Ka umauma i ka wai paʻakai

ʻO ka hiʻohiʻona o ka glucose (gula) i loko o ka urine ua kapa ʻia ka glucosuria. ʻO ka hoʻokaʻaʻana o ke kō i loko o ka wai i loko o ka poʻe olakino ke haʻahaʻa loa a ʻaʻole i kahi o,08 mmol / l o ka ihi. Kuhi ʻole ka haʻahaʻa o ka glucose i ka urine, ʻaʻole i hoʻoholo ʻia e nā ʻano hana maʻamau. No laila, mau ka glucose (maʻamau) i loko o ka loiloi laulā o ka urine ka mea.

Loaʻa ka Sugar (glucose) i loko o ka urine:

• me ka piʻi nui o ka glucose koko (me ka maʻi diabetes). Kapa ʻia kēia ʻano o ka glucosuria i ka pancreatic a ʻike ʻia me ka hoʻēmi me ka hana o ka insulin pancreatic. Hoʻopili pū ʻia ka pancreatic glucosuria i ka loaʻa ʻana o ke kō i loko o ka pāʻai me ka pōloli lōʻihi.
• me ka maʻi puʻuwai. Ua ʻike ʻia ka glucosuria Renal (renal) i ka hihia o ka pōʻino (kūniha) glomerulonephritis, uka paʻa moloka, a me nā mea i loaʻa i ka hāhā o ke kō o ke koko ma ia mau kānaka i ka pā maʻamau, a e kū mai ke kō i ke kō.

Kālā paʻakai

Ke hoʻohana nei ke kikowaena i ka manamana hōʻike hōʻike FAN (ʻo ka hapa nui o nā limahana e hoʻohana i kēia mau maʻi diagnostic), ʻo ka hapa liʻiliʻi o ka glucose e hiki ke ʻokiʻoki ʻia e nā puʻukui i ka hanana diagnostic ma kahi kehi pua, kahi i koho ʻia he "maʻamau" a pili ia i ke kukuna o ka glucose o 1,7 mmol / l Lawe ʻia kēia nui o ka glucose i ka mahele kakahiaka mua me ka palena o luna o ka glucosuria physiological.

• ʻOi aku ma mua o 1.7 - maikaʻiʻole a maʻamau paha.
• 1.7 - 2.8 - mau mele,
• > 2.8 - ke hoʻonui nui ʻana o ka neʻe ʻana o ka glucose o ka urine.

ʻO ka Sugar (glucose) i loko o ka urine i ka wā hāpai

I kekahi manawa i ka wā hāpai, ʻikea ka glucose i kahi urinalysis. Kuhi ka ʻike ʻaila i ka wai kakahiaka i ʻelua a ʻoi paha mau manawa i ka wā hāpai ke hōʻike i ka ulu ʻana maʻi maʻi maʻi gestational (ʻO kēia kahi palaki o ka hoʻohaʻahaʻa glucose e kū mai ana i ka wā hāpai a mālama pinepine ʻia ma hope o ka hānau ʻana. Ua nānā ʻia kēia ʻano maʻi diabetes i ka awelika ma ka 2% o nā wahine hāpai a hāpai pinepine aʻe i ka waena o ka hapalua o ka hapai hapaha. ʻO ka hapa nui o kēlā mau wāhine i loaʻa ka momona o ke kino (ʻoi aku ma mua o 90 kg. ) a he moʻolelo ʻohana i ka maʻi diabetes.

Inā he maʻi maʻamau ka nui o ka wahine hapai, a laila ʻo ka nānā ʻana o ke kō i ke kō i ka wai o nā wahine hāpai, ʻaʻole hōʻailona ia o ka mellitus o ka maʻi mellitus, no ka mea, ʻaʻohe o ka nui o nā pakanā a me ke kīpē, ʻo ia hoʻi ke kumu o ka hapai glucoseosuria ka hoʻonui ʻana i ka kānana glomerular glucose. Ma ke kino o nā wahine hāpai i ka nui o ka manawa o ka epithelium o nā tubula renal a me ka hoʻonui ʻana i ka pae o ka filtration glomerular, ka wā pū kekahi me ka pōkole physiosuria pōkole pōkole. I ka manawa pinepine, ʻike ʻia ke kōpaʻa i ka urine i ka wā hapai no ka manawa o 27-36 pule.

Inā ʻike ʻia kahi hanana nui o ke kō i loko o ka mimi a ʻike ʻia paha ke kōpī ma mua o 2 mau manawa, ʻoi aku hoʻi ma mua o ka wiki he 20 o ka wahine o ka hapalua, pono ia e hoʻoholo i ka wikiwiki o ke kaila koko wikiwiki a me ka pae o ka urine glucose (lāila).

ʻOi i loko o ka wai i loko o nā keiki

ʻO ka ʻike o ka glucose i loko o ka hoʻomohala o kahi keiki he hōʻailona koʻikoʻi loa ia, no ka mea ke ʻike ʻia i ke kōpana hiki ke hōʻike i ka ulu ʻana o nā maʻi nui. No laila, inā i loaʻa ke kō i loko o ka hoʻāʻo ʻana a kāu keiki, pono ʻole i ʻike ʻia, a laila pono ʻoe e makaʻala a nīnau aku i kahi kauka no nā haʻawina hou. ʻO kekahi o nā kumu no ka puka ʻana o ka glucose i ka urine ka maʻi diabetes.

I nā keiki me ka maʻi mellitus, i ʻike ʻia ka nui o ka urine, ʻike ʻia kahi pilina pili kiʻekiʻe a me ka glucosuria. ʻOiai inā he kanalula - "ʻohi ʻia" ka mea i kākau ʻia ma muli o ka urinalysis, a laila ke ʻōlelo ʻia nā haʻawina hou: ʻo ka hoʻoholo ʻana o ka wikiwiki ʻana i ka glucose o ke koko, ka hoʻāʻo ʻana i kēlā me kēia lā no ka honi, a i ʻole, e like me ke kauka ʻana, he hōʻike no ka hoʻoliʻi glucose.

ʻIke ʻia ka Glucose no kahi pōkole i ka paʻakai i nā keiki olakino me ka nui ʻana o ka ʻono (ke kō, ke kīkēkē, nā pōpoki) a me nā hua momona (huaʻai) a ma muli o ke ʻano koʻikoʻi nui (uē, psychosis, makaʻu).

Pehea e lawe ai i kahi hoʻāʻo urine no ka honi

ʻO ka pololei o nā hualoaʻa e pili ana i ke kōʻai, ke kaumaha, a me ka pololei o ka ʻālike ʻana o ka waiwai, no laila he mea nui e mālama i ke kaʻina me ke kuleana. No ka hoʻomaopopo ʻana i ke kō i loko o ka ipo o nā wahine hāpai, haʻi aku nā kauka i ke hala ʻana i ʻelua ʻano loiloi: kakahiaka a me nā awelika i kēlā me kēia lā i ka urine. ʻO ke koho diagnostic lua ʻoi aku ka pololei e hōʻike i kēlā me kēia lā o ka glucose i hoʻopā ʻia o kēlā me kēia lā. E hōʻiliʻili i ka urine:

1. E hoʻomākaukau i nā kīʻaha kūleʻa. No kahi laʻana i kēlā me kēia lā, kūpono kahi pākēneka-ʻekolu, i mālama mua ʻia me ka wai e hoʻolapalapa ʻia a i ʻole sterilized, kūpono.
2. Pono ʻoe e hoʻomaka i ka pā mai 6 i kakahiaka, me ka hoʻolei ʻana i ka hapa kakahiaka mua o ka urine, ʻaʻole ia e lawe i kahi ukana hoʻoweliweli no kēia loiloi.
3. Pono ʻoe e hōʻiliʻili i ka urine a pau i ka lā a hiki i ka 6 kakahiaka i ka lā aʻe, a mālama i nā mea i hōʻiliʻili ʻia ma kahi anuʻu ʻaʻole iʻoi aku i nā 18 tikelika.
4. Lawe ʻia ka ʻili ʻana i ka urine ma hope o ka hoʻomaʻemaʻe kino o ke ʻano a ʻaʻole i komo nā mikrobes a me ka protein i ka biomaterial.
5. Kūpaku ʻia kahi 200 ml mauʻu mai ka nui i hōʻiliʻili ʻia a hāʻawi ʻia i kahi kahua noiʻi no ka noiʻi.

