Urine Kuyedza Kwechirwere cheshuga: Glucose Levels uye Ketones

Zvemukati

• Ndiani anofanirwa kuita weti yekuongorora chirwere cheshuga?
• Mazinga eglucose
• Ketoni
• Unogadzirira sei kuita weti bvunzo?
• Chii chaunotarisira panguva yekuyedza weti?
• Ku hofisi yechiremba
• Kumba-bvunzo bvunzo
• Zvinorevei zvangu weti yeglucose mhedzisiro?
• Zvinorevei wangu weti ketone bvunzo mhedzisiro?
• Diki kusvika pakuenzanisa
• Pakati nepakati kusvika pakakura
• Yakakura kwazvo
• Chii chinoitika mushure mekuongororwa kweweti kune chirwere cheshuga?

Isu tinosanganisira zvigadzirwa zvatinofunga zvinobatsira kuvaverengi vedu. Kana iwe ukatenga kuburikidza nehukama pane ino peji, isu tinogona kuwana diki komisheni. Heano maitiro edu.

Ndeapi maedzo weti kune chirwere cheshuga?

Chirwere cheshuga chiitiko chinoratidzirwa nehuga hwakawanda hweropa. Izvi zvinogona kunge zvichikonzerwa nekutadza kwemuviri kugadzira chero insulini yakakwana kana yakakwana, shandisa insulini zvinobudirira, kana zvese zviri zviviri.

Insulin ihormoni inobatsira maseru emuviri wako kunwa shuga yeropa kuti iite simba. Insulin inogadzirwa nepancreas muhuwandu hwakawanda mushure mekudya chikafu.

Kune maviri akakura maratidziro eshuga:

• mhando 1 chirwere cheshuga
• mhando 2 chirwere cheshuga

Type 1 chirwere cheshuga chinoitika apo immune system inorwisa uye inoparadza maseru-anogadzira insulin mumashure. Rudzi urwu runowanzoonekwa muhudiki uye runokurumidza kukura.

Tora 2 chirwere cheshuga chinoitika kana masero asisagone kushandisa insulin nemazvo. Iyi nyika inonzi insulin kushorwa. Rudzi rwechipiri chirwere cheshuga chinokura zvishoma nezvishoma uye chinofambidzana nekufutisa uye kuva nehupenyu hwekugara.

Chirwere cheshuga chinokonzera glucose yeropa, kana shuga yeropa, kukwira kusvika kumatunhu akakwirira zvisina kujairika. Mune mhando 1 chirwere cheshuga, muviri unogona zvakare kutanga kupisa mafuta kuti uwane simba nekuti maseru haasi kuwana iyo glucose yavanoda. Kana izvi zvikaitika, muviri unoburitsa makemikari anonzi maketone.

Kana ketoni dzichiwanda muropa, dzinoita kuti ropa riwedzere kuva neacidi. Kuwanda kwemaketoni kunogona kuisa chepfu mumuviri uye kukonzeresa pakoma kana kutofa.

Weti miedzo haina kumbobvira yashandiswa kuongorora chirwere cheshuga. Zvisinei, zvinogona kushandiswa kuongorora mazinga emunhu eweti ketoni uye weti glucose. Dzimwe nguva ivo vanoshandiswa kuona kuti chirwere cheshuga chiri kutarisirwa nemazvo.

Ndiani anofanirwa kuita weti yekuongorora chirwere cheshuga?

Muedzo wetii unogona kupihwa sechikamu chenguva dzose yekutarisa. Irabhu inogona kuyedza weti yako kuvepo kweglucose nemaketoni. Kana paine aripo mumurini, zvinogona kureva kuti hausi kuburitsa insulin yakakwana.

Mimwe mishonga yeshuga senge canagliflozin (Invokana) uye empagliflozin (Jardiance) inokonzera kuwedzera kweshuga kudururira weti. Kune vanhu vari kutora mishonga iyi, mazinga eglucose haafanire kuyedzwa neweti asi kuyedza ketoni kuchiri kwakanaka.

Mazinga eglucose

Munguva yakapfuura, weti bvunzo yeglucose yakashandiswa kuongorora uye kuongorora chirwere cheshuga. Zvino, ivo havasati sevanowanzo shandiswa zvakare.

Kuti uone chirwere cheshuga zvakanyatsojeka, chiremba anowanzovimba neropa rekuyera glucose. Kuongororwa kweropa kwakanyatsojeka uye kunogona kuyera iyo chaiyo huwandu hweshuga muropa.

Unoda kuzvitarisa wega kumba? Tenga kumba-weti yeglucose kana kumba-yeglucose bvunzo.

