Wo nipadua no di asikre so yiye dɛn? Momma yensua Glucose Tolerance Test (GTT) no ho ade wɔ ɔkwan a ɛnyɛ den so!

So woate glucose tolerance test, anaasɛ GTT tiawa ho asɛm pɛn? Ebia wo duruyɛfo no aka ho asɛm akyerɛ wo, anaasɛ ebia woabisa mpo sɛ wɔnyɛ. Eyi yɛ sɔhwɛ a ɛho hia yiye a ɛhwɛ sɛ ebia wo nipadua de asikre, anaa glucose redi dwuma anaasɛ ɛrekora so ankasa anaa. Nnuruyɛfo taa de sɔhwɛ yi di dwuma de hu tebea horow te sɛ asikreyare. Nanso akwan foforo wɔ hɔ a wɔfa so hu asikreyare, te sɛ A1C nhwehwɛmu ne mmuadadi mogya mu asikre nhwehwɛmu.

Enti, dɛn ne saa glucose abodwokyɛre sɔhwɛ (`GTT`) yi?

Sɛ yɛbɛka no tiawa a, yɛn nipadua nya ahoɔden fi aduan a yedi mu, titiriw nnuan a carbohydrates pii wom. Eyi na ɛma yɛn nkwammoaa no nya ahoɔden ma ɛyɛ adwuma. Yɛn nipadua nso de saa glucose yi sie ma yɛde bedi dwuma akyiri yi, titiriw wɔ yɛn ntini ne mmerɛbo mu. Wɔfrɛ saa glucose a wɔakora so yi glycogen.

Enti, sɛnea ɛbɛyɛ a glucose dodow a ɛwɔ yɛn mogya mu no bɛkɔ so atra baabi pɔtee bi no, nneɛma ahorow kɔ so wɔ yɛn nipadua mu. Wɔn mu no , hormone a wɔfrɛ no insulin na edi dwuma titiriw . Wɔyɛ insulin yi wɔ yɛn dwensɔtwaa mu. Sɛ ɔhaw bi wɔ ɔkwan a yɛn nipadua no fa so de glucose di dwuma no mu a, mpɛn pii no asikre dodow a ɛwɔ mogya mu no betumi akɔ soro. Ɛno ne nea yɛfrɛ no hyperglycemia. Afei nso, ɛtɔ mmere bi a asikre dodow a ɛwɔ mogya mu no tumi so tew, na wɔfrɛ saa tebea no hypoglycemia.

GTT ahorow ahorow wɔ hɔ. Nea wɔtaa de di dwuma ne Oral Glucose Tolerance Test (OGTT), a nea ɛka ho ne sɛ wɔde glucose ano aduru ma wɔ ano.

Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra ansa na woayɛ aduruyɛ mu nhwehwɛmu biara. Nanso kae sɛ, ade a ɛho hia sen biara ne sɛ wobɛbɔ wo amanneɛ. Ɛmfa ho nea ebefi mu aba biara no, wubesua wo nipadua ho ade pii asen sɛnea na wunim kan no. Sɛ wode saa nsɛm no di dwuma a, wo ne wo duruyɛfo betumi ayɛ nhyehyɛe a eye sen biara ama w’akwahosan akɔ w’anim.

Tebea bɛn mu na ebehia sɛ woyɛ eyi `(GTT)`?

Wo duruyɛfo betumi ahyɛ nyansa sɛ wɔmfa GTT nhwɛ anaasɛ wosi so dua sɛ tebea horow a edidi so yi mu biara wɔ hɔ:

• Asikreyare – mpɛn pii no asikreyare a edi kan, asikreyare a ɛto so abien, anaa nyinsɛn mu asikreyare.
• Tebea bi a wɔfrɛ no insulin a wɔko tia.
• Reactive hypoglycemia – Eyi yɛ asikre dodow a ɛso tew wɔ mogya mu bere a wɔadi akyi.
• Acromegaly yɛ hormone tebea bi.
• Carbohydrate a ɛsakra nipadua no mu ɔhaw ahorow a ɛntaa nsi.

Nanso ma ɛntra w’adwenem sɛ nhwehwɛmu afoforo wɔ hɔ a wobetumi de ahu saa tebea horow yi. Ebia wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu bɛboro biako.

Titiriw wɔ nyinsɛn mu no, wɔtaa yɛ dɔnhwerew biako glucose challenge nhwehwɛmu de hwɛ sɛ asikreyare a ɛwɔ nyinsɛn mu anaa . Sɛ nea efi mu ba no nyɛ nea ɛfata a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nnɔnhwerew abiɛsa anom glucose tolerance test (OGTT) de si so dua sɛ wɔahu yare no anaasɛ wɔapow tebea no.

