Ọ bụrụ n’inwere ihe mgbaàmà nke glucose ọbara dị elu, werezie nnwale shuga ọbara n’ụtụtụ n’afọ na-enweghị isi. I nwekwara ike ime nyocha a mgbe awa iri abụọ gachara. N'okwu a, iwu ga-adị iche. Nwere ike ịchọta ụkpụrụ suga (glucose) ọbara ebe a. Enwekwara ihe omuma banyere udiri shuga di elu na otu esi wedata ya.
Nnwale ọbara ọzọ maka shuga bụ haemoglobin glycated. Enwere ike kenye nnwale a iji kwado ma ọ bụ gosipụta nchọpụta nke ọrịa shuga. Ọ dabara adaba na ọ na-egosipụta ogo ọ̀tụ̀tụ̀ shuga dị n'ọbara n'ime ọnwa 3 gara aga. Ọkpụkpụ glucose plasma adịghị emetụta ya kwa ụbọchị n'ihi nrụgide ma ọ bụ ọrịa catarrhal, ọ dịghịkwa mkpa iburu ya na afọ efu.
A na-atụ aro ka anwale ọbara maka shuga kwa afọ atọ ka ọ bụrụ mmadụ niile gbara afọ iri anọ. Ọ bụrụ na ị buru oke ibu ma ọ bụ nwee ndị ikwu na-arịa ọrịa shuga, lelee shuga ọbara gị kwa afọ. Maka na inwere onwa di egwu. A na-atụkarị aro ka ịnwale ọbara maka haemoglobin glycated, n'ihi na ọ dị mma ma na-enye ihe ọmụma.
Ikwesighi igbanye nyocha shuga ọbara maka ụjọ na ị na-achọpụta ọrịa shuga. N'ọtụtụ ọnọdụ, a na-edozi nsogbu a site na enyemaka nke nri carbohydrate na-eju afọ ma dị ụtọ, na-enweghị ọgwụ na inje insulin. Ma ọ bụrụ na imeghị ihe ọ bụla, nsogbu ọrịa shuga enweghị ike ịgbanwe.
Dị ka a na-achị, o yikarịrị ka ndị mmadụ ga-ebu ule shuga na-ebu ọnụ. Anyị chọrọ ịdọrọ uche gị gaa n'eziokwu ahụ bụ na nnwale maka glycated gemoclobin na shuga ọbara 2 awa mgbe nri gasịrị dịkwa ezigbo mkpa. N'ihi na ha na-enye gị ohere ịchọpụta nnabata glucose ma ọ bụ ọrịa shuga 2 n'ụdị mmalite iji malite ọgwụgwọ n'oge.
Nyocha nnabata nnabata glucose
Nnwale nnabata glucose dị ogologo bụ nyocha shuga dị n'ọbara ogologo. Ọ bụ ndị mmadụ nyochara ule shuga ọbara ha gosipụtara nsonaazụ 6.1-6.9 mmol / L. Nyocha a, ị nwere ike igosi ma ọ bụ gosi nchoputa nke ọrịa shuga. Ọ bụkwa naanị ụzọ iji chọpụta na mmadụ nwere nsogbu glucose na-arịa ọrịa, yana isi.
Tupu ịmalite ịnabata nnabata nke glucose, mmadụ kwesịrị iri ụbọchị atọ a na-akparaghị ókè, ya bụ, iri ihe karịgasit 150 nke ụbọchị ọ bụla. Mmega ahụ kwesịrị ịdị nkịtị. Nri nri ikpeazụ nke mgbede kwesịrị ịnwe carbohydrates 30-50 g. N'abalị ịchọrọ agụụ maka awa 8-14, mgbe ị nwere ike ị drinkụ mmiri.
Tupu ịmalite ule nnabata glucose, a ga-atụle ihe ndị nwere ike ịmetụta nsonaazụ ya. Ndị a gụnyere:
- ọrịa na-efe efe, gụnyere oyi;
- mmega ahụ, ma ọ bụrụ ụnyaahụ ọ dị ala karịa, ma ọ bụ karịa n'ụzọ ibu;
- na-a medicationsụ ọgwụ ndị metụtara shuga ọbara.
