He nui ke kō i loko o kou mimi? (Glycosuria)

Ua manaʻo paha ʻoe e hiki i kou mimi , ʻo ia hoʻi, ka mimi, ke hāʻawi iā ʻoe i nā hōʻailona e pili ana i kekahi mau pilikia i loko o kou kino? ʻAe, he ʻoiaʻiʻo. I kekahi manawa, me ka ʻike ʻole ʻia e mākou, loaʻa nā loli like ʻole i loko o ko mākou kino. ʻO kekahi o ia mea, ʻo ia ke kiʻekiʻe o ke kō, ʻo ia hoʻi ka pae glucose, i loko o ka mimi, ʻoi aku ka kiʻekiʻe ma mua o ka maʻamau. ʻO kēia ka mea a mākou e kapa nei i ka lāʻau lapaʻau he glycosuria . Mai makaʻu nui i kou lohe ʻana i kēia inoa. I kēia lā, e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.

He aha ka glucosuria?

I ka ʻōlelo maʻalahi, ʻo ka glycosuria ka wā i loaʻa ai iā ʻoe ke kō (glucose) i loko o kou mimi ma mua o ka mea maʻamau. He mea maʻamau ka loaʻa ʻana o kahi liʻiliʻi o ke kō i loko o kou mimi. Eia nō naʻe, inā hōʻike kahi hoʻāʻo mimi ua ʻoi aku ka nui o ke kō ma mua o 0.25 milligrams no ka milliliter (0.25 mg/ml), a laila he kūlana ia i kapa ʻia ʻo glycosuria.

I kekahi manawa hiki i kēia ke lilo i hōʻailona o kahi maʻi i kapa ʻia ʻo hyperglycemia , ʻo ia hoʻi ke kō koko kiʻekiʻe. Eia nō naʻe, hiki nō hoʻi ke loaʻa i nā poʻe me nā pae kō koko maʻamau a haʻahaʻa paha. No ka laʻana, inā ʻaʻole kānana pono kou mau puʻupaʻa i nā huahana ʻōpala, hiki iā ʻoe ke loaʻa i ka glycosuria.

He aha nā hōʻailona o ka glucosuria?

ʻAʻole i loaʻa i nā kānaka a pau nā hōʻailona maopopo o kēia maʻi. Loaʻa paha iā ʻoe no nā makahiki a ʻaʻole ʻoe i ʻike. Eia nō naʻe, i ka hala ʻana o ka manawa, inā ʻaʻole mālama ʻia, hiki ke hana ʻia kēia mau mea:

Nā hōʻailona maʻamau

• Ka makewai nui a i ʻole ka pōloli: Ke makewai mau nei ʻoe? Ke manaʻo nei ʻoe ʻaʻole lawa ka wai no ka nui o kāu inu ʻana? A i ʻole inā pōloli ʻoe, a ke pōloli mau nei ma hope o ka ʻai ʻana, he hōʻailona paha ia o kēia maʻi.
• Dehydration: Hiki i ke kino ke lilo i ka wai nui a maloʻo.
• ʻOi aku ka pinepine o ka mimi ʻana ma mua o ka maʻamau: Inā manaʻo ʻoe he pono e mimi pinepine, he mea ia e nānā ai.

Nā hōʻailona e hele mai me ka maʻi diabetes

Inā he hōʻailona ka glucosuria o kahi maʻi e like me ka Type 2 Diabetes , hiki iā ʻoe ke ʻike i kēia mau mea:

• Luhi: Inā ʻoe e luhi mau a hiamoe paha me ke kumu ʻole.
• ʻO ka pohō kaumaha i wehewehe ʻole ʻia: Inā e pohō koke ʻoe i ke kaumaha me ka hoʻololi ʻole i kāu mau ʻano ʻai.
• Nā loli o ka ʻike: Hiki ke manaʻo ʻia he pōwehiwehi iki kou ʻike.
• Ka ʻokoʻa ʻana o ke kala o ka ʻili ma kahi e hui ai ka ʻili me ka ʻili: Inā ʻeleʻele a ʻeleʻele paha ka ʻili ma nā wahi e like me nā ʻēheu lima, nā kuʻekuʻe lima o loko, a me nā pelu o ka ʻāʻī.
• He lōʻihi ka manawa e ho'ōla ai i nā ʻeha: ʻOiai he ʻeha liʻiliʻi a he ʻōpala paha, he lōʻihi ka manawa e ho'ōla ai.

He aha nā kumu o ka glucosuria?

