Ropa glucose: chii zvazviri, maitiro ekuyera uye mareferensi kukosha

Zvemukati

• Maitiro ekuyera glucose muropa
• 1. Capillary glycemia
• 2. Kutsanya glucose muropa
• 3. Glycated hemoglobin
• 4. Glycemic munyonga
• 5. Postmeal plasma glucose
• 6. Inzwa ropa glucose mumawoko
• Chii ichochi
• Ndeapi mareferensi tsika
• 1. Kuderera kweropa
• 2. Yakawanda ropa glucose

Glycemia ndiro izwi rinoreva huwandu hweshuga, inonyatso kuzivikanwa seshuga, muropa rinosvika kuburikidza nekumwa kwezvikafu zvine makabhohaidhiretsi, akadai sekeke, pasita nechingwa, semuenzaniso. Iko kusangana kweglucose muropa kunotungamirirwa nemahormone maviri, insulin inova iyo inoderedza kudzikira kweshuga muropa uye iyo glucagon ine basa rekuwedzera mazinga eglucose.

Kune nzira dzinoverengeka dzekuyera huwandu hweshuga yeropa kuburikidza nekuongororwa kweropa, sekutsanya glucose yeropa uye glycated hemoglobin, kana nenzira dzekushandisa nyore-nyore mashuga eropa uye zvishandiso izvo munhu anogona kushandisa.

Iko kuwanda kweropa glucose mareferenzi anofanirwa kuve ari pakati pe70 kusvika 100 mg / dL kana uchitsanya uye kana iri pazasi peiyi kukosha inoratidza hypoglycemia, iyo inokonzeresa zviratidzo sekukotsira, dzungu uye kunyange kupera simba. Hyperglycemia, kune rimwe divi, ndipo apo iro glucose yeropa iri pamusoro pe100 mg / dL uchitsanya uye inogona kuratidza mhando 1 kana mhando 2 chirwere cheshuga, icho, kana chikasadzorwa, chinogona kukonzera matambudziko, senge matambudziko ekuona uye tsoka yeshuga. Ziva zvimwe zviratidzo zvechirwere cheshuga.

Maitiro ekuyera glucose muropa

Ropa glucose rinoreva kuwanda kweshuga muropa uye inogona kuyerwa nenzira dzinoverengeka, senge:

1. Capillary glycemia

Capillary ropa glucose kuongororwa kunoitwa nekubaya kwechigunwe uyezve donhwe reropa rinoongororwa pane tepi yakabatana nechigadzirwa chinonzi glucometer. Parizvino, pane akati wandei mamodheru emhando dzakasiyana dzeglucometer, inowanikwa iri kutengeswa muma pharmacies uye inogona kuitwa chero nemunhu, sekureba kwayakaitwa kare.

Rudzi urwu rweyedzo runobvumira vanhu vane chirwere cheshuga kuve nehutongi hukuru pamusoro peyero yeropa, kudzivirira zvikamu zve hypoglycemia nekuda kwekushandisa insulins, kubatsira kunzwisisa kuti chikafu, kushushikana, manzwiro uye kurovedza muviri zvinoshandura sei mashuga eropa. Glucose yeropa uye zvakare inobatsira kuseta iyo chaiyo insulini dhizaini yekupihwa. Ona maitiro ekuyera capillary ropa glucose.

2. Kutsanya glucose muropa

Kutsanya kweropa glucose kuongororwa kweropa kunoitwa kuongorora huwandu hweropa uye inofanirwa kuitwa mushure menguva isina kudya kana kunwa, kunze kwemvura, kwemaawa masere masere kana sekurairwa nachiremba.

Bvunzo iyi inobatsira mukuru wezvekurapa kana endocrinologist kuongorora chirwere cheshuga, zvisinei, inopfuura imwechete sampuro inofanirwa kuunganidzwa uye kuenderera mberi nemiedzo, yakadai seiyo glycated hemoglobin, inogona kukurudzirwa kuti chiremba avhare kuongororwa kwechirwere cheshuga. Kutsanya ropa glucose kunogona kuitirwawo chiremba kuti aone kana kurapwa kwechirwere cheshuga kuri kushanda kana kuongorora mamwe matambudziko ehutano anochinja huwandu hweropa.

