Ðe wò ɖɔkta ŋlɔ ‘GTT’ na wòa? Alo ɖewohĩ èse be ame aɖe le wò ƒomea me alo xɔ̃wò aɖe do dodokpɔ sia. Vɔvɔ̃ ɖoa ame aɖewo vie ne wose ŋkɔ sia. "Dodokpɔ ka ƒomevie nye esia? Ðe wòaveea? Ðe wònye dɔléle sesẽ aɖea?" wobua tame. Gake le nyateƒe me la, dodokpɔ bɔbɔe aɖee nye esia si wozãna zi geɖe tsɔ léa ŋku ɖe suklidɔ ŋu. Eyata, mina míakɔ nyabiase siwo katã le asiwò ku ɖe eŋu egbea la me.
Nukae nye Glucose Tolerance Test (GTT)?
Kpuie ko la, GTT nye dodokpɔ si dzidzea wò ŋutilã ƒe ŋutete be wòazã sukli, alo ‘sukli’ ahadzrae ɖo nyuie. Zi geɖe la ɖɔktawo zãa dodokpɔ sia tsɔ dea dzesi suklidɔ .
Bu eŋu kpɔ be nuɖuɖu siwo míeɖuna, vevietɔ carbohydrates abe bli, abolo, kple mɔli ene, naa sukli si míaƒe ŋutilã hiã hena ŋusẽdodo. Sukli siae naa ŋusẽ míaƒe ŋutilã ƒe lãmenugbagbeviwo abe mɔ̃memi ene. Míaƒe ʋu tsɔa sukli sia yia míaƒe ŋutilã katã me.
Mɔnu wɔnuku aɖe le míaƒe ŋutilã si be wòana míaƒe ʋumesukli ƒe agbɔsɔsɔ nanɔ agbɔsɔsɔ aɖe me. Nu vevitɔ si kpena ɖe esia ŋue nye lãmetsi aɖe si woyɔna be insulin . Míaƒe dɔgboae wɔa esia. Ne kuxi aɖe le sukli sia zazã le mɔ aɖe nu ŋu la, sukli ƒe agbɔsɔsɔ si le ʋu me ate ŋu adzi ɖe edzi. Míeyɔa esia be suklidɔ ƒe agbɔsɔsɔ si gbɔ eme . Ɣeaɖewoɣi la, sukli ƒe agbɔsɔsɔ le ʋu me hã ate ŋu aɖiɖi, si woyɔna be suklidɔ .
Eyata nusi GTT wɔnae nye be enaa sukli agbɔsɔsɔme aɖe koŋ wò eye wòléa ŋku ɖe alesi wò ŋutilã wɔa nui ɖe eŋu ŋu gaƒoƒo geɖe.
Ɣekaɣie wòle be woawɔ GTT?
Nɔnɔme geɖe li siwo me wò ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔ sia le. Wo dometɔ vevitɔwoe nye:
- Suklidɔ: Vevietɔ de dzesi nɔnɔmewo abe do ŋgɔ na suklidɔ, suklidɔ ƒomevi evelia, alo fufɔfɔ ƒe suklidɔ ene.
- Insulin ƒe dɔlélenutsiŋutete: Nɔnɔme si me ŋutilã ƒe lãmenugbagbeviwo mewɔa nu ɖe insulin ŋu nyuie o.
- Suklidɔ si nu sẽ: Lé ŋku ɖe sukli ƒe agbɔsɔsɔ si ɖiɖi le ʋu me le mɔ si mesɔ o nu le nuɖuɖu vɔ megbe kpuie.
- Acromegaly: De dzesi nɔnɔme aɖe si tso tsitsiŋusẽ ƒe dɔwɔwɔ fũu akpa gbɔ.
- De dzesi carbohydrate ƒe asitɔtrɔ le lãme na ame ƒe dɔléle aɖewo siwo mebɔ o.
Vevietɔ la, wowɔa dodokpɔ sia zi geɖe be woatsɔ ade dzesi fufɔfɔ ƒe suklidɔ, si nye nɔnɔme si ate ŋu adzɔ ɖe vidadawo dzi le fufɔɣi. Enye dodokpɔ si wowɔna zi geɖe le fufɔɣi.
Aleke wòle be madzra ɖo ɖe GTT dodokpɔ sia ŋu?
