Kodi ndichifukwa chiyani urinalosis yokhazikika ndi yofunika kwa matenda ashuga?
Kuphatikiza pa kukhalapo kwa shuga wambiri mu mkodzo, kuyesedwa kwa labotale kwa matenda a shuga kumathandizira kudziwa kupezeka kwa mavuto a impso. Pathologies kapena kuchepa kwa kwamikodzo dongosolo kumachitika 40% ya anthu omwe ali ndi vuto la chakudya.
Matenda a impso akuwonetsedwa ndi kukhalapo kwa mapuloteni ochulukitsa mu mkodzo. Mkhalidwe uwu umatchedwa microalbuminuria: Amayamba protein itatuluka m'magazi (albin) kulowa mkodzo. Kutupa kwamapuloteni, ngati sikunachiritsidwe, kungayambitse kulephera kwa impso. Urinalysis iyenera kuchitidwa miyezi isanu ndi umodzi iliyonse kuyambira tsiku lodziwika bwino.
- Thupi lanyama la mkodzo (mtundu, mawonekedwe, matope) - chisonyezo chosalunjika cha matenda ambiri ndi kupezeka kwa zosafunika;
- Zida zamankhwala (acidity, zosawoneka mosiyanasiyana)
- Mphamvu yapadera: Chowonetsa chomwe chimawonetsera kuti impso zimayang'ana mkodzo;
- Zowonetsa mapuloteni, shuga, acetone (matupi a ketone): kukhalapo kwa zinthuzi mopitilira muyeso kumawonetsa kusokonekera kwa metabolic (mwachitsanzo, kupezeka kwa acetone kumawonetsa gawo la kuwonongeka kwa shuga);
- Njira yodutsira mkodzo pogwiritsa ntchito mayeso a microscopic (njirayi imathandizira kuzindikira kutupa komwe kumachitika mu kwamikodzo).
Nthawi zina kafukufuku amaperekedwa kuti adziwe zomwe zili mu mkodzo. Enzyme iyi imapangidwa ndi kapamba ndipo imaphwanya chakudya (makamaka wowuma). Ma diastase apamwamba nthawi zambiri amawonetsa kukhalapo kwa kapamba - njira yotupa mu kapamba.
Matenda a mkodzo wa matenda a shuga
- Urinalysis;
- Kusanthula malinga ndi Nechiporenko: njira yothandiza kwambiri yomwe imakuthandizani kuti muzindikire kukhalapo kwa magazi, leukocytes, ma cylinders, ma enzyme mumkodzo omwe amawonetsa njira zotupa mthupi;
- Kuyesedwa kwa magalasi atatu (kuyesa komwe kumapangitsa kuzindikira kuzungulira kwa kutupa mkati mwanu, ngati kulipo).
Muzochitika zina zamankhwala, kuperewera kwamkodzo kokwanira - mitundu yotsalayo imayikidwa malinga ndi mawonekedwe. Kutengera zotsatira za mayesowa, njira yochizira imayikidwa.
Zochita ndi kusanthula koyenera kwa microalbuminuria
- Lemberani mankhwala othandizira kuti muchepetse kuwonongeka kwa impso;
- Perekerani chithandizo chakuwawa cha matenda a shuga;
- Lemberani chithandizo chochepetsera cholesterol ndi mafuta ena owopsa m'magazi (chithandizo choterechi chimakongoletsa mkhalidwe wamitsempha yamagazi);
- Gawirani mwatsatanetsatane kuwunika kwa thupi.
Kuwunikira pafupipafupi magazi kumathandizanso kudziwa momwe mtima wam'magazi ulili. Zolondola, odwala matenda ashuga ayenera kudziyimira pawokha komanso pafupipafupi kuyeza kuthamanga kwa magazi pogwiritsa ntchito tonometer (popeza zida zamakono zamagetsi ndizosavuta kugwiritsa ntchito).
Hyperglycemia ndi misempha yambiri ya ketone
Ngati thupi silingathe kuthyola mamolekyu amthupi, amayamba kugwiritsa ntchito mankhwala a lipid ngati gwero lamphamvu zama process. Umu ndi momwe ma ketoni amapangidwira: amatha kukhala opatsa mphamvu yama cell, koma ochulukirapo amakhala ndi poizoni ndipo atha kubweretsa mkhalidwe wowopsa m'moyo. Matendawa amatchedwa ketoacidosis; nthawi zambiri zimayambitsa kupezeka kwa matenda a shuga.
Miyezo ya acetone yamagazi imatha kuyezedwa ngakhale kunyumba ndi mizere yapadera yoyesa yomwe imagulitsidwa m'mafakisi. Zizindikiro pamwamba pazomwe zimafunikira chithandizo chamankhwala kuchipatala komanso kukonza chithandizo.
Momwe mungadziwire urinalysis - gome la zizindikiro
Otsatirawa ndi chizindikiro cha chizolowezi pakuwonetsa mkodzo ndi zisonyezo za gawo lowumbidwa la matenda ashuga komanso a impso pathologies.
Makhalidwe | Norm | Matenda a shuga |
Mtundu | Makanga achikasu | Kuchepa kwamkati mwamtundu kapena kusinthika kwathunthu |
Fungo | Osasintha | Kukhalapo kwa kununkhira kwa acetone kwambiri kuwonongeka ndi ketoacidosis |
Chinyezi | 4 mpaka 7 | Zitha kukhala zochepera 4 |
Kachulukidwe | 1.012 g / l - 1022 g / l | Zochepera kapena zowonjezera (pakakhala kulephera kwa aimpso) |
Albuminuria (mapuloteni mu mkodzo) | Opezeka komanso alipo pang'ono | Kupereka ndi microalbuminuria ndi proteinuria yayikulu |
Glucose | Ayi (kapena kuchuluka kosaposa 0.8 mmol / L) | Present (glycosuria imayamba pamene shuga wamagazi opitirira 10 mmol / l afika) |
Matupi a Ketone (acetone) | Ayi | Upereke pakubweza |
Bilirubin, hemoglobin, mchere | Sapezeka | Sichizindikiro |
Maselo ofiira | Ndi osakwatiwa | Osakhala ndi chikhalidwe |
Bacteria | palibe | Upatseni zotupa zopatsirana |
Momwe mungayesere mkodzo wa mkodzo
Phunzirolo lisanachitike, ndikosayenera kutenga ma diuretics ndi zinthu zomwe zimakhudza kusintha kwamkodzo. Pa kusanthula kwakanthawi, mkodzo wam'mawa umagwiritsidwa ntchito pafupifupi 50 ml. Mikhodzo imatengedwa m'chiwiya chosambitsidwa bwino.
- Matenda odziwika oyamba a kagayidwe kazakudya;
- Kuwunikira njira ndi chithandizo cha matenda ashuga;
- Kukhalapo kwa zizindikiro zowola: kulumpha kosalamulirika m'magulu a shuga, kuchuluka / kuchepa kwa thupi, kuchepa kwa magwiridwe antchito, njira zina zowonjezera thanzi lathunthu.
Aliyense akhoza kuyezetsa mkodzo pakufuna kwake. Uku ndiye kusunthika kosavuta komanso kodziwika kwambiri kuti mupeze matenda ambiri. Maphunziro a Laborator amachitika osati kokha ndi mabungwe azachipatala aboma, komanso ndi zipatala zambiri zapadera. Komabe, tiyenera kukumbukira kuti ndi akatswiri oyenerera okha omwe amatha kudulira urinalysis molondola.