Ketoni

Urine ketone kuyedza kunonyanya kudikanwa kune vanhu vane chirwere cheshuga chekutanga avo:

• Iva neshuga yeropa inodarika mamirigiramu mazana matatu padhisita (mg / dL)
• vanorwara
• vane zviratidzo zvechirwere cheshuga ketoacidosis (DKA), chinetso chakakomba cheshuga

Matanho eKetone anogona kuongororwa neiyo-yekumba weti yekuyedza kit. Chiyero chemurini chemaketone chinofanira kushandiswa kana iwe ukaenderana netsananguro dziri pamusoro kana uine chero cheanotevera zviratidzo zveDKA:

• kurutsa kana kunzwa kusvotwa
• anoramba aine huwandu hwehuga husinga pindure pakurapwa
• kunzwa kurwara, senge nefuru kana hutachiona
• kunzwa kupera simba kana kuneta nguva dzese
• nyota yakanyanyisa kana kuva nemuromo wakaoma kwazvo
• kugara uchiita weti
• mweya unonhuwa "muchero"
• kuvhiringidzika kana kunzwa kunge uri mu "mhute"

Iwe unogona zvakare kuda kutora weti ketone bvunzo kana:

• une pamuviri uye une gestational chirwere cheshuga
• urikuronga kuita maekisesaizi uye rako reropa glucose rakakwira

Tenga kumba-ketone test.

Vanhu vane chirwere cheshuga, kunyanya rudzi rwekutanga chirwere cheshuga, vanofanirwa kuwana kurudziro kubva kuna chiremba wavo kuti inguvai yavanofanira kuyedza ketoni. Kazhinji, kana chirwere chako cheshuga chakanyatsochengetedzwa, unogona kusazodikanwa kuti utarise maketone ako nguva zhinji.

Kana iwe ukatanga kuona chero zviratidzo sezvakataurwa pamusoro apa, ako mashuga mashuga ari pamusoro pe250 mg / dL, kana muviri wako usiri kupindura kune insulin majekiseni, ipapo ungangoda kutanga kutarisa ako ketone mazinga.

Unogadzirira sei kuita weti bvunzo?

Usati waedzwa, ita chokwadi chekunwa mvura yakakwana kuti ugone kupa svutugadzike yakakwana yeti. Ive neshuwa yekuudza chiremba wako nezve chero mishonga kana zvinowedzera zvaunotora, sezvo izvi zvinogona kukanganisa mhedzisiro.

Weti inogona kusvibiswa nehutachiona nemasero. Iwe unofanirwa kuchenesa nzvimbo yako yekubereka nemvura usati wapa muenzaniso weti.

Chii chaunotarisira panguva yekuyedza weti?

Unogona kubvunzwa kuti upe muenzaniso weti paunenge uri kuhofisi yechiremba. Urine test kits inowanikwawo kuti ishandiswe kumba. Chiyero chemurini chakapusa uye hachina njodzi. Iwe haufanire kunzwa chero kusagadzikana panguva yemuedzo uyu.

Ku hofisi yechiremba

Chiremba wako achakupa rairo yekuti ungapa sei muyenzaniso uye kupi kwekuisiya kana wapedza. Kazhinji, izvi ndizvo zvinogona kutarisirwa panguva yekuyedza weti yehofisi:

1. Unozopihwa kapu yepurasitiki yakanyorwa zita rako uye nerumwe ruzivo rwekurapa.
2. Iwe unotora mukombe mubhegi repachivande uye weti mumukombe. Shandisa iyo "yakachena yekubata" nzira yekudzivirira kusvibiswa nemaabhakitiriya kana maseru paganda rako. Nenzira iyi, iwe unongounganidza yako weti pakati. Yese weti yako kuyerera inogona kupinda muchimbuzi.
3. Isa chivharo pane kapu uye ugeze maoko ako.
4. Uya nemukombe kupi kupi uko chiremba wako akakuudza kuti uusiye kana wapedza. Kana usina chokwadi, bvunza mukoti kana mumwe mushandi.
5. Muenzaniso uchazoongororwa kuvepo kweglucose nemaketoni. Mhedzisiro yacho inofanirwa kuve yakagadzirira nguva pfupi mushure mekunge muyenzaniso wapiwa.

Kumba-bvunzo bvunzo

Ketone bvunzo dzinowanikwa kuhemesi pasina mushonga, kana online. Ive neshuwa yekuverenga iwo madhairekitori epakeji zvakanyatso kana kuenda pamusoro pekuti ungashandise sei mitsetse nachiremba wako usati waita bvunzo.

Usati washandisa tambo yekuyedza, tarisa kuti uone kuti haina kupera kana kupera nguva.

Muzhinji, iyo-yemumba weti bvunzo inosanganisira anotevera matanho:

1. Tanga nekuverenga rairo yemugadziri.
2. Weti mumudziyo wakachena.
3. Dhidza mutsetse wacho weti. Iyo micheka yakaputirwa nemakemikari anoita nema ketoni. Bvisa weti yakawandisa kubva pamutsara.
4. Mirira iyo pad pad kuti uchinje ruvara. Iyo mirairo iyo yakauya nemabhande inofanira kukuudza iwe kuti inguva yakadii yekumirira. Ungangoda kuve newachi kana nguva iripo.
5. Enzanisa ruvara rwechivara nekara yemavara pane irimo. Izvi zvinokupa huwandu hweuwandu hwemaketone anowanikwa mune yako weti.
6. Pakarepo nyora zvawanikwa.

Zvinorevei zvangu weti yeglucose mhedzisiro?

