Gwaje-gwaje da aka yi amfani da su don tabbatar da ganewar asali na 1 Ciwon sukari
Sakamakon ganewar asali na mutum 1 zai iya zama matsala. Sai dai idan akwai labarin da aka sani game da ciwon sukari a cikin iyali, mafi yawancin mutane ba su san alamun da alamomin cututtukan irin su 1 ba idan sun fara bayyana. Wadannan bayyanar cututtuka za a iya kuskuren kuskuren ciki saboda cutar ta hanyar yin amfani da shi. Yayinda bayyanar cututtuka ta ci gaba da ciwo, yawancin mutane suna neman likita kuma sai kawai sun gano suna da ciwon sukari iri na iri.
Ta Yaya Yarda da Ciwon sukari 1?
Saboda bayyanar cututtuka fara farawa da sauri bayan da pancreas ya rufe aikin samar da insulin , yawancin mutane ana bincikar su a cikin gajeren lokaci daga lokacin da bayyanar cututtuka fara. A wasu lokuta, yana iya ɗaukar tsawon lokaci. Binciken ciwon sukari yana buƙatar samfurin jini don auna glucose matakan jini.
Wadanne gwaji ana amfani dasu?
Akwai gwaje-gwaje guda uku da aka yi amfani da su don maganin ciwon sukari irin na 1. Irin gwajin da aka yi amfani dashi ga kowane mutum ya dogara da halin da ake ciki da likita. Wadannan gwaje-gwajen sune:
Glucose Cutar Azumi (FBG)
A cikin gwajin FBG, an samo samfurin jini bayan tsawon azumi na akalla sa'o'i takwas. Wannan yana nufin babu abincin ko abin sha (sai dai ruwan) bayan tsakar dare a daren kafin gwajin. Ana samo samfurin jini a farkon rana mai zuwa kafin a ci abinci ko abin sha. Idan sakamakon wannan gwajin ya nuna wani glucose karatu na 126 MG / dl ko mafi girma yana nuna ciwon sukari.
Don tabbatar da ganewar asali, yana da mahimmancin sake maimaita gwaji a karo na biyu a wata rana. Shirye-shiryen glucose na azumi yana daidaita tsakanin 70 zuwa 110 MG / dl a cikin mutum ba tare da ciwon sukari ba. Gwajin FBG shine gwajin da aka fi amfani da ita don maganin ciwon sukari.
Random Blood Glucose
A cikin gwajin glucose na jini ba tare da jimawa ba, ana gwada samfurin jini don auna glucose amma ba'a yi la'akari da lokacin da ka ci abincinku na ƙarshe ba.
Tsarin glucose na fiye da 200 mg / dl yana nuna cewa kana da ciwon sukari.
Wannan shi ne gwajin glucose mafi kyau da aka yi amfani da shi a yanayin gaggawa lokacin da mutum (mafi yawancin yaro) yana da matakan glucose irin wannan ƙila za su iya shiga zuwa cikin haɗuwa da ciwon sukari. A cikin minti kaɗan na yin amfani da wannan gwajin, ma'aikatan kiwon lafiya zasu iya ƙayyade yawan glucose cikin jini kuma su bada insulin idan an tabbatar da ciwon sukari na iri 1 a matsayin ƙin ganewa.
Gwacose Tolerance Test (OGTT)
Wannan gwajin gwajin, wanda ake kira jarrabawar haƙuri ta glucose, ya bambanta daga sauran biyu saboda ana buƙatar ku sha abincin giya don zama hanyar gwada yadda zafin ku zai iya sarrafa glucose da kuke ciki. Kafin ku sha abin sha, azumi mai azumi an dauki glucose jini. Sai ku sha abin sha kuma a cikin sa'o'i biyu na gaba, an dauki matakan glucose na jini a kowane minti 30. A cikin mutum ba tare da ciwon sukari ba, glucose matakan tashi sa'annan su fada da sauri saboda jiki yana samar da insulin don rage glucose jini. Sabanin haka, mutumin da ke da ciwon sukari iri na 1 zai ga yaduwa mai tsayi da cike da glucose mai yawa saboda nauyin yaron ya kasa samar da insulin da ake bukata don rage glucose cikin jini.
Idan glucose na jini a alamar sa'a biyu ya kasance a ƙasa da 140 mg / dl, ana ganin jinin jini na al'ada.
Wani karatun da ya wuce 200 MG / dl bayan lokaci guda yana nuna ciwon sukari. Idan matakan glucose sun fi girma 200 MG / dl, za'a sake gwada gwajin a wata rana don tabbatar da ganewar asali.
A1c (Hemoglobin A1c) Test
Harshen A1c na hemoglobin ya zama ma'auni na tsawon lokaci na kula da glucose a cikin jini. Amma a shekara ta 2010, Ƙungiyar Ciwon Ciwon Ciwon sukari ta Amurka ya ba da shawarar cewa za a yi amfani da wannan gwaji a matsayin wani zaɓi don bincikar ciwon sukari da kuma prediabet. Ko da yake amfani da gwajin A1c za a yi amfani dashi da yawa don maganin ciwon sukari na iri 2 , ya kamata a ambaci a nan saboda ana iya amfani da shi don gane asali irin 1.
Yayin da gwajin glucose ya haifar da A1c ma'auni 6.5 bisa dari ko mafi girma akan haɓakar jini, an dauke shi da ganewar asali ga ciwon sukari. Amfanin amfani da A1c gwajin glucose na plasma shi ne cewa yana ɗaukar lokaci kaɗan kuma ya fi dacewa fiye da gwaji na haƙuri ta glucose kuma baya buƙatar azumi kafin gwaji ya yi.
Wasu gwaje-gwaje za a iya yi (kamar thyroid) don sanin idan akwai wasu kwayoyin cutar na autoimmune. Domin duk waɗannan gwaje-gwaje don ba da sakamako masu aminci, dole ne ka kasance daga cututtuka da ƙwayoyin ƙwayoyin cuta kuma kada ka dauki magunguna da zasu iya shafar glucose na jini.
Sources:
> Ƙungiyar Ciwon Yankakken Amirka. Ayyukan na Clinical Practice: 2002. Kulawa ga Ciwon sukari. Ciwon sukari Kulawa. 2002; 25: 21S
> Ƙungiyar Ciwon Yankakken Amirka. Ƙungiyar Harkokin Ciwon Gida ta Cibiyar Ciwon Ciwon Ciwon Ciwon Gida ta Amirka na Cibiyar A1C a matsayin Gwajin Cutar Gizon Cutar.
> Sanin asali na Ciwon sukari. Ciwon Gidauniyar Masarautar Ciwon Gida. http://diabetes.niddk.nih.gov/dm/pubs/diagnosis/index.htm