I-Glucosuria, ngamanye amazwi, i-glycosuria, ubukhona beshukela emchameni. Ngokusebenza okujwayelekile komzimba, akufanele ngabe kuqukethwe umchamo.
Le nto isho ukuthi izinso zibuyisela ushukela egazini.
Imbangela evame kakhulu ye-glycosuria yisifo sikashukela, esivame kakhulu, ukuphazamiseka okubangelwa ukukhubazeka (ukukhishwa ungene egazini lezinto) ezinso. Esimweni sokuqala, ukuphambuka kungumphumela, okwesibili - isifo esizimele.
Ukuze uthathe izinyathelo ezanele, kuyadingeka ukuthola ukuthi hlobo luni lwesifo, izimbangela nezimpawu zepathoythi.
Izinhlobo kanye nezindlela zesifo
I-Glycosuria yi-congenital noma i-renal. Kuvela kwesibili ngenxa yethonya lezinqubo ze-pathological emzimbeni. I-Congenital idluliselwa ezingeni lofuzo.
Uma izinso zisebenza ngokujwayelekile, i-glucosuria ivela lapho kudlulelwa "umkhawulo wezinso" - izinga elivunyelwe kashukela egazini, emva kwalokho liqale ukungena kumchamo. Lo mqondo uhlobene, ngoba izinga elivumelekile ngawodwana. Kumuntu omdala, umkhawulo ojwayelekile ufinyelela ku-9 mmol / L, enganeni ukhuphuka kancane - ufike ku-12 mmol / L.
Izinhlobo ezahlukahlukene zezifo ziyahlukaniswa:
- Isifo sikashukela se-glycosuria - okubangelwa yisifo sikashukela, kuvela esiswini esingenalutho nangemva kokudla.
- I-Renal -Ukhula ngenxa yokuphazamiseka kabusha kweshukela emzimbeni.
- Okwe-Alimentary - Kuvela ngemuva kwesidlo sakusihlwa esinenhliziyo egcwele ama-carbohydrate. Kwakheka ngehora futhi kudlula ngemuva kwamahora angama-3-5.
- I-Pancreatic - yinto yesikhashana futhi ihamba nokutholana nokuvuvukala.
- Ezokwelapha - Umphumela wokuthatha izidakamizwa (kaningi ama-corticosteroids kanye nezixazululo ze-dextrose infusion).
- I-glycosuria ekhulelwe - Kuzibonakalisa ngesikhathi sokukhulelwa, ngemuva kokubeletha, isimo sivamile.
- Ingqondo - kwezinye izimo, kubonakaliswa ngemuva kwesizinda sokuthuthumela kwengqondo.
- Unobuthi - uwumphumela wobuthi.
- I-Endocrine - Khula ngokulimala kwe-hormone engasebenzi kahle kanye nokusetshenziswa isikhathi eside kwemithi efanelekile.
Izimbangela ze-glucosuria emchameni
Izimbangela ze-glucosuria zifaka:
- ukwehla (ukwephula) izinso;
- ukuphazamiseka emgomeni we-hormonal we-carbohydrate metabolism;
- ukungasebenzi kwe-endocrine gland;
- ukwehla (ukwephula) kwesibindi;
- ukudla okuqukethe ama-carbohydrate amaningi;
- ukuntuleka emzimbeni we-insulin;
- ukusha okukhulu;
- ama-neoplasms amabi.
I-Glycosuria ivame ukuhlanganiswa ne-hyperglycemia.
Izinketho zokwenziwa kwalesi simo yilezi ezilandelayo:
- ukukhuphuka koshukela emchameni ngamazinga ajwayelekile egazini;
- i-hyperglycemia ngoshukela wokuchama ongadluli umkhawulo wezinso;
- ukwanda kwegazi ngokungabikho kwalo emchazweni.
Imvamisa ezinganeni, i-renal glucosuria iyabonakala. Uma ushukela kutholakala egazini, kepha hhayi emchameni, lokhu kukhombisa ukwephulwa kokuhlunga kwe-renal. I-glycosuria encane ivame ukubonwa kubantu asebekhulile. Ngokuyisisekelo, lesi simo sihlotshaniswa nokwehla komsebenzi we-pancreatic. Kuqedwa kalula ngokudla.
Izimpawu ze-pathology
Lesi sifo sivame ukushushumbisa. Kutholakala kuphela ekuhlaziyweni komchamo ngesikhathi sokuhlolwa.
