Kukula kwa kuyeserera kwa glucose (PTTG)

Mayeso a glucose kulolerana (TSH) ndi njira yoyeserera ya labotale yomwe imagwiritsidwa ntchito mu endocrinology kuphunzira kukhumudwa kwa chiwopsezo cha glucose komanso chiopsezo chokhala ndi matenda ashuga. Kutha kwa thupi kupangira shuga kumatsimikizika. Kuyesedwa kumachitika pamimba yopanda mphindi iliyonse kwa mphindi 120 pambuyo pa chakudya chamafuta. Iyi ndi njira yofunika kudziwa mtundu wa matenda ashuga.

Zizindikiro ndi Norm

Malinga ndi a Russian Diabetes Association, munthu m'modzi mwa anthu 10 mdzikolo ali ndi matenda a shuga. Ndizowopsa kusokoneza matendawa ndikusintha moyo womwe umatsogolera. Chifukwa cha kuperewera kwa zakudya m'thupi, cholowa, kupanga insulini kumayipa, zomwe zimakhala zowopsa chifukwa cha matenda ashuga.

Zakudya zomanga thupi zimafunikira ndi thupi, koma insulin ndiyofunikira mphamvu ndi nyonga. Nthawi zina, kuchuluka kwa shuga kumawonjezeka ndipo kumayambitsa hyperglycemia. Zinthu zosiyanasiyana zimayambitsa mphamvu za izi, koma chifukwa chachikulu ndikusowa kwa insulin. Chifukwa chake, kuyesedwa kwa shuga m'magazi, kupindika kwa shuga, kapena kuyesa kulolerana kumagwiritsidwa ntchito mwakhama pakupezeka kwa matenda ashuga.

Koyamba, anthu athanzi omwe ali ndi zaka zosakwana 45 amatha kuyezetsa kamodzi pazaka zitatu, ndipo kwa okalamba chaka chilichonse, chifukwa chakuti matenda omwe adapezeka ali koyambirira amabweretsera chithandizo chokwanira. Wochiritsira, endocrinologist ndi gynecologist amatengera wodwalayo kuti amupimenso magazi.

Zisonyezero za mayeso:

Gulu lomwe lili pachiwopsezo cha matenda a shuga (anthu omwe ali ndi moyo wongokhala, onenepa kwambiri, wokonda matenda ashuga, wokhala ndi mbiri yokhudza matenda oopsa, mtima ndi matenda amitsempha, komanso kulekerera kwa glucose).
Kunenepa kwambiri komanso kunenepa kwambiri.
Atherosulinosis
Kuthamanga kwa magazi.
Gout
Amayi omwe atayika padera, mayi wozizira, wabereka mwana msanga, ana wakufa kapena wolumala.
Matenda a shuga.
Matenda a chiwindi.
Polycystic ovary.
Neuropathy.
Kulandila kwa okodzetsa, glucocorticoids, estrogens.
Furunculosis ndi matenda a periodontal.
Mochedwa gestosis.

Mimba ndi nthawi yobwerezanso kwakanthawi kwa thupi kuti izikhala ndi zakudya zoyenera za mwana wosabadwayo komanso kupezeka kwa mpweya wake. Amayi oyembekezera amayang'anitsitsa shuga wawo wamagazi. Matenda a shuga a m'mimba amadziwika kuti ali ndi vuto lofanana ndi matenda osokoneza bongo omwe amapezeka mwana akabadwa. Mfundo za mawonekedwe zimalumikizana ndi mahomoni omwe amatulutsidwa ndi placenta. Chifukwa chake, kuchuluka kwa glucose sikumveka koyenera.

Glucose kagayidwe amasintha. Chiyesocho chikuwonetsa manambala otsika kwambiri m'mimba yoyambirira, ndiye kuti maselo am minofu amasiya kuzindikira insulin, ndipo shuga ya magazi imachulukira ndende. Mwanayo amalandiranso mphamvu zowonjezereka kuti zikule ndi mphamvu.

