KEV TXIAV TXIM SIAB COV NTSHAV QABZIB HAUV COV NTSHAV: COV PIAM THAJ OXIDASE THIAB HEXOKINASE COV HAU KEV

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Kev kuaj mob kom yog, kev teem sijhawm kho yuav tsum muaj kev sim ntau hauv chav kuaj.

Cov txheej txheem los txiav txim siab cov ntshav qab zib yog qhov tseem ceeb tshaj plaws rau kev kuaj ntshav siab-thiab ntshav qab zib hauv cov neeg mob ntshav qab zib mellitus.

Txoj kev tso cai rau koj los kho cov kev kho mob ntawm cov teeb meem metabolic. Kev kuaj mob ntawm cov piam thaj hauv ntshav kuj tseem tuaj yeem ua rau tag nrho cov ntshav thiab nws cov ntshav ntshav.

Cov hau kev rau kev txiav txim siab ntawm cov piam thaj hauv cov ntshav

Ntau txoj hau kev tau tsim los rau kev txiav txim siab cov piam thaj hauv cov ntshav.

Qee tus ntawm lawv (reductometric, colorimetric) siv tsis siv vim lub siab toxicity thiab tsis tshua raug ntawm cov txiaj ntsig.

Feem ntau, cov kev tshawb fawb enzymatic siv. Cov piam thaj oxidase txheej txheem yog xim hom kev tshwm sim uas tshwm sim thaum cov khoom noj carbohydrates. Hexokinase txiav txim siab ntshav kev ua haujlwm ntawm hexokinase.

Zib suab oxidase txoj kev

Cov txheej txheem ntshav qabzib oxidase rau kev txiav txim siab cov ntshav qabzib yog nyob ntawm nws cov oxidation cov tshuaj tiv thaiv nyob rau hauv kev cuam tshuam ntawm enzyme. Hauv qhov no, hydrogen peroxide yog tsim, nws stains cov tshuaj chromogen, qhov tsom ntawm uas txiav txim siab cov piam thaj.

Cov txheej txheem kua nplaum (glucose oxidase) yog siv rau:

roj ntsha kev tsis sib haum fructose;
pentosuria;
lactulose thev tsis tau.

Qhov tsis zoo ntawm txoj kev tshawb no yog tias hydrogen peroxide muaj peev xwm oxidize ob qho tib si chromogen thiab ascorbic acid, uric acid, thiab bilirubin tshwm sim hauv cov ntshav. Tus nqi ntawm cov kua nplaum yog suav los ntawm tus txheej txheem photometric, cov ntaub ntawv ntawm kev siv staining yog muab piv nrog daim phiaj ntsuas kev ntsuas.

Hauv tsev kuaj mob, koj tuaj yeem txiav txim siab theem ntawm cov tshuaj:

hauv cov ntshav cov ntshavCov. Tsis siv neeg tsom ntsuas tau siv;
nyob rau hauv cov hlab ntsha capillary. Lub laj kab yog nqa tawm los ntawm tus ntiv tes.

Txoj kev ntsuas hluav taws xob muaj nyob rau hauv kev siv cov electrodes uas muaj cov piam thaj oxidase. Tus nqi ntawm hydrogen peroxide tsim, lossis theem ntxiv ntawm cov pa oxygen siv hauv cov txheej txheem oxidation, tau txiav txim siab.

Kev siv tshuaj tua kab mob yog siv hauv tsev, lawv ua raws li cov tshuaj tiv thaiv ntshav qab zib oxidase-peroxidase, benzidine ua raws li cov chromogen.

Hexokinase txoj kev

Tus txheej txheem hexokinase yog raws li kev siv tshuaj biochemical uas tso cai rau koj los txiav txim siab qhov kev ntsuas teeb meem ntawm hexokinase kev ua ub no.

Cov tshuaj yog qhov tseem ceeb tshaj plaws nyob rau cov ntshav qabzib metabolism enzyme uas txwv qhov ceev ntawm cov txheej txheem hauv cov hlwb.

Hauv chav kuaj mob, qabzib phosphorylates nyob rau qhov kev txiav txim ntawm hexokinase vim adenosine triphosphoric acid.

Raws li qhov tshwm sim ntawm cov tshuaj tiv thaiv, cov organic molecules yog tsim, qhov nyiaj uas txiav txim siab los ntawm theem ntawm lub teeb nqus nyob rau hauv cheeb tsam ultraviolet. Ib qho tshuaj tiv thaiv tsis txaus siab hexokinase kuj tseem yuav yog qhov qhia tias mob qog.

Kev tsom xam kev npaj

Kev tshawb fawb ntawm ntshav dej rau ntshav qabzib tau raug sau tseg rau:

tag nrho ob qho ntawm cov ntshav qab zib rau kev kuaj mob, kuaj xyuas kab mob;
kev cuam tshuam nyob hauv cov thyroid caj pas, lub caj pas pituitary;
thawj;
tsis hnov lus tsis ua hauj lwm zoo.

