I loko o nā pūpū, kānana ka glucose ma o ka glomeruli. Akā, ʻo kēia mea, i nā ʻāpana renal, ua hoʻopili paʻa ʻia i loko o ke koko inā e ola kino kekahi. Ua hōʻike ʻia kēia ma ka poʻe olakino, ʻaʻole pono ka ʻike o ka glucose i loko o ka urine. He mea paʻa wale nō ia i nā koena nui i koe, ʻaʻole i hoʻoholo ʻia i ka wā o ka biochemical a i ʻole ka nānā ʻana i ka urine.
ʻO ka hoʻokūkū o ka glucose i ke koko e hōʻike i kahi kūlana o ke olakino. ʻO ka maʻamau, ʻo ka paepae maʻamau no kēia hōʻailona he helu mai 8.8 a 9.9 mmol / lita. Inā piʻi ka nui o ke kō i loko o ke koko, a laila ʻaʻole hiki i nā tubula nāʻaila ke hoʻokō i kā lākou hana a hiki ʻole ke hoʻi hou i nā glucose āpau i ke koko.
A ke hopena, aia ka glucose i ka pā, a me kēia kūlana i ka lāʻau lapaʻau i kapa ʻia ʻo glucosuria. Me ka wā o ka makahiki, hiki ke hoʻohaʻahaʻa i ka paepae koko i hoʻopaʻa ʻia, a hiki hoʻi i kēia ʻano ke hoʻēmi me nā maʻi āpau.
Wahi a nā mea i hala aku nei, ua ʻike ka mua o ke kō i loko o ka urine ma muli o ka hoʻonui nui o ka puna i loko o ke koko a i ʻole ka hoʻemi ʻana i ka paepae o ka renal, ma kēlā me kēia, e kuʻe ʻia ke kapu. Hoʻokaʻawale nā kauka i ka glucosuria i kekahi mau ʻano:
- Glucosuria Alimentary - hoʻomohala ʻia ma muli o ka hoʻohana ʻana i nā meaʻai i loaʻa ka nui o nā kīpoki, ʻo ia hoʻi ke piʻi koke nei ka nui o ke kō.
- Emosine glucosuria - hiki ke hoʻoholo ʻia ke kō i ka wai paʻakai ma muli o ke kūlana paʻakikī.
- ʻO ka glucosuria Extrarenal he ʻano pathological i kūpaʻa ai ka glucose i ka urine me ka hoʻonui o kāna mau ʻōlelo i ke koko.
Eia kekahi, ʻo kekahi manawa o ke kō i loko o ka urine hiki ke hoʻopau ʻia i ka wā o ka hāpai ʻana i nā wahine.
Hiki i nā ʻike o ka glucose i nā hoʻokolokolo a me ke kumu pili i nā kumu he nui. No ka laʻana, hana kēia me ka maʻi diabetes a maanei ke kumu o ke kōpaʻa e hōʻike mua i kahi maʻi. I kēia hihia, ua hoʻoholo ʻia ke kō i loko o ka urine i nā maʻi a hiki i ka hoʻohaʻahaʻa haʻahaʻa ʻana i ke koko.
ʻO ka hapanui pinepine kēia hiki i nā hanana me ka mellitus diabetes-hilinaʻi. I loko o nā renal renal, hiki ke kīkī ʻia ke kō i loko o ke kahe wai wale nō i ka wā e hōʻike ʻia ai i kahi enzyme kūikawā i kapa ʻia ʻo hexokinase (kaʻina kaʻina o ka phosphorylation).
Akā me ka maʻi diabetes, hiki ke hoʻolaʻa ʻia kēia enzyme me ke kōkua ʻana o ka insulin. ʻO ia ke kumu i nā maʻi maʻi me ka maʻi type 1, hoʻēmi ʻia ka pae o ka renal. Inā e ulu nei nā kaʻina sclerotic i loko o nā kōpili o nā pūpū, a laila me ke kiʻekiʻe o ka glucose i loko o ke koko, ʻaʻole ia e ʻike ʻia i loko o ka urine.
Hiki ke loaʻa ka Sugar i loko o ka urine ma ke ʻano o ka maʻi pancreatitis. Eia kekahi, hiki i kahi nui o nā maʻi e alakaʻi i ka hiʻohiʻona o ka glucose i ka pāʻai.
