Chiyeso cha kulolerana kwa shuga - wopanda pakati

Kuyezetsa magazi ndikoyeserera labu kuti muwone momwe thupi lanu limasunthira shuga kuchokera m'magazi kupita kumatumba ngati minofu ndi mafuta. Mayesowa amagwiritsidwa ntchito pozindikira matenda ashuga.

Kuyesa kuwunika matenda ashuga panthawi yapakati ndikofanana, koma kumachitika mosiyanasiyana.

Chiyeso chodziwika kwambiri chololerana ndi glucose ndi mayeso olekerera pakamwa (OGTT).

Asanayese kuyesa, adzatengeredwa magazi.

Kenako mudzafunsidwa kuti muzimwa madzi okhala ndi shuga (nthawi zambiri 75 magalamu). Magazi anu adzatengedwa kachiwiri pakatha mphindi 30 kapena 60 zilizonse mukamwa mankhwalawo.

Mayesowo atha kutenga maola atatu.

Chiyeso chofananira ndimayeso (IV) a kulolerana kwa glucose (IGTT). Sagwiritsidwa ntchito kawirikawiri, ndipo sagwiritsidwa ntchito pozindikira matenda ashuga. Mu mtundu umodzi wa IGTT, shuga imalowetsedwa mumitsempha yanu kwa mphindi zitatu. Magazi a insulin amayesedwa asanafike jakisoni, ndipo kenanso pa 1 ndi 3 minitsi kuchokera jakisoni. Nthawi yake imatha kusiyanasiyana. IGTT nthawi zambiri imagwiritsidwa ntchito pazofufuza zokha.

Kuyesanso komweku kumagwiritsidwa ntchito pozindikira kukula kwa mahomoni owonjezera (acromegaly) pomwe shuga ndi mahomoni okula amayeza akamaliza kumwa shuga.

Onetsetsani kuti mumadya bwinobwino masiku angapo musanayezedwe.

Musadye kapena kumwa chilichonse kwa maola 8 musanayezetse. Simungadye nthawi ya mayeso.

Funsani wothandizira zaumoyo wanu ngati mankhwala omwe mumamwa angakhudze zotsatira za mayeso.

Kumwa njira yothetsera shuga ndikofanana ndikumwa zakumwa zotsekemera kwambiri.

Zotsatira zoyipa zoyesazi sizachilendo. Ndi kuyezetsa magazi, anthu ena amamva kusowa thukuta, thukuta, mutu wopepuka, kapena amatha kupuma movutikira kapena kukomoka atamwa shuga. Uzani wothandizira zaumoyo wanu ngati muli ndi mbiri yazizindikiro zokhudzana ndi kuyesa magazi kapena njira zamankhwala.

Pamene singano imayikidwa kuti ikoke magazi, anthu ena amamva kupweteka pang'ono. Ena amangomva kubaya kapena kuluma. Pambuyo pake, pakhoza kukhala kupunduka kapena kuvulala pang'ono. Izi posachedwa zichoka.

Glucose ndi shuga womwe thupi limagwiritsa ntchito mphamvu. Anthu omwe ali ndi matenda ashuga omwe sanalandire chithandizo amakhala ndi shuga wambiri m'magazi.

Nthawi zambiri, mayeso oyamba omwe amagwiritsidwa ntchito pozindikira matenda ashuga mwa anthu omwe alibe mimba ndi awa:

• Kusala kwa magazi m'magazi: matenda ashuga amapezeka ngati aposa 126 mg / dL (7 mmol / L) pamayeso awiri osiyana
• Mayeso a Hemoglobin A1c: matenda ashuga amapezeka ngati zotsatira zake zili 6.5% kapena kupitilira apo

Mayeso olekerera glucose amagwiritsidwanso ntchito pozindikira matenda ashuga. OGTT imagwiritsidwa ntchito kuwunikira kapena kuzindikira matenda ashuga mwa anthu omwe ali ndi mulingo wokhudzana ndi shuga wamagazi omwe ali okwera, koma osakwanira (pamwambapa 125 mg / dL kapena 7 mmol / L) kuti akwaniritse matenda a shuga.