Ɔkwan bɛn so ankasa na ɛsɛ sɛ obi siesie ne ho ma `(GTT)`?

Esiane sɛ GTT ahorow pii wɔ hɔ nti, ebia nsakrae kakra bɛba sɛnea ɛsɛ sɛ wusiesie wo ho no mu a egyina sɔhwɛ a woreyɛ no so. Nanso mpɛn pii no, nneɛma a ɛsɛ sɛ woyɛ ni:

• Ɛsɛ sɛ woka nnuru ne nnuru a wɔde ka ho a worenom nyinaa kyerɛ wo duruyɛfo, efisɛ nnuru bi betumi aka nea efi nhwehwɛmu no mu ba no. Ebia wo duruyɛfo bɛka akyerɛ wo sɛ gyae nnuru bi a wobɛnom nna kakraa bi ansa na wɔayɛ nhwehwɛmu no.
• Ɛsɛ sɛ wudidi sɛnea ɛsɛ anyɛ yiye koraa no nnansa ansa na woayɛ nhwehwɛmu no. Ɛho hia sɛ wudi nnuan a anyɛ yiye koraa no ɛma wunya carbohydrates gram 150 da biara.
• Nsakra wo da biara da dwumadi anaa apɔw-mu-teɛteɛ nhyehyɛe a wotaa yɛ no anyɛ yiye koraa no nnansa . Mfa wo ho nhyɛ apɔw-mu-teɛteɛ a emu yɛ den mu mpofirim ansa na woayɛ sɔhwɛ no.
• Ɛho behia sɛ wudi mmuada ansa na wɔayɛ sɔhwɛ no – eyi kyerɛ sɛ wuntumi nnidi anaa nnom biribi foforo biara a ɛnyɛ nsu anyɛ yiye koraa no nnɔnhwerew 8 (ebia ɛboro saa).
• Worentumi nnidi anaa nnom sigaret wɔ sɔhwɛ no nyinaa mu .

Wo duruyɛfo bɛma wo akwankyerɛ a emu da hɔ a ɛfa nea ɛsɛ sɛ woyɛ ankasa a egyina wo tebea ne GTT ko a worenya so. Ɛho hia paa sɛ wudi wɔn akyi pɛpɛɛpɛ. Sɛ wowɔ nsɛmmisa bi anaasɛ wonte biribi ase a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo, okay?

Dɛn na ɛkɔ so wɔ `(GTT)` da no?

Yɛaka ho asɛm dedaw sɛ ɔkwan a wɔfa so yɛ `(GTT)` no betumi ayɛ soronko a egyina sɔhwɛ no so. Momma yɛmfa nhwɛsoɔ bi a ɛkyerɛ sɛdeɛ wɔyɛ nnɔnhwerew mmienu `(Oral Glucose Tolerance Test - OGTT)` a wɔtaa yɛ no.

Mpɛn pii no, sɔhwɛ yi fi ase anɔpa, mpɛn pii no wɔ 7:00 kosi 9:00 a.m. Esiane sɛ wobɛkɔ ayaresabea anaa aduruyɛbea kosi sɛ sɔhwɛ no bɛba awiei nti, nyansa wom sɛ wode biribi a ɛbɛma woakɔ so ayɛ adwuma, te sɛ nhoma anaa nhoma a wɔde kyerɛw nsɛm bɛba.

Eyinom ne anammɔn a ɛtaa ba:

1. Nea edi kan no, oduruyɛfo anaa oduruyɛfo a ɔhwɛ ntini mu yare no bɛfa mogya afi wo ntini mu. Wɔde eyi susuw wo mogya mu glucose dodow a ɛwɔ mmuadadi mu.

2. Afei, wɔbɛma wo glucose aduru titiriw bi a wobɛnom. Mpɛn pii no, glucose bɛyɛ gram 75 a wɔapete wɔ nsu mililita 250-300 mu na ɛwɔ eyi mu. Wɔbɛkyerɛ wo sɛ nom saa aduru yi nyinaa wɔ simma anum ntam.Nanso, glucose dodow a wɔde ma mmofra nkumaa ne ɛnanom a wɔyem betumi ayɛ soronko. Saa glucose aduru yi yɛ dɛ yiye, te sɛ Gatorade a wɔde aduru a ɛyɛ dɛ ayɛ. Ebia nnipa binom behu sɛ dɛ no nyɛ dɛ kakra.

3. Bere a woanom glucose aduru no akyi nnɔnhwerew abien pɛpɛɛpɛ no, wobegye mogya foforo afi wo ntini mu de ahwɛ sɛnea wo mogya mu glucose dodow te. Ɛdenam nea enti a wɔyɛ nhwehwɛmu no so no, wobetumi agye mogya simma 30 biara, pɛnkoro dɔnhwerew biara, anaa mpɛn pii bere a wɔanom glucose aduru no awie no.

So `(GTT)` no mu nsakrae afoforo wɔ hɔ?

Yiw, `(GTT)` ahorow pii wɔ hɔ a wɔayɛ ama ahiade ahorow. Momma yɛnhwɛ nhwɛso kakraa bi:

• Dɔnhwerew biako glucose a wotumi gyina ano ho sɔhwɛ: Wɔtaa yɛ eyi de hwehwɛ asikreyare a ɛwɔ nyinsɛn mu mu. Wonom nsu a glucose gram 50 wom, na afei wosusuw asikre dodow a ɛwɔ wo mogya mu dɔnhwerew biako akyi. Mpɛn pii no, sɔhwɛ yi nhwehwɛ sɛ wodi mmuada.
• Nnɔnhwerew abiɛsa glucose tolerance test: Wɔ sɔhwɛ yi mu no, wɔfa mogya ansa na wɔanom glucose solution (bere a wɔadi mmuada akyi). Afei, wɔsan gye mogya dɔnhwerew biako, nnɔnhwerew abien, ne nnɔnhwerew abiɛsa bere a wɔanom glucose aduru no akyi.
• Glucose tolerance test for acromegaly: Wɔ nhwehwɛmu yi mu no, wo duruyɛfo no fa mogya a ɛnyɛ sɛ ɔde bɛhwɛ asikre dodow a ɛwɔ wo mogya mu, na mmom sɛnea ɛbɛyɛ a ɔbɛhwɛ sɛnea onipa nyin hormone (HGH) dodow a ɛwɔ wo mu no te. Sɛ wonom glucose aduru no wie a, wobetumi atwe wo mogya simma 30 biara nnɔnhwerew abien (kyerɛ sɛ, simma 30, 60, 90, ne 120).

Dɛn na ɛsɛ sɛ yɛhwɛ kwan bere a sɔhwɛ no aba awiei?

GTT no akyi no, wubetumi ayɛ wo da biara da dwumadi ahorow sɛnea wotaa yɛ no. Wubetumi nso afi ase adidi bio. Ebia ɛbɛyɛ papa sɛ wode aduan ketewaa bi bɛba abɛdi wɔ sɔhwɛ no akyi. Wo duruyɛfo bɛkyerɛ wo sɛ akwankyerɛ titiriw bi wɔ hɔ a, na ɔbɛma woahu bere a nea ebefi mu aba no nso bɛba.

Bere tenten ahe na egye na obi ahu sɔhwɛ no mu aba?

Mpɛn pii no, wobɛtumi anya ``GTT'' no aba wɔ adwuma nna kakraa bi mu. Nanso, saa bere yi betumi ayɛ soronko kakra wɔ lab biara mu. Enti mma ɛnhaw wo.

So nsunsuanso bɔne bi wɔ hɔ a efi `(GTT)` yi mu ba?

Mpɛn pii no glucose a wotumi gyina ano ho sɔhwɛ yɛ sɔhwɛ a ahobammɔ wom yiye . Nnipa dodow no ara nte nka sɛ wɔn ho nyɛ wɔn dɛ bere a wɔanom glucose aduru no awie no. Nanso, ebia nnipa binom bɛte nka sɛ wɔn ho ayɛ wɔn yaw kakra anaasɛ wɔn adwene mu yɛ wɔn naa. Nanso, nsunsuanso bɔne a anibere wom ntaa mma.

Mogya a wɔtwe yɛ ade a abu so yiye na ɛho hia wɔ aduruyɛ mu nhwehwɛmu mu. Wɔmfa asiane kɛse biara mma. Ebia wobɛte yaw kakra anaasɛ woapirapira kakra, nanso wɔbɛsa ntɛm.

Dɛn na `(GTT)` aba no ka ankasa?

Wo GTT aba amanneɛbɔ no bɛkyerɛ mogya mu glucose dodow bere biara a wɔtwee wo mogya no. Wɔ Sri Lanka no, wɔtaa susuw mogya mu glucose wɔ miligram wɔ deciliter biara mu (mg/dL).

Nsonsonoe a labs ne nnuruyɛfo ahorow de di dwuma de hu mogya mu asikre ho haw ahorow te sɛ asikreyare no betumi ayɛ soronko kakra, enti bere nyinaa hwɛ reference range a wɔde ama wɔ wo results report no so.

Mpɛn pii no, nnuruyɛfo de saa gyinapɛn ahorow yi di dwuma ma nnɔnhwerew abien OGTT:

• Sɛnea ɛte daa: Ennu 140 mg/dL.
• Asikreyare a edi kan: Ɛyɛ 140 mg/dL kosi 199 mg/dL ntam.
• Asikreyare: 200 mg/dL anaa nea ɛboro saa.

Saa gyinapɛn ahorow yi ne bere a wɔde gye mogya no betumi ayɛ soronko wɔ tebea afoforo te sɛ nyinsɛn mu asikreyare ne acromegaly ho. Sɛ nhwɛso no, onyin hormone nhwehwɛmu (GTT) a wɔde hwɛ sɛ acromegaly wɔ hɔ no hwɛ nsakrae a ɛba wɔ onyin hormone dodow mu. Wo duruyɛfo ne wo besusuw nea afi mu aba yi ho akɔ akyiri.

Sɛ nea efi mu ba no nyɛ nea ɛfata a, dɛn na ɛba akyi?

Fa no sɛ, nea ɛbɛba akyi sɛ wo `(GTT)` aba no nyɛ nea ɛfata, kyerɛ sɛ, `ɛnyɛ nea ɛnteɛ` a. Mma ɛnhaw wo, wo duruyɛfo bɛkyerɛ wo anammɔn a ɛsɛ sɛ woyɛ akyi no pefee. Ampa, ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ wohaw wo ho kakra na wosuro bere a nea efi mu ba no nyɛ nea ɛfata no. Nanso hu eyi, nnuruyɛfo nsi gyinae ntɛm ara sɛ wowɔ `prediabetes` anaa `asikreyare` esiane sɛ `(OGTT)` aba biako yɛ nea ɛnteɛ nti.

Ɛda adi sɛ ɛho behia sɛ wosan yɛ nhwehwɛmu koro no ara bio wɔ nna kakraa bi mu, anaasɛ wo duruyɛfo no nso betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo a ɛkyerɛ sɛ wubehu, te sɛ A1C nhwehwɛmu. Nanso, wo duruyɛfo no bɛka wo ho wɔ nhwehwɛmu no nyinaa mu. Mma ntwentwɛn wo nan ase sɛ wubebisa nsɛm biara a wowɔ na woaka nneɛma a ɛhaw wo ho asɛm.

Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka bere a wuhu sɔhwɛ bi a ɛnyɛ ne kwan so no. Nanso kae sɛ, GTT a efi mu ba a ɛnyɛ ne kwan so no nkyerɛ ankasa sɛ wowɔ asikreyare. Sɛ nea efi mu ba no kyerɛ sɛ asikre a ɛwɔ wo mogya mu no dɔɔso a, ɛda adi sɛ wo duruyɛfo no bɛyɛ nhwehwɛmu foforo de ahu yare no yiye. Nsuro sɛ wubebisa wo duruyɛfo nsɛm. Wɔwɔ hɔ sɛ wɔbɛboa wo.

Nneɛma a ɛho hia paa a ɛsɛ sɛ yɛde kɔ fie fi saa asɛm yi mu

Enti, Glucose Tolerance Test (GTT) a yɛkaa ho asɛm nnɛ no yɛ aduruyɛ mu sɔhwɛ a ɛho hia yiye a ɛboa yɛn ma yehu sɛnea yɛn nipadua de asikre di dwuma na ɛkora so pɛpɛɛpɛ, kyerɛ sɛ, glucose. Eyi boa titiriw wɔ nyarewa te sɛ asikreyare a wohu ntɛm no mu.

Ahosiesie kakra wɔ hɔ ansa na wɔayɛ sɔhwɛ no, na ɛno akyi di pɛpɛɛpɛ ho hia yiye na ama wɔanya nea efi mu ba no pɛpɛɛpɛ. Bere a wɔreyɛ nhwehwɛmu no, wobɛnom glucose nsu a ɛyɛ dɛ, na afei wɔbɛfa mogya mpɛn pii wɔ nnɔnhwerew kakraa bi mu.

Ade a ɛho hia sen biara ne sɛ woremmɔ hu, ɛmfa ho nea ebefi mu aba biara . Sɛ nea efi mu ba no yɛ nea ɛnteɛ mpo a, ɛnyɛ wiase awiei. Wo ne wo duruyɛfo nkasa yiye na hwehwɛ nea ɛsɛ sɛ woyɛ akyi ankasa. Kae sɛ, aduruyɛ mu tebea horow a wubehu ntɛm na wɔasa no ne ɔkwan a eye sen biara a wobɛfa so anya asetra a ahoɔden wom na anigye wom! Sɛ wowɔ nsɛmmisa bi a, ntwentwɛn wo nan ase sɛ wo ne oduruyɛfo bɛkasa.

` Glucose Tolerance Test, GTT, OGTT, Asikreyare, Asikre Sɔhwɛ, Nyinsɛn mu Asikreyare, Mogya mu Glucose