Glucosuria mu shuga

Pakati pazizindikiro za endocrine pancreatic matenda, mawonekedwe a shuga mumkodzo amawonedwa. Impso zimachita nawo zosokoneza zazikulu za metabolic. Mawu oti matendawo amatanthauziridwa kuchokera ku Chigriki kukhala "pass". Mafuta amachotsedwa m'thupi limodzi ndi shuga wambiri, ndikuwononga chilichonse chomwe chikuyenda. Kodi chiwopsezo cha glucosuria mu shuga ndi chiyani? Kodi chisonyezo chikuwoneka bwanji? Kodi wodwala ayenera kuchita chiyani?

Njira Zowongolera Matenda a shuga

Kutsimikiza kwa shuga mu mkodzo mu labotale komanso kunyumba kumachitika pogwiritsa ntchito timizere timene timayikidwa. Njira zochizira zochitidwa kuti muteteze ku zovuta ndi zovuta zomwe zimapereka zovuta zimapereka chidziwitso chazinthu zofunikira zokhudzana ndi thupi.

Zochita zoterezi ndi njira yolimbana ndi matenda ashuga. Ndiwotheka pamene kachidindo komaso akagwiritsidwanso ntchito poizindikira kuti mupeze nthawi yomweyo matupi a ketone. Kupezeka kwawo kungathe kukhazikitsidwa pogwiritsa ntchito mapiritsi ofanana - "Biochemical reagent". Wodwala, monga lamulo, akuchepetsa thupi, kununkhira kwa acetone kumamveka mkamwa mwake.

Ngati muyezo wa glucose umachitika pafupifupi nthawi yomweyo monga muyeso wamagazi, ndiye kuti zotsatira zake ndizofanana. Mkodzo wa mayeso apadera umatha kudziunjikira mkati mwa maola 12 kapena masiku onse. Mayeso omwewo amapereka chofunikira.

Anthu odwala matenda ashuga ayenera kudziwa za njira zoyambira ndi zida zomwe amagwiritsa ntchito pakuwongolera matendawa. Ogwira ntchito zachipatala ndi odwala amawagwiritsa ntchito kuti athe kupeza chidziwitso chokhudza zochitika zomwe zikuchitika mthupi, zokhudzana ndi matendawa ndi gawo lake.

Mitundu ya glucosuria muyeso, zabwino ndi zovuta zawo

Wodwala matenda ashuga nthawi zambiri amakhala ndi ludzu losasinthika. Pali, motero, kuchuluka kwamkodzo tsiku lililonse (polyuria). Akuti mwina 70% ya odwala matenda ashuga "ali ndi chiwopsezo cha impso." Shuga sazindikira mkodzo ndimayeso am'chipatala a Laborator omwe amakhala ndi glycemia pansi pa 10,0 mmol / L.

Kutsatira kukhazikitsidwa:

• 0,5% glycosuria pamene shuga m'magazi apamwamba kuposa 11.0 mmol / l;
• 1.0% - 12.0 mmol / L;
• 2.0% - 13.0 mmol / L.

Ngati mfundozo zikufika pa 2.0% kapena kupitirira pamenepo, ndiye kuti zitha kuweruzidwa molondola zokhudzana ndi shuga wamagazi kuti ndizoposa 15.0 mmol / L. Ichi ndi chiopsezo ndipo chitha kuchoka m'manja.

Kusanthula kwamkodzo, komwe kunatengedwa masana, kumakupatsani mwayi wokhala ndi shuga. Ngati sipezeka mkodzo wa tsiku ndi tsiku (popanda kufufuza), ndiye kuti shuga imalipidwa bwino. Ndipo mu maola 24, "cholumikizira impso" sichidapambanidwe. Kusanthula kwa magawo anayi kumasonkhanitsidwa nthawi zosiyanasiyana. Mwachitsanzo, choyambirira chachitsanzo chimatengedwa kuchokera maola 8 mpaka maola 14; chachiwiri - kuchokera maola 14 mpaka maola 20; chachitatu - kuchokera maola 20 mpaka 2 maola; wachinayi - kuchokera 2 maola mpaka 8 maola

Mukuwunika kamodzi, kudziwa zofunikira ndikugwiritsa ntchito mayeso kuti mupeze shuga mu mkodzo, wodwalayo amatha kulandira zambiri zazokhudza kuchuluka kwa glycemia.

Njira yolondola komanso yowonetsera ili ndi zabwino zingapo:

• osafunikira kukankha chala chanu, nthawi zina zimachitika mopweteka, ndikupeza dontho la magazi;
• ndikosavuta kwa wodwala wofooka kapena wowoneka bwino kutsika chizindikirocho ndi mkodzo kuposa kutenga muyeso wa glucometer;
• mizere yoyesera yodziwira shuga mu mkodzo ndi yotsika mtengo kwambiri kuposa chipangizo.

Ena mabizinezi othandiza anthu odwala matenda ashuga amaduladula zikhwangwani ndipo amapeza zambiri zofufuzira. Kuyesa kwa kudziwa mkodzo mumkodzo ndi njira yachilengedwe. Amachitidwa pafupipafupi, poyesetsa kukwaniritsa cholinga choyenera: kulipira bwino shuga.