Matenda a shuga oterewa amasokoneza thanzi la mwana ndi mayi. Madokotala amapereka malangizo oyenera. Amayi oyembekezera omwe alibe mbiri ya matenda opatsika amayesa mayeso ololera mu nthawi yachitatu kuyambira sabata 28.

Mulingo wambiri mu shuga wa mayeso ololera wamkulu ndi 6.7 mmol / L. Ngati, pakapita nthawi, ndendeyi imafikira 7.8 mmol / L, ndiye kuphwanya kulekerera kumadziwika. Kuwunika ndi manambala pamtunda wa 11 mmol / L kumawonetsa kupitirira kwa shuga.

Pakati pa nthawi yobereka, mitengo yokhazikika imachokera ku 3,3-6.6 mmol / L. Akuluakulu shuga amatchedwa hyperglycemia, ndipo digiri yotsika imatchedwa hypoglycemia. Ndondomeko ziyenera kuchitika kasanu.

Momwe shuga limakhalira mwa ana (mol / l):

Mwana wazaka 0−2. Zizindikiro kuchokera ku 2.8-4.4.
Zaka kuyambira zaka 2-6. Kuyambira 3.3−5.
Ana a sukulu. Kuyambira 3.3-5.5.

Ndi ziwerengero zokayikitsa, adotolo amafufuza zowonjezera. Odwala, Zizindikiro zina zimatha kudziwa mtundu woyamba wa carbohydrate metabolism.

Zizindikiro za kuperesa kwa glucose: kuwonjezeka kwapang'onopang'ono kwa glucose, mawonekedwe ake mkodzo, zizindikiro za matenda ashuga, matenda a chiwindi, matenda, komanso retinopathy.

Ngati mukuyesera kawiri kapena kuposerapo ndi gawo la masiku 30, kuchuluka kwa shuga kumakhala kokwanira kwambiri, kuzindikira kwake kumatsimikiziridwa.

Zotsatira za hyperglycemia:

Matenda a shuga.
Matenda a endocrine dongosolo.
Pancreatitis
Matenda a chiwindi, mtima, mitsempha yamagazi ndi impso.

Pazochepa shuga, adotolo akuwonetsa matenda a kapamba, kuchepa kwa mitsempha, Hypothyroidism, poyizoni wa magazi m'thupi kapena kuchepa kwa magazi m'thupi.

Zosokoneza

Chiyeso chololera chimakhudzidwa ndi zochitika zosiyanasiyana. Ndikofunikira kuchenjeza adokotala omwe amapezekapo za mankhwala omwe adamwa, matenda ndi zina.

Zina zosokoneza:

Colds ndi SARS.
Kuchita zolimbitsa thupi.
Matenda
Kusintha kwakuthwa kwa ntchito.
Kumwa mankhwala kapena mowa.
Kutsegula m'mimba
Kusuta.
Kumwa madzi kapena kudya zakudya za shuga.
Matenda amsempha, kupsinjika ndi kukhumudwa.
Kubwezeretsa pambuyo pa ntchito.

Zotsatira zabwino zabodza zimawonekera potsatira kupumula kwa bedi kapena kugona nthawi yayitali. Izi zimachitika chifukwa cha kuyamwa kwa glucose, kusowa kwa chakudya m'zakudya kapena kuwonjezerera mphamvu zolimbitsa thupi.

Mndandanda wazopondera

Chiyeso sichovomerezeka nthawi zonse kuti chigwiritsike ntchito. Mchitidwewu umayimitsidwa ngati, pakulandidwa magazi pamimba yopanda kanthu, kuchuluka kwa shuga kumakhala kwakukulu kuposa 11.1 mmol / L. Kuphatikiza ndi shuga ndiwowopsa pakutha kwa chikumbumtima kapena kukomoka kwa hyperglycemic.

Zoyipa:

Kusalolera kwa shuga.
Matenda am'mimba ndi matumbo.
Nthawi yovuta yotupa ndi matenda.
Kuchulukitsa kwa kapamba.
Mimba pambuyo 32 milungu.
Chilonda chowopsa.
Kuchulukitsa kwa chithokomiro.
Ana osakwana zaka 14.
Nthawi atandichita opareshoni.
Kutsatira ndi kugona pabedi.
Kulandila kwa mahomoni a steroid, diuretics ndi antiepileptic mankhwala.