Ðɔktaa aɖe alesi wòle be nàdzra ɖo hafi dodokpɔ sia nava eme na wò nyuie. Mɔfiame mawo dzi wɔwɔ pɛpɛpɛ le vevie ŋutɔ be dodokpɔa me tsonu nade pɛpɛpɛ. Na míalé ŋku ɖe nu siwo wòle be nàwɔ zi geɖe la dometɔ aɖewo ŋu.
| Nusi woawɔ | Nuɖᴐɖᴐ |
|---|---|
| Nyanyanya tso atikewo zazã ŋu | Gblɔ atike siwo katã nèzãna, vitaminwo gɔ̃ hã, na wò ɖɔkta. Atike aɖewo ate ŋu akpɔ ŋusẽ ɖe dodokpɔa me tsonu dzi. Woate ŋu abia tso asiwò be nàdzudzɔ wo nono ŋkeke ʋɛ aɖewo do ŋgɔ na dodokpɔa. |
| Nuɖuɖu le mɔ si sɔ nu | Ŋkeke etɔ̃ do ŋgɔ na dodokpɔa la, ele be nàɖu nu abe alesi nèwɔnɛ ɖaa ene. Ele be nàxɔ carbohydrates gram 150 ya teti gbesiagbe. Ema fia be nàɖu bli, amagbewo, kple atikutsetsewo ƒe akpa si nèzãna ɖaa abe alesi nèwɔnɛ ɖaa ene. |
| Dɔwɔna siwo wowɔna le goawo katã me | Ƒo asa na kamedede fũu akpa le ŋkeke siwo do ŋgɔ na dodokpɔa me. Yi wò gbesiagbedɔ siwo nèwɔna ɖaa dzi. |
| Nutsitsidɔ | Mele be nàɖu alo ano naneke gaƒoƒo 8 ya teti hafi dodokpɔa nadze egɔme o. Menyo be nàno tsi vi aɖe o. |
| Le dodokpɔa wɔɣi | Ne dodokpɔa nya dze egɔme ko la, màte ŋu aɖu nu, ano nu (negbe tsi ko), alo ano atama naneke vaseɖe esime wòawu enu o. |
Nukae dzɔna le dodokpɔa wɔɣi?
Zi geɖe la, wowɔa GTT dodokpɔa le ŋdi me. Ele be nànɔ kɔdzi alo dodokpɔxɔ me gaƒoƒo ʋɛ aɖewo vaseɖe esime wowu dodokpɔa nu, eyata anyo be nàtsɔ nane abe agbalẽ ene ɖe asi.
Mina míakpɔ nusi dzɔna le gaƒoƒo eve ƒe GTT si ame geɖe lɔ̃a wɔwɔ wu me ɖa:
1. Ʋu gbãtɔ: Gbã la, woaɖe ʋu aɖe le asiwò. Esia nye be nàlé ŋku ɖe sukli si le wò ʋu me le nutsitsidɔ me ŋu.
2. No sukli si me wodea amii: Emegbe woana tsi vivi aɖe wò be nàno. Wowɔa esia to sukli si ade gram 75 tsɔtsɔ ƒo tsi me. Woabia tso asiwò be nànoe katã le miniti 5 me. Esia ate ŋu avivi na ame aɖewo vie. Ele abe amititsetse me nunono si me sukli le ene. Sukli agbɔsɔsɔme si wonaa ɖeviwo kple funɔwo ate ŋu ato vovo.
3. Ʋu si woatsɔ akplɔe ɖo: Le tsia nono gaƒoƒo eve pɛpɛpɛ megbe la , woagaxɔ ʋu bubu le asiwò. Ɣeaɖewoɣi la, ɖɔkta ate ŋu axɔ ʋu zi geɖe, anɔ abe gaƒoƒo afã ɖesiaɖe ene, ne ehiã.
GTT ƒomevi bubuwo
- Gaƒoƒo ɖeka ƒe GTT: Esia nye dodokpɔ si wozãna zi geɖe tsɔ doa funɔwo kpɔna be suklidɔ hã le wo ŋu hã. Wonaa suklinono si ƒe kpekpeme nye gram 50 eye woɖea ʋu le gaƒoƒo ɖeka megbe. Zi geɖe la, esia mehiã be woatsi nu dɔ o.
- Gaƒoƒo etɔ̃ ƒe GTT: Woɖea ʋu hafi noa suklidɔ, eye emegbe gaƒoƒo ɖesiaɖe hena gaƒoƒo etɔ̃.
- GTT na Acromegaly: Esia medzidzea sukli le ʋu me o, ke boŋ tsitsi ƒe lãmetsi (HGH) ƒe agbɔsɔsɔ. Eléa ŋku ɖe eŋu be lãmetsi ma dzi ɖena kpɔtɔna le sukli nono vɔ megbe hã.
Nukae dzɔna le dodokpɔa megbe? Ðe eƒe nugbegblẽ le ame ŋu aɖewo lia?