Inā hāʻawi ʻia ʻoe i kahi kuhikuhi no ka nānā ʻana i ka wai kakahiaka, a ʻoi aku ka maʻalahi o ka hōʻiliʻili: ma hope o ka hoʻomaʻemaʻe ʻana o nā moʻomeheu, ua hōʻiliʻili ka hapa kakahiaka i loko o kahi pahu wai maikaʻi e hiki ke kūʻai ʻia ma ka hale kūʻai. ʻOi ke kō i honi ʻia ma loko o kahi ʻōpū ʻole i ke kakahiaka ma ke ʻano ʻole i ka hopena o ka hoʻopaʻa ʻana. I mea e loaʻa i nā wahine hāpai ke nānā aku i ke kiʻekiʻe o ke kō i loko o ka urine, i ke ahiahi ma ke ahiahi o ka hoʻopaʻa ʻia ʻana, ʻaʻole ʻai nā makuahine e ʻai i ka meaʻai momona.

ʻO ke ʻano o ke kōkō i ka wahine hāpai wahine

ʻEkolu mau koho no ka hopena hōʻike hoʻāʻo i ka urine:

• ua emi mai ka 1.7 i ka lula no ke kanaka olakino,
• 1.7 - 2.7 - hōʻailona ʻia he "ʻokoʻa", ʻae ʻia
• ʻoi aku i kahi 2.8 - i hoʻonui a koʻikoʻi paha.

ʻAʻole ʻoi aku ka kiʻekiʻe o ke kōpaʻa i ka wā hāpai i ka urine ma mua o 2.7 mmol / l, a inā he ʻike nui aʻe kahi kilokilo ma mua o kēia hōʻailona, ​​ua kuhikuhi ke kauka i nā hoʻokolohua hou: e hoʻoholo i ke ʻano o ka glucose i loko o ke koko a nānā hou i nā lā maʻamau o ka urine. Hōʻalo ʻia ka Sugar i loko o ka mimi o nā wahine hāpai, akā ʻaʻole naʻe kēia e hōʻike i ka hele ʻana o kahi maʻi, no laila ʻoi aku ka maikaʻi o ka hoʻomau ʻana, akā, e hilinaʻi i ke kauka.

ʻO nā kumu a me nā hopena o ke kū kekaki mai ke ʻano maʻamau

ʻO ke ʻano maʻi maʻi gestational ka maʻi maʻamau ka wā, i ka manawa o ka wahine i ka wā e hāpai ana i ka nui o ka glucose i ke koko e hāʻawi i ka ikehu i nā meaola ʻelua. Ma muli o ka hoʻonui nui o kēia kālā, ʻaʻole mau ka pūliki me ka nui o ka ukana, a ʻaʻole lawa ka ʻōpū i ka insulin no ka metabolism maʻamau, no laila e ʻike ʻia ka glucosuria. Hiki i ke kumu o kēia ʻōuli nā pilikia pilikia.

ʻO ka hue nui i ka wā hāpai

Loaʻa nā wahine i ke kolu o ka wana e hapai ai i ka glucosuria pōkole (hoʻonui i ke kōpaʻa i nā wahine hāpai). ʻOi aku ka pinepine o kēia pilikia i ka poʻe kaupaona ʻoi aku ma mua o ka 90 kg a i ʻole ka mea hoʻohālikelike genetic i ka maʻi diabetes. Hōʻike ʻia kahi hōʻike pili koko. ʻO ke kumu o ke kōpaʻa no nā wahine hāpai i ʻoi aku ma mua o 7 mmol / l. ʻO ka hoʻomakaʻana mai 5 a 7 - ka maʻi maʻi gestational, ʻoi aku ma mua o 7 - mau mea. Kēia mau hōʻailona hiki i nā hopena pilikia:

• ulia pōʻino
• polyhydramnios
• ua hoʻoweliweli ʻole ʻia
• hoʻonui i ka nui fetal, a ma muli o ka - trauma hānau,
• ka haʻahaʻa o ka plasenta a me ka hoʻomohalaʻana o ka hanana o ka laha.

Hiki i ke diabetes gestational ke alakaʻi i ka make o ke pēpē i nā hebedoma mua o ke ola ma muli o ka hiki ʻole o ka hoʻomohala ʻana o ka ʻili, hypoglycemia e ulu. Hōʻeha ka loaʻa ʻana o kahi pēpē me ka puʻuwai puʻuwai a i ʻole ka hōʻemi ʻana i loko o ka ʻōpū, ka lolo, a me ka ʻōnaehana genitourinary, no laila he mea koʻikoʻi loa ke ʻike i ke kauka i ka manawa holoʻokoʻa o ka hānau ʻana i kahi keiki i ʻole e hōʻino iā ia iho a me ke keiki hānau ʻole.