Magazi a shuga

Mndandanda wazopanda maphunziro a glucose samangokhala pakuwunika kamodzi.

Mndandanda wambiri wa mayeso a labotale umakulitsa kwambiri luso lazidziwitso.

Iliyonse ya iwo ndi chida chofunikira kuti chithunzi chikhale bwino.

Ndi mayeso ati omwe amawonetsa shuga?

Glucose ndi gawo lofunikira la metabolism yamphamvu. Amasankhidwa mu kusanthula kwa Latin - GLU. Homoni yapadera, insulin, imakhudzidwa pakukhazikitsa kuchuluka kwake ndikukonzekera.

Ndi kuperewera kwake, kuyamwa kwa shuga ndi thupi kumasokonekera. Ndi kuphwanya kotero, imakhalapo m'magazi ndi mkodzo. Kuti adziwe zamisala zomwe zilipo, wodwalayo amapatsidwa kuyesedwa kwa labotale.

Zifukwa zosankhidwa:

• kamwa yowuma
• kuyabwa ndi khungu louma;
• ludzu losalekeza;
• mabala aatali osachiritsa;
• ulesi ndi kufooka;
• kukodza pafupipafupi.

Pa gawo loyamba, kuphunzira kwakukulu kumayikidwa, komwe kumawonetsa shuga. Zimaphatikizanso kuwunika kwamkodzo ndi magazi a shuga. Amawerengedwa kuti ndi njira zophunzitsira kwambiri pagawo loyamba la kufufuza matenda.

Kuyeserera kumachitika kuchipatala. Magazi a capillary kapena venous ndi oyenera kuyesa shuga. Njira ina ndiyeso yoyeserera, yomwe imachitika pogwiritsa ntchito zida zapadera - glucometer.

Kuyesa kwamkodzo kwamkaka kumayikidwa mgulu la maphunziro oyambira. Zimapereka chidziwitso chofunikira pokhudzana ndi thanzi la wodwalayo. Nthawi zambiri, sayenera kukhala ndi shuga mumkodzo. Kupezeka kwake ndi chizindikiro cha matenda ashuga kapena prediabetes.

Muzochitika pomwe shuga adapezeka pamayeso akuluakulu, kuyezetsa kowonjezereka kumachitika kuti utsimikizire kuti wapezeka.

Kafukufuku amalembedwa pazovuta zotsutsana:

• ngati shuga sanapezeka m'magazi, ndipo wapezeka mkodzo;
• ngati zizindikirazo zikuwonjezeka pang'ono popanda kudutsa malire;
• ngati shuga mumkodzo kapena magazi analiponso kangapo (nthawi zina).

Kanema pamayeso a shuga:

Mitundu ya mayeso a shuga

Kuphatikiza pa kuyesedwa kwa magazi ndi mkodzo, palinso njira zina zowerengera. Mndandanda wathunthu wamaphunziro a shuga amawoneka motere: kusanthula kwakanthawi, kuyesa kwa mkodzo kwa shuga, glycated hemoglobin, kuyesa kwa glucose, glycosylated albumin (fructosamine).

Kulekerera kwa glucose

Kuyesererana kwa glucose - njira yofufuzira yomwe imawonetsa kuchuluka kwa shuga, poganizira katundu. Zimakupatsani kuphatikiza mlingo ndi mitundu yazowonetsa. Kuchita lendi m'magawo angapo ndi theka la ola. Choyamba, mtengo umatsimikiziridwa pamimba yopanda kanthu, ndiye "ndi katundu", pambuyo pake mphamvu ya kuchepa kwa ndende imayang'aniridwa. Panthawi yonseyi, simuyenera kusuta, kumwa kapena kudya. Phunzirolo lisanachitike, malamulo okonzekereratu amatengedwa.

GTT sachitidwa pambuyo opareshoni, kubereka, kugunda kwa mtima, munthawi yotupa. Sichikuperekedwa kwa odwala matenda ashuga okhala ndi shuga> 11 mmol / L pamimba yopanda kanthu.

