Glyukoza (plazma)
Kod:8002|CPT:82947|LOINC:2345-7
| Kabi | Glyukoza |
|---|
Tahlil ma'lumotlari
Tadqiqot usuli
- Fermentativ usul
- Geksokinaza usuli
Kutilayotgan natija topshirish vaqti
1 kun
Maxsus tayyorlik
- Maintain a 12-hour fast before the blood draw.
- Avoid strenuous physical activity and significant emotional stress for 30 minutes before collection.
- Do not smoke during the 30 minutes prior to specimen collection.
Qanday foydalanish
Glyukoza testi, shuningdek qon glyukozasi yoki qon shakari deb ham ataladi, qandli diabet va uglevod almashinuvining boshqa buzilishlarini aniqlash va ularning monitoringi uchun qo‘llanadi. U giperglikemiya va gipoglikemiyani baholashni qo‘llab-quvvatlaydi hamda atsidoz, ketoatsidoz, degidratatsiya, koma va, jumladan insulinoma bilan bog‘liq bo‘lgan, neiroglikopenik simptomlarni baholashga yordam beradi. Tashxis qo‘yishda och qoringa plazma glyukozasi (FPG) yoki og‘iz orqali glyukoza tolerantlik testi (OGTT) o‘tkazilishi mumkin; har qanday g‘ayritabiiy qiymat boshqa kunda tasdiqlanadi. Gestatsion diabetga skrining odatda homiladorlikning 24–28-haftalarida amalga oshiriladi. Plazma glyukoza o‘lchovlari glikemik nazoratni boshqa markerlar bilan birgalikda kuzatish uchun ham qo‘llanadi.
Cheklovlar
Glyukoza oddiy shakar bo‘lib, ko‘pgina to‘qimalar uchun asosiy energiya manbai hisoblanadi. Oziq-ovqat uglevodlari glyukoza va boshqa monosaxaridlarga parchalanadi, ingichka ichak orqali so‘riladi va qon aylanishiga o‘tadi. Oshqozon osti bezi insulini hujayralar tomonidan qabul qilinishini osonlashtiradi, glikogen sintezini rag‘batlantiradi va triglitseridlarning saqlanishini qo‘llab-quvvatlaydi, glukagon esa och qolish yoki jismoniy zo‘riqish paytida plazma glyukozasi pasayganda jigar glikogenolizini kuchaytiradi. Butunlay saqlangan qayta aloqa tizimida ovqatdan keyin qon glyukozasining ko‘tarilishi insulin ajralishini stimullaydi va plazma glyukozasining nisbatan tor diapazonini saqlaydi. Ushbu regulyator tizimning buzilishi giperglikemiya yoki gipoglikemiyaga olib keladi. Og‘ir og‘ishlar a’zolar disfunktsiyasi, nevrologik shikastlanish yoki komaga olib kelishi mumkin. Uzoq davom etuvchi giperglikemiya buyraklar, ko‘zlar, periferik nervlar va yurak-qon tomir tizimini zararlaydigan mikro- va makrotomir asoratlari bilan bog‘liq. Homiladorlik davrida yuzaga keladigan giperglikemiya (gestatsion diabet) onalik va neonatal xavflarni kamaytirish uchun o‘z vaqtida tashxis va boshqaruvni talab qiladi.
| O'lchov birligi | mg/dL |
|---|---|
| Referens oraliq | — |
| Ko'rsatmalar | Assessment of suspected disorders of carbohydrate metabolism, including diabetes mellitus., Evaluation of hyperglycemia or hypoglycemia and related symptoms., Confirmation of abnormal fasting plasma glucose or oral glucose tolerance test results on a separate day., Screening for gestational diabetes at 24–28 weeks of gestation., Assessment of acid–base disturbances, including acidosis and ketoacidosis., Evaluation of dehydration, coma, or neuroglycopenic symptoms, including suspected insulinoma., Ongoing monitoring of glycemic control together with other laboratory markers. |
Namunangiz talablari
| Namunangiz | Zardob |
|---|---|
| Container | Oltin/yo'lbars qopqoqli probirka (SST, gel ajratgich) |
| Hajm | 1 mL (min 0.7 mL) |
| Saqlash tayyorlik | Xona harorati, Sovutilgan, Muzlatilgan |
References
Federal clinical guidelines (protocols) for the management of children with endocrine diseases. Ministry of Health of the Russian Federation. Moscow; 2014.
Clinical guidelines: Algorithms for specialized medical care for patients with diabetes mellitus. 8th ed. Dedov II, Shestakova MV, Mayorov AY (eds). Moscow; 2017.
Definition and diagnosis of diabetes mellitus and intermediate hyperglycemia. Report of a WHO/IDF Consultation. 2006.
Recommendations on diabetes, prediabetes, and cardiovascular disease. EASD/ESC. Russian Cardiology Journal. 2014;3(107):7-61.
Gestational diabetes mellitus: diagnosis, treatment, and postpartum follow-up. Clinical guidelines (protocol) of the Ministry of Health of the Russian Federation. Moscow; 2014.