Hiki i nā Glucosuria o ke kumu kikowaena ke hele mai ma muli o ke kaʻina hana i loko o ka lolo, ka meningitis, ka hemorrhagic stroke, encephalitis, a me nā ʻeha poʻo.
Endocrine glucosuria kahi hopena o ka hoʻonui pinepine ʻana o ka thyroxine, ka ulu ulu ʻana o ka momona, glucocorticosteroids a me adrenaline. Hoʻopilikiaʻia ka hopena momona glucosuria e nā maʻi i hele pū ʻia e ke kuni.
Eia kekahi, ʻo ka nāakiko me kekahi mau mea (morphine, chloroform, ka phosphorus a me ka strychnine) hoʻoulu i ka glucosuria toxic, a me kahi hoʻohaʻahaʻa ʻana i ka paepae renal, ulu i loko o renal glucosuria.
Hoʻokaʻawale ʻia nā primosuria a me ke kūkuʻu luaʻi. Hoʻomua ka ʻano mua ma ka wā e hāʻule ai ke ʻano o ka glucose i loko o ke koko a i ʻole loaʻa. Hiki i ka lua ke hoʻopiʻi ʻia e nephrosis, pyelonephritis, ke ake ʻole o ka ʻōpū o ka maʻi, a laila mai ka maʻi Girke
He mea koʻikoʻi ka hōʻailona o ka nui o ka glucose i loko o ka urine, a me kona ʻano maʻamau, no ka mea ke hōʻike i ka hiki ʻana o nā maʻi nui i ka kāne a me ka wahine. No laila, inā i loaʻa i kahi kanaka ke kō i loko o kāna paʻakai, pono wikiwiki ʻo ia e ʻimi i ke kōkua olakino.
ʻO nā kumu o ke nānā ʻana i ka glucose i ka urine
Hiki ke kūleʻa ka Sugar ma loko o ka urine ma muli o nā maʻi like ʻole. ʻO nā kumu nui o kēia hanana ka nui o ka kao o ka glucose i ke koko, kahi hana hoʻopilikia i nā kānana e nā palaka a i ʻole kahi lohi i ka reabsorption o ka glucose i loko o nā tubules.
I mea e hoʻoholo pololei ai i nā kumu maʻamau ʻoi loa o ka hele mai o ka glucose i loko o ka pāʻai, pono e ʻike i nā maʻi e pili ana i kona helehelena.
ʻO ka mea mua, aia kēia:
- maʻi hānai, ʻokoʻa i ka maʻi diabetes
- maʻi ʻino ʻeha
- pālahalaha
- a me nā mea hoʻonā mai ka hopena me ka chloroform, carbon monoxide, phosphorus a morphine paha.
Eia kekahi, hoʻomohala ʻo glucosuria me ka huhū o nā hopena paʻa o ka naʻau pili o ka nīnaehana ma muli o nā hemorrhages cerebral, nā hōʻeha ʻeha traumatic, kahi eʻe ana ka epilepsy, a i ʻole a encephalitis kūloko.
I waena o nā kumu nui, nā ʻōnaehana pathological i loko o nā tubula a me nā glomeruli e kū nei i nā maʻi infectious maʻi, glomerulonephritis, interstitial nephritis ma ka wahine ʻoi aku ka wahine a me ka wahine.
Hoʻopili i nā paila i nā keiki
Inā ʻike ʻia ka hilo i loko o ka wai o kahi keiki, a laila e pono ke noʻonoʻo ʻia kēia me ka hōʻailona weliweli loa ʻia, no ka mea ʻoi aku ka pōʻino ma mua o ka manawa e piʻi aʻe ka pae o ka glucose i ke koko.
Loaʻa i kahi hoʻonaninani kiʻekiʻe o ka glucose i ka wai i loko o nā keiki kona mau kumu a hōʻike paha i ke kūlana pathological o ka ʻoihana endocrine, no laila, i kēlā kūlana, pono ʻoe e kamaʻilio mau i kahi kauka (endocrinologist).
Eia kekahi, hiki i nā glucosuria wā liʻiliʻi ke hōʻeha me nā maʻi o nā palaka a me nā pancreas, a ma kekahi mau mea e hiki ke lilo i kahi pancreatic dysfunction, nā hōʻailona e hōʻike pono iā lākou iho.
I kekahi mau kūlana, hiki i kahi hōʻike ukiʻi i nā keiki ke hiki ke hāʻawi i nā hopena wahaheʻe, no ka laʻana, ʻo ke kumu ke hele mau nei ke ʻano o ke keiki i ka lōʻihi o ka maʻi antibiotika, ʻai nui i nā ʻōmaʻomaʻo ma ka lā o nā hoʻokolohua, a lawe i ka nui o ka nui o ka nui o ka nui o C. nā hewa a, inā pono, e hoʻouna no ka loiloi hou.
Nā hōʻailona o ka maʻi
Ma nā kāne a me nā wahine, ʻo ke ʻano, a me nā hōʻailona ʻona nō hoʻi, hiki ke ʻokoʻa i ka makahiki, ka meaʻai, ka nohona a me nā mea ʻē aʻe he nui wale. Inā nānā ʻia ka hoʻonui o ke kō ma ka manawa hoʻokahi, a laila hopohopo, akā pono ʻoe e retake i ka nānā ʻana.
Me kahi hoʻonaʻauao kiʻekiʻe i loko o ka pāʻai, hiki i kēia mau hōʻailona:
- - ka manaʻo ikaika i ka makewai;
- - makemake mau loa e hiamoe;
- - ka pohō kaumaha ʻole;
- - ka maʻi pinepine;
- - ka huhū a me ka ʻeha i ka māhele genital;
- - ka ʻeha;
- - ka ʻili maloʻo.
Inā inā e hana ʻia kekahi o kēia mau hōʻailona, a laila pono ʻoe e hele i ka haukapila, ma ka hoʻokolokolo ʻana a hoʻomaopopo i ka maʻi maʻi, e wehewehe i ka mea o ke kō o ke kō.
Pehea e hoʻoholo ai i ka loaʻa o ke kō i loko o ka pōʻai
No ka noiʻi, pono ʻoe e ʻohi i ke kakahiaka i ka wai i loko o kahi pā aniani maʻemaʻe. ʻO ka nui o ka lako me ka liʻiliʻi loa 150 milliliters.
Pono e pani ʻia kēia pahu me kahi uhi a hāʻawi ʻia i ka kahu uila e like me ia. Ma mua o ka hōʻiliʻili i ka urine, pono e holoi ʻia ka perineum me ka wai mahana me ka hoʻohana ʻoka ʻole. Pono e hana kēia i nā microorganisms i wāwahi i ka glucose a wikiwiki loa e komo i ka urine. ʻO ia ke kumu he mea nui e hōʻoia i ka manaʻo ʻole o nā mea ʻē aʻe ma ka urine i hāʻawi ʻia i ka keʻena.
A pono ʻoe e hoʻāʻo e lawe i nā mea no ka hoʻāʻo ʻana ma hope o ʻeono mau hola ma hope o ka lā o ka hōʻiliʻili.
I kekahi manawa pono kahi laʻana i ka urine. Hoʻomaopopo kēia i ke ao o ka lā a hōʻiliʻili ʻia i ka wai i loko o kahi ipu aniani nā maloʻo. Hiki i kēia loiloi iā ʻoe e loaʻa i kahi ʻike lōʻihi a pololei hoʻi e pili ana i ka hoʻoili ʻana o ka glucose i ka urine. Akā i loko o ka ʻoihana, ke kumu o ka nui o nā mea no ka hoʻopaʻa noi ʻana, ua lawe ʻia wale nā milila 150, kahi e hana ʻia ai nā hana hou.
I kēia manawa, ua kūkulu ʻia nā ʻano hana ʻē aʻe no ka nānā ʻana i ke kō i loko o ka wai o nā kāne a me nā wahine. No kahi laʻana, e hoʻohana ʻia nā mea kuhikuhi kuhikuhi a i ʻole nā ʻāpana no kēia kumu. Ua kapa ʻia kēlā mau ʻano nā ʻano loiloi qualitative o ka nānā ʻana, akā ʻike ʻia nā ʻano kuʻuna e hiki ai iā ʻoe ke hoʻoholo a helu i ka nui o ka glucose i loko o ka pāʻai.