Vanhu vane hutano kazhinji havafanirwe kunge vaine glucose mumuti yavo zvachose. Kana iyo bvunzo ichiratidza kuvepo kweglucose mumuti wako, iwe unofanirwa kukurukura izvo zvinogona kukonzeresa nachiremba wako.

Urine kuyedza hakuedze yako yazvino eropa mazinga eglucose. Iyo inongogona chete kupa ruzivo rwekuti kana kwete glucose iri kudira mukati medu weti. Izvo zvakare zvinongoratidzira mamiriro eshuga yako yeropa pamusoro pemaawa mashoma apfuura.

Kuongororwa kweropa glucose ndiyo yekutanga bvunzo inoshandiswa kuona chaiwo maglucose.

Zvinorevei wangu weti ketone bvunzo mhedzisiro?

Kuongorora ketone mazinga mumurini kwakakosha kana iwe uine rudzi rwekutanga chirwere cheshuga. Ketoni inowanzoonekwa mumuti weti yevanhu vane chirwere cheshuga cheshuga kupfuura vanhu vane chirwere cheshuga chechipiri.

Kana iwe ukaudzwa kuti uongorore maketoni ako, bvunza timu yako yehutano kuti ikubatsire iwe kugadzira chirongwa chezvaunofanira kuita kana iwe ukaona ketoni mumugini wako.

Zvakajairika kana kuteedzera mazinga emaketoni mumuti weti ari pasi pe0,6 millimoles pa litre (mmol / L), sekureva kweNational Health Service (NHS).

Mhedzisiro isingawanzo zvinoreva kuti une ketoni mumuti wako. Kuverengwa kunowanzo kuverengerwa sediki, zvine mwero, kana hombe.

Diki kusvika pakuenzanisa

A ketone level ye0.6 kusvika 1.5 mmol / L (10 kusvika 30 mg / dL) inoonekwa sediki kuenzanisa. Mhedzisiro iyi inogona kureva kuti ketone buildup iri kutanga. Iwe unofanirwa kuyedzazve mumaawa mashoma.

Panguva ino, inwa mvura yakawanda usati waedzwa. Usashandise muviri kana ropa rako re glucose rakakwira zvakare. Nzara inogona zvakare kukonzera mashoma emaketoni mumuti weti, saka dzivisa kusadya chikafu.

Pakati nepakati kusvika pakakura

A ketone level ye1.6 kusvika 3.0 mmol / L (30 kusvika 50 mg / dL) inoonekwa seyakaenzana kusvika kune yakakura. Mhedzisiro iyi inogona kuratidza kuti chirwere cheshuga hachisi kutarisirwa zvakanaka.

Panguva ino, iwe unofanirwa kufonera chiremba wako kana kutsvaga kurapwa.

Yakakura kwazvo

Chikamu che ketone chakakura kupfuura 3.0 mmol / L (50 mg / dL) chinogona kuratidza kuti une DKA. Ichi chiitiko chinotyisidzira hupenyu uye chinoda kurapwa nekukurumidza. Enda wakananga kuimba yekukurumidzira kana ako mazinga akakura kudai.

Zvimwe kunze kwemaketone akakura mumatope, zviratidzo zve ketoacidosis zvinosanganisira:

• kurutsa
• kusvotwa
• kuvhiringidzika
• munhuhwi wemweya unotsanangurwa se "muchero"

Ketoacidosis inogona kukonzera uropi kuzvimba, koma, uye kunyange kufa kana ikasiiwa isina kurapwa.

Chii chinoitika mushure mekuongororwa kweweti kune chirwere cheshuga?

Kana glucose kana maketoni akawanikwa mumuguta panguva yekuongorora kwese, chiremba wako achaita kumwe kuyedza kuti aone kuti nei izvi zviri kuitika. Izvi zvinogona kusanganisira bvunzo yeglucose yeropa.

Chiremba wako achaenda pamusoro pehurongwa hwako hwekurapa newe kana uine chirwere cheshuga. Iwe unogona kudzora ako mashuga eropa nerubatsiro rwe:

• manejimendi manejimendi
• kurovedza muviri
• mishonga
• kumba-yeglucose kuongororwa

Kana iwe uine rudzi rwekutanga chirwere cheshuga, iwe unogona kugara uchiongorora ketone mazinga mumuti wako uchishandisa tambo yekuyedza pamba. Kana ketone mazinga akanyanya kukura, unogona kugadzira DKA.

Kana iyo bvunzo ichiratidza kuti une madiki kana akaenzana ketoni, tevera chirongwa icho iwe chawakagadza pamwe neako timu yehutano. Kana uine mazinga makuru emaketoni mumuguta wako, taura nemutarisiri wako wehutano pakarepo kana kuenda kunzvimbo yekukurumidzira.

DKA icharapwa neine intravenous (IV) zvinwiwa uye insulin.

Taura nachiremba wako nezve izvo zvinogona kuitwa kudzivirira zvikamu zvenguva yemberi. Kuchengeta yako mhedzisiro uye mamiriro akakonzera chikamu chemaketoni makuru kunogona kubatsira iwe nachiremba wako kugadzirisa chirongwa cheshuga chekurapa chirwere cheshuga.