ʻO kahi hōʻailona o ka hana huna huna maʻamau o ka mālama pono ʻana i nā kiʻekiʻe o ka glucose koko ʻaʻole i kiʻekiʻe i ka 5.5 mmol / L i ke ana ʻia ma ka ʻōpū ʻole. ʻO kēia keʻakeʻa he mea kuhi i ka mea huna o ka glucose e nā keiki, no laila hiki i nā poʻe olakino ke loaʻa he hapa (trace) ka nui o ke kō i loko o kā lākou urine i ʻike ʻole ʻia e kahi urinalysis maʻamau.
I ka maʻi maʻi, i ka wā e nui ai ka paepae o ka renal, e hoʻomaka ka hoʻokuʻu ʻana mai ka papa mai ke kino me ka nui o ka nui o ka wai. Ua kapa ʻia kēia ʻano maʻi o ka maʻi diabetes.
Hōʻike ka hōʻike o ka glucose i ka urine i loko o ka maʻi ʻaʻai no ka loaʻa ʻole o ka uku ʻana o ka maʻi, inā e ʻike ʻia nā kānāwai āpau o ke aʻo ʻana.
Ka maʻi hana i ka glucose i loko o ka pāʻai
Hoʻokumu ʻia ka urine i loko o ke kino ma ka kānana ʻana i ke koko e nā keiki. Hoʻokumu ʻia kona ʻano i ke ʻano o nā kaʻina loina metabolic, ka hana a nā tubula a me nā glomeruli, ma ka inu a me ka hoʻoponopono ʻai.
I ka mua, hana ʻia nā urine mua, ʻaʻohe ʻai pili o ke koko a me nā molekue protein nui. A laila, pono e hoʻokaʻawale ʻia nā mea ʻona me ka mimi lua, a me nā kumameka amino, glucose, a me nā mea ʻike pono i nā hana metabolic e hoʻi hou ana i ke koko.
No ka glucose, aia kahi pae koʻikoʻi o kāna waihona i loko o ke koko, ma kahi a ʻaʻole ia e komo i ka urine. Ua kapa ʻia ia ka paepae mōʻauwila. No kekahi pākeke, ʻo ke kanaka olakino he 9-10 mmol / L, a me nā makahiki, ʻoi loa ka palena o ka renal. I nā keiki ma lalo o ke 12 mau makahiki o kēia pae he 10-12 mmol / L.
ʻO ka hōʻeha ʻana o ka hoʻihoʻi ʻole ʻana e hoʻopili wale ʻia e ka maʻi glucose ma o ke koko wale nō, akā ma ka moku'āina o ke kānana ʻoi aku o nā kuhi, no laila, i nā maʻi, ka nui o nā nephropathy maʻi, hiki mai ka glucose i loko o ka urine me ka glucose maʻamau i ke koko.
Glucosuria Physiological
ʻO ka maʻamau, hiki i ka glucose ke hele i loko o ka pāʻai me ka hoʻopiha nui ʻana i nā kālaiʻu māmā me ka meaʻai, nui ka pā o kaola, a me ka kaumaha loa, ma hope o ka overstrain kino. Kuhi ʻia kēlā mau hanana i ka wā pokole a, me ka mau noi pū ʻana me kahi urinalysis e hōʻike ana i ka nele o ke kō.
ʻO ka corticosteroids, thiazide diuretics, anabolics, estrogens hiki iā ia ke hana i nā glucosuria pōkole. Ma hope o ka pau ʻana i ka lawe ʻana i nā lāʻau lapaʻau, hoʻāla ka paʻakai i ka urine.
Hōʻike ʻia ka helehelena o ka glucose i ka urine i nā wahine hāpai i ke kolu o ka wana. Pono kēlā mau wahine i nā hoʻokolohua ʻokoʻa hou aʻe e pale i ka maʻi maʻi gestational. Ma kona haʻalele ʻole ma hope o ka hānau ʻana, ua nalo aku ka glucosuria me ka loaʻa ʻole o ka māka.
ʻO ke kumu no ka paleʻole o ka pauku e hana ai i nā pakanā i nā wahine hāpai, ʻo ia ke hoʻokuʻu ʻana i nā hormones placenta e hana kū'ē i ka insulin. I ka manawa like, e hoʻomohala ʻia ka pale ʻana o ka insulin, a hoʻonui ʻia kona ʻatikala e uku ʻia ka uku. ʻO nā ʻōuli i hui pū ʻia me ke kō koko kiʻekiʻe a me nā glucosuria ka mea:
- Hoʻonui ka nui a me ka makewai.
