ʻO Glucose kahi monosaccharide, kahi mea nui i nā hana ikaika a pau i ke kino o ke kanaka. ʻO kahi hoʻololi i kāna mau helu kuʻuna, e alakaʻi ana i nā ʻōnaehana like ʻole mai ka ʻaoʻao o nā mea nui a me nā metabolism, i manaʻo ʻia he maʻi. I ka manawa mua, ʻaʻohe hanana o ka hypo- a me ka hyperglycemia i kēlā me kēia manawa, ʻo ia hoʻi kahi hōʻike koko no ka honi e kōkua i ke kīlea i ke ʻano. No ke aha e pono ai kēlā hoʻokolohua, pehea e hoʻomākaukau pono ai no ka hāʻawi ʻana i nā mea a me nā hiʻohiʻona o ka ʻāpana ʻāpana, ua manaʻo ʻia i ka ʻatikala.
Nā hōʻailona no ka maʻi maʻi
E kaukaʻi ke kauka i kahi hoʻoliʻu gula inā loaʻa ka mea maʻi i kēia mau hoʻopiʻi penei:
- ʻike ʻole i ka nānā;
- hoʻemi ʻia ka hana a me ka hoʻomau mau ʻana;
- makewai helehelena;
- maina mukosa maloʻo;
- oi ke kaumaha o ke kino;
- lōʻihi ka hoʻōla ʻana, nā hōʻeha, nā ʻōpala;
- ka ulaula a me ka maloʻo o ka ʻili;
- i hoʻonui nui ʻia o ka urine i hoʻopā ʻia.
ʻO nā hōʻailona ma luna nei nā hōʻailona o ka maʻi mellitus o ka maʻi maʻi - ka maʻi maʻamau e pili ana i nā loli i nā pae o ka glucose koko.
ʻO ka koho ʻana i nā helu koko he mea nui ka pale ʻana i ka hoʻomohala ʻana i ka maʻi diabetes
Eia kekahi, kahi hōʻike o ke koko no ka hilo i hōʻike ʻia i kēlā me kēia makahiki no nā wāhine, nā kāne a me nā keiki i hiki ka pilikia:
- ka heleʻana o nā hoahānau i hana ʻia ma kahi "maʻi ʻoliʻoli";
- nā maʻi maʻi ʻōpū;
- wahine i hānai i nā keiki ma mua o 4-4.5 kg i ka mōʻaukala;
- nā maʻi e lawe pinepine ana i ka glucocorticosteroids;
- e loaʻa ana nā ʻōhua;
- nā mea maʻi e loaʻa ʻana i nā maʻi maʻi;
- nā mea maʻi me nā pilikia o ka puʻuwai a me nā moku koko i puka i ke wā ʻuʻuku (i nā wahine - a hiki i 40 mau makahiki, i nā kāne - a 50 mau makahiki).
Holo ʻaʻai no ke kōpaʻa - ʻano
ʻO ke koko ka wai o ka pulu o ke kino, ka mea i loaʻa i nā plasma a me nā mea like. Hōʻike ʻia kēlā me kēia hoʻololi i kona mau kuʻuna a me nā hōʻailona piliʻelima. Wahi a kahi hoʻokolohua o ke koko, hiki ke wehewehe i ka hele ʻana o nā hana a me nā ʻano a me nā ʻano o nā maʻi o ka maʻi, ke ʻano o ke immunodeficiency, ke hoʻololi ʻana i ka palaki electrolyte, a me ka hana pono o nā huina.
Hiki ke hoʻoholo i ka glucose koko me ka hoʻohana ʻana i kekahi mau palapala hoʻokolohua. Kuhi paha ke kauka i kahi hōʻike a i ʻole he nui i ka manawa like.
Ke ʻano hana ʻana
ʻO kahi helu koko piha ke kumu o nā diagnostics āpau āpau. ʻAʻole hoʻoholo kēia ʻano i ka pae o ke kō, akā ma ka kumu o nā hopena, e loiloi ke kauka i ka hemoglobin, ka pūnaehana coagulation, a me ke ʻano o nā mea i hoʻokumu ʻia.
Pono e hāʻawi i ke koko capillary. Mākaukau ka hoʻomākaukau ʻana no ka hōʻole ʻana i ka pāʻina kakahiaka. Hoʻohana wale ka wai. Inā kūpono, hiki i ka hopena diagnostic ke mākaukau i nā minuke 10-15. Hōʻike ʻia ke ʻano o nā hōʻailona o nā kāne, nā wahine a me nā keiki (ma o ka makahiki) ma ka papa ma lalo.