3. Glycated hemoglobin

Glycated hemoglobin, kana HbA1c, kuongororwa kweropa kunoitwa kuyera huwandu hweshuga yakasungirwa hemoglobin, chikamu chemasero matsvuku eropa, uye inoreva nhoroondo yeglucose yeropa mazuva anopfuura zana nemakumi maviri, sezvo iri nguva yeupenyu yeropa dzvuku. sero uye nenguva yainoratidzwa shuga, kuumba glycated hemoglobin, uye bvunzo iyi ndiyo nzira yakanyanya kushandiswa kuongorora chirwere cheshuga.

Izvo zvakajairika mareferenzi eiyo glycated hemoglobin inofanira kunge iri pasi pe5.7%, zvisinei, mune dzimwe nguva, mhedzisiro yeglycated hemoglobin inogona kuchinjwa nekuda kwezvimwe zvinhu, senge anemias, kushandisa zvinodhaka uye chirwere cheropa, semuenzaniso. Izvi zvisati zvaitika bvunzo dzinoitwa, chiremba achaongorora nhoroondo yemunhu yehutano.

4. Glycemic munyonga

Iyo glycemic curve, inozivikanwawo seglucose shiviriro bvunzo, ine bvunzo yeropa umo kutsanya glycemia kunosimbiswa uye maawa maviri mushure mekumedza 75 g yeglucose kuburikidza nemuromo. Mumazuva matatu pamberi pebvunzo, munhu wacho anoda kudya chikafu chine makabohydrate, akadai sechingwa nemakeke, semuenzaniso, uyezve anofanira kutsanya kwemaawa gumi nemaviri.

Uye zvakare, zvakakosha kuti usati watora bvunzo, munhu anga asina kofi uye asina kumboputa kwenguva ingangoita makumi maviri nemana maawa. Mushure mekunge muyero wekutanga weropa waunganidzwa, munhu anozomwisa shuga ozorora kwemaawa maviri kuti atore ropa zvakare. Mushure mekuongorora, mhedzisiro yacho inotora pakati pemazuva maviri kusvika matatu kuti uve wakagadzirira, zvinoenderana nerabhoritari uye zvakajairwa tsika zvinofanirwa kunge zviri pazasi pe100 mg / dL pane isina chinhu mudumbu uye 140 mg / dL mushure mekumwa kwe75g yeglucose. Zvirinani nzwisisa mhedzisiro yeglycemic curve.

5. Postmeal plasma glucose

Postprandial yeropa glucose bvunzo yekuona huwandu hweropa glucose 1 kusvika 2 maawa mushure mekunge munhu adya chikafu uye anoshandiswa kuongorora makwiriro e hyperglycemia, inosangana nenjodzi yemoyo kana dambudziko rekuburitsa insulin. Rudzi urwu rweyedzo runowanzo kurudzirwa nachiremba mukuru kana endocrinologist kuti atsigire iyo yekutsanya ropa glucose bvunzo uye zvakajairwa tsika zvinofanirwa kunge zviri pazasi pe140 mg / dL.

6. Inzwa ropa glucose mumawoko

Parizvino, pane sensor yekutarisa ropa reropa rakaiswa paruoko rwemunhu uye inobvumidza kuongororwa kwemazinga eruglucose eropa pasina chikonzero chekubaya munwe. Iyi sensor mudziyo wedenderedzwa une tsono yakanaka kwazvo yakaiswa kumashure kweruoko, haikonzeri kurwadziwa uye haikonzere kusagadzikana, ichishandiswa zvakanyanya kunyangwe kune vana vane chirwere cheshuga, sezvo ichideredza kusagadzikana kwekuboora munwe .

Mune ino kesi, kuyera glucose yeropa, ingounza mbozhanhare, kana chaicho chigadzirwa cheiyo chiratidzo, kune ruoko ruoko uye ipapo scan ichaitwa uye mhedzisiro ichaonekwa pane mbozhanhare mbozhanhare. Iyo sensor inofanirwa kushandurwa mazuva ese gumi nemana, zvisinei hazvo hazvidiwe kuti uite chero mhando yecalibration, dzakasiyana neyakajairika capillary ropa glucose mudziyo.

