Aleke gbegbee wò ŋutilã ɖua sukli dzii? Mina míasrɔ̃ nu tso Glucose Tolerance Test (GTT) ŋu le mɔ bɔbɔe aɖe nu!

Èse suklidɔ ƒe dodokpɔ, alo GTT kpuie kpɔa? Ðewohĩ wò ɖɔkta gblɔe na wò, alo ɖewohĩ èbia gɔ̃ hã be woawɔe. Esia nye dodokpɔ vevi aɖe ŋutɔ si léa ŋku ɖe eŋu be wò ŋutilã le sukli, alo sukli zãm alo le edzram ɖo ŋutɔŋutɔ hã. Zi geɖe la, ɖɔktawo zãa dodokpɔ sia tsɔ dea dzesi nɔnɔmewo abe suklidɔ ene. Gake mɔ bubuwo li siwo dzi woato anya suklidɔ, abe A1C dodokpɔ kple suklidɔ dodokpɔ le nutsitsidɔ me ene.

Eyata nukae nye suklidɔ ƒe mɔɖeɖe ɖe nu ŋu dodokpɔ (`GTT`) sia?

Kpuie ko la, míaƒe ŋutilã kpɔa ŋusẽ tso nuɖuɖu siwo míeɖuna me, vevietɔ nuɖuɖu siwo me carbohydrates sɔ gbɔ ɖo. Esiae naa ŋusẽ míaƒe lãmenugbagbeviwo be woawɔ dɔ. Míaƒe ŋutilã hã dzraa sukli sia ɖo hena zazã emegbe, vevietɔ le míaƒe lãmekawo kple aklã me. Woyɔa sukli sia si wodzra ɖo la be glycogen.

Eyata be sukli ƒe agbɔsɔsɔ si le míaƒe ʋu me nanɔ agbɔsɔsɔ aɖe me la, nuwɔna vovovowo yia edzi le míaƒe ŋutilã me. Le wo dome la , lãmetsi si woyɔna be insulin ye wɔa akpa vevitɔ . Wowɔa insulin sia le míaƒe dɔgbo me. Ne kuxi aɖe le alesi míaƒe ŋutilã zãa sukli ŋu la, zi geɖe la, sukli si le ʋu me ate ŋu adzi ɖe edzi. Emae nye nusi míeyɔna be suklidɔ ƒe agbɔsɔsɔ fũ. Azɔ hã, ɣeaɖewoɣi la, sukli ƒe agbɔsɔsɔ le ʋu me ate ŋu aɖiɖi, eye woyɔa nɔnɔme ma be suklidɔ.

GTT ƒomevi vovovowo li. Nusi wozãna wue nye Oral Glucose Tolerance Test (OGTT), si bia be woana suklidɔ ƒe tsi to nu me.

Enye nusi sɔ be nàtsi dzodzodzoe vie hafi woadoe kpɔ le atikewɔwɔ me. Gake ɖo ŋku edzi be nu vevitɔ kekeakee nye be woana nyanya wò. Nuka kee ado tso eme o, àsrɔ̃ nu geɖe tso wò ŋutilã ŋu wu alesi nènyae tsã. Ne èzã nyatakaka mawo la, wò kple wò ɖɔkta miate ŋu awɔ ɖoɖo nyuitɔ kekeake ɖe miaƒe lãmesẽ ŋu le etsɔme.

Nɔnɔme kawo mee wòahiã be nàwɔ `(GTT)` sia le?

Wò ɖɔkta ate ŋu ado susu ɖa be nàwɔ GTT be nàlé ŋku ɖe nɔnɔme siwo gbɔna dometɔ aɖe ŋu alo aɖo kpe edzi be ele wo ŋu:

• Suklidɔ – zi geɖe la, suklidɔ do ŋgɔ na suklidɔ, suklidɔ ƒomevi 2, alo fufɔfɔ ƒe suklidɔ.
• Nɔnɔme aɖe si woyɔna be insulin ƒe dɔlélenutsiŋutete.
• Reactive hypoglycemia – Esia nye sukli ƒe agbɔsɔsɔ si dzi ɖena kpɔtɔna le ʋu me le nuɖuɖu vɔ megbe.
• Acromegaly nye lãmetsiŋusẽ ƒe dɔléle.
• Carbohydrate ƒe asitɔtrɔ le lãmenugbagbeviwo ŋu ƒe dɔléle siwo mebɔ o.

Gake nenɔ susu me na wò be dodokpɔ bubuwo li siwo woate ŋu azã atsɔ anya dɔléle siawo. Wò ɖɔkta ate ŋu aɖe gbe be woado wo kpɔ wu zi ɖeka.

Vevietɔ le fufɔɣi la, zi geɖe la, wowɔa suklidɔ ƒe dodokpɔ gaƒoƒo ɖeka tsɔ léa ŋku ɖe suklidɔ le fufɔfɔ me ŋu . Ne nusiwo do tso eme mesɔ o la, wò ɖɔkta ate ŋu abia be woawɔ gaƒoƒo etɔ̃ ƒe suklidɔ ƒe mɔɖeɖe ɖe nu me ƒe dodokpɔ (OGTT) atsɔ aɖo kpe dɔlélea dzi alo agbe dɔlélea.

Aleke tututu wòle be ame nadzra ɖo ɖe `(GTT)` ŋu?

Esi wònye be GTT ƒomevi vovovowo li ta la, vovototo sue aɖewo ate ŋu anɔ alesi wòle be nàdzra ɖoe me le dodokpɔ si wɔm nèle nu. Gake le goawo katã me la, nusiwo wòle be nàwɔe nye esi:

• Ele be nàgblɔ atike kple kpeɖeŋutɔ siwo katã nèzãna na wò ɖɔkta, elabena atike aɖewo ate ŋu akpɔ ŋusẽ ɖe dodokpɔa me tsonu dzi. Wò ɖɔkta ate ŋu abia tso asiwò be nàdzudzɔ atike aɖewo nono ŋkeke ʋɛ aɖewo do ŋgɔ na dodokpɔa.
• Ele be nàɖu nu le mɔ si sɔ nu ŋkeke etɔ̃ ya teti hafi adoe kpɔ. Ele vevie be woaɖu nuɖuɖu siwo naa carbohydrates gram 150 ya teti gbesiagbe.
• Mègatrɔ wò gbesiagbedɔwo alo kamedede ƒe ɖoɖo si nèwɔna ɖaa o ŋkeke etɔ̃ ya teti . Mègaƒo ɖokuiwò ɖe kamedede sesẽ me zi ɖeka hafi dodokpɔa nadze egɔme o.
• Ahiã be nàtsi nu adɔ hafi dodokpɔa nadze egɔme – esia fia be màte ŋu aɖu nu alo ano naneke tsɔ wu tsi o gaƒoƒo 8 ya teti (ɖewohĩ wu nenema).
• Màte ŋu aɖu nu alo ano atama le dodokpɔ bliboa me o .

Wò ɖɔkta ana mɔfiame siwo me kɔ wò ku ɖe nusi tututu nàwɔ ŋu le wò nɔnɔmea kple GTT ƒomevi si nèle wɔwɔm nu. Ele vevie ŋutɔ be míadze wo yome pɛpɛpɛ. Ne nya aɖe le asiwò alo mèse nane gɔme o la, mègahe ɖe megbe le wò ɖɔkta biabia me o, enyoa?

Nukae dzɔna le `(GTT)` ƒe ŋkekea dzi?

Míeƒo nu tso eŋu xoxo be alesi wowɔa `(GTT)` ate ŋu ato vovo le dodokpɔ ƒomevi si wowɔ nu. Mina míatsɔ alesi wowɔa gaƒoƒo eve ƒe `(Oral Glucose Tolerance Test - OGTT)` si wowɔna zi geɖe wu ƒe kpɔɖeŋu.

Zi geɖe la, dodokpɔ sia dzea egɔme tso ŋdi me, zi geɖe le ŋdi ga 7:00 kple 9:00 dome.

Esiawoe nye afɔɖeɖe siwo dzɔna zi geɖe:

1. Gbã la, ɖɔkta alo ʋumenugbagbeviɣidɔdala aɖe axɔ ʋu le wò ʋuka me. Wozãa esia tsɔ dzidzea wò ʋumesukli ƒe agbɔsɔsɔ le nutsitsidɔ me.

2. Emegbe, woana suklidɔ tɔxɛ aɖe wò be nàno. Zi geɖe la, sukli si ade gram 75 si wotsɔ ƒo tsi mililita 250-300 me nɔa esia me. Woafia wò be nàno atike siawo katã le miniti atɔ̃ me.Gake sukli agbɔsɔsɔme si wonaa ɖevi suewo kple vidada funɔwo ate ŋu ato vovo. Glucose-tsi sia vivina ŋutɔ, abe Gatorade si me wode nu vivii ene. Ðewohĩ ame aɖewo akpɔe be vivia mevivina vie o.

3. Gaƒoƒo eve pɛpɛpɛ le suklidɔa nono vɔ megbe la, woagaɖe ʋu bubu le wò ʋuka me be woatsɔ akpɔ wò ʋumesukli ƒe agbɔsɔsɔ. Le susu si ta wowɔ dodokpɔa le nu la, woate ŋu ano ʋu le miniti 30 ɖesiaɖe me, zi ɖeka le gaƒoƒo ɖeka me, alo zi geɖe le suklidɔa nono vɔ megbe.

Ðe `(GTT)` ƒe vovototo bubuwo lia?

Ẽ, `(GTT)` ƒe vovototo geɖewo li siwo wowɔ ɖe hiahiã vovovowo nu. Na míalé ŋku ɖe eƒe kpɔɖeŋu ʋɛ aɖewo ŋu:

• Gaƒoƒo ɖeka ƒe suklidɔ ƒe dodokpɔ: Zi geɖe la, wowɔa esia tsɔ doa suklidɔ le fufɔfɔ me kpɔ. Ènoa tsi si me sukli gram 50 le, eye emegbe wodzidzea wò ʋumesukli ƒe agbɔsɔsɔ le gaƒoƒo ɖeka megbe. Zi geɖe la, dodokpɔ sia mehiã be woatsi nu adɔ o.
• Gaƒoƒo etɔ̃ ƒe sukli ƒe mɔɖeɖe ɖe nu ŋu dodokpɔ: Le dodokpɔ sia me la, woɖea ʋu hafi noa sukli ƒe tsi (le nutsitsidɔ megbe). Emegbe, wogaxɔa ʋu le gaƒoƒo ɖeka, gaƒoƒo eve, kple gaƒoƒo etɔ̃ megbe le sukli si me wodea amii nono vɔ megbe.
• Glucose tolerance test for acromegaly: Le dodokpɔ sia me la, wò ɖɔkta xɔa ʋu be yeatsɔ akpɔ wò ʋumesukli ƒe agbɔsɔsɔ o, ke boŋ be yeatsɔ akpɔ wò amegbetɔ ƒe tsitsi ƒe lãmetsi (HGH) ƒe agbɔsɔsɔ. Ne èno suklitsia vɔ la, woate ŋu aɖe wò ʋu le miniti 30 ɖesiaɖe me hena gaƒoƒo eve (si fia be le miniti 30, 60, 90, kple 120 me).

Nukae woakpɔ mɔ na ne dodokpɔa wu enu?

Le GTT megbe la, àte ŋu awɔ wò gbesiagbedɔwo abe alesi nèwɔnɛ ɖaa ene. Àte ŋu agadze nuɖuɖu gɔme ake. Ðewohĩ anyo be nàtsɔ numeɖenu aɖe ɖe asi aɖu le dodokpɔa megbe. Wò ɖɔkta agblɔ na wò ne mɔfiame tɔxɛ aɖewo li, eye wòana nànya ɣekaɣie emetsonuwo ava.

Ɣeyiɣi didi kae wòxɔna hafi woate ŋu anya dodokpɔa me tsonu?

Zi geɖe la, àteŋu akpɔ ``GTT'' ƒe emetsonuwo le dɔwɔŋkeke ʋee aɖewo me. Gake ɣeyiɣi sia ate ŋu ato vovo vie tso dodokpɔxɔ ɖesiaɖe me. Eyata mègatsi dzi o.

Ðe nugbegblẽ aɖewo li tso `(GTT)` sia gbɔa?

Zi geɖe la , suklidɔ ƒe mɔɖeɖe ɖe nu ŋu dodokpɔ nyea dodokpɔ si le dedie ŋutɔ . Ame akpa gãtɔ mesea veve aɖeke le suklidɔa nono vɔ megbe o. Ke hã, ame aɖewo ate ŋu ase le wo ɖokui me be yewole ʋuʋum vie alo yewoƒe ta natsi. Gake ƒã hafi eƒe nugbegblẽ le ame ŋu vevie.

Ʋuɖeɖe nye atikewɔwɔ me dodokpɔ ƒe akpa si bɔ ŋutɔ eye wòhiã. Womehea afɔku gã aɖeke vɛ o. Àte ŋu ase veve vie alo abi vie, gake woahaya kaba.

Nuka tututue `(GTT)` ƒe emetsonuwo gblɔ?

Wò GTT ƒe dodokpɔ me tsonu ŋuti nyatakaka aɖe sukli ƒe agbɔsɔsɔ si le ʋu me afia le ɣeyiɣi ɖesiaɖe si woɖe wò ʋu me. Le Sri Lanka la, zi geɖe la, wodzidzea sukli si le ʋu me le miligram ɖeka me (mg/dL).

Agbɔsɔsɔme siwo dodokpɔxɔ vovovowo kple ɖɔktawo zãna tsɔ dea dzesi ʋumesukli ƒe kuxiwo abe suklidɔ ene ate ŋu ato vovo vie, eyata kpɔ nufiame ƒe didime si wona le wò emetsonuwo ŋuti nyatakaka me ɣesiaɣi.

Le goawo katã me la, ɖɔktawo zãa dzidzenu siawo hena gaƒoƒo eve ƒe OGTT:

• Nusi sɔ: mede 140 mg/dL o.
• Do ŋgɔ na suklidɔ: Enɔa 140 mg/dL kple 199 mg/dL dome.
• Suklidɔ: 200 mg/dL alo esi wu nenema.

Dzidzenu siawo kple ʋudodo ƒe dometsotsowo ate ŋu ato vovo le nɔnɔme bubuwo abe fufɔfɔ me suklidɔ kple acromegaly ene gome. Le kpɔɖeŋu me, tsitsime lãmetsiŋusẽ dodokpɔ (GTT) si wowɔna tsɔ léa ŋku ɖe acromegaly ŋu la daa tɔtrɔ siwo vaa tsitsimeŋusẽ ƒe agbɔsɔsɔ me kpɔna. Wò ɖɔkta adzro emetsonu siawo me kpli wò tsitotsito.

Ne emetsonuwo mesɔ o la, nukae adzɔ emegbe?

Bu eŋu kpɔ, nusi adzɔ emegbe ne wò `(GTT)` ƒe emetsonuwo mesɔ o, si fia be `womesɔ o`. Mègatsi dzi o, wò ɖɔkta agblɔ afɔɖeɖe siwo nàɖe kplɔe ɖo na wò eme kɔ. Nyateƒee, esɔ be nàtsi dzimaɖi vie ahanɔ vɔvɔ̃m ne nusi do tso eme mesɔ o. Gake nya esia, ɖɔktawo metsoa nya me enumake be `prediabetes` alo `suklidɔ` le ŋuwò le esi `(OGTT)` ƒe emetsonu ɖeka mesɔ o ta ko o.

Anɔ eme be ahiã be nàgawɔ dodokpɔ ma ke ake le ŋkeke ʋɛ aɖewo megbe, alo wò ɖɔkta ate ŋu abia be woagawɔ dodokpɔ bubu si woatsɔ anya dɔlélea abe A1C dodokpɔ ene hã. Gake wò ɖɔkta anɔ kpli wò le dɔlélewo didi ƒe ɖoɖo bliboa me. Mègahe ɖe megbe le nya ɖesiaɖe si le asiwò la biabia kple nuƒoƒo tso nusiwo ŋu nètsi dzi ɖo ŋu o.

Enye nusi sɔ be vɔvɔ̃ naɖo ŋuwò ne èkpɔ dodokpɔ me tsonu si mesɔ o. Gake ɖo ŋku edzi be GTT ƒe dodokpɔ si mesɔ o mefia kokoko be suklidɔ le ŋuwò o. Ne emetsonuwo ɖee fia be sukli sɔ gbɔ ɖe wò ʋu me la, anɔ eme be wò ɖɔkta agawɔ dodokpɔ bubuwo atsɔ anya dɔlélea si ŋu kakaɖedzi le. Mègavɔ̃ be yeabia nya wò ɖɔkta o. Wole afima be yewoakpe ɖe ŋuwò.

Nu vevitɔ kekeake siwo wòle be míatsɔ ayi aƒemee tso ŋutinya sia me

Eyata, Glucose Tolerance Test (GTT) si ŋu míeƒo nu tsoe egbea nye atikewɔwɔ me dodokpɔ vevi aɖe ŋutɔ si kpena ɖe mía ŋu míenya alesi tututu míaƒe ŋutilã zãa sukli, si nye sukli, hedzranae ɖo. Esia kpena ɖe ame ŋu vevietɔ le dɔlélewo abe suklidɔ ene didi kaba me.

Dzadzraɖo vi aɖe li do ŋgɔ na dodokpɔa, eye edziwɔwɔ pɛpɛpɛ le vevie ŋutɔ be emetsonuwo nade pɛpɛpɛ. Le dodokpɔa wɔɣi la, àno suklitsi vivi aɖe, eye emegbe woaɖe ʋu zi geɖe le gaƒoƒo ʋɛ aɖewo me.

Nu vevitɔ kekeakee nye be màgatsi dzodzodzoe o, eɖanye nuka kee ado tso eme o . Ne emetsonuwo mesɔ o hã la, menye xexeame ƒe nuwuwu o. Ðo dze kple wò ɖɔkta nyuie eye nànya nusi tututu nàwɔ akplɔe ɖo. Ðo ŋku edzi be atikewɔwɔ me nɔnɔmewo didi kaba ahada woe nye mɔ nyuitɔ si dzi nàto anɔ agbe si me lãmesẽ le, si me dzidzɔ le! Ne nya aɖe le asiwò la, mègahe ɖe megbe le nuƒoƒo kple ɖɔkta me o.

` Suklidɔ ƒe Mɔɖeɖe ɖe Dɔléle Ŋu Dodokpɔ, GTT, OGTT, Suklidɔ, Sukli Dodokpɔ, Fufɔfɔ ƒe Suklidɔ, Ʋu me Suklidɔ