Kulekerera kwamtundu wa shuga (shuga wamagazi kumakwera kwambiri panthawi yamavuto a shuga) ndi chizindikiro choyambirira cha matenda ashuga kuposa shuga wosachedwa kudya.

Miyezo yamagazi yabwinobwino ya 75 gramu OGTT imagwiritsidwa ntchito poyang'ana mtundu wa 2 shuga kwa iwo omwe alibe pakati:

Kusala kudya - 60 mpaka 100 mg / dL (3.3 mpaka 5.5 mmol / L)

Ola limodzi - Osakwana 200 mg / dL (11.1 mmol / L)

Maola 2 - Mtengo uwu umagwiritsidwa ntchito kupangitsa kuti azindikire matenda ashuga.

• Ochepera 140 mg / dL (7.8 mmol / L).
• Pakati pa 141mg / dL ndi 200 mg / dL (7.8 mpaka 11.1 mmol / L) imawonedwa kuti imalekerera kulekerera kwa shuga.
• Pamwamba pa 200 mg / dl (11.1mmol / L) ndikuzindikira matenda ashuga.

Zitsanzo pamwambapa ndizoyesa wamba pazotsatira za mayesowa. Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Ma lab ena amagwiritsa ntchito miyeso yosiyanasiyana kapena amayesa mitundu yosiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Mulingo wama glucose wapamwamba kuposa wabwinobwino ungatanthauze kuti muli ndi matenda ashuga kapena matenda ashuga:

• Mtengo wamaola awiri pakati pa 140 ndi 200 mg / dL (7.8 ndi 11.1 mmol / L) umatchedwa kulekerera kwa shuga. Wothandizira anu amatha kuyitanitsa matendawa asanakwane. Zikutanthauza kuti muli pachiwopsezo chachikulu chodwala matenda ashuga pakapita nthawi.
• Mulingo uliwonse wama glucose a 200 mg / dL (11.1 mmol / L) kapena kupitilira apo amagwiritsidwa ntchito pozindikira matenda ashuga.

Kupsinjika kwakukulu pamthupi, monga kupwetekedwa mtima, kupwetekedwa mtima, matenda amtima, kapena kuchitidwa opareshoni, kumatha kukulitsa kuchuluka kwa shuga m'magazi. Kuchita masewera olimbitsa thupi mwamphamvu kumachepetsa magazi anu m'magazi.

Mankhwala ena amatha kukweza kapena kutsitsa magazi m'magazi anu. Musanayezedwe, uzani omwe akukuthandizani za mankhwala omwe mukumwa.

Mutha kukhala ndi zina mwazizindikiro zomwe tazitchula pamwambapa pamutu wakuti "Momwe Muyeso Udzamverere."

Pali chiopsezo chochepa chotenga magazi anu. Mitsempha ndi mitsempha imasiyana mosiyanasiyana kuchokera pa munthu wina kupita kwina komanso kuchokera mbali imodzi ya thupi kupita mbali inayo. Kutenga magazi kuchokera kwa anthu ena kumatha kukhala kovuta kuposa ena.

Zowopsa zina zomwe zimakoka magazi ndi zochepa, koma mwina ndi izi:

• Kutaya magazi kwambiri
• Ma punctures angapo kuti mupeze mitsempha
  
• Kukomoka kapena kumva mopepuka
• Hematoma (magazi omanga pansi pa khungu)
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)

Kuyezetsa magazi pakamwa - osakhala ndi pakati; OGTT - wosakhala ndi pakati; Matenda a shuga - mayeso olekerera; Mayeso a shuga - kulolerana kwa shuga

• Kusala kuyesa kwa shuga wa m'magazi
• Mayeso olekerera pakamwa

Bungwe la American Diabetes Association. 2. Gulu ndi matenda a shuga: miyezo ya chithandizo chamankhwala ashuga - 2020. Chisamaliro cha shuga. 2020; 43 (Suppl 1): S14-S31. PMID: 31862745 adasankhidwa.ncbi.nlm.nih.gov/31862745/.

Nadkarni P, Weinstock RS. Zakudya. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. St Louis, MO: Elsevier; 2017: mutu 16.

Matumba a DB. Matenda a shuga. Mu: Rifai N, mkonzi. Tietz Textbook of Clinical Chemistry ndi Molecular Diagnostics. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2018: mutu 57.