ʻEkolu mau kumu nui no kēia:

Nā kumu nui

1. ʻAʻole hana a hoʻohana pono paha kou kino i ka insulin: He hormone ka insulin e kōkua ana i ka kaohi ʻana i ke kō i loko o ko kākou kino. Ke pilikia kēia, piʻi aʻe ke kō i loko o ke koko a hiki ke hoʻokuʻu ʻia ke kō i loko o ka mimi.

2. Ka nui o ke kō no kou kino e lawelawe i ka manawa hoʻokahi: I kekahi manawa ke ʻai nui mākou i ka meaʻai kō i ka manawa hoʻokahi, ʻaʻole hiki i ko mākou kino ke lawelawe i nā mea āpau.

3. Loaʻa iā ʻoe ka maʻi puʻupaʻa: Inā he pilikia me nā puʻupaʻa e hoʻihoʻi hou ana i ke kō i loko o ke kino, e hoʻokuʻu ʻia ke kō i loko o ka mimi.

ʻO kekahi mau kūlana olakino e hoʻoulu ai i ka glucosuria

ʻO ke ʻano kūikawā, hiki i nā poʻe me nā kūlana olakino e hiki mai ana ke hoʻomohala i ka glycosuria:

• ʻO ka maʻi diabetes ʻano 1 a me ke ʻano 2: I kēia mau kūlana, ʻaʻole hana kāu pancreas i ka insulin lawa, a ʻaʻole pane pono kou kino i ka insulin.
• Maʻi Diabetes Gestational: Loaʻa i kekahi poʻe nā pae kō koko kiʻekiʻe (hyperglycemia) i ka wā hāpai. Hiki i kēia ke alakaʻi i ka maʻi diabetes type 1 a me type 2, a me ka glycosuria.
• ʻO ka Fanconi Syndrome: Ma kēia kūlana, pilikia kou mau puʻupaʻa i ka hoʻopili hou ʻana i kekahi mau mea, e like me ka potassium, phosphorus, a me ka glucose, i loko o kou kino. Akā, hoʻokuʻu ʻia kēia mau mea i loko o kou mimi.
• Renal Glycosuria: He maʻi hoʻoilina kēia. Ma kēia ʻano, hoʻokuʻu ʻia ka glucose i loko o ka mimi ʻoiai ke maʻamau ka pae kō koko. Hiki ke hana ʻia kēia ʻano inā hana kekahi mau hoʻololi genetic i nā hemahema i nā puʻupaʻa, ʻoiai nā mea e hoʻopilikia ana i ka hana o nā tubules kidney.

E noʻonoʻo, i kekahi manawa ʻai nui mākou i nā meaʻai ʻono a me nā mea inu ma kahi pāʻina, ʻeā? I kēlā mau manawa, hiki ke piʻi aʻe ke kō i loko o ka mimi no kekahi manawa. Ua kapa ʻia kēia ʻo alimentary glycosuria . Inā ʻaʻohe ou maʻi ʻē aʻe e hoʻopilikia ai i ke kō i loko o ke koko, e hoʻi kēia i ka maʻamau i loko o kekahi mau hola. No laila, ʻaʻohe mea e hopohopo ai.

Pehea e ʻike ʻia ai ka glucosuria?

Hoʻohana nā kauka i kekahi mau ʻano hana e hōʻoia ai i kēia maʻi:

• ʻO ka Urinalysis: Pili kēia i ka lawe ʻana i kahi hāpana mimi mai ou aku a hoʻouna aku i kahi keʻena hoʻokolohua. Hoʻoluʻu ʻia kahi ʻāpana hoʻāʻo i loko o ka hāpana a ana ʻia ke kiʻekiʻe o ke kō i loko o kāu mimi. He mea maʻalahi loa ia.
• Hoʻāʻo glucose koko: E lawe ke kauka i kahi hāpana o kou koko a hoʻouna aku i kahi lab. E kōkua kēia iā ʻoe e hoʻoholo inā he kiʻekiʻe kou kō koko (hyperglycemia) me ka glycosuria.
• Hoʻāʻo A1C: Hoʻohana pū kēia hoʻāʻo i kahi kulu koko liʻiliʻi mai kou manamana lima a i ʻole kahi koko liʻiliʻi mai kahi aa koko. Hōʻike kēia hoʻāʻo i kou pae kō koko awelika i nā mahina ʻekolu i hala.

Pehea e mālama ʻia ai ka glucosuria?