Chii ichochi

Glycemia inoratidzirwa neanowanzoita kana endocrinologist kuti aongorore mazinga eruglucose uye kuburikidza neizvi zvinogoneka kuona zvimwe zvirwere nemamiriro, akadai se:

• Nyora 1 chirwere cheshuga;
• Nyora 2 chirwere cheshuga;
• Gestational chirwere cheshuga;
• Insulin kuramba;
• Utachiona hunochinja;
• Zvirwere zvepancreatic;
• Zvinetso zveHormonal.

Kudzora kweglycemia kunokwanisazve kuongorora chirwere cheDumping syndrome, semuenzaniso, inova mamiriro ekuti chikafu chinokurumidza kubva mudumbu kuenda mudumbu, zvichitungamira pakuonekwa kwehypoglycemia uye zvichikonzera zviratidzo zvakaita sedutu, kuda kurutsa uye kudedera. Dzidza zvakawanda nezve Dumping syndrome.

Kazhinji, rudzi urwu rwekuongorora kunoitwa seyakajairwa chipatara kune vanhu vari muchipatara uye vanogamuchira serum ine glucose kana kushandisa mishonga mutsinga dzavo izvo zvinogona kukonzera glucose yeropa kudonha zvakanyanya kana kusimuka nekukurumidza.

Ndeapi mareferensi tsika

Iyo bvunzo yekutarisa capillary ropa glucose yakasiyanasiyana uye inogona kusiyana maererano neirabhoritari uye bvunzo dzinoshandiswa, zvisinei mhedzisiro yacho inofanirwa kuve nehunhu sezvakaratidzwa mutafura iripazasi:

Mushure mekutarisa mhedzisiro yebvunzo, chiremba anozoongorora zviratidzo zvinoratidzwa nemunhu uye anogona kukurudzira kumwe kuyedzwa kuti atarise izvo zvinogona kukonzeresa yakadzika kana yakakwira ropa glucose.

1. Kuderera kweropa

Yakaderera ropa glucose, inonziwo hypoglycemia, ndiko kuderera kwemazinga eruglucose eropa, anoonekwa nemitengo iri pasi pe70 mg / dL. Zviratidzo zveichi chiitiko zvinogona kuva dzungu, kutonhora ziya, kusvotwa, izvo zvinogona kutungamira mukufenda, kuvhiringidzika kwepfungwa uye coma kana ikasadzoserwa munguva, uye izvi zvinogona kukonzerwa nekushandiswa kwemushonga kana kushandisa insulin zvakanyanya mishonga. Ona zvimwe zvinogona kukonzera hypoglycemia.

Zvekuita: hypoglycemia inofanirwa kurapwa nekukasira, saka kana munhu aine zviratidzo zvakadzikama, sedzungu, unofanirwa kupa jusi bhokisi kana chimwe chinhu chinotapira ipapo ipapo. Muzviitiko zvakaipisisa, umo kuvhiringidzika kwepfungwa uye kupera simba kunoitika, zvakafanira kufonera amburenzi yeSAMU kana kuendesa munhu kuchimbichimbi, uye kupa shuga chete kana munhu achiziva.

2. Yakawanda ropa glucose

Yakakwira ropa glucose, inonyatso kuzivikanwa sehyperglycemia, inoitika kana huwandu hweshuga yeropa hwanyanya zvakanyanya nekuda kwekudya zvinotapira kwazvo, zvine makabhohaidhiretsi-based chikafu, izvo zvinogona kutungamira kutanga kwechirwere cheshuga Shanduko iyi haiwanzokonzere zviratidzo, zvisinei, mune kesi apo ropa reropa rakanyanya uye kwenguva yakareba, mukanwa wakaoma, kurwadziwa nemusoro, kurara uye kuita weti kazhinji. Tarisa kuti nei hyperglycemia ichiitika.

N Yekufambisa ForamuMune zviitiko apo chirwere cheshuga chatoonekwa, chiremba anowanzokurudzira kushandiswa kweiyo hypoglycemic zvinodhaka, senge metformin, uye jekiseni insulin. Uye zvakare, mune dzimwe nguva, hyperglycemia inogona kudzoserwa kuburikidza neshanduko yekudya, ichideredza kudyiwa kwezvikafu zvakapfuma mushuga nepasta uye kuburikidza nezviitiko zvemuviri zvenguva dzose. Ona muvhidhiyo iripazasi izvo zviitwa zvinokurudzirwa zvakanyanya kune avo vane chirwere cheshuga: