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妊娠糖尿病的血糖檢查

幸运飞艇会亏吗SHIJIAN:2016-05-13 00:00:00

人氣:

BIANJI:WANGYOUZHENGLI

導讀:我們知道血糖是指血液中的葡萄糖,在正常情況下,體內糖的分解與合成保持動態平衡,故血糖的濃度相對穩定。如果出現了妊娠糖尿病,患者體內的血糖濃度就會出現變化,這對于我們的健康很不利,血糖檢查是最常見的方法

幸运飞艇会亏吗  WOMENZHIDAOXUETANGSHIZHIXUEYEZHONGDEPUTAOTANG,ZAIZHENGCHANGQINGKUANGXIA,TINEITANGDEFENJIEYUHECHENGBAOCHIDONGTAIPINGHENG,GUXUETANGDENONGDUXIANGDUIWENDING。RUGUOCHUXIANLERENSHENTANGNIAOBING,HUANZHETINEIDEXUETANGNONGDUJIUHUICHUXIANBIANHUA,ZHEDUIYUWOMENDEJIANKANGHENBULI,XUETANGJIANCHASHIZUICHANGJIANDEFANGFA,XIAMIANWOMENYIQIKANKANRENSHENTANGNIAOBINGDEXUETANGJIANCHAFANGFA。

  1、空腹血糖:

  XUEQINGPUTAOTANGJINGYANGHUAWEIZUZHITIGONGNENGLIANG,XUETANG(XUETANG【YI】:XUEYEZHONGDETANGCHENGWEIXUETANG,JUEDADUOSHUQINGKUANGXIADOUSHIPUTAOTANG。XUETANGBIXUBAOCHIYIDINGDESHUIPINGCAINENGWEICHITINEIGEQIGUANHEZUZHIDEXUYAO。)GUOGAOSHIKEZHUANBIANWEIGANTANGYUANHEZHIFANGCHUCUN,XUYAOSHIZHIFANGYUDANBAIZHIYEKEZHUANBIANWEIPUTAOTANG。KONGFUXUETANGNONGDUFANYINGYIDAOβXIBAOFENMIYIDAOSUDENENGLI。

  CANKAOZHI:FEIRENSHENQIWEI3.9~6.4mmol/L,YUNQIWEI3.1~5.6mmol/L。RENSHENDAOZHIKONGFUXUETANGXIAJIANGDEYUANYINWEI:

幸运飞艇会亏吗  ①RENSHENQISHENXUELIULIANGJISHENXIAOQIULVGUOLVJUNZENGJIA,DANSHENXIAOGUANDUITANGDEZAIXISHOULVBUNENGXIANGYINGZENGJIA,DAOZHIBUFENYUNFUNIAOZHONGPAITANGLIANGZENGJIA,YINQIXUETANGXIAJIANG。

幸运飞艇会亏吗  ②YUNFUCHUBENSHENXUYAOWAI,SHANGXUGONGYINGTAIERSHENGCHANGSUOXUYAODENENGLIANG,ERQIETAIERBENSHENBUJUBEICUJINTANGYUANYISHENGSUOXUYAODEGANMEIXITONGHUOXING,YINCIWUFALIYONGZHIFANGHEDANBAIZHIZUOWEINENGYUAN,SUOXUNENGLIANGBIXULAIZIMUTIXUEPUTAOTANG。

幸运飞艇会亏吗  TANGNIAOBINGHEBINGRENSHENSHI,YUNQIKONGFUXUETANGSHENGGAO;RENSHENQITANGNIAOBINGHUANZHEKONGFUXUETANGKENENGZHENGCHANG。YINCI,CHANGGUIKONGFUXUETANGJIANCHACHANGRONGYILOUZHEN。TANGNAILIANGJIANDISHI,KONGFUXUETANGZHENGCHANG。JIANYIJUYOUXIALIEGAOWEIYINSUDERENSHENFUNVYINGJINZAOJINXINGXUETANGCEDING:MINGXIANFEIPANG、RENSHENQITANGNIAOBING(gestational diabetes mellitus,GDM)BINGSHI、TANGNIAOJIMINGQUEDETANGNIAOBINGJIAZUSHI。

  2、糖篩查試驗:

  GDMYUNFUCHANGWUMINGXIANZHENGZHUANG,KONGFUXUETANGKENENGZHENGCHANG,CHANGGUIKONGFUXUETANGJIANCHACHANGRONGYILOUZHEN。JIANYIDUISUOYOUFEITANGNIAOBINGYUNFUYINGZUO50gPUTAOTANGSHAICHA。GAIFANGFAJIANDANYIXING,MINGANXINGJITEYIXINGJUNGAO。MEIGUOTANGNIAOBINGXIEHUIJIANGNIANLING、FEIPANG、YIJIQINSHUYOUTANGNIAOBINGHUANZHE、YOUGDMSHI、JUDATAIERSHENGCHANSHIJINANYIJIESHIDESITAISHILIEWEIGDMWEIXIANYINSU,YOUSHANGSHUWEIXIANYINSUZHEYINGZUOWEIGDMSHAICHADEZHONGDIANRENQUN。

