So woanyinsɛn? Afei ɛsɛ sɛ wuhu asikre sɔhwɛ yi (Oral Glucose Tolerance Test) ho asɛm!

Sɛ worehwɛ kwan sɛ wobɛyɛ ɛna a, ɛsɛ sɛ wohwɛ w’akwahosan ne wo ba no akwahosan yiye, ɛnte saa? Enti, wɔfrɛ tebea bi a ebia ɛnanom binom behyia bere a wɔyem no nyinsɛn mu asikreyare . Eyi kyerɛ sɛ asikre dodow a ɛwɔ mogya mu no kɔ soro kakra. Nea ɛbɛyɛ na wɔahu eyi no, nnuruyɛfo ka kyerɛ wo sɛ kɔyɛ asikre mu nhwehwɛmu. Ɛnnɛ, yɛbɛka sɔhwɛ ahorow yi ho asɛm wɔ nsɛm a ɛnyɛ den mu.

Dɛn na wɔyɛ asikre ho nhwehwɛmu yi bere a wɔyem? Dɛn nti na ɛho hia?

Sɛ yɛbɛka no tiawa a, nhwehwɛmu ahorow yi hwɛ sɛ asikre (glucose) a ɛwɔ wo mogya mu no dɔɔso sen sɛnea ɛte wɔ nyinsɛn mu anaa. Mmea a wɔyem bɛyɛ 10% nya asikreyare wɔ nyinsɛn mu . Sɛ wɔanhwɛ so yiye a, ebetumi de ɔhaw a emu yɛ den aba wo ne wo ba no nyinaa so. Ɛno nti na sɔhwɛ yi ho hia paa no.

Afei, hwɛ, nhwehwɛmu ahorow abien na ebia wo duruyɛfo bɛka akyerɛ wo sɛ yɛ:

1. Glucose Challenge Test - Eyi ne sɔhwɛ a edi kan, mfitiase.

2. Glucose Tolerance Test - Sɛ nea edi kan no mu aba no nyɛ nea ɛfata a, eyi ne nea edi hɔ a ɛsɛ sɛ wɔyɛ.

Nsonsonoe titiriw a ɛwɔ mu ne sɛ nea edi kan no hwɛ sɛ ebia wowɔ asiane mu sɛ wubenya asikreyare wɔ nyinsɛn mu anaa. Ɛnka sɛ "yiw, wowɔ bi" pefee. Sɛ nea efi mu ba no nyɛ nea ɛfata a, oduruyɛfo no de wo bɛkɔ nhwehwɛmu a ɛto so abien mu. Saa sɔhwɛ a ɛto so abien no ne nea ɛma wohu yare no yiye. Wɔ nhwehwɛmu abien no nyinaa mu no, wɔma wo nsu a ɛyɛ dɛ sɛ wobɛnom na afei woyi mogya kakraa bi fi ntini bi a ɛwɔ wo basa mu mu.

Anamɔn a edi kan: Glucose Challenge Test

Eyi ne sɔhwɛ a edi kan a wɔde hwehwɛ nneɛma mu . Ɛhwɛ sɛ ebia asiane kɛse wom sɛ wubenya nyinsɛn mu asikreyare anaa. Eyi yɛ biribi a wɔyɛ no daa bere a wɔrehwɛ wo nyinsɛn no. Sɛ nea efi mu ba no nyɛ nea ɛfata a, mma wo ho nnyɛ wo hu. Ɛnkyerɛ sɛ wowɔ nyinsɛn mu asikreyare. Ɛkyerɛ kɛkɛ sɛ oduruyɛfo no reka sɛ, "Okay, momma yɛnhwɛ mu nkɔ akyiri kakra," na ɔde wo rekɔ sɔhwɛ a ɛto so abien, a ɛkyerɛ sɛ ɛyɛ nokware (Glucose Tolerance Test). Wɔsan frɛ sɔhwɛ a edi kan yi sɛ:

• Glucose a wɔde hwehwɛ nipadua mu
• Asikreyare ho nhwehwɛmu a wɔyɛ wɔ nyinsɛn mu
• Dɔnhwerew biako glucose asɛnnennen sɔhwɛ

Nanso, nea ɛho hia sen biara ne sɛ eyi yɛ sɔhwɛ titiriw bi kɛkɛ . Sɛ nea efi mu ba no yɛ nea ɛfata a, ɛho renhia sɛ wɔyɛ nhwehwɛmu foforo biara.

