ʻO ka Sugar (glucose) i loko o ka urine me ka maʻi maʻi

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ʻO ke kōkōnī i loko o ka diabetes mellitus kekahi o nā hōʻailona i kēia ʻano o ka maʻi endocrine. ʻO ka maʻamau, ʻaʻole e hoʻoholo ʻia ka glucose i loko o kahi urinalysis maʻamau. No ka mea ua hoʻopiha piha ʻia ia i ka reabsorption i loko o nā pūhaka renal a hoʻi hou i loko o ka ʻōnaehana ʻōnaehana. I waena o nā kauka, kahi kūlana i hoʻokaʻawale ai ke kōpila ma ka urine i kapa ʻia ʻo glucosuria.

ʻOiai, i ka wā kahiko, ʻaʻole i loaʻa nā makana o ka moʻomeheu hiki i ka poʻe ke hoʻoholo i kekahi o nā kūlana pathological. ʻO kekahi o kēia mau kūlana, ʻo ka maʻi mellitus o ka maʻi diabetes, a ua hoʻoholo ʻia ia e ka haku ʻana o ka urine maʻi. Hāpai ka paʻakai ma ka maʻi mellitus i loko o ka momona, ka mea e hōʻike ai i ka noho ʻana o nā maʻi ma ke kanaka. I kēia manawa, hoʻomaha ka poʻe kauka i ka pono e noiʻi i nā ʻano organoleptic o nā ʻano biola, a hiki i nā mea noiʻi o kēia wā me nā mea weliweli e hōʻike ana i nā ʻano o nā substrates, ʻoi aku ka papa.

ʻO kumu kumu o ke kō i loko o ka mimi

Ma ka hana kino o ka hana o ke kino o ke kanaka, ua ʻae ʻia ka ʻano o ka urine kekahi ʻano o ka ultrafiltrate o ka wai wai, i.e. Pūnaewele. Wahi a ka hoʻolālā biochemical a me ka electrolyte, he like like ka pilina o ka urine a me nā plasma. Pono e hoʻomaopopo ma ka hana o ka urinary system he hana maʻamau ia e hoʻokaʻawale i ʻelua mau ʻano o ka urine: ʻo ka mua a me ka lua.

Papa molo mua

Loaʻa ia ia kahi ʻano like me ka plasma, me ka hoʻoleʻa ʻole o nā protein e hiki ʻole ke hele i ka glomerular apparatus o nā keiki. Ma ka pīpī mua, pili ke kūlike o ka glucose i ka ʻaila o ka glucose i ke koko. Ma hope aku, mai ka urine mua i loko o ka ʻōnaehana o nā renules renal, aia kahi hoʻoiho piha ʻana o ka glucose, inā paha i loko o nā waiwai kūlohelohe o ke kino.

Pāʻālua lua

He wahi kokolo nui ia, kahi i hoʻokaʻawale loa i nā mea waiwai a pau o ka sodium, potasi a me ka chlorine, a me ka glucose. ʻO ka nui o ka urine kekona e kū pono ana i ke kiʻekiʻe o ka wai i hoʻopau ʻia ma ke ao.

I ka poʻe me ka maʻi diabetes, ka nānā ʻole i ke ʻano, ka piʻi nui o ka glucose i ke koko ma mua o ka maʻamau. Ua hōʻike mua nā kānakaʻepekema i ka wā o ke kaila o ke kōpaʻa koko ma mua o 10 mmol / l, ua pau ka glucose i ka reabsorption mai ka pā i ka mua a hōʻuluʻulu i loko o ka wai paʻakai. Ua kapa ʻia kēia paepae e nā kauka i ka lāʻau a me ka hōʻike ʻana i nā hana ʻoi o ka mea maʻi me ka maʻi maʻi.

Hiki i kēia paepae i nā ʻāpana he 1-2 i loko o kēlā Ua kūpono ka paepae o ka renal i ka 6-7% o ka hemoglobin glycosylated o ke koko o kahi mea maʻi me ka maʻi mellitus, kahi e hiki ai iā mākou ke hōʻike i ke kiʻi haumania i nā mahina i hala aku nei. Hoʻoholo ʻia ka wai paʻakai ma ka type 2 diabetes mellitus i ka hoʻomaka mua ʻana o ka maʻi, ʻoiai ʻaʻole naʻe i ʻike maopopo ʻia ke kiʻi o ka maʻi endocrinological a me ka maʻi metabolic.

Inā kiʻekiʻe ka kiʻekiʻe o ka glucose i loko o ke koko, a laila hiki nō ke loaʻa i loko o ka urine.