Nā hōʻike hōʻike o ka hōʻike koko koko ākea i kahi kanaka olakino
Hōʻike glucose koko
Hiki ke hoʻopaʻa ʻia i ka maʻi ʻeha ma ke hoʻohana ʻana i ke koko capillary a i ʻole venous koko o ka mea maʻi. Pono e noʻonoʻo i ka moʻomeheu o nā kikoʻī o ka nui o ke kō i loko o ke koko mai ka manamana lima he 10% haʻahaʻa ma mua o ke koko mai ka vein. Eia kekahi, ʻokoʻa nā hopena o nā pākeke a me nā keiki.
Penei ka hoʻomākaukau ʻana:
- ʻike ka loiloi ma kahi ʻōpū;
- ae ʻae ʻia e inu wale i ka wai no nā hola 8-10 ma mua o ka lawe ʻana i ka mea;
- mai puliki i ke kakahiaka;
- ua laia i ke kuiia i ko oukou mau niho me ka niho o ka niho (a mau i wai i loko o ia mea);
- 3 mau lā e hōʻole i ka hoʻohana ʻana i ka waiʻona;
- ho'ōki i ka lawe ʻana i nā lāʻau lapaʻau i kēlā lā i kēia lā, a inā ʻaʻole hiki ʻole kēia, e haʻi aku i ka ʻoihana i ke ʻano o nā lāʻau lapaʻau.
Hōʻikeʻia nā huaʻala o ka maʻamau a me nā patology i ka papa.
Nā hopena o ke hoʻoholo ʻana i ka pae o ka glucose i ke koko ma nā kūlana like ʻole
Ke lawe nei i ke koko mai kahi vein i kahi like me ka hoʻoholo ʻana i ka pae o ka kō, nā loiloi kolesterol e nānā ʻia. Ua lōʻihi ka pilina o kēia mau mea ʻelua. Hāʻawi ka Hyperglycemia i ka hana ikaika o ka cholesterol, triglycerides a me nā lipids, i waiho ʻia i nā paia o nā arteri, ke kumu o ka hoʻokumu ʻana i nā plika atherosclerotic. A laila aia kahi haʻalulu o ka lumen o nā moku a me kahi halaʻole o nā iwi trophic.
Hoʻolaha hoʻokolohua
ʻO kēia ala, i kapa ʻia ʻo ka hoʻāʻo o ka maʻi kākā o ka glucose, e hoʻohana i mea e hoʻomaʻamaʻa ai i ka ʻike ʻana i nā sela kino i ka glucose (nui i loko o ke ʻano o ka maʻi no ka maʻi mellitus type 2 a me ke ʻano gestational o ka maʻi i nā wahine hāpai). ʻAe iā ʻoe e hoʻoholo i ka hele ʻana o ke kōāʻai latent i loko o ke koko.
I mea e hoʻomākaukau pono ai no ka hōʻiliʻili ʻana o nā mea, pono no ʻekolu mau lā ma mua o ka loiloi ʻole e hoʻopalapale ai iā ʻoe iho i ka nui o nā huakini o ka ʻai. Inā hiki, kāpae i ka lawe ʻana i nā lāʻau lapaʻau (ma hope o ke kamaʻilio ʻana me kāu kauka). Hāʻawi i ke koko i ka ʻōpū ʻole, ua ʻae ʻia ka wai inu wale.
Ma ka ʻoihana, wehewehe nā kumuhana i nā kiʻi aʻe:
- ka heleʻana o nā maʻi a pau aʻeha paha i nā maʻi maʻi maʻi;
- ka hana kino kino no ka lā hope loa;
- nā lāʻau lapaʻau e lawe ʻia ana.
Hoʻopili ʻia ka hoʻākāka ʻana no ke ahonui i nā ʻoihana aʻe:
- E lawe i ke koko mai ka manamana lima a i ʻole vein.
- Hoʻomele ʻia ka pauku glucose i 300 ml o ka wai mahana a iʻa paha. ʻO ka nui o nā kāne a me nā wahine he 75 g, ʻo ke keiki he 1.75 g no 1 ka paona o ke paona. ʻO ka hopena hopena e hoʻōla i ka manawa.
- Wahi a nā ʻōlelo a ke kauka, hiki i ka sampling koko hou (ma ke ʻano like no ka manawa mua) hiki ke hana ma hope o 30, 60, 90 mau minuke, ke ʻano - ma hope o 120 mau minuke.