Anamɔn a ɛto so abien ne nea ɛho hia: glucose a wotumi gyina ano ho sɔhwɛ.

Eyi ne nhwehwɛmu a wɔde hu yare a ɛkyerɛ sɛ ebia wowɔ asikreyare a ɛba wo nyinsɛn mu anaasɛ wunni bi . Egye bɛyɛ nnɔnhwerew abiɛsa. Afei nso, ɛyɛ pɔteeWɔtwe mogya mpɛn pii wɔ bere koro mu. Eyi yɛ den kakra, efisɛ ɛsɛ sɛ wudi mmuada nnɔnhwerew kakraa bi ansa na woadi. Ɛtɔ mmere bi a wɔfrɛ eyi "glucose nhwehwɛmu a wɔde nnɔnhwerew abiɛsa yɛ."

Bere bɛn na wɔyɛ glucose challenge sɔhwɛ yi bere a wɔyem?

Wɔtaa yɛ nyinsɛn mu asikreyare ho nhwehwɛmu wɔ nyinsɛn no adapɛn 24 kosi 28 ntam . Nanso, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ sɛ wowɔ asiane ahorow a edidi so yi mu biara a, ɛsɛ sɛ woyɛ nhwehwɛmu yi ntɛm:

• Sɛ na wowɔ asikreyare wɔ nyinsɛn a atwam no mu a.
• Sɛ wuhu sɛ asikre wɔ wo nsu mu wɔ nyinsɛn ayaresabea hɔ a.
• Sɛ obi a ɔwɔ abusua no mu (te sɛ ɛna, agya, anuanom) wɔ asikreyare a.
• Sɛ woyɛ kɛse mmoroso a .
• Sɛ wowɔ mogya mmoroso a .
• Sɛ woadi boro mfe 35 a.
• Sɛ wowɔ tebea bi te sɛ `(PCOS - Polycystic Ovary Syndrome)` anaa aduruyɛ mu tebea foforo a ɛma asiane a ɛwɔ hɔ sɛ wubenya asikreyare no yɛ kɛse a.

Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ma glucose nhwehwɛmu a wɔyɛ no dɔnhwerew biara no?

Nokwarem no, ɛho nhia sɛ wusiesie wo ho ma glucose nhwehwɛmu saa bere yi. Nnuruyɛfo pii kamfo kyerɛ sɛ kwati nnuan a asikre pii wom (sɛ nhwɛso no, pancakes, donuts, anaa anonne a asikre wom) wɔ anɔpaduan mu. Sɛ woreyɛ sɔhwɛ awia a, ma ɛntra w’adwenem sɛ asikre pii a wubedi awia aduan betumi aka nea ebefi mu aba no.

So metumi adi ansa na wɔayɛ glucose nhwehwɛmu?

Yiw, wubetumi adi aduan sɛnea ɛsɛ na woakɔyɛ saa glucose nhwehwɛmu yi. Ɛho nhia sɛ wodi mmuada.

Dɛn na ɛsɛ sɛ yɛhwɛ kwan da a wɔbɛyɛ nhwehwɛmu a wɔde hwehwɛ nneɛma mu no?

Da a wɔbɛyɛ nhwehwɛmu no, di akwankyerɛ a wo duruyɛfo anaa aduruyɛdan no de ama wo no akyi pɛpɛɛpɛ. Hu baabi pɔtee a wobɛkɔ ne sɛ ebia wuhia bere a wo ne no yɛ nhyehyɛe.

Ɔkwan bɛn so na wɔyɛ saa glucose nhwehwɛmu yi bere a wɔyem no?