M'masitolo ogulitsa ndi masitolo apadera, ma glucometer ndi mawunikidwe osunthika amagulitsidwa omwe amawerengetsa kuchuluka kwa magazi a 5-6. Zomwe zapezazo ndi zowunikira mwachangu, motero ziyenera kuperekedwa kwa sing'anga wodziwa kupezeka kuti adziwe zoyenera ndikutsimikizira kudalirika kwake.

Ubwino wa kuyeserera kwa glucose ndiyo njira yolondola kwambiri yofufuzira. Pakusanthula, shuga amawayeza pamimba yopanda kanthu. Zizindikiro zina zimayerekezedwa ndi chiwerengerochi.

Njira Zofufuzira

Zotsatira za phunziroli zimatengera kulondola kwa mawu oyambira komanso kuwongolera kwa zida. Mukalandira malangizo owunikira, ndikofunikira kudziwitsa dokotala za mankhwala omwe amagwiritsidwa ntchito ndi moyo wawo. Katswiriyu aletsa kudikiratu masiku atatu mayeso asanachitike.

Pali njira ziwiri zoperekera shuga:

Pakamwa Kutumiza kwa shuga kumachitika patadutsa mphindi zingapo pambuyo poyeserera magazi oyamba. Wodwalayo amamwa madzi otsekemera a shuga.
Mitsempha Ngati ndizosatheka kugwiritsa ntchito shuga mkati mwa madzi amadzimadzi, yankho lake limalowetsedwa m'mitsempha. Njirayi ndi yoyenera kwa amayi apakati omwe ali ndi toxosis yayikulu komanso iwo omwe ali ndi vuto la m'mimba ndi matumbo.

Kusweka kosavuta kwa mayeso a glucose kulolerana (PTTG) ndi kuchuluka kwa chakudya chotengedwa pakamwa. Ndi mankhwala ati omwe ayenera kugulidwa, adokotala amauza phwando. Mu kapu yamadzi, 75 g ya glucose iyenera kusungunuka mu mawonekedwe a ufa. Ngati wodwala wambiri, komanso amayi apakati, mulingo wa ufa umasinthidwa mpaka 100. Ana amamuika glucose wa 1.75 g pa kilogalamu imodzi ya kulemera. Odwala omwe ali ndi mphumu, angina pectoris, stroke kapena kugunda kwa mtima samatenga 20 g shuga.

Madziwo amatengedwa pamimba yopanda kanthu. Magazi amasonkhanitsidwa musanayambe kuchita masewera olimbitsa thupi komanso mutatha kudya shuga. Nthawi yosonkhanitsa ndi maola 7-8 m'mawa.

Pambuyo pakamwa Mlingo, dikirani maola awiri ndikuwongolera shuga. Kuti mupeze zotsatira zodalirika, wodwalayo asanafike motsatira malamulo ena. Muyenera kutenga kuyeserera kwa glucose mutakonzekera kwambiri.

Kukonzekera kuyesa kwa glucose:

Masiku atatu magazi asanaperekedwe, ndikofunikira kuti muchepetse kuchuluka kwa mafuta omwe amwedwa.
Chakudya chomaliza chiyenera kumaliza kumaliza maola 10 isanachitike mayeso.
Osamamwa mowa, khofi, kapena ndudu kwa maola 12.
Chepetsani zolimbitsa thupi.

Masiku angapo musanatenge sampuli, perekani mankhwala - monga mahomoni, okodzetsa, khofi ndi adrenaline. Simungathe kuwunikira masiku ovuta. Umboni wolakwika wa kusanthula ungachitike chifukwa cha kupsinjika, kupsinjika, pambuyo pakuchita opaleshoni, panthawi yotupa, ndikuchepa kwa potaziyamu m'magazi.

Odwala ena, kakomedwe kake kamtengo ka shuga kamayambitsa kusanza kapena nseru. Popewa kusapeza bwino, mutha kuwonjezera madontho ochepa a citric acid. Mutamwa mankhwalawa, muyenera kudikirira kwakanthawi.