Usoro nke ule nnwere ike nnabata glucose:
- A na-anwale onye ọrịa maka ibu ọnụ ọbara ọbara.
- Ozugbo nke ahụ gasịrị, ọ na-a aụ mmiri nke 75 g nke glucose (82.5 g nke glucose monohydrate) na 250-300 ml mmiri.
- Were nyocha ọbara nke abụọ maka shuga mgbe awa 2 gachara.
- Mgbe ụfọdụ ha na-a testsụ nwa obere oge maka shuga kwa nkeji iri atọ.
Maka ụmụaka, “ibu” nke glucose bụ 1.75 g kwa kilogram nke ahụ mmadụ, mana ọ bụghị ihe karịrị 75 g .. Anaghị anabata ịokingụ sịga ruo awa 2 ka a na-eduzi ule ahụ.
Y’oburu na nnabata nnabata glucose di ala, i.e. ogo shuga obara adabeghi ososo, yabụ nkea putara na onye oria nwere nnukwu nsogbu oria shuga. Oge eruola ka ị gbanwee nri nwere carbohydrate iji gbochie mmepe nke ọrịa shuga “ezigbo”.
Kedu otu esi eme nyocha ọbara ọbara maka shuga
Iji mee nyocha ọbara ọbara nyocha nke shuga iji gosipụta nsonaazụ ziri ezi, usoro a ga-esi tinye ya ga-emezu ụfọdụ achọrọ. Ya bụ, ụkpụrụ nke International Federation of Clinical Chemistry na-akọwa.
Ọ dị ezigbo mkpa ịkwadebe nke nlele ọbara mgbe emesịrị hụ na ebumnuche zuru oke nke mkpokọ glucose na ya. Ọ bụrụ na emeghị nyocha ngwa ngwa, a ga-anakọta nha ọbara n'ime tubes nwere 6 mg nke sodium fluoride maka mililita niile nke ọbara.
Mgbe nke a gasịrị, a ga-agbatị ọbara ọbara ka ọ hapụ plasma. Mgbe ahụ, plasma nwere ike oyi. N'ime ọbara dum, nke a na-achịkọta na sodium fluoride, mbelata mgbanye glucose nwere ike ịdapụta na n ụlọ okpomọkụ. Mana ije nke mbelata a na-ada nwayọ, ebelatakwa ihe na-egbochi ya.
Obere ihe achọrọ maka ịkwadebe ihe nlere ọbara maka nyocha bụ itinye ya ozugbo na mmiri ice mgbe iwechara ya. Mgbe nke ahụ gasị, a ga-akpụgharị ya tupu nkeji iri atọ.
Kedu ka ịdị glucose na plasma na ọbara niile si dị iche
Mgbe a na -eme ule shuga ọbara na-ebu ọnụ, a na-egosi venous na capillary n'omume na-enye ihe ruru otu esi arụ ọrụ. Ma mgbe ị risịrị nri, ọkwa shuga dị n'ọbara dị elu. Ọbara glucose na ọbara akwara ozi dị ihe dị ka 7% karịa nke venous.
Hematocrit bụ ịta nke ihe mebere (sel ọbara ọbara, sel ọbara ọcha, platelet) na mkpokọta ọbara. Site n'ọbara nkịtị, ọkwa glucose plasma dị ihe dịka 11% dị elu karịa n'ọbara dum. Site na hematocrit nke 0,55, ọdịiche a ruru 15%. Site na hematocrit nke 0.3, ọ na-agbadata 8%. Ya mere, ịkọwa ọkwa glucose nke ọma n'ọbara n'obere plasma bụ nsogbu.
Ndị ọrịa na-arịa ọrịa shuga nwere ntụsara ahụ dị mma mgbe glucose nke ụlọ pụtara, na ugbu a ọ dịghị mkpa ịnwale nnwale ọbara shuga n'ụlọ nyocha. Agbanyeghị, mita ahụ nwere ike inye njehie ruru 20%, nke a bụkwa ihe dị mma. Ya mere, enwere ike ịchọpụta ọrịa shuga naanị na ndabere nke nyocha nke ụlọ nyocha.