Ne dodokpɔa wu enu ko la, àte ŋu ayi wò dɔa dzi abe ale si nèwɔnɛ ɖaa ene. Àte ŋu aɖu nu ake hã. Esi wònye be màɖu nu gaƒoƒo geɖe o ta la, anyo be nàtsɔ numeɖenu sue aɖe ɖe asi.
GTT nye dodokpɔ si le dedie ŋutɔ .
Ame aɖewo ate ŋu ase le wo ɖokui me be woƒe ta natsi vie alo woƒe lãme nasẽ le tsi si me sukli le nono vɔ megbe. Gake esia sɔ. Ƒã hafi eƒe nugbegblẽ le ame ŋu vevie. Ðewohĩ abi kple abi aɖewo anɔ afisi woɖe ʋua le. Gake ema nu ayi le ŋkeke ɖeka alo eve megbe.
Aleke míase GTT ƒe Nyatakakaa me tsonu gɔmee?
Wò nyatakaka aɖe wò ʋumesukli ƒe agbɔsɔsɔ afia le mg/dL (miligram le desilita ɖeka me) me le ʋudodokpɔ ɖesiaɖe me. Zi geɖe la, woɖea gaƒoƒo eve ƒe GTT me tsonu gɔme ale:
| Sukli ƒe agbɔsɔsɔ le ʋu me le gaƒoƒo 2 megbe | Gɔmeɖeɖe |
|---|---|
| Esi mede 140 mg/dL o | Normal - Wò ŋutilã kpɔa sukli dzi nyuie. |
| Le 140 mg/dL kple 199 mg/dL dome | Do ŋgɔ na suklidɔ - Nɔnɔme si me afɔku le. Woate ŋu axe mɔ ɖe suklidɔ nu ne wowɔ tɔtrɔ le agbenɔnɔ ŋu. |
| 200 mg/dL alo esi wu nenema | Suklidɔ - Suklidɔ ate ŋu anye dɔléle si wokpɔna. |
Nu vevitɔ kekeakee nye be, mègadze agbagba be yeaɖe dzidzenu siawo gɔme le ɖokuiwò si o. Ele vevie be nàdzro nyatakakaa me kple wò ɖɔkta, elabena dzidzenu siawo ate ŋu atrɔ le nɔnɔmewo abe fufɔfɔ ƒe suklidɔ ene me.
Ne emetsonuwo mesɔ o la, nukae nàwɔ kplɔe ɖo?
Mègatsi dzi ne asixɔxɔ aɖe si le nyatakakaa dzi to vovo vie o. Ðɔkta matso nya me be suklidɔ le ŋuwò le esi GTT dodokpɔ ɖeka me tsonu mesɔ o ta ko o.
Zi geɖe la, wò ɖɔkta abia tso asiwò be nàgawɔ dodokpɔa ake ŋkeke bubu, alo woawɔ dodokpɔ bubu abe A1C ene atsɔ aɖo kpe edzi. Aleke kee wòɖale o, wò ɖɔkta aɖe nusianu si wòle be nànya la me na wò. Bia nya alo nya ɖesiaɖe si ŋu nètsi dzi ɖo ɣemaɣi. Nyatakaka siwo sɔ xɔxɔ nye afɔɖeɖe gbãtɔ si ana nànɔ lãmesẽ me.
Gbedasi si Wotsɔ Yi Aƒeme
- Glucose Tolerance Test (GTT) menye naneke si ŋu woavɔ̃ ɖo o. Enye dodokpɔ si sɔ, si le dedie, si léa ŋku ɖe alesi ŋutilãa zãa sukli ŋu.
- Ele vevie be woawɔ ɖe ɖɔkta ƒe mɔfiamewo dzi (abe nutsitsidɔ ene) do ŋgɔ na dodokpɔ sia pɛpɛpɛ be woakpɔ emetsonu siwo de pɛpɛpɛ.
- Le dodokpɔa wɔɣi la, ènoa tsi vivi aɖe eye emegbe nèɖea ʋu zi geɖe le gaƒoƒo geɖe me.
- Mègatsi dzodzodzoe ne emetsonuwo mesɔ o. Ƒã hafi dodokpɔ ɖeka ɖeɖe sɔ gbɔ be woatsɔ anya dɔlélea.
- Vevietɔ wu: Ne ènya xɔ wò dodokpɔ ŋuti nyatakaka ko la, kpɔ egbɔ be yetsɔe fia wò ɖɔkta eye nàdzro eme kplii. Mègawɔ nyametsotsowo gbeɖe o.
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