Eyi ne nea ɛba:

1. Nea edi kan no, wɔbɛma wo nsuo a ɛyɛ dɛ (a wɔfrɛ no ``Glucola'') a wobɛnom. Glucose (asikre bi) bɛyɛ gram 50 na ɛwɔ eyi mu. Ɛsɛ sɛ wonom eyi ntɛm wɔ simma anum ntam.

2. Bere a woanom dɔnhwerew biako (simma 60) pɛpɛɛpɛ no, wobegye mogya afi ntini bi a ɛwɔ wo basa mu mu.

3. Saa mogya mu nhwehwɛmu yi hwɛ sɛnea wo nipadua de saa glucose aduru no adi dwuma.

Nea ɛho hia: Ɛnsɛ sɛ wudi anaa wonom biribiara fi bere a wonom `(Glucola)` nsu no kosi sɛ wode mogya bɛma. Mpɛn pii no, ɛnyɛ hwee sɛ wobɛnom nsu kakra kɛkɛ.

Esiane sɛ asikre dodow a ɛwɔ wo mogya mu no kɔ soro kakra sen sɛnea ɛte daa wɔ dɔnhwerew biako akyi nti, ɛnkyerɛ sɛ wowɔ asikreyare wɔ nyinsɛn mu. Ɛkyerɛ ampa sɛ wo duruyɛfo bɛka akyerɛ wo sɛ yɛ nhwehwɛmu a ɛto so abien a ɛkyerɛ sɛnea wotumi gyina glucose ano.

Ɔkwan bɛn so na wobesiesie wɔn ho ama glucose a wotumi gyina ano ho sɔhwɛ no?

Sɛ wo glucose nhwehwɛmu nhwehwɛmu a edi kan no aba no nyɛ nea ɛfata (i.e., "di nkogu") a, wo duruyɛfo bɛhyɛ nhwehwɛmu a ɛto so abien yi de ahyɛ asikreyare a ɛwɔ nyinsɛn mu no so dua. Eyi te sɛ nhwehwɛmu a edi kan no, nanso egye bere tenten kakra na ɛhwehwɛ sɛ wɔtwe mogya mpɛn pii .

Nea ɛbɛyɛ na woasiesie wo ho ama eyi no, wo duruyɛfo bɛma wo aduan ho akwankyerɛ titiriw bi. Ebi ne:

• Anyɛ yiye koraa no, di carbohydrates gram 150 da biara nnansa ansa na woayɛ nhwehwɛmu (carbohydrates yɛ nnuan a starch wom te sɛ aburow, paanoo, ne ɛmo).
• Ɛnsɛ sɛ wudi anaa wonom biribiara nnɔnhwerew 8 kosi 12 ansa na woayɛ sɔhwɛ no (ɛsɛ sɛ wudi mmuada). Mpɛn pii no, ɛnyɛ hwee sɛ wobɛnom nsu kakraa bi anɔpa a wɔbɛyɛ sɔhwɛ no.
• Ɛyɛ papa sɛ wobɛyɛ sɔhwɛ no anɔpa.

Kae: Sɛ mpo "wodi nkogu" wɔ glucose nhwehwɛmu a edi kan no mu a, ebia wobɛda so ara "atwa" saa `(Glucose Tolerance Test)` yi. Enti mma ɛnhaw wo.

Ɔkwan bɛn so na wɔyɛ glucose a wotumi gyina ano ho sɔhwɛ bere a wɔyem no?

Nea ɛnte sɛ glucose nhwehwɛmu sɔhwɛ no, anammɔn a edi kan wɔ nnɔnhwerew abiɛsa ``Glucose Tolerance Test'' yi mu ne sɛ worennom nsu a ɛyɛ dɛ.

1. Nea edi kan no, phlebotomist no bɛfa mogya kakraa bi de ahwɛ sɛnea wo mogya mu glucose dodow wɔ mmuadadi mu . Wɔyɛ eyi bere a wunnnidi anaa wonnom biribiara.

2. Afei, wɔbɛma wo nsuo a ɛyɛ dɛ (`(Glucola)`) a glucose gram 100 wom sɛ wobɛnom ntɛmntɛm wɔ simma anum mu.

3. Wɔbɛtwe wo mogya dɔnhwerew biako, nnɔnhwerew abien, ne nnɔnhwerew abiɛsa bere a woanom nsu no awie no. Ɛno kyerɛ sɛ wobɛma mogya mpɛn anan, a nea edi kan no ka ho.

Wɔremma wo kwan mma mfi lab no mu kosi sɛ wɔbɛma wo mogya a edi hɔ no. Enti nnyɛ ɔkwasea sɛ wode biribi bɛba abɛkenkan, te sɛ nhoma anaa nsɛmma nhoma. Mpɛn pii no wɔbɛma wo nsu kakraa bi wɔ sɔhwɛ yi mu. Nanso, wɔremma wo nni biribi foforo biara kosi sɛ wɔde mogya a etwa to bɛma wo.

Bere tenten ahe na saa glucose nhwehwɛmu yi gye?

Glucose nhwehwɛmu no gye bɛboro dɔnhwerew biako kakra.

Glucose a wotumi gyina ano ho sɔhwɛ no gye bɛboro nnɔnhwerew abiɛsa.

So metumi anom nsu bere a wɔreyɛ glucose a wɔde gyina ano ho sɔhwɛ no?

Nnuruyɛfo dodow no ara bɛma wo kwan ma woanom nsu kakraa bi wɔ nnɔnhwerew abiɛsa nhwehwɛmu no mu, nanso eye sɛ wobɛkɔ wo duruyɛfo anaa adwumayɛbea hɔ ahwɛ nneɛma pɔtee bi.

So nsunsuanso bɔne bi wɔ nsu a asikre wom no a wɔnom bere a wɔreyɛ sɔhwɛ no mu?

Nnipa dodow no ara nnya nsunsuanso bɔne biara. Nnipa binom ka sɛ wɔte nka sɛ wɔn ho yɛ wɔn yaw anaasɛ wɔn adwene tu fra bere a wɔanom awie no. Nanso, nsunsuanso bɔne a anibere wom ntaa mma. Ebia glucose nsu dɛ bɛyɛ dɛ te sɛ akutu nsu a wɔahyɛ no dɛ dodo anaa soda a carbonated wom ama nnipa binom. Ebia eyi bɛyɛ ebinom ahaw kakra.

Bere tenten ahe na egye na wɔahu nea efi nyinsɛn mu asikreyare ho nhwehwɛmu no mu ba?

Nnipa dodow no ara nya wɔn nyinsɛn mu asikreyare nhwehwɛmu no mu aba wɔ da koro anaa nnanu ntam. Bisa wo duruyɛfo bere a wubetumi ahwɛ kwan sɛ ebefi mu aba.

Dɛn ne gyinapɛn ahorow a ɛfata ma glucose nhwehwɛmu dɔnhwerew biara?

Sɛ asikre dodow a ɛwɔ wo mogya mu no nnu 140 mg/dL (milligram wɔ deciliter biara mu) a, ɛyɛ ade a ɛfata. Ɛho nhia sɛ wɔyɛ nhwehwɛmu foforo biara wɔ nyinsɛn mu asikreyare ho.

Sɛ asikre dodow a ɛwɔ wo mogya mu no yɛ 140 mg/dL anaa nea ɛboro saa a, wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nnɔnhwerew abiɛsa nhwehwɛmu a ɛkyerɛ sɛnea wotumi gyina glucose ano.

Yɛsrɛ sɛ hyɛ no nsow: Ɛsono oduruyɛfo ne lab biara, enti ebia gyinapɛn ahorow a ɛfata no bɛsakra kakra. Sɛ nhwɛso no, nnuruyɛfo binom bu biribiara a ɛboro 135 mg/dL sɛ ɛnyɛ nea ɛfata.

Dɛn ne gyinapɛn ahorow a ɛfata ma glucose nhwehwɛmu a wɔde nnɔnhwerew abiɛsa yɛ bere a wɔyem no?