Njira yodziwira shuga wa mkodzo pogwiritsa ntchito zingwe zoyeserera imawonedwa kuti ndi yochuluka kwambiri

Glucosometry tikulimbikitsidwa kanayi pa tsiku komanso kawiri pa sabata. Ngati ndende ya shuga ikuposa 2%, ndiye kuti mutha kumveketsa phindu pogwiritsa ntchito mita. Njira yotsimikizika ya shuga mu mkodzo tsiku lililonse imakhala yotsekemera: imasowa kusintha kosankha mtundu wa insulin, zomwe zikutanthauza kuti sizotheka kugwiritsa ntchito mitundu yosiyanasiyana ya zakudya.

Kusanthula kwa mkodzo kwa matenda ashuga

Pakalibe glycosuria ndi zizindikiro za hypoglycemia (pamiyeso yotsika), ndizosatheka kudziwa molondola popanda chida chomwe shuga ali ndi wodwala: mulingo kuyambira 4.0 mpaka 10 mmol / L. Wodwalayo amatha kuwona zizindikiro zakugwa kwakumapeto kwa glycemic chifukwa cha insulin yolakwika, kudumpha chakudya, kuchita nthawi yayitali kapena kuchitanso zolimbitsa thupi.

M'madera ena odwala matenda ashuga, nthawi zambiri amakhala ndi mbiri yayitali ya matendawa, mawonekedwe a zovuta zapakati amapezeka pa 5.0-6.0 mmol / L. Kutentha kwakumapeto, kuzindikira kosasunthika, thukuta lozizira ndi kufooka kumachotsedwa pakudya kwakanthawi kochepa kwamoto (uchi, kupanikizana, muffin). Pambuyo pa vuto la hypoglycemia ndikuchotsedwa kwake, wodwala amafunika kuwunika mwapadera.

Kukula kwa glucosuria kopanda ntchito

Zilonda zazing'onoting'ono zingapangitse zovuta. Mavuto a impso kapena matenda a shuga a nephropathy amatha ndi mitundu iwiri yonseyo ya matenda. Ziwerengero zamankhwala ndizomwe 1/3 ya odwala omwe ali ndi matenda a shuga omwe amadalira insulin, omwe ali ndi zaka makumi awiri, amakhala ndi vuto la kulephera kwa impso.

Zizindikiro za matenda a shuga:

• kufooka, kutopa, kugona tulo, kusokoneza chikumbumtima;
• kudzimbidwa, kusowa kudya, kusanza;
• kuvulala pamatumbo a subcutaneous.

Chigawo chachikulu cha mkodzo ndi kusefa kwa thupi la munthu. Impso imatulutsa zinthu zovulaza zomwe zimadzipangira minofu yathupi ndipo zimakhuthula mkodzo. Ndikupezeka ndi shuga wambiri, shuga wambiri amawachotsanso m'thupi. Njira yoteteza zachilengedwe imachitika. Apa ndipomwe shuga amachokera mkodzo. Koma ntchito ya impso si yopanda malire. Zinthu zowonjezera zomwe zimakhala m'makola ambiri sizitha kusiya thupi mwachangu.

Pali umboni kuti oposa 40% a odwala matenda ashuga amtundu 1 omwe amakhala ndi chipukutira bwino amatha kuthana ndi vuto la impso

Impso zimapangidwa ndi minyewa yolabwidwa ndi ma capillaries ambiri. Shuga wamkulu amawononga mitsempha yaying'ono kwambiri. Ndi hyperglycemia wautali komanso wambiri, impso sizigwirizana ndi ntchito yosefera. Pali zovuta mochedwa - microangiopathy. Chizindikiro chake choyamba: mawonekedwe a mkodzo wa mapuloteni (albin). Nthawi zina matenda a nephropathy a shuga amavuta chifukwa cha impso, matenda a ziwongo.

Panthawi yovuta, kuledzera kumachitika. Poizoni wamkati wamkati mwathupi limachitika ndi zinthu zopweteketsa kwambiri. Pankhaniyi, moyo wa wodwala umasungidwa pa "impso yochita kupanga". Pulogalamu yovuta yozungulira imagwiritsidwa ntchito kuyeretsa mkati mwa thupi kuchokera pazinthu zomwe zimapangidwa (dialysis). Ndondomeko ikuchitika tsiku lililonse 1-2.

Kukula kwachilendo kwa zovuta kumachitika chifukwa kumakula pang'onopang'ono ndipo sikumayendera limodzi ndi mawonekedwe apadera. Ntchito ya impso ya odwala omwe ali ndi matenda ashuga amayenera kuyang'aniridwa kamodzi pachaka (mayesedwe amkodzo a albumin, mayeso a Reberg, kuyezetsa magazi kwa urea nitrogen, serum creatinine).

Kulephera kwamankhwala kumachitika ndi ma diuretics, zoletsa, mankhwala omwe amayendetsa magazi. Kupewa kwakukulu kwa nephropathy ndikulipira kwabwino kwa matenda ashuga.