Ungasichaza kanjani isivivinyo somchamo futhi kungani kufanele ngithathe ushukela?

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Olunye uvivinyo olubaluleke kakhulu lwelabhoratri yesifo sikashukela i-urinalysis.
Kufanele kwenziwe njalo ezigulini ezinesifo sikashukela sanoma yiluphi uhlobo ukuze kuhlolwe isimo sohlelo lokuchama (izinso), ukubona ubukhona be-hyperglycemia nezinye izimpawu zokuphazamiseka kwe-metabolic.

Kungani i-urinalysis ejwayelekile ibalulekile kushukela?

Ngaphezu kokuba khona ushukela omningi emchameni, lokhu kuhlolwa kwelabhoratri kwesifo sikashukela kusiza ekuboneni ukuba khona kwezinkinga zezinso. Ama-pathologies noma ukungalingani kohlelo lwe-urinary lwenzeka kuma-40% abantu abane-carbohydrate metabolism.

Isifo sezinso sikhonjiswa ngokuba khona kwamaprotheni amaningi kumchamo. Lesi simo sibizwa i-microalbuminuria: Ukhula lapho iprotheni ephuma egazini (i-albhamuin) ingena kumchamo. Ukuvuza kwamaprotheni, uma kushiywe kungalashwa, kungaholela ekwehlulekeni kwezinso okuqhubekayo. I-Urinalysis kufanele yenziwe njalo ezinyangeni eziyisithupha kusukela ngosuku lokuxilongwa.

Kodwa-ke, ukuba khona kwamaprotheni akuyona ukuphela kwenkinga etholakala ngokuhlaziywa komchamo. Lolu cwaningo lwembula okunye ukuphambuka (izinkinga) ezenzeka ezigulini ezinesifo sikashukela.
Ukuhlolwa kwe-Urinalysis:

  • Izakhiwo ezibonakalayo zomchamo (umbala, ukuvela obala, udaka) - inkomba engaqondile yezifo eziningi ukuba khona kokungcola;
  • Izici zamakhemikhali (i-acidity, zibonisa ngokungaqondile ushintsho ekwakhekeni);
  • Ukudonswa okuqondile: inkomba ekhombisa amandla ezinso ukugxilisa umchamo;
  • Izinkomba zamaprotheni, ushukela, i-acetone (imizimba ye-ketone): ukuba khona kwalezi zingxube ngamanani ngokweqile kubonisa ukungahambi kahle komzimba (ngokwesibonelo, ukuba khona kwe-acetone kukhombisa isigaba sokuncipha kwesifo sikashukela);
  • Ukuchama kwe-urine usebenzisa i-microscopic laboratory test (inqubo ivumela ukukhomba ukuvuvukala okuhambisanayo ohlelweni lobuchamo).

Kwesinye isikhathi isifundo sibekelwa ukuthola okuqukethwe kwe-diastases emchameni. Le enzyme yakhelwe ama-pancreas futhi yephula ama-carbohydrate (ikakhulukazi isitashi). Ukuhlukahluka okuphezulu kuvame ukukhombisa ubukhona be i-pancreatitis - inqubo yokuvuvukala kumanyikwe.

Umchamo wesifo sikashukela ubalwa

Esikhathini sikashukela, izinhlobo eziningana zalokhu kuhlolwa kwelabhoratri kwenziwa:

  • I-Urinalysis;
  • Ukuhlaziywa ngokusho kweNechiporenko: indlela efundisa kakhulu evumela ukuthi wena ukwazi ukubona ukuba khona kwegazi, ama-leukocytes, amasilinda, ama-enzyme omchini obonisa izinqubo zokuvuvukala emzimbeni;
  • Ukuhlolwa kwengilazi ezintathu (ukuhlolwa okuvumela ukukhomba okwasendaweni inqubo yokuvuvukala ohlelweni lomchamo, uma lukhona).

Ezimweni ezijwayelekile zokwelashwa, i-urinalysis ejwayelekile yanele - izinhlobo ezisele zibekiwe ngokuya ngezinkomba. Ngokusekelwe emiphumeleni yokuhlolwa, kutholakala umphumela wokwelapha.

Izenzo ezinokuhlaziywa okuhle kwe-microalbuminuria

Ukuhlolwa okuhle kwe-microalbuminuria kukhombisa ukulimala ohlelweni lwezinso lwezinso. Okuqukethwe ngokuqondile kwamaprotheni aphezulu kubonisa izinkinga ngayo yonke imithambo yegazi emzimbeni, okwandisa ubungozi besifo senhliziyo.
Udokotela oholayo angathatha lezi zinyathelo ezilandelayo:

  • Nikeza ukwelashwa kwezidakamizwa ukuze unciphise inqubo yokulimala kwezinso;
  • Nikeza ukwelashwa okunolaka kakhulu kwesifo sikashukela;
  • Nikeza ukwelashwa ukwehlisa i-cholesterol namanye ama-acid ayingozi egazini (ukwelashwa okunjalo kuthuthukisa isimo sezindonga zemithambo);
  • Nikeza ukuqapha okuningiliziwe ngesimo somzimba.

Ukuqapha njalo umfutho wegazi kukhombisa nesimo sohlelo lwe-vascular. Ngokufanelekile, iziguli ezinesifo sikashukela kufanele zizimele futhi zivame ukukala umfutho wegazi zisebenzisa i-tonometer (ngoba manje amadivaysi kagesi alula futhi asebenziseka kalula atholakala ngokuhweba).

