So wo duruyɛfo akyerɛw ‘GTT’ ama wo? Anaasɛ ebia woate sɛ obi wɔ w’abusua mu anaa w’adamfo bi reyɛ sɔhwɛ yi. Nnipa binom te saa din yi a, ehu ka wɔn kakra. "Nsɔhwɛ bɛn na eyi yɛ? So ɛbɛyɛ yaw? So ɛyɛ yare a emu yɛ den?" wosusuw ho. Nanso nokwarem no, eyi yɛ sɔhwɛ a ɛnyɛ den a wɔtaa de hwɛ sɛ asikreyare anaa. Enti, momma yɛnkyerɛkyerɛ nsɛmmisa a wowɔ wɔ ho nnɛ no nyinaa mu.
Dɛn ne Glucose Tolerance Test (GTT)?
Sɛ yɛbɛka no tiawa a, GTT yɛ sɔhwɛ a ɛkyerɛ sɛnea wo nipadua tumi de glucose, anaa ‘asikre’ di dwuma na ɛkora so pɛpɛɛpɛ. Nnuruyɛfo taa de nhwehwɛmu yi di dwuma de hu asikreyare .
Susuw ho hwɛ, aduan a yedi, titiriw carbohydrates te sɛ aburow, paanoo, ne ɛmo ma yɛn nipadua nya glucose a ehia na ama yɛanya ahoɔden. Saa glucose yi ne nea ɛma yɛn nipadua mu nkwammoaa ahoɔden te sɛ pɛtro. Yɛn mogya de saa glucose yi kɔ yɛn nipadua nyinaa mu.
Yɛn nipadua no wɔ adwinnade bi a ɛyɛ nwonwa a ɛma asikre dodow a ɛwɔ yɛn mogya mu no kɔ so yɛ pɛ. Nea ɛboa titiriw wɔ eyi mu ne hormone bi a wɔfrɛ no insulin . Yɛn dwensɔtwaa na ɛde eyi ba. Sɛ ɔhaw bi wɔ glucose yi a wɔde bedi dwuma wɔ ɔkwan bi so no mu a, asikre dodow a ɛwɔ mogya mu no betumi akɔ soro. Yɛfrɛ no asikre a ɛkɔ soro . Ɛtɔ mmere bi a asikre dodow a ɛwɔ mogya mu nso tumi so tew, na wɔfrɛ no asikre a ɛba fam .
Enti nea GTT yɛ ne sɛ ɛma wo glucose dodow pɔtee bi na ɛhwɛ sɛnea wo nipadua no yɛ n’ade nnɔnhwerew pii.
Bere bɛn na ɛsɛ sɛ wɔyɛ GTT?
Tebea horow pii wɔ hɔ a wo duruyɛfo betumi ahyɛ sɛ wɔbɛyɛ nhwehwɛmu yi. Wɔn titiriw ne:
- Asikreyare: Titiriw no, hu tebea horow te sɛ asikreyare a edi kan, asikreyare a ɛto so abien, anaa asikreyare a ɛba wɔ nyinsɛn mu.
- Insulin a ɛko tia: Tebea a nipadua no mu nkwammoaa ntumi nyɛ insulin ho adwuma yiye.
- Reactive hypoglycemia: Hwɛ sɛnea asikre dodow a ɛba mogya mu no so tew wɔ ɔkwan a ɛnteɛ so wɔ adidi akyi bere tiaa bi.
- Acromegaly: Kyerɛ tebea bi a efi onyin hormone a wɔyɛ boro so de ba.
- Kyerɛ carbohydrate a ɛma nipadua no yɛ adwuma no mu ɔhaw ahorow bi a ɛntaa nsi.
Titiriw no, wɔtaa yɛ nhwehwɛmu yi de hu asikreyare a ɛwɔ nyinsɛn mu, tebea a ebetumi aba ɛnanom so bere a wɔyem no. Ɛyɛ sɔhwɛ a wɔtaa yɛ bere a wɔyem.
Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ma GTT sɔhwɛ yi?
Oduruyɛfo no bɛkyerɛkyerɛ sɛnea ɛsɛ sɛ wusiesie wo ho ma sɔhwɛ yi mu pefee. Saa akwankyerɛ ahorow no a wubedi akyi pɛpɛɛpɛ no ho hia yiye ma sɔhwɛ mu aba a edi mu. Ma yɛnhwɛ nneɛma bi a ɛsɛ sɛ wotaa yɛ.
| Nea ɛsɛ sɛ wɔyɛ | Nkyerɛmu |
|---|---|
| Nnuru ho nimdeɛ a wonya | Ka nnuru a wonom nyinaa, vitamin mpo ho asɛm kyerɛ wo duruyɛfo. Nnuru bi betumi aka nea efi nhwehwɛmu no mu ba no. Ebia wɔbɛka akyerɛ wo sɛ gyae wɔn nom nna kakraa bi ansa na wɔayɛ sɔhwɛ no. |
| Adidi a wodi sɛnea ɛsɛ | Nnansa ansa na wɔayɛ sɔhwɛ no, ɛsɛ sɛ wudi sɛnea wotaa di no. Anyɛ yiye koraa no, ɛsɛ sɛ wunya carbohydrates gram 150 da biara. Ɛno kyerɛ sɛ wubedi aburow, nhabannuru, ne nnuaba a wotaa di no sɛnea wotaa di no. |
| Dwumadi ahorow a wɔyɛ no nyinaa | Kwati apɔw-mu-teɛteɛ a ɛtra so wɔ nna a edi sɔhwɛ no anim no mu. Kɔ so yɛ wo da biara da dwumadi ahorow a wotaa yɛ no. |
| Mmuadadi | Ɛnsɛ sɛ wudi anaa wonom biribiara anyɛ yiye koraa no nnɔnhwerew 8 ansa na woayɛ sɔhwɛ no. Ɛnyɛ hwee sɛ wobɛnom nsu kakra. |
| Bere a wɔreyɛ sɔhwɛ no | Sɛ sɔhwɛ no fi ase pɛ a, wuntumi nnidi, nnom (gye nsu), anaa nnom sigaret biara kosi sɛ ebewie. |
Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?
Wɔtaa yɛ GTT sɔhwɛ no anɔpa. Ɛsɛ sɛ wotra ayaresabea anaa lab nnɔnhwerew kakraa bi kosi sɛ wobewie sɔhwɛ no, enti ɛyɛ papa sɛ wode biribi te sɛ nhoma bɛba.
Momma yɛnhwɛ nea ɛkɔ so wɔ nnɔnhwerew abien GTT a agye din sen biara no mu:
1. Mogya a edi kan: Nea edi kan no, wobegye mogya bi afi wo nsam. Eyi yɛ sɛnea ɛbɛyɛ a wobɛhwɛ wo mogya mu glucose dodow a ɛwɔ mmuadadi mu.
2. Nom glucose aduru no: Afei wɔbɛma wo nsu a ɛyɛ dɛ anom. Wɔnam glucose bɛyɛ gram 75 a wɔde gu nsu mu so na ɛyɛ eyi. Wɔbɛka akyerɛ wo sɛ nom ne nyinaa wɔ simma 5 ntam. Ebia eyi bɛyɛ nwonwa kakra ama nnipa binom. Ɛte sɛ akutu a asikre wom. Ebia glucose dodow a wɔde ma mmofra ne mmea a wɔyem no bɛsono.
3. Mogya a wɔde di akyi: Bere a woanom nsu no akyi nnɔnhwerew abien pɛpɛɛpɛ no , wobegye mogya foforo afi wo nsam. Ɛtɔ da bi a, oduruyɛfo no betumi agye mogya mpɛn pii, bɛyɛ dɔnhwerew fã biara, sɛnea ɛho hia.
GTT ahorow afoforo
- Dɔnhwerew biako GTT: Eyi yɛ sɔhwɛ a wɔtaa de hwehwɛ mmea a wɔyem mu hwɛ sɛ wɔwɔ asikreyare anaa. Wɔma glucose anonne a emu duru yɛ gram 50 na wɔfa mogya dɔnhwerew biako akyi. Mpɛn pii no, eyi nhwehwɛ sɛ wodi mmuada.
- Nnɔnhwerew abiɛsa GTT: Wɔfa mogya ansa na wɔanom glucose aduru, na afei dɔnhwerew biara nnɔnhwerew abiɛsa.
- GTT ma Acromegaly: Eyi nsusuw asikre a ɛwɔ mogya mu, na mmom onyin hormone (HGH) dodow. Ɛhwɛ sɛ ebia saa hormone no so tew bere a wɔanom glucose akyi anaa.
Dɛn na ɛba wɔ sɔhwɛ no akyi? So nsunsuanso bɔne bi wɔ hɔ?
Sɛ sɔhwɛ no ba awiei a, wubetumi akɔ so ayɛ w’adwuma sɛnea wotaa yɛ no. Wubetumi nso adidi bio. Esiane sɛ worendidi nnɔnhwerew pii nti, ɛbɛyɛ papa sɛ wode aduan ketewaa bi bɛba.
GTT no yɛ sɔhwɛ a ahobammɔ wom yiye .
Ebia nnipa binom bɛte nka sɛ wɔn adwene mu yɛ wɔn naa kakra anaasɛ wɔn ho bɛtɔ wɔn bere a wɔanom nsu a asikre wom no awie no. Nanso ɛno yɛ ade a ɛfata. Nneɛma bɔne a anibere wom ntaa mma. Ebia akuru ne ɛyaw bi wɔ baabi a wɔtwee mogya no. Nanso ɛno befi hɔ wɔ da koro anaa nnanu mu.
Ɔkwan bɛn so na yɛbɛte nea efii GTT Amanneɛbɔ no mu aba no ase?
W’amanneɛbɔ no bɛkyerɛ asikre dodow a ɛwɔ wo mogya mu wɔ mg/dL (milligrams wɔ deciliter biara mu) wɔ mogya mu nhwehwɛmu biara mu. Wɔtaa kyerɛ nea efi nnɔnhwerew abien GTT mu ba no ase sɛnea edidi so yi:
| Mogya mu asikre dodow wɔ nnɔnhwerew 2 akyi | Kyerɛ |
|---|---|
| Ennu 140 mg/dL | Normal - Wo nipadua no di glucose so yiye. |
| Ɛwɔ 140 mg/dL ne 199 mg/dL ntam | Prediabetes - Tebea a asiane wom. Wobetumi asiw asikreyare ano denam asetra mu nsakrae a wɔbɛyɛ so. |
| 200 mg/dL anaa nea ɛboro saa | Asikreyare - Asikreyare betumi ayɛ nea wɔahu. |
Nea ɛho hia sen biara ne sɛ, mmɔ mmɔden sɛ w’ankasa wobɛkyerɛ saa gyinapɛn ahorow yi ase. Ɛho hia sɛ wo ne wo duruyɛfo susuw amanneɛbɔ no ho, efisɛ saa gyinapɛn ahorow yi betumi asesa wɔ tebea horow te sɛ nyinsɛn mu asikreyare mu.
Sɛ nea efi mu ba no nyɛ nea ɛfata a, dɛn na woyɛ akyi?
Sɛ botae bi a ɛwɔ amanneɛbɔ no so yɛ soronko kakra a, mma ɛnhaw wo. Oduruyɛfo rensi gyinae sɛ wowɔ asikreyare esiane sɛ GTT nhwehwɛmu biako mu aba no nyɛ nea ɛfata nti.
Mpɛn pii no, wo duruyɛfo bɛka akyerɛ wo sɛ san nyɛ nhwehwɛmu no bio da foforo, anaasɛ wɔbɛyɛ nhwehwɛmu foforo te sɛ A1C de asi so dua. Ɛmfa ho nea ɛbɛba biara no, wo duruyɛfo bɛkyerɛkyerɛ biribiara a ɛsɛ sɛ wuhu mu. Bisa nsɛm anaa nsɛm biara a ɛhaw wo saa bere no. Nsɛm a ɛfata a wubenya no ne ade a edi kan a ɛbɛma woanya apɔwmuden.
Nkrasɛm a Wɔde Kɔ Fie
- Glucose Tolerance Test (GTT) no nyɛ biribiara a ɛsɛ sɛ wosuro. Ɛyɛ sɔhwɛ a ɛyɛ daa, ahobammɔ wom a ɛhwɛ sɛnea nipadua no de asikre di dwuma.
- Ɛho hia sɛ wudi oduruyɛfo no akwankyerɛ (te sɛ mmuadadi) akyi pɛpɛɛpɛ ansa na wɔayɛ nhwehwɛmu yi na ama woanya nea efi mu ba no pɛpɛɛpɛ.
- Bere a wɔreyɛ nhwehwɛmu no, wonom nsu a ɛyɛ dɛ na afei wode mogya pii ma wɔ nnɔnhwerew pii mu.
- Sɛ nea efi mu ba no nyɛ nea ɛfata a, mma wo ho nnpopo. Sɔhwɛ biako ntaa nnɔɔso na ama wɔahu yare no.
- Nea ɛho hia sen biara: Sɛ wo nsa ka wo nhwehwɛmu ho amanneɛbɔ wie a, hwɛ hu sɛ wode bɛkyerɛ wo duruyɛfo na wo ne no asusuw ho. Mma wo nkutoo nsi gyinae da.
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