Zolemba zamagazi:

Zakale Zitsanzo zimatengedwa mphindi 30 zilizonse kwa maola awiri.
Zopepuka. Kuyamwa kwa magazi kumachitika pambuyo pa maola 1-2.

Mu labotale, ma coefficients apadera (Baudouin, Rafalsky) amawerengedwa kuchokera pagule ya glycemic kwakanthawi.

M'makiriniki ambiri, satenga magazi kuchokera pachala, koma amagwira ntchito ndi mtsempha. Pophunzira magazi a venous, zotsatira zake zimatsimikiziridwa ndendende, chifukwa zomwe zimagwirizanitsidwa sizimalumikizana ndi ma hydellular fluid ndi lymph, mosiyana ndi magazi a capillary. Mukamapereka zitsanzo, magazi amayikidwa m'matambula okhala ndi mankhwala osungira. Njira yoyenera ndikugwiritsa ntchito njira za vacuum, momwe magazi amayenda chimodzimodzi chifukwa chosiyana ndi kukakamiza. Mothandizirana ndi izi, maselo ofiira a m'magazi samawonongeka, ndipo magazi amawoneka ochepa, amapotoza zotsatira zoyeserera. Katswiri wa Lab ayenera kupewa magazi. Chifukwa cha izi, machubu amathandizidwa ndi sodium fluoride.

Kenako ma flasik amayikidwa mu centrifuge, yomwe imalekanitsa magazi kukhala a plasma ndi zigawo zofanana. Plasma imasamutsidwira ku botolo lina, momwe mulingo wa shuga umatsimikizika. Zambiri zomwe zapezedwa sizomwe zazindikira. Kuti mutsimikizire zotsatira, kuyesedwa kwachiwiri kumatengedwa, chopereka cha magazi chimaperekedwa kuti chizisonyeze zina, kuwonetsa ziwalo zamkati.

Imayesanso kuchuluka kwa shuga mumkodzo. Chotengera chomwe chili ndi zinthuzo chiyenera kupita kuchipatala. Pakati pazopeza zoyeserera, muyenera kumwa madzi ambiri. Pambuyo pa njirayi, wodwalayo ayenera kudya bwino ndikuwabwezeretsa bwino. Izi ndizowona makamaka kwa amayi apakati ndi achinyamata. Pambuyo pa phunziroli, ndikofunikira kuyambiranso kumwa mankhwala omwe adathetsedwa chifukwa cha mayeso ololera a glucose.

Kukhazikitsidwa kwa kuzindikira kwa kupezeka kwa mayeso a glucose kumawonetsedwa kwa odwala omwe ali pachiwopsezo cha matenda a shuga 2. Koma kusanthula ndikofunikanso ndi pafupipafupi kapena nthawi ndi nthawi zomwe zimayambitsa kuphwanya kagayidwe kazakudya, kakulidwe ka shuga.

Odwala omwe abale awo a magazi ndi odwala matenda ashuga, onenepa kwambiri, oopsa, komanso opuwala zamadzimadzi a pakid. Mlingo wololera wama glucose ndi 6.7 mmol / L.

Zakudya za anthu zimakhala makamaka ndi ma carbohydrate, omwe amawonongeka m'mimba, matumbo, ndipo amatulutsidwa m'magazi ngati glucose. Kuyesaku kukuwonetsa zambiri momwe thupi limagwirira ntchito mwachangu gasi, limagwiritsa ntchito ngati mphamvu pakuchita minofu.

Lingaliro la kulolera limatanthawuza mphamvu ya maselo amthupi kutenga glucose. Phunziroli ndi losavuta koma lothandiza.

Ngati matendawa atsimikizika, wodwalayo ayenera kuunikanso moyo wake, achepetse kulemera, azitha kudya zakudya zolimbitsa thupi komanso azichita masewera olimbitsa thupi. Kuchuluka kwa shuga m'magazi ndi chisonyezo chofunikira chakuyenda bwino kwa thupi la munthu, ndipo kupatuka kuzizungulira kumabweretsa zotsatira zowopsa.