Wɔ nnɔnhwerew abiɛsa ``Glucose Tolerance Test'' no mu no:

• Ɛsɛ sɛ asikre dodow a ɛwɔ mogya mu wɔ mmuadadi mu no nnu 95 mg/dL.
• Bere a wɔanom ɛwo aduru no akyi dɔnhwerew biako no , ɛsɛ sɛ asikre dodow a ɛwɔ mogya mu no nnu 180 mg/dL.
• Nnɔnhwerew abien akyi no , ɛsɛ sɛ asikre dodow a ɛwɔ mogya mu no nnu 155 mg/dL.
• Nnɔnhwerew abiɛsa akyi no , ɛsɛ sɛ asikre dodow a ɛwɔ mogya mu no nnu 140 mg/dL.

Ma ɛntra w’adwenem sɛ gyinapɛn ahorow a ɛfata a wo duruyɛfo de di dwuma no betumi ayɛ soronko kakra. Sɛ yɛbɛka no ɔkwan biara so a, anyɛ yiye koraa no, sɛ nea efi mu ba no mu abien kɔ soro a, wo duruyɛfo no behu sɛ wowɔ asikreyare a ɛwɔ nyinsɛn mu. Sɛ nea efi mu ba biako pɛ kɔ soro a, ebia wɔbɛka akyerɛ wo sɛ san sɔ hwɛ bio wɔ adapɛn kakraa bi akyi.

Te nea efii wo glucose nhwehwɛmu mu bae no ase na wo ne wo duruyɛfo nsusuw nsɛmmisa biara a ebia wowɔ ho.

Sɛ "midi nkogu" wɔ nnɔnhwerew abiɛsa glucose nhwehwɛmu no mu a, dɛn na ɛba?

Sɛ "woantumi" nnɔnhwerew abiɛsa glucose nhwehwɛmu no mu, a ɛkyerɛ sɛ asikre dodow a ɛwɔ wo mogya mu no dɔɔso sen sɛnea ɛte daa a, wo duruyɛfo bɛka akyerɛ wo sɛ wowɔ asikreyare a ɛwɔ nyinsɛn mu . Nneɛma atitiriw a wubetumi ayɛ de asa asikreyare bere a woanyinsɛn ne sɛ wobɛyɛ nsakrae wɔ w’aduan mu na wode mogya mu glucose mita ahwɛ asikre dodow a ɛwɔ wo mogya mu daa wɔ da mũ no nyinaa mu. Mogya mu glucose mita yɛ afiri ketewaa bi a ɛde wo mogya mu asikre dodow susuw asikre dodow a ɛwɔ wo mogya mu no mu. Sɛ aduan nkutoo nnɔɔso a, ebia wubehia insulin na aboa ma woadi wo nyinsɛn mu asikreyare no so. Wo duruyɛfo anaa aduan ho ɔbenfo betumi aboa wo ma woahwɛ asikre dodow a ɛwɔ wo mogya mu wɔ wo nyinsɛn no nyinaa mu. Mma ɛnhaw wo, ɛnanom dodow no ara di eyi ho dwuma yiye.

So metumi apow saa glucose challenge sɔhwɛ yi bere a manyinsɛn no?

Yiw, wowɔ hokwan wɔ mmara kwan so sɛ wobɛpow saa glucose nhwehwɛmu yi. Nanso, ɛkame ayɛ sɛ nnuruyɛfo fekuw atitiriw ne wɔn a wɔhwɛ wɔn ansa na wɔawo wɔ wiase nyinaa kamfo kyerɛ sɛ sɛ woanyinsɛn a, ɛsɛ sɛ woyɛ nhwehwɛmu yi. Eyi te saa efisɛ saa glucose nhwehwɛmu yi nkutoo ne ɔkwan a wobɛfa so ahu sɛ wowɔ nyinsɛn mu asikreyare anaa. Sɛ wɔansa asikreyare a ɛba wɔ nyinsɛn mu no ho dwuma a, ebetumi de nsɛnnennen aba wo ne wo ba no nyinaa so.

Dɛn nti na glucose nhwehwɛmu yi ho hia wɔ nyinsɛn mu?