Ezimweni ezinzima kakhulu, kungavela lezi zimpawu ezilandelayo:
- ukukhuphuka kwevolumu yomchamo nsuku zonke;
- ubuthakathaka bemisipha;
- ukungalingani okubukwayo (ukufiphaza izinto);
- ikhanda kanye nesiyezi;
- ukuhlaselwa njalo kwendlala;
- Ubuhlungu emaphethelweni aphansi;
- ushintsho ekushweni kwenhliziyo;
- ukoma okungapheli.
Izici Zokukhulelwa
Ku-10% yabesifazane abakhulelwe, i-glucosuria iyatholakala. Ukuhlolwa kwe-urine kwenziwa ngezigaba zokuqala, kepha ushukela uvame ukutholakala kuma-trimesters e-2 ne-3. Lesi simo ngaso sonke isikhathi asithathwa njengendabuko. I-Glycosuria yabesifazane abakhulelwe ingumphumela wezinqubo zomzimba noma ze-pathological.
Ngalesi sikhathi, umuntu wesifazane unezinguquko eziningi zemvelo:
- kukhona ukuncipha kwama-rebu tubules ekubuyiselweni kweshukela;
- amazinga e-hormonal ayashintsha futhi, ngenxa yalokho, inani lama-hormone akhulisa ushukela liyakhuphuka;
- ukuphuma kwegazi le-renal - ama-tubules awasitholi njalo isikhathi nge-glucose reabsorption.
I-glycosuria yokuzivocavoca ngesikhathi sokukhulelwa kungenzeka ngezikhathi ezithile. Kubonakala ngokukhuphuka kancane koshukela emchameni nokungabikho kwawo ngokuphelele egazini. Lesi simo asiyingozi kumama nakwa-fetus. Izimo ze-Pathological zithathwa njenge-glucosuria yesifo sikashukela kanye ne-extrarenal, kanye nesifo sezinso.
Ividiyo yesifo sikashukela sokukhulelwa:
Izindlela Zokuxilonga
Ukuxilongwa kwe-pathology kwenziwa ngokuhlola umchamo ngendlela yelebhu. Hlukanisa phakathi kokuhlaziywa kokusa kwansuku zonke. Ngokukhetha kokuqala, ingxenye yokusa kokuqukethwe iyaqoqwa.
Ukuthola i-glucosuria yansuku zonke, ama-200 ml womchamo, owabuthwa phakathi nosuku, uthunyelwa elabhorethri.
Ukuhlaziywa kuthathwa ezindaweni zokusebenzela ezizimele, ezikhungweni zezokwelapha, emitholampilo. Ezinkombeni ze-1.7 mmol / l, kunqunywa i-glycosuria yomzimba.
Ngo ushukela ophakeme, "umkhawulo we-renal" unqunywe. Ngemuva kokuthi isiguli singenalutho, igazi lithathwa ushukela. Ngemuva kwalokho, unikeze u-250 ml wamanzi futhi ngemuva kwehora, umchamo uyaqoqwa futhi kugxilwa i-glucose.
Ukwelashwa, imiphumela engaba khona
Konke ukwelashwa kuncishiswa ekuqedeni izimbangela ze-pathology. Ku-85% yesifo sikashukela i-glycosuria yelashwa, ngokunembile, isifo sikashukela. Isiguli esinesifo sohlobo 2 sikashukela sinikezwa izidakamizwa ze-hypoglycemic, bese kukhethwa umthamo odingekayo. Ukuhumusha ku-insulin kungenzeka.
Izincomo ezijwayelekile ze-pathology: ukuphuza kakhulu, ukuthatha amavithamini namaminerali, ukudla okwelaphayo. Abesifazane abakhulelwe bakhethelwa izithako ezikhethekile zokudla okunempilo.
Ngokwehlukana, ayikho imiphumela ehambisana ne-glycosuria. Kucatshangelwa kuphela izinkinga zesifo esithile.
Ngesikhathi sokukhulelwa, ezimweni ze-glycosuria ye-pathological, imiphumela iyabizwa. Lokhu kufaka phakathi ukuzalwa ngaphambi kwesikhathi, izinkinga ngesikhathi sokukhulelwa, ukuphuma kwesisu, ukufa kwe-intrauterine kwengane.
I-Glycosuria yisimo esibonakaliswa ukwanda koshukela kumchamo. Izizathu zalesi sifo zingaba ziningi, zivame kakhulu - izinso kanye nesifo sikashukela. Uma kutholakala i-glucosuria, ukubonisana nodokotela kuyadingeka ukuthola izinyathelo ezengeziwe.