  TANGSHAICHASHIYANSHIJIAN:YOUYUTAIPANFENMIDETAIPANSHENGRUSU、CIJISUJIYUNJISUDENGDUOZHONGJIEKANGYIDAOSUDEJISUZAIRENSHEN24~28ZHOUKUAISUSHENGGAO,YUN32~34ZHOUDAGAOFENG,CISHIRENSHENFUNVDUIYIDAOSUDEXUYAOLIANGMINGXIANZENGJIA,BIAOXIANWEITANGNAILIANGSHOUSUN,ZAICIQIJIANRONGYIJIANCHUGDM。SUOYI,YUNQICHANGGUIXUETANGSHAICHASHIJIANDINGWEIRENSHEN24~28ZHOU;RUGAICISHAICHAZHENGCHANGDANYOUYOUTANGNIAOBINGGAOWEIYINSUCUNZAI,YINGZAIRENSHEN32~34ZHOUFUCHA。DUIYOUZHENGZHUANGZHE,YINGZAIYUNZAOQIJIJINXINGTANGSHAICHA,YIBIANDUIYUNQIANLOUZHENDETANGNIAOBINGHUANZHEJIZAOZHENDUAN。

  TANGSHAICHASHIYANFANGFA:SUIYIKOUFU50gPUTAOTANG(JIANG50gPUTAOTANGRONGYU200mlSHUIZHONG,5minNEIFUXIA),FUTANGHOU1hQUJINGMOXUECEXUETANG,XUETANGZHI≥7.8mmol/LWEITANGSHAICHAYICHANG,YINGJINYIBUJINXINGKOUFUPUTAOTANGNAILIANGSHIYAN(oral glucose tolerance test,OGTT)。DANGXUETANGZHIZAI7.20~7.79mmol/LSHI,YINGJIEHEGAOWEIYINSUKAOLVSHIFOUXINGOGTT。TANGSHAICHASHIYANDEMINGANDUWEI59%,TEYIXINGWEI91%,LINCHUANGSHANG80%DEGDMKEJINGCIFANGFAZHENDUAN。

  3、口服葡萄糖耐量試驗(OGTT):

  OGTTSHIJIANCHARENTIXUETANGDIAOJIEGONGNENGDEYIZHONGFANGFA。ZHENGCHANGRENKOUFUYIDINGLIANGPUTAOTANGHOU,ZAIDUANSHIJIANNEIZANSHISHENGGAODEXUETANGSUIHOUBUJIUJIKEJIANGZHIKONGFUSHUIPING,GAIXIANXIANGCHENGWEINAILIANGXIANXIANG。DANGTANGDAIXIEWENLUANSHI,KOUFUYIDINGLIANGDEPUTAOTANGHOUZEXUETANGJIJUSHENGGAO,JINGJIUBUNENGHUIFUZHIKONGFUSHUIPING;HUOXUETANGSHENGGAOSUIBUMINGXIAN,ZAIDUANSHIJIANNEIBUNENGJIANGZHIYUANLAIDESHUIPING,CHENGWEINAILIANGYICHANGHUOTANGNAILIANGJIANGDI。TANGSHAICHAYICHANGDANXUETANG11.1mmol/L,HUOTANGSHAICHAXUETANG≥11.2mmol/LDANKONGFUXUETANGZHENGCHANGZHE,YINGJINZAOZUOOGTT。

  OGTTQIAN3TIANZHENGCHANGYINSHI,MEITIANTANSHUIHUAHEWUZAI150~200gYISHANG,YIBIMIANJINSHITANSHUIHUAHEWUDUIJIEGUODEYINGXIANG。JINSHI8~14hHOUCHAKONGFUXUETANG,RANHOUFU75gPUTAOTANG(JIANG75gPUTAOTANGRONGYU400mlSHUIZHONG,5minNEIFUXIA)HUOJINSHI100gBIAOZHUNMIANFENZHIZUODEMANTOU,ZIKAISHIFUTANGSHUIJISHI,1h、2h、3hFENBIEQUJINGMOXUECEXUETANG。QUXUEHOUYINGJINKUAILIXIN,CEDINGYINGZAI2hNEIWANCHENG,YIMIANPUTAOTANGFENJIE。

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