Saa glucose nhwehwɛmu yi ne nea ɛboa wo duruyɛfo ma ohu sɛ ebia wowɔ nyinsɛn mu asikreyare anaa. Sɛ wowɔ asikreyare wɔ nyinsɛn mu a, ɛho hia paa sɛ wohwɛ asikre dodow a ɛwɔ wo mogya mu no so. Sɛ wɔansa asikreyare a, ebetumi de nsɛnnennen a emu yɛ den aba. Eyinom bi ne:

• Preeclampsia (mogya a ɛkɔ soro bere a wɔyem).
• Akokoaa no mu duru kɔ soro (ɔwo akokoaa kɛse) , na ɛma asiane a ɛwɔ hɔ sɛ akokoaa no behyia ɔhaw bere a wɔrewo no anaasɛ ɛsɛ sɛ wɔyɛ no C-section no yɛ kɛse.
• Hypoglycemia (asikre a ɛba fam wɔ mogya mu) wɔ akokoaa no mu wɔ awo akyi.
• Wo ba no wɔ asiane kɛse mu sɛ obenya Asikreyare a Ɛto so Abien akyiri yi .

So biribi wɔ hɔ a wubetumi ayɛ de "atwa" wo nyinsɛn mu glucose nhwehwɛmu no?

Nokwarem no, ɔkwan a wo nipadua fa so de glucose di dwuma bere a wonyinsɛn no yɛ nea wuntumi nni so kɛse. Nanso, nnuan ne anonne a asikre wom, ɛyɛ dɛ a wubedi ansa na woayɛ nhwehwɛmu a wɔde hwehwɛ nneɛma mu no betumi aka nea efi mu ba no. Nea ɛka eyi ho ne nneɛma te sɛ paanoo, pasta, keeki, aburow a asikre wom, nsu ne anonne a ɛyɛ dɛ. Sɛ wopɛ sɛ "wotwa" wo glucose nhwehwɛmu sɔhwɛ no mu a, ɛyɛ papa sɛ wobɛtwe wo ho afi saa nnuan ne anonne yi ho sɛnea wubetumi nna kakraa bi ansa na wɔayɛ sɔhwɛ no. Aduan a ɛkari pɛ a wubedi ne ade a ɛho hia sen biara.

Awiei koraa no, kae eyi (Take-Home Message) .

Saa nhwehwɛmu a wɔde hwehwɛ asikreyare a ɛwɔ nyinsɛn mu yi yɛ nhwehwɛmu pii a wobɛyɛ wɔ wo nyinsɛn mu no mu biako pɛ. Esiane sɛ asikreyare a wontumi nni so tumi de nsɛnnennen ba wo ne wo ba no nyinaa so nti , mprempren ɛyɛ ɔhwɛ a wɔyɛ no daa wɔ ɔhwɛ ansa na wɔawo no mu. Glucose nhwehwɛmu yɛ mmerɛw, na ɛnyɛ yaw koraa. Nea ɛka ho ne sɛ wobɛnom nsu a ɛyɛ dɛ na woayi mogya kakraa bi afi ntini bi a ɛwɔ wo nsa mu mu bere ne bere mu. Sɛ wo nipadua no mfa glucose nni dwuma yiye a, asikre dodow a ɛwɔ wo mogya mu no betumi ayɛ kɛse anaasɛ ɛnyɛ nea ɛfata.

Wo ne wo duruyɛfo nkasa na woate nea glucose nhwehwɛmu yi yɛ, bere a ɛsɛ sɛ wɔyɛ, ne baabi a ɛsɛ sɛ wokɔ no ase ankasa. Afei wubetumi ate adeyɛ yi nyinaa ase yiye. Mma ɛnhaw wo, wɔyɛ eyi nyinaa ma wo ne wo ba a ɔsom bo no akwahosan pa.

` Nyinsɛn, asikreyare, glucose nhwehwɛmu, nyinsɛn mu asikreyare, asikre sɔhwɛ, nyinsɛn akwahosan, akokoaa akwahosan