Ua ntej kev txheeb xyuas, ntau qhov xwm txheej yuav tsum tau ua kom pom tias cov txiaj ntsig tau muaj txiaj ntsig zoo li sai tau:

txoj kev tshawb no yog nqa tawm ntawm lub plab tas. Cov khoom nqa tau thaum sawv ntxov;
ob peb hnub ua ntej kev kuaj mob, koj yuav tsum zam lub cev nyhav, ua haujlwm ntxhov siab;
hauv cov neeg mob noj txhua hnub yuav tsum muaj tsawg kawg yog 150 gram carbohydrates. Nrog lub cev tsis muaj peev xwm, cov piam thaj yuav nce ntxiv, thiab nws poob qeeb, uas cuam tshuam cov ntaub ntawv tshawb xyuas;
ib hnub ua ntej kev kuaj mob, koj tsis tuaj yeem haus luam yeeb thiab haus dej haus cawv;
Koj tsis tuaj yeem ua ib qho kev kawm tom qab kev ua haujlwm hnyav, yug menyuam, thaum muaj mob. Kev tsom xam yog contraindicated nyob rau hauv cov hlab ntsws ntawm daim siab, ua rau exacerbation ntawm cov kab mob ntawm lub plab, cov txheej txheem qog;
ob peb hnub ua ntej txoj kev tshawb no, koj yuav tsum tsis txhob hla cov txheej txheem ntawm lub cev, noj tshuaj tiv thaiv kab mob hauv lub cev, tshuaj kho qhov muag, mob hlwb, tshuaj muaj caffeine.

Lub plab khoob txhais tias yog qhov luv nruab nrab ntawm cov pluas noj ntawm tsawg kawg yim teev. Kev ntsuas ntshav yog nqa tawm tom qab kev pw tsaug zog ib hmos los ntawm zaub mov.

Kev tsom xam tuaj yeem muab qhov tsis zoo tshwm sim hauv kev mob hypokalemia thiab endocrine (Cushing's syndrome, thyrotoxicosis).

Ntshav qab zib cov qog ntshav los ntawm lub hnub nyoog

Cov txiaj ntsig ib txwm nyob ntawm lub hnub nyoog:

hauv cov ntshav cov ntshav tuaj yeem yog nyob ntawm 2.5 txog 5.3 mmol / l;
hauv cov menyuam mos ua ntej - los ntawm 1.1 mus rau 3 mmol / l;
hauv cov menyuam ntawm thawj hnub ntawm lub neej - los ntawm 2.22 txog 3.33;
hauv lub hli dhau los ntawm 2.7 txog 4.4;
hauv cov menyuam muaj hnub nyoog dhau 6 xyoo - los ntawm 3.3 txog 5.5 mmol / l;
nyob rau hauv cov neeg laus hnub nyoog qis dua 60 xyoo - los ntawm 4.4 txog 6.3;
hauv cov neeg laus dua - ntawm 4.6 txog 6.1 mmol / l.

Kev mob ntshav qab zib tsawg hauv cov neeg laus yog pom muaj cov ntshav qabzib tsawg dua 3.3 mmol / l, thiab hyperglycemia - ntau dua 6.1 mmol / l

Qhov nce / txo yog qhia dab tsi?

Hyperglycemia (kev nce ntxiv hauv cov ntshav qabzib) yog nrog:

ua txhaum ntawm kev ua haujlwm hormonal ntawm lub caj pas pituitary, cov thyroid caj pas: thyrotoxicosis, acromegaly, Cushing's syndrome;
pancreatic ailments: mob ntshav qab zib, pancreatitis, cystic fibrosis, cov qog tshwm sim, hemochromatosis;
kab mob ntawm daim siab, ob lub raum;
kev cuam tshuam ntawm cov hlab ntsha: hemorrhages, hlav, mob hlwb;
lom nrog ether, hydrocyanic acid;
nrog rau mob txha caj qaum, qaug dab peg;
lub plawv mob: myocardial infarction, angina pectoris;
vitamin B 1 tsis muaj peev xwm;
kub nyhiab heev.

Cov neeg mob ntshav qab zib feem ntau raug soj ntsuam.

qog ntawm pancreatic islets, glucagon deficiency;
daim siab ua rau muaj kev puas tsuaj los ntawm arsenic lom, haus dej cawv, antihistamines, phosphorus, mercury cov kab mob, benzene, paracetamol;
daim siab ua haujlwm thaum glycogen tsim, gluconeogenesis tsis taus;
cov mob endocrine: addison tus kab mob, hypothyroidism;
kab mob ntawm lub raum, hnyuv vim malabsorption.

Qee zaum cov piam thaj hauv lub cev yuav poob ntau nrog cov ntshav tsis txaus, noj zaub mov tsis haum, tshaib plab, noj cov tshuaj insulin ntau dhau.