- ʻO nā maʻi o ka ʻōpū
- He koko koko nui.
- Kūʻai pinepine.
Hiki iā lākou ke hōʻike i ka maʻi maʻi gestational.
Hōʻuluʻulu ka pūʻulu pilikia i nā wahine i loaʻa ka hala, kahi fetus nui i ka wā hānau mua, ka mea i loaʻa ka predisposition he nui i ka maʻi diabetes a he momona loa.
ʻO Glucosuria i loko o kahi maʻi maʻi
ʻO ka maʻi Renal ma ke ʻano o ke kūmole o ka hoʻoliʻi o ka glucose i loko o nā pūpū o nā palaka, ʻo kahi mea e hoʻopiʻi ai i nā maʻi o ka pūnaehana. Me ka renal glucosuria, ke kōpaʻa i loko o ka uria i ka pae maʻamau o ka glycemia.
I ka manawa like, ke emi o ka renal ka hopena o ka glucose, hiki iā ia ke loaʻa i loko o ka urine a me ka hypoglycemia.ʻO kēlā mau glucosuria e ʻike pinepine ʻia i nā keiki me nā mau mea maʻamau a me nā mea hea i kapa ʻia ʻo ka glucosuria kumu mua.
Hoʻomoʻa lākou: i ka maʻi Fanconi, i ka hana o ka puna o nā tubules o ka palaka e hoʻopilikia a me nā maʻi tubulo-interstitial o ka maʻi, kahi i luku ʻia ai ke kiko o ka lolo. Ke alakaʻi nei kēlā mau maʻi i ka nānā mai o ka protein i loko o kaʻai a me ka pH kiʻekiʻe o nā urine.
Hōʻike ʻia ka glucosuria kekona i kēlā mau ʻano pathological:
- ʻĀnisē
- Nā maʻi glomerulonephritis.
- ʻO ka maʻi Neprotic.
- ʻO Renal hiki ʻole.
- ʻO Glomerulosclerosis ma ka maʻi diabetes.
Me nā maʻi o ka pēpē, ua pākī ka urine i ka gravity kikoʻī iki, nā kaila koko ʻulaʻula, nā ʻāpana koko keʻokeʻo, a me ka hoʻoholo ʻana o ka protein.
ʻO Glucosuria ma ka maʻi diabetes
Me ka wehe ʻana o ka pathology renal, nā maʻi o ka pituitary a me nā pehu thyroid, nā kūloko adrenal, hiki ke manaʻo ʻia i ka nānā ʻana o ke kūpaʻa o ka glucose i loko o ka urine e hōʻike nei i ka hoʻonui nui loa o kona koko i ka maʻi mellitus.
I loko o nā pūnāwai o ka pūpū, hoʻokomo ʻia ka hoʻoneʻe o ka glucose me ke komo ʻana o ka hexokinase enzyme, i hoʻāla ʻia me ka komo ʻana o ka insulin, no laila, me ka hema ʻana o ka insulin, ua emi ka paepapa o ka renal, no laila, i ka poʻe maʻi me ka maʻi type 1, ʻaʻole e hōʻike ana ke kiʻekiʻe o ka glucosuria i ka kiʻekiʻe o ka hoʻonui ʻana i ke kō koko.
Me ka hoʻomohala ʻana o nā hoʻopiʻi o ka maʻi mellitus i loko o ke ʻano o ka nephropathy maʻi, ua loli ke ʻano maʻi maʻamau ma o ka ʻili o ke ʻano, no laila, me ka nui o ke kō o ke koko, ʻaʻole i loaʻa i loko o ka wai.
Ma nā hihia maʻamau o ka maʻi mellitus ma ke kaʻe o ka glucose i ka pā o ka mea maʻi, hiki i kekahi ke hoʻokolokolo i ka kūleʻa o ka hoʻopaʻi ʻana i ka maʻi diabetes, ʻo kona helehelena kahi hōʻailona no ka hoʻonui ʻana i ka lolo o ke kō.
Ma ka maʻi mellitus, glucose, ma muli o ka hiki ke huki wai ka wai i nā ʻili, hoʻonā i nā hōʻailona o ka pomaʻina o ka maʻi.
