Yu gɛt bɛlɛ lɛk 24 ɔ 28 wiks? Dɔn yu dɔktɔ kin dɔn aks yu fɔ mek dɛn du ‘ shuga chɛk’. Bɔku mama dɛn kin fred smɔl ɛn wɔri we dɛn yɛri dis. Kwɛshɔn dɛm lɛk "A go gɛt dayabitis ?", "Dis tɛst at?", "Sɔmtin go apin to di pikin?" kam na yu maynd. Bɔt fɔ tru, natin nɔ de fɔ fred. Dis na wan tɛst we dɛn kin du we uman gɛt bɛlɛ . Lɛ wi tɔk bɔt ɔltin simpul ɛn klia we tide.
Wetin mek dis shuga tɛst impɔtant so?
We wi gɛt bɛlɛ, di ɔmon dɛn na wi bɔdi kin chenj bɔku bɔku wan. Bikɔs ɔf dɛn chenj ya, sɔntɛnde i kin at fɔ mek wi bɔdi kɔntrol di shuga (glukɔs) we de na wi blɔd. Dɔn di shuga we de na di blɔd kin go ɔp pas aw i nid. Dɛn kɔl dis sik we dɛn kɔl gestational diabetes .
dis na kכmכn kכndyushכn we kin afekt bכt 10% pan di bεlε uman dεm. Bɔt if dɛn nɔ no am fayn ɛn mɛn am, i kin mek yu ɛn yu pikin gɛt prɔblɛm. Na dat mek dɛn kin du dis shuga tɛst fɔ no dis sik kwik kwik wan.
Tu kayn tɛst dɛn ya de.
Dis blɔd shuga tɛst we yu dɔktɔ tɛl yu fɔ du kin rili gɛt tu tin dɛn