Aia ka lāʻau lapaʻau i ke kumu o ke kūlana. Ke mālama ʻia ke kūlana kumu, pono e hoʻi hou ke kiʻekiʻe o ke kō i loko o kou mimi i ka maʻamau.

Ma muli o kou kūlana, hiki i kāu kauka ke kuhikuhi i hoʻokahi a ʻoi aku paha o kēia mau mea:

• E ʻai i nā mea kanu a me nā palaoa holoʻokoʻa: ʻO ka fiber a lākou e hāʻawi ai e kōkua i ka mālama ʻana i ke kō koko.
• E hoʻoikaika kino hou aku: He mea maikaʻi ke hoʻoikaika kino i ka lā.
• Nā lāʻau lapaʻau e like me ka Metformin: ʻO kēia nā lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana i ka maʻi diabetes. Ua lohe paha ʻoe iā lākou ma lalo o nā inoa inoa e like me Glucophage®, Glumetza®.
• ʻInisulina: Pono kekahi poʻe maʻi diabetes e lawe i nā inikini insulin.
• Nā lāʻau lapaʻau ʻē aʻe: Aia kekahi mau lāʻau lapaʻau hou e like me `Dulaglutide (Trulicity®)` a i ʻole `Semaglutide (Ozempic®)`.

He aha ka mea e hana inā loaʻa iaʻu ka glucosuria?

Inā ʻoe e hahai i ka hoʻolālā lapaʻau e like me ka ʻōlelo a kāu kauka, hiki iā ʻoe ke manaʻo e hoʻomaikaʻi kou kūlana. ʻO ka ʻoiaʻiʻo, ʻo ka hapa nui o nā hihia o ka glycosuria e hoʻopau loa ke mālama ʻia ke kūlana kumu. E kamaʻilio me kāu kauka e pili ana i kahi hoʻolālā lapaʻau kūpono iā ʻoe.

I kekahi manawa, inā loaʻa iā ʻoe ka glycosuria me ka ʻole o kahi maʻi olakino koʻikoʻi, ʻaʻole pono ʻoe e hana i kekahi mea. Eia nō naʻe, he mea nui e ʻike i ke kauka inā loaʻa iā ʻoe kekahi mau hōʻailona hou.

Hiki ke pale ʻia ka glucosuria?

ʻAʻole hiki ke pale aku i kēia i nā manawa a pau, ʻoiai inā i hoʻokumu ʻia e nā kūlana genetic. Eia nō naʻe, inā loaʻa iā ʻoe ka glycosuria ma muli o ka Type 2 Diabetes a i ʻole Gestational Diabetes, aia nā mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia. Ke loaʻa iā ʻoe a me kāu kauka nā ala e kāohi ai i ke kūlana kumu, pono e hoʻi hou kāu mau pae kō mimi i ka maʻamau.

He aha ka meaʻai e pono ai kākou e ʻai?

ʻAʻole e hoʻonui kēia mau meaʻai i kou pae kō koko a hiki ke kōkua i ka hōʻemi ʻana i ka pilikia o ka glycosuria:

• Nā lau ʻōmaʻomaʻo: Nā mea e like me ka spinach, kale, a me nā lau collard.
• Yogurt maʻemaʻe, ʻono ʻole.
• ʻOka ʻoki kila.
• Nā kalapona palaoa holoʻokoʻa: Nā mea e like me ka laiki ʻeleʻele, ka oatmeal, ka berena palaoa holoʻokoʻa, a me ka pasta.

He aha nā mea a kākou e pono ai ke pale aku i ka ʻai ʻana?

Inā he kiʻekiʻe kou kō koko a me ka glycosuria, ʻoi aku ka maikaʻi o ka kaupalena ʻana i nā meaʻai a me nā mea inu:

• Nā kalapona keʻokeʻo e like me ka berena keʻokeʻo, ka laiki keʻokeʻo, a me ka pasta keʻokeʻo.
• Nā hua maloʻo: He kiʻekiʻe ke kō i loko o kēia mau hua.
• Nā meaʻai i hana ʻia: Nā mea e like me nā cereal ʻaina kakahiaka i hoʻomoʻa ʻia a me nā meaʻai māmā i hoʻopili ʻia.
• Nā ʻiʻo i hana ʻia: Nā mea e like me ka ham, ka puaʻa, nā sausage.
• Nā meaʻai kiʻekiʻe i ke kō: Nā meaʻai ʻono e like me nā keke, nā biscuits, a me nā candy.

Āhea ʻoe e pono ai e ʻike i ke kauka?