- E hoʻonui i ka pono no ka wai, paʻakikī i ka makewai.
- Eʻoki maloʻo me ka maʻi maʻi maʻi maʻi.
- Hoʻonui ka urination.
- ʻO ka ʻili maloʻo a me ka membous nā membrane.
- Hoʻonui nāwaliwali.
ʻO ka pau ʻole o ka glucose i loko o ka urine i ka manawa hiki ʻole ke hoʻokaʻawale iā ia e nā ʻāpana nā mākaʻi ʻaʻole i hiki ke lilo ka paʻala i ke kumuwaiwai ma ke ʻano, me ke kino olakino. No laila, ʻo nā mea maʻi, ʻoi aku ka nui o ka makemake, makemake ʻia ka momona.
I loko o ke kino, me ka nele o ka glucose i loko o nā pūpuna, nā kino ketone e ʻona ana i ka lolo i hoʻomaka e hana.
Hoʻolaha ʻia nā hua'ōlelo Glucosuria
Hoʻopili i nā maʻi maʻi, nā mea hōʻeha i ka ʻōpala a me ka lolo, ʻo ka encephalitis aʻokiʻoki, meningitis, hemorrhagic stroke, a me ka anesthesia e mau loa nei e hiki ai ke kaohi o ka glucose i loko o ka urine i hoʻopā. I kēia mau kūlana, aia ka hoʻonui o ka glucose koko ma muli o ka hoʻonui nui o ka hāhiki glycogen.
E hele pū ana ka maʻi hyperglycemia a me ka glucosuria i ka pancreatitis akene, aʻo kona helehelena e hōʻike ana i ka pae o ke kaʻina o ke a me ka hoʻonui ʻana. E like me ke kānāwai, me ka mālama maikaʻi ʻana o ka maʻi i lalo, pau ka glucose i ka urine.
Hiki i nā Glucosuria me nā maʻi i hui pū ʻia e ke kiʻekiʻe wela o ke kino, nā maʻi a me nā maʻi maʻi bacteria, a me ka ʻalo ʻana ma o strychnine, morphine, carbon monoxide.
Inā hele ʻole ka glucose i loko o ka urine, a laila no kēia hōʻailona o ka maʻi bacterial o ka urinary tract, akā naʻe kēia ʻano ʻole, ʻaʻohe ona diagnostic kūʻokoʻa.
Pehea e hoʻoholo ai i ka glucose i ka urine?
Hiki ke hoʻāʻo ʻia kahi hōʻike urine no ka hilo i ka hopena o ka maʻi mellitus o ka maʻi mellitus a me ka loiloi ʻana i ka ʻike pono o kāna mālama ʻana, me ka hoʻoholo ʻana i ka hana o nā kuli a i ʻole nā maʻi o ka ʻōnaehana endocrine a me ka pancreas.
2 mau lā ma mua o ka nānā ʻana, ʻaʻole i ʻōlelo ʻia ka diuretics, a me ka lā e kāpae i ka waiʻona, ka ʻuhane a me ke kaumaha, a me ka meaʻai i ka momona. Hiki i nā lāʻau lapaʻau ke hopena i ka hopena o ke aʻo ʻana, no laila pono e kūleʻa ko lākou alakaʻi me ke kauka hele mai.
No ka ʻikeʻana i ka maʻi mellitus o ka maʻi mellitus, ʻo ka hoʻoholoʻana o ka glucosuria kahi ala huakaʻi a loiloi ʻia i hui pū ʻia me nā hoʻopiʻi a ka mea maʻi a me ke ʻano hoʻoliʻi koko no ka glycemia, he ʻano hoʻohaʻahaʻa glucose a me nā hana ʻē aʻe biochemical.
I ka home, hiki ke hoʻohana ʻia nā ʻāpana hoʻāʻo e hōʻike no ka glucosuria. Hōʻike kēia ʻano i ka loiloi ʻana i ka loaʻa ʻana o ke kō i loko o ka hapa i loko o nā minuke he 3 mau minuke, ʻo ia paha kahi hōʻailona kuʻina o ka hoʻonui o ke kō koko.
ʻO ke wikiō i kēia ʻatikala e kamaʻilio e pili ana i ka hanana maʻamau ma waena o nā maʻi maʻi - ka hiki ʻana o ka glucose i ka pā.
