rayuwa a cikin dangi - iyaye da 'yan'uwanku,
hyperglycemia, rikodin lokaci-lokaci yayin damuwa ko m cuta.