Gwajin Fructosamine - kimanta glycemia

Ana yin gwajin jini don fructosamine don tantance matsakaiciyar matakin glucose a cikin jikin mutum a cikin makonni 2-3 da suka gabata. Dalilin binciken ya yi kama da gwajin gwajin jini na glycosylated, amma yana da alamomi da fasaloli.

An wajabta gwajin fructosamine ga marasa lafiya waɗanda ke da cututtukan jini ko asarar jini da suka gabata don gano matakan glucose, kamar yadda sauran gwaje-gwaje na iya bayar da sakamakon da ba daidai ba ko ma a sanya su.

Nazarin Fructosamine

Fructosamine shine furotin da kuma gulukos wanda shine alamace na matsakaicin matakin glucose na jini sama da makonni 2-3 da suka gabata - i.e. rabin rabin rayuwar albumin a cikin jini. Saboda haka, gwajin yana ba ka damar tantance matsakaicin ƙimar sukari na jini da kuma gano yiwuwar hanyoyin rayuwa a cikin jikin mutum. Duk da cewa an nuna gwajin ga takamaiman rukuni na marasa lafiya, gabaɗaya, ana ɗauka mafi sauri kuma mafi dacewa don nazarin matakin glucose a cikin jiki ga duk mutane.

Alamu don binciken

Gwajin yana da mahimmanci don ganowar aiki na matsakaicin matakin glucose a cikin jiki na wani ɗan gajeren lokaci (makonni 2-3, sabanin karatun glucose har zuwa watanni 3). Ana buƙatar bincike don bincika nau'ikan cututtukan cututtukan guda biyu, da kuma sanya idanu kan ci gaba da magani.

Nazarin shine mafi yawan lokuta an tsara wa mata masu juna biyu da jarirai don sassauya da aiki na kulawa da jiki.

Bugu da ƙari, an nuna nazarin ga marasa lafiya da cututtukan jini, lokacin da wasu gwaje-gwajen glucose na iya ba da sakamakon ƙarya. Ciki har da, lokacin da ba za a iya yin binciken ba: alal misali, tare da raunin da yake gudana da asarar jini da ya gabata.

Fassara sakamakon: fructosamine na al'ada da karkacewa

Valuesa'idodin ƙa'idodin maza da mata sun bambanta sosai, ƙari, sun dogara da shekaru. Don haka, ga maza, wannan tazara ce ta 118-282 μmol / L, kuma ga mata, alamu sunfi girma - 161-351 μmol / L. Fructosamine al'ada yayin daukar ciki shima yana da nasa alamu. Da farko dai, ya dogara da tsawon lokacin daukar ciki da tarihin mahaifiyar mai fata.

Idan an rage fructosamine, wannan na iya nuna alamar nephrotic syndrome, nephropathy nephropathy, hyperteriosis, ko kuma yawan hauhawar ascorbic acid. Idan an inganta fructosamine, to waɗannan sune alamun yiwuwar kamuwa da cutar sukari ko kuma rashin haƙuri a cikin jiki. A lokacin daukar ciki, bincike ya nuna ciwon sukari. Bugu da kari, matakan da aka haɓaka na iya nuna gazawar renal, cirrhosis, hypothyroidism da sauran ƙarancin ciki. Sakamakon binciken yana likita ne kawai ya fassara shi bisa asalin tarihin rashin haƙuri da kuma sakamakon binciken.

Kuna iya ba da sabis>>> anan


Yaushe ne rubutaccen gwajin fructosamine kuma yaya karatun yake?

Don binciken, ana ɗaukar jinin mutum mai ɓoye, a farkon rabin ranar a kan komai a ciki kuma ƙwararru na musamman suka bincika shi. Frua'idodin fructosamine na jini na yau da kullun sun kasance daga 200 zuwa 300 μmol / L kuma sun dogara da nau'in mai nazarin da ke nazarin kayan ƙirar halitta.

Outuduri da tattarawar fructosamine a cikin jinin mutum an aiwatar dashi da manufar:

1. Tabbatarwar bayyanar cutar sankarau.
2. Ayyade tasirin maganin cutar siga.

Increaseara yawan matakan fructosamine, ba wai kawai yana nuna kasancewar ciwon sukari na mellitus ba ne, amma ana iya lura da shi tare da gazawar koda, har da hypothyroidism (rage aikin thyroid). Sabili da haka, wannan bincike na dakin gwaje-gwaje ya kamata ya kamata a tsara shi ta musamman ta likita kuma a hade tare da wasu karatun (glukos jini, c-peptide analysis, da sauransu).

Manuniya da contraindications

Ayyade matakin fructosamine yana ba ku damar tantance canji a cikin sukarin jini na tsawon makonni biyu ko uku. Da farko, ana buƙatar irin wannan kimantawa don sarrafa matakan glucose a cikin marasa lafiya da ciwon sukari mellitus kuma yana aiki a matsayin mai nuna alama mai kyau dangane da lura da sake juyawa. Nazarin don fructosamine yana ba da kwararru (mai ilimin hanyoyin kwantar da hankali, endocrinologist, diabetologist) ba kawai don zaɓin madaidaiciyar magunguna ba, har ma don kimanta tasirin maganin. Wannan yana taimakawa cikin ɗan kankanen lokaci don sanin ko ajiyayyen jigilar magani yana aiki ne ga wani mai haƙuri, kuma ya canza tsarin kulawa idan akwai alamun.

