Momwe mungadziwire kuyeserera kwa mkodzo ndipo bwanji ndiyenera kuyipeza chifukwa cha matenda ashuga?

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Chimodzi mwazinthu zofunika kwambiri zoyeserera zasayansi ndi matenda a urinalysis.
Iyenera kuchitika pafupipafupi kwa odwala omwe ali ndi matenda amtundu uliwonse kuti athe kuyesa matenda a kwamikodzo (impso), kuzindikira kukhalapo kwa hyperglycemia ndi zolemba zina zamatenda a metabolic.

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.

Komabe, kukhalapo kwa mapuloteni silivuto lokhalo lomwe limapezeka pakupenda mkodzo. Kafukufukuyu akuwonetsa zopatuka zina (zovuta) zomwe zimachitika mwa odwala matenda a shuga.
Urinalysis amawunika:

  • 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

Mu matenda a shuga, mitundu ingapo ya mayeso amalembawa amachitidwa:

  • 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

Chiyeso chabwino cha microalbuminuria chimawonetsa kuwonongeka kwa mtima wam impso. Zambiri zomanga thupi zimakhala ndi zovuta m'mitsempha yamagazi mthupi, zomwe zimawonjezera chiopsezo cha matenda a mtima.
Dokotala wopezekapo angathe kuchita izi:

  • 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

Mkulu mkodzo shuga ndi chisonyezero cha gawo lomwe lawola matendawa.
Hyperglycemia ikhoza kuwonetsa kuchepa kwa insulin mu mtundu 1 wa shuga kapena kulephera kwa thupi kugwiritsa ntchito bwino timadzi ta matenda a shuga a mtundu II.

Ndi kukula kwa matendawa, nthawi yomweyo ndi shuga wambiri mumkodzo, zinthu zochulukirapo zomwe zimayitanidwa matupi a ketone. Matupi a Ketone ndi acetone, chopangidwa ndi zinthu zamafuta pakapanda insulin.

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.

MakhalidweNormMatenda a shuga
MtunduMakanga achikasuKuchepa kwamkati mwamtundu kapena kusinthika kwathunthu
FungoOsasinthaKukhalapo kwa kununkhira kwa acetone kwambiri kuwonongeka ndi ketoacidosis
Chinyezi4 mpaka 7Zitha kukhala zochepera 4
Kachulukidwe1.012 g / l - 1022 g / lZochepera kapena zowonjezera (pakakhala kulephera kwa aimpso)
Albuminuria (mapuloteni mu mkodzo)Opezeka komanso alipo pang'onoKupereka ndi microalbuminuria ndi proteinuria yayikulu
GlucoseAyi (kapena kuchuluka kosaposa 0.8 mmol / L)Present (glycosuria imayamba pamene shuga wamagazi opitirira 10 mmol / l afika)
Matupi a Ketone (acetone)AyiUpereke pakubweza
Bilirubin, hemoglobin, mchereSapezekaSichizindikiro
Maselo ofiiraNdi osakwatiwaOsakhala ndi chikhalidwe
BacteriapalibeUpatseni zotupa zopatsirana

Momwe mungayesere mkodzo wa mkodzo

Kuyesedwa kwathunthu kwamatenda a shuga kumachitika bwino kwambiri kuchipatala chapadera - komwe mumalandira chithandizo chachikulu.

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.

Zisonyezero za urinalysis:

  • 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.

Ngati kusintha komwe kukuwonetsa matenda a impso kapena matenda a shuga kumapezeka kwa nthawi yoyamba mukamayesedwa kapena kuphunzira pazifukwa zina, muyenera kufunsa dokotala.
Adzalemba mayeso ena. Mufunikanso kukambirana ndi endocrinologist, urologist, gynecologist. Ngati kupezeka kwa matenda ashuga kumatsimikiziridwa, ndikofunikira kuyambitsa mankhwala posachedwa: izi zimalepheretsa kukula kwa zovuta ndi zovuta zamagulu.

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