Glycated Hemoglobin

Glycated hemoglobin ndi mtundu wa kafukufuku womwe umawonetsa shuga kwa nthawi yayitali. Nthawi zambiri amauzindikira kuti matendawo apezeka. Chizindikiro chowunika kuwopsa komwe kumayenderana ndi matenda ashuga.

Mulingo wake sukhudzidwa ndi nthawi yamasana komanso chakudya. Monga lamulo, sizifunikira kukonzekera kwapadera ndipo zimachitika nthawi iliyonse.

GG ndiyofunikira kuyesa kuchuluka kwa chiphuphu cha matenda ashuga. Zotsatira zapamwamba zikuwonetsa kukhalapo kwa glycemia wambiri kwa miyezi inayi.

Pofuna kupatuka pamakhalidwe ovomerezeka, chithandizo chotsitsa shuga chimasinthidwa. Matenda a mtundu wa zizindikiro amapezeka mwezi umodzi machitidwe atengedwa.

Maudindo mu zilembo zachilatini HbA1c.

Glycosylated Albumin

Fructosamine ndi gawo lapadera la glucose wokhala ndi mapuloteni amwazi. Njira imodzi yodziwira matenda ashuga ndikuwunika momwe mankhwalawo amathandizira. Mosiyana ndi GG, imawonetsa kuchuluka kwa shuga m'masiku 21 asanayesedwe.

Amaperekedwa kuti aziwunikira zazifupi. Mfundo zowonjezera zimatha kuwonetsa kukhalapo kwa matenda ashuga, hypothyroidism, kulephera kwa impso. Mfundo zochepetsedwa - za diabetesic nephropathy, hyperthyroidism. Malamulo okonzekereratu azachipatala amatsatiridwa.

Kutanthauzira kwa zotsatira - zikhalidwe ndi zopatuka

Kuganizira zotsatira:

1. Kusanthula kwamankhwala. Poyezetsa magazi oyambira, 3.4-5,5 mmol / L pamimba yopanda kanthu imawonedwa ngati yachilendo. Zotsatira <3.4 zimawonetsa hypoglycemia. Ndi shuga 5.6-6.2 mmol / L, shuga amakayikiridwa. Pamwamba pa 6.21 mmol / L akuwonetsa matenda ashuga. Magwiritsidwe omwewo amagwiritsidwa ntchito polemba mayeso osaganizira zolakwika. Zambiri zimatha kusiyanasiyana ndi 11%.
2. Mayeso a kulolerana ndi glucose. Zambiri zenizeni za phunziroli ndi:
   • pamimba yopanda kanthu - mpaka 5.6 Mmol / l;
   • pambuyo katundu mu theka la ola - mpaka 9 mmol / l;
   • mutatha pambuyo pa maola 2 - 7.8 mmol / l;
   • kuphwanya kulekerera - 7.81-11 mmol / l.
3. Glycated hemoglobin. Kupatuka mpaka 6% kumawerengedwa kuti ndi kwamkhalapakati; Pa kusanthula, 1% ili pafupifupi 2 mmol / L.
4. Fructosamine. Makhalidwe abwinobwino ndi 161-285 μmol / L, ndi chiphuphu chokwanira cha matenda ashuga, matendawa ndi 286-320 μmol / L, oposa 365 μmol / L - kubwezera kwa SD.

Mfundo yofunika musanayesere mayeso ambiri a shuga ndikukonzekera koyenera. Mphindi ino imawerengedwa kuti ndi chisonyezo chofuna kupeza zolondola.

Kutengera ndi chithunzi cha chipatala, adotolo amayesa kuyesedwa kwa glucose: kuchipatala, glycated hemoglobin, fructosamine. Kupezeka kwa zofunikira zofunika kumatsimikizira chithandizo choyenera, kuwongolera chithandizo ndi momwe wodwalayo alili.