ʻO ka pauma Glucose - kahi lāʻau lapaʻau i hoʻomākaukau ʻia i hana no ka diagnostics
Hemoglobin Glycated
Ma kahi o ka hōʻike e hiki ai iā ʻoe ke hōʻoia a hōʻole paha i ka hele ʻana o ka pathglycemia pathological i ka mea maʻi. ʻO ke kōkōkiko Glycated i loaʻa nā hōʻailona maʻalahi i mua o nā ʻano hana ʻē aʻe no ka hoʻoholo ʻana i ka glucose i loko o ke koko. Loaʻa nā pōmaikaʻi penei:
- hana ʻia ma mua o a ma hope o kahi ʻai;
- ka pololei o nā hōʻailona e hoʻoholo ai i nā hoʻomaka mua o ka "maʻi ʻeha";
- ka hoʻoholo ʻana i ka hoʻoponopono ʻana i ka mokuana i ka dinamics;
- ʻAʻole hiki iā ʻoe ke hōʻole e inu i ka lāʻau lapaʻau.
Loaʻa i nā pono:
ʻO ka hoʻomohala ʻana o ka maʻi maʻi i nā keiki- pili ka loiloi i nā ʻano o ke ʻano kumukūʻai kiʻekiʻe;
- e kū'ē i ke kua o nā maʻi koko a i ʻole ka lawe ʻana i nā koina kiʻekiʻe, nā hua a hoʻokaʻawale;
- ʻaʻole i lawe ʻia i nā mea hana a pau;
- kiʻekiʻe nā kiʻekiʻe o ka hormone thyroid i nā hopena kiʻekiʻe aʻe, akā aia ka pae kiʻekiʻe o ka glucose maoli.
ʻO ka pae o ka hemoglobin glycated (hoʻolālā - HbA1C) ka ʻokoʻa no nā makahiki āpau, ʻaʻohe wahine. A hiki i ka 5.7%, liʻiliʻi ka hopena o ka hoʻomohala ʻana i ka maʻi, a hiki i ka 6% - i hōʻemi ʻia ka maʻi maʻamau, e mālama ʻia ke alakine ʻana no ka maʻi i ka maʻi, a hiki i ka 6.4% - nui ke kuʻuna o ka pathology, ma luna o 6.5% - ke kānalua ka ka maʻi o ka maʻi maʻi.
Hōʻike i nā diagnostics
Hoʻohana ʻia ke ʻano ma ka home a me nā kūlana ʻoihana. Hana ʻia ka ʻano hōʻike ma ka hoʻohana ʻana i kahi glucometer. ʻO kēia kahi mea e hoʻokomo ʻia ai nā ʻoka hoʻāʻo. Hāʻawi ʻia kahi kuʻu wai o ke kumuhana ma luna o lākou, a hōʻike ʻia ka hopena ma ka pā. Hoʻokomo ka manawa Diagnostic i ke ʻano o ka mita i koho ʻia.
Hoʻolaha o nā deviations
ʻO ka "Mania" ʻaʻole wale ke kumu o ka glucose i pae kiʻekiʻe ma mua o ka maʻamau. Ua hui pū ʻia ka Hyperglycemia i kēia ʻano pilikia:
- hana kino kino;
- nā manaʻo manaʻo;
- nā ala no nā pulela endocrine ʻē aʻe;
- ka ʻaina meaʻai ma mua o ka lawe ʻana i ka waihona;
- ka hopena o nā meaʻala;
- ka lawe ʻana i nā lāʻau lapaʻau (hormones thyroid, diuretics, sex sex a me nā ʻalani adrenal, nā lāʻau anti-inflammatory).
Hoʻohana lōʻihi a ʻaʻole i kāohi ʻia nā lāʻau lapaʻau - he mea hoʻonāukiuki o ka hyperglycemia
Hana ʻia ka hypoglycemia i kēlā mau kūlana:
- hoʻohāliko ʻia me nā waiona etyl a me nā mea waiwai;
- nā maʻi o ka ate, ka gastrointestinal tract, nā kīʻaha koko;
- anorexia;
- ʻopi momona
- kūmole pancreatic;
- mea make pūʻai make;
- he overdose o ka hoʻomākaukau ʻana i ka insulin.
Uku kumukūʻai
Hoʻolohe ka poʻe maʻi i ka nīnau no ke kumukūʻai o ka hōʻike. ʻO ke kumukūʻai o nā hoʻokolokolo, ʻokoʻa ʻole i kū i ke keʻena a me ke kūlanakauhale:
- Ka ʻike ākea - 200-300 rubles.
- ʻO kahi hōʻike koko no ka glucose - 150-250 rubles.
- Ka hoʻāʻo ʻana ka hoʻonaninani kūlohelohe - a hiki i ka 1880 mau rubles.
- Hemoglobin Glycated - 400-1000 mau rubles.
Ua wehewehe ʻia nā hopena e ke kauka hele wale nō. E pili ana iā lākou, ua hoʻoholo ʻia nā hana hou o ka hoʻokele hoʻomanawanui.