Lokacin haihuwar an san shi da canje-canje masu mahimmanci a jikin mace, kuma a wannan lokacin ne kula da matakan glucose koyaushe yana da mahimmanci. An tsara gwajin don fructosamine a lokacin lokacin haila don zargin cutar sankarar mahaifa ko lokacin da aka riga aka tabbatar da cutar kafin daukar ciki. Yana ba ku damar zaɓar ainihin adadin insulin a cikin lokaci, kuma yana taimakawa wajen kula da abubuwan da ke cikin glucose na jini a cikin yara masu haifuwa waɗanda uwayensu ke fama da ciwon sukari.

Tare da zub da jini, matakin fructosamine shine kawai alamar da ke nuna cikakken isasshen alamar glucose a cikin jini. Rashin jini da anemia yana tattare da asarar ƙwayoyin jan jini, ƙari, tare da wasu hanyoyin anemia, bayyanar fasalin haemoglobin da aka canza yana yiwuwa. Wadannan abubuwan zasu iya gurbata daidaituwar gwajin don gemocololated haemoglobin, sabili da haka, a cikin irin waɗannan halayen, ana ba da fifiko ga ƙudurin fructosamine.

Binciken ba shi da amfani a cikin manya manyan hypoproteinemia da proteinuria a cikin cututtukan hanta da kodan. Wannan ya faru ne saboda gaskiyar cewa asarar furotin (albumin) yana tasiri sosai akan yawan tasirin fructosamine kuma yana gurbata sakamakon binciken zuwa ƙasa. Yana da mahimmanci a lura cewa a cikin yara, matakin fructosamine zai ɗan ɗan bambanta daga wannan a lokacin balaga. Babban matakan ascorbic acid (bitamin C), hyperthyroidism, kasancewar hemolysis da lipemia na iya shafar sakamakon.

Shiri don bincike da samfur

Kafin ɗaukar jini don bincike, ana buƙatar wasu shirye-shiryen farko. Ana bada shawarar gudummawar jini da safe. Kada ku ci sa'o'i takwas kafin gudummawar jini (saboda lipemia ba ya tasiri sakamakon) kuma ku sha barasa. An ba shi damar sha ruwa, amma ba a carbonated ba. Kada ku ba da gudummawar jini nan da nan bayan an gyara jiki. Sa'a daya kafin gwajin, ba za ku iya shan abin sha mai ruwan-sukari ba, kofi ko shayi, da rabin awa - ba a ba da izinin shan taba. Hakanan yana da kyau a guji damuwa ta jiki da ta motsa jiki na mintina 20 kafin ɗaukar jinin.

Abubuwan ilimin halitta don yin binciken akan fructosamine jini ne wanda yake gudana, wanda yawanci ana karɓa daga jijiya a cikin gwiwar hannu. Bayan tsarin samfurori, ana sanya jini a cikin bututu mai bushe tare da jan kyandir don samun magani don bincike. Matsayin fructosamine an ƙaddara shi ta hanyar launiimetric ta amfani da sinadaran reagent mai narkewa abubuwan gwajin. Colorarfin launi zai nuna adadin fructosamine a cikin jini. Sharuɗɗan karanta sakamakon binciken ba su wuce wata rana ba.

Kayan al'ada

Abubuwan da aka ambata na fructosamine a cikin maza da mata masu lafiya suna cikin kewayon daga 205 zuwa 285 μmol / L. A cikin yara, wannan adadi zai zama dan kadan. Farawa daga haihuwa, yana daga 144 zuwa 242 /mol / L, sannan sannu a hankali yana ƙaruwa tare da tsufa kuma ya kai matakan girma zuwa shekaru 18. Sakamakon binciken a matsayin sharuɗɗan ramawa ga masu ciwon sukari ana tantance su ta hanyar halayen dijital masu zuwa: daga 285 zuwa 320 μmol / L - ramuwa mai gamsarwa, sama da 320 μmol / L - farkon ɓarnawa.

Diagnostic darajar da bincike

Abubuwan da ke haifar da karuwar ƙwayar fructosamine a cikin jini na iya zama masu ciwon sukari da kuma wasu yanayi waɗanda, sakamakon haka, suna haifar da haƙuri da glucose. Rashin aiki na kodan da cututtukan thyroid, kasancewar myeloma, cututtuka masu kumburi suna shafar sakamakon kuma yana haifar da haɓakar fructosamine. Jiyya na Heparin, maganin ascorbic acid da ƙimar bilirubin mai girma, haɗe tare da triglycerides, kuma suna zama abubuwan da ke haifar da ƙara yawan fructosamine a cikin jini.

Babban dalilan rage rageccen fructosamine a cikin jini shine kasancewar cututtukan nephrotic syndrome da kuma ciwon sukari mai narkewa. Functionara yawan aikin thyroid da kuma karin bitamin B6 a matsayin jiyya na iya zama sanadin raguwar fructosamine a cikin jini.

Jiyya marassa lafiya

Duk wani karkacewa da dabi'un yana buƙatar cikakken nazari a cikin makomar rayuwa don gano abubuwan da ke haifar da raguwa ko haɓaka matakin fructosamine. Don magance irin wannan muhimmin batun ya kamata ya zama na musamman likita wanda ya wajabta halayen wannan nau'in bincike. Idan likita ya yi alƙawarin, zai iya aiko da sakamakon binciken zuwa tattaunawa tare da endocrinologist idan ana tsammanin zazzabin cizon sauro ko wasu cututtukan endocrine. Hakanan kuna iya buƙatar tuntuɓar mai ilimin ƙwayar cuta idan kuna da matsalolin koda.