Nā huahana paʻakai

Ke piʻi nei ka hoʻoliʻi kiʻekiʻe o ka glucose i ka urine me ka hoʻōho o ka osmotic i loko o ka mimi, ka mea e alakaʻi ai i ka hemo nui o ka wai mai ke kino. No kēia kumu, ʻo kekahi o nā hōʻailona mua o ka maʻi diabetes 2 ʻano maʻamau ka urination - polyuria. Ma muli o ke ʻano maʻi maʻi maʻi, ʻeha ka lilo o ka pīpī, no ka Me ka kō, ke kō ʻia o ka wai nui mai ke kino. Hoʻonohonoho ka ʻōnaehana urine i nā poʻe me ka maʻi diabetes i ka hoʻopiʻi ʻana no ka hyperglycemia - kiʻekiʻe koko koko.

Kālā Kālā

Pehea e hoʻopaʻa ai i ke kō koko

Ke hōʻike nei i ka hoʻāʻo i ka urine maʻamau, ʻaʻole pono e hoʻokaʻawale ke kō, ʻo ka waihona kiʻekiʻe o ka paepae a 1.5 mmol / L. Eia kekahi, inā ua hala ka waiwai paepae, nā hopena o ka loiloi no ke kō i loko o ka pāʻai e maikaʻi ai. Hoʻohui a hiki i ka neʻe pololei o ka glucose i ka pā o ka hopena hope loa, aia kekahi mea koʻikoʻi koʻikoʻi - ka palena pili o ka urine. Hoʻololi ka lahui pilina maʻamau ma ka 1.011 - 1.025, ka mea i kapa ʻia ʻo normostenuria. Ma ka maʻi mellitus, ʻoi aku ka nui o ke koʻikoʻi maʻamau ma mua o 1.025, a me ka hui pū ʻana me ka polyuria i kapa ʻia ʻo hyperstenuria.

He mea kūpono ʻole ke hoʻomaopopo ʻana o ka neʻe o ka glucose i ka pāʻai a hiki i ka hāʻawi ʻana i nā ʻikepili i ke kūlana o ka mea maʻi, no ka mea, ʻo ka loli ʻana o nā ʻāpana i kēlā me kēia kanaka i kekaho. No kēia kumu, noho mau ka papa hana nui e koho i ka glucose i ke koko venous a me ka hemoglobin glycosylated e hoʻokumu i kahi maʻi kūpono.

Aia kekahi mau hōʻike hoʻokolohua kūikawā e hoʻoholo koke i ka neʻe o ke kō i loko o kaʻai

ʻAno maʻi maʻi

ʻOiai ke kuhi ʻia ʻana o ka glucose me ka urine no kekahi ʻano maʻi o ka maʻi maʻi, ʻo kēia hōʻailona ka ʻike nui loa no ka maʻi type 1, i.e. E hilinaʻi i ka insulin, ma kahi o ka urine e hoʻoholo ai i ke kiʻekiʻe o ke kō.

Pono ka insulin hāmeʻa no ka reabsorption glucose maʻamau, eia nō naʻe, ma ka ʻano mua, heʻuʻuku a ʻemi ʻole paha kona ʻano, ke alakaʻi nei i ka ulu nui o ka hoʻōho o ka osmolar i ka plasma a i ka glucosuria. Pono e noʻonoʻo i ka compensatory excretion o ke kō mai ke koko me ka urine e alakaʻi i ka nui o ka maʻi dehydration, a i ʻole nā ​​dehydration, i ke kino, kahi mea kaumaha e pili ana i nā kiko āpau a me nā kino āpau.

Hoʻomaʻamaʻa

ʻO ka composatory glucosuria ma ka maʻi diabetes he mea e pilikia ai ka maʻi o ka keiki, no ka mea, ʻo ka huehue i kēia hihia e hana i kahi ʻano hoʻonui a ʻoi aku ka wikiwiki. Pono ka maʻi maʻi me kēlā ʻano hōʻailona e pono e mālama ʻia. No nā mea maʻi me kahi maʻi like ʻole o ka insulin, e pono ke ʻano o ka hoʻololi ʻana i nā hāmeʻe like me ka insulin. No nā mea maʻi me ka diabetes type 2, ʻo ka mālama ʻana me ka lawe ʻana i nā lāʻau lapaʻau hoʻohaʻahaʻa a me ke ʻano ʻana o ka ʻai me ka ʻai ʻole o nā meaʻai o ka ʻai. Me nā ʻōmaʻomaʻo holomua o kēia maʻi, pono nā mea maʻi e mālama i ka mālama ʻana e hoʻohana ana i nā lāʻau lapaʻau - nephroprotectors.

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