E haʻi i ke kauka inā manaʻo ʻoe i kekahi mea e like me kēia:

• Hōʻike ʻia nā hōʻailona o ka glucosuria, e like me ka luhi, ka make wai nui, a me ka urination pinepine.
• Inā loaʻa iā ʻoe ka maʻi diabetes a ʻike ʻoe i kahi loli koke i kāu mau hōʻailona.

I ka manawa hea e pono ai ʻoe e hele i kahi Emergency Treatment Unit (ETU) ?

ʻAʻole maopopo mau nā hōʻailona o ka glycosuria. A ʻaʻole hiki ke ʻike pono i ka nui o ke kō i loko o kou mimi me ka ʻole o ka hoʻāʻo mimi. Eia nō naʻe, maʻalahi ka ʻike ʻana i nā hōʻailona o ke kō koko kiʻekiʻe (hyperglycemia). A hiki iā lākou ke hōʻike i kahi pilikia koʻikoʻi.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e kāhea koke aku i ka 1990 a i ʻole e hele i ka lumi pilikia kokoke loa:

• Inā ʻoi aku ke kiʻekiʻe o kou pae glucose koko ma mua o 250 mg/dL. (Hiki iā ʻoe ke kūʻai i kahi mea nānā glucose koko ma kekahi hale kūʻai lāʻau lapaʻau.)
• Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū.
• Inā pilikia ʻoe i ka noho ala ʻana.
• Inā maloʻo ka ʻili.
• Inā wikiwiki ka puʻuwai.
• Inā wikiwiki ka hanu ʻana.

He mea maʻamau anei ka loaʻa ʻana o ka glycosuria i ka poʻe me ka maʻi diabetes?

Hiki i ka Glycosuria ke lilo i hōʻailona o ka maʻi diabetes i mālama ʻole ʻia a i ʻole ka maʻi diabetes i kāohi pono ʻole ʻia. Eia nō naʻe, i ka wā e loaʻa ai iā ʻoe kahi ala e kāohi ai i kou pae kō koko, pono e nalo nā hōʻailona o ka glycosuria.

Ma kāna iho, ʻaʻole ia he mea e hopohopo ai no ka glycosuria. Eia nō naʻe, ke kū pū ia me ke kō koko kiʻekiʻe, hiki ke lilo i hōʻailona he maʻi ʻē aʻe kou e pono ai ke mālama ʻia. Inā hōʻike nā hoʻokolohua ua kiʻekiʻe ke kō o kou mimi, e kamaʻilio me kāu kauka e pili ana i ka mea e hana ai a pehea e hōʻemi ai i kāu mau hōʻailona. Ke mālama ʻia ke kūlana kumu, pono e hoʻi hou ke kō o kou mimi i ka maʻamau.

Kekahi mau manaʻo koʻikoʻi loa (Leka Lawe-Home)

ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai, eia nā mea nui loa e pono ai ʻoe e hoʻomanaʻo:

• ʻO Glycosuria ka nui o ke kō (glucose) i loko o ka mimi.
• Nui nā kumu no kēia. Nā mea e like me ka maʻi diabetes, nā pilikia o nā puʻupaʻa, a i kekahi manawa ka ʻai ʻana i ka nui o nā kalapona i ka manawa hoʻokahi.
• ʻAʻole like nā hōʻailona no kēlā me kēia kanaka. E nānā i nā mea e like me ka makewai pinepine, ka mimi pinepine, a me ka luhi.
• Mai hopohopo. Hiki ke ʻike ʻia a, i ka hapanui o nā hihia, ho'ōla ʻia ma ka mālama ʻana i ke kumu kumu.
• Inā he kānalua a he mau hōʻailona paha kāu, e ʻike pono i ke kauka. A laila hiki iā ʻoe ke loaʻa i ka ʻōlelo aʻoaʻo a me ka lāʻau kūpono.
• ʻO ka mālama ʻana i ka ʻai olakino a me ke ola kino ikaika e kōkua i ka pale ʻana i nā maʻi he nui.

E hoʻomanaʻo, ʻo ʻoe ka mea pono e makaʻala loa i kou olakino. Inā loaʻa iā ʻoe kekahi pilikia, e nīnau, e ʻike, a e loaʻa ka lāʻau lapaʻau. A laila hiki iā ʻoe ke noho olakino!

ʻO Glycosuria, ke kō i loko o ka mimi, ka maʻi diabetes, ka maʻi puʻupaʻa, ka hyperglycemia, nā hōʻailona, ​​​​ke olakino