I-Hyperglycemia kanye namazinga aphezulu emizimba ye-ketone

Ushukela womchamo ophakeme uwuphawu olubonakalayo lwesigaba esinqunyelwe sesifo.
I-Hyperglycemia ingakhombisa ukusweleka kwe-insulin kohlobo 1 sikashukela noma ukungakwazi komzimba ukusebenzisa le hormone kahle kusifo sikashukela sohlobo II.

Ngokuqhubeka kwesifo, ngasikhathi sinye nokuqukethwe okuphezulu ushukela emchameni, kuye ngokweqile kwezinto ezibizwa imizimba ye-ketone. Izidumbu zeKetone ziyi-acetone, umkhiqizo owenziwe ngesikhathi sokufakwa kwamafutha lapho kungekho insulin.

Uma umzimba ungakwazi ukwephula ngokuphelele ama-molecule we-carbohydrate, uqala ukusebenzisa i-lipid compounds njengomthombo wamandla wezinqubo ze-intracellular. Yile ndlela ama-ketones akhiwa ngayo: angaba ngumthombo wamandla wamaseli, kepha ngamanani amaningi anobuthi futhi kungaholela esimweni esisongela impilo. Lesi simo sibizwa ngokuthi yi-ketoacidosis; kuvame ukuholela ekwenzekeni kwesifo sikashukela.

Amazinga we-acetone wegazi angalinganiswa ngisho nasekhaya ngemichilo ekhethekile yokuhlola ethengiswa emakhemisi. Izinkomba ngaphezulu kwalokho okujwayelekile zidinga ukwelashwa okuphuthumayo emtholampilo nokulungiswa kwezokwelapha.

Ungasusa kanjani i-urinalysis - itafula lezinkomba

Lokhu okulandelayo kuyizinkomba zokujwayelekile ekuhlaziyeni komchamo kanye nezinkomba zesigaba esinciphile sesifo sikashukela kanye ne-pathologies ye-renal ehlobene.

Izici:NormIsifo sikashukela
UmbalaUdosi ophuziYehla ngobukhulu bomibala noma umbala ogcwele
AmamathekeUnsharpUkuba khona kwephunga le-acetone ngokubola okukhulu ne-ketoacidosis
Umswakama4 kuye ku-7Kungaba ngaphansi kuka-4
Ubukhulu1.012 g / l - 1022 g / lNgaphansi noma kungaphezulu kokujwayelekile (lapho kukhona ukwehluleka kwezinso)
I-Albuminuria (amaprotheni omchamo)Akekho futhi ukhona ngamanani amancaneYethula nge-microalbuminuria ne-proteinuria enzima
IGlucoseCha (noma inani elingekho ngaphezu kuka-0.8 mmol / L)I-Present (i-glycosuria ikhula lapho kufinyelelwa izinga likashukela wegazi elingaphezu kuka-10 mmol / l)
Izidumbu zeKetone (i-acetone)ChaYethula ekubuyeni kwemali
Bilirubin, hemoglobin, usawotiAbekhoAkukhombisi
Amangqamuzana abomvu egaziAbashadileHhayi isimilo
AmagciwaneabekhoYethula nezilonda ezithathelanayo ezihambelanayo

Ukuhlola umchamo kanjani nokuthi kuphi

Ukuhlolwa ngokuphelele komchamo kwesifo sikashukela kwenziwa kangcono emtholampilo okhethekile - lapho uthola khona ukwelashwa okuyinhloko.

Ngaphambi kocwaningo, akufanelekile ukuthatha ama-diuretics nemikhiqizo ethinta ukuguqulwa kombala komchamo. Ukuhlaziya okujwayelekile, umchamo wasekuseni usetshenziswa inani elinga-50 ml. Umchamo uqoqwa esitsheni esihlanzwa ngokuhlanzekile (oyinyumba).

Izinkomba ze-urinalysis:

  • Ukuphazamiseka okutholwe okokuqala kwe-carbohydrate metabolism;
  • Ukuqashwa kabusha kwenkambo nokwelashwa kwesifo sikashukela;
  • Ukuba khona kwezimpawu zokuncipha kwemali: ukweqa okungalawulwa emazingeni kashukela, ukwanda / ukuncipha kwesisindo somzimba, ukusebenza okwehlisiwe, ezinye izindlela zokwenza impilo yakho ibe nzima.

Wonke umuntu angahlolwa umchamo ngokuthanda kwakhe. Lokhu kuhlaziya okulula futhi okukhombisa kakhulu ukuthola izifo eziningi. Izifundo zaselebhu zenziwa hhayi kuphela yizikhungo zezempilo zikahulumeni, kodwa futhi nemitholampilo eminingi yangasese. Kodwa-ke, kufanele kukhunjulwe ukuthi kuphela ochwepheshe abaqeqeshiwe abangakwazi ukukhipha i-urinalysis kahle.

Uma izinguquko ezikhomba isifo sezinso noma isifo sikashukela zitholwa okokuqala ngesikhathi sokuhlolwa noma ukutadelwa kwesinye isizathu, kufanele uthintane nodokotela.
Uzobeka ezinye izivivinyo ezingeziwe. Uzodinga nokubonisana nodokotela we-endocrinologist, urologist, gynecologist. Uma ukuba khona kwesifo sikashukela kuqinisekisiwe, kuyadingeka ukuqala ukwelashwa ngokushesha: lokhu kuzovimbela ukuthuthukiswa kwezinqubo ezihlobene ze-pathological kanye nezinkinga.

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