Glyukoza
Kod:8003|CPT:82947|LOINC:2345-7
| Kabi | Glyukoza |
|---|
Tahlil ma'lumotlari
Tadqiqot usuli
- Fermentativ usul
- Ultrabinafsha (UV) usul
Kutilayotgan natija topshirish vaqti
1 kun
Maxsus tayyorlik
- Refrain from eating for 12 hours before the blood draw.
- Avoid physical exertion and emotional stress for 30 minutes before collection.
- Do not smoke during the 30 minutes preceding specimen collection.
Qanday foydalanish
Plazmadagi glyukoza testi — shuningdek qon glyukozasi yoki och qoringa plazma glyukozasi — uglevod almashinuvi buzilishlarini, jumladan qandli diabet, giperglikemiya va gipoglikemiyani tashxislash va monitoring qilish uchun qo‘llaniladi. U metabolik asidoz va diabetik ketoatsidoz, degidratsiya, koma va neyroglikopenik holatlarni, jumladan insulinoma bilan bog‘liq gipoglikemiyani baholashda yordam beradi hamda terapevtik aralashuvlarni kuzatishda qo‘llaniladi. Tahlil och qoringa, tasodifiy yoki ovqatdan keyingi o‘lchov sifatida olinishi mumkin, yoki og‘iz orqali glyukoza tolerantlik testi tarkibida bajarilishi mumkin. Qandli diabet tashxisi boshqa kunda takroriy test bilan tasdiqlanishi kerak. Homiladorlarda gestatsion diabetga skrining homiladorlikning 24–28 haftalarida o‘tkaziladi.
Cheklovlar
Glyukoza inson to‘qimalari uchun asosiy yoqilg‘idir. Ratsiondagi uglevodlar glyukoza va boshqa monosaxaridlarga parchalanadi, ingichka ichakda so‘riladi va qon oqimiga yetkaziladi. Oshqozon osti bezidan ajraladigan insulin glyukozaning hujayralarga kirishini rag‘batlantiradi va ortiqcha energiyani glikogen ko‘rinishida yoki yog‘ to‘qimasida triglitseridlar ko‘rinishida zaxiraga to‘planishini ta’minlaydi, shu tariqa plazma glyukozasini tor fiziologik diapazonda ushlab turadi. Aylanuvchi glyukoza pasayganda — masalan, uzoq muddatli och qolish yoki og‘ir jismoniy mashq paytida — oshqozon osti bezining glyukagoni jigarda glikogenolizni rag‘batlantirib, qon glyukozasini tiklaydi. Insulin–glyukagon o‘qining buzilishi giperglikemiya yoki gipoglikemiyaga olib keladi. Normadan keskin chetlanishlar a’zolar funksiyasining buzilishi, nevrologik shikastlanish va koma bilan yakunlanishi mumkin. Uzoq muddat davom etadigan yuqori glyukoza buyraklar, ko‘zlar, nervlar, yurak va qon tomirlarni qamrab oluvchi mikrotomir va makrotomir asoratlarining rivojlanishiga hissa qo‘shadi. Homiladorlik davrida giperglikemiya gestatsion diabet sifatida rivojlanishi mumkin. Davolanmasa, u homilaning haddan tashqari o‘sishi va neonatal gipoglikemiya bilan bog‘liq; onadagi giperglikemiya tug‘ruqdan so‘ng yo‘qolishi mumkin.
| O'lchov birligi | mg/dL | ||||
|---|---|---|---|---|---|
| Referens oraliq |
| ||||
| Ko'rsatmalar | Population screening for diabetes mellitus beginning at age 45 years, or earlier in those with overweight/obesity or additional risk factors., Workup of symptoms consistent with hyperglycemia, such as polydipsia, polyuria, fatigue, blurred vision, or recurrent infections., Evaluation of possible hypoglycemia presenting with diaphoresis, increased appetite, anxiety, confusion, visual changes, or syncope., Assessment for hypoglycemia as a cause of unexplained loss of consciousness or pronounced weakness., Periodic surveillance of individuals with prediabetes., Ongoing management of diabetes mellitus in parallel with hemoglobin A1c testing., Assessment of endogenous insulin production when measured together with insulin and C‑peptide, when clinically indicated., Screening for gestational diabetes at 24–28 weeks’ gestation and follow‑up during pregnancy and postpartum in those with prior gestational diabetes. |
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 of specialized medical care for patients with diabetes mellitus. Edited by Dedov II, Shestakova MV, Mayorov AY. 8th ed. Moscow; 2017.
Definition and diagnosis of diabetes mellitus and intermediate hyperglycemia. Report of a WHO/IDF Consultation. 2006.
Recommendations on diabetes, prediabetes and cardiovascular diseases. EASD/ESC. Russian Journal of Cardiology. 2014;3(107):7-61.
Gestational diabetes mellitus: diagnosis, treatment, postpartum follow-up. Clinical guideline (protocol). Ministry of Health of the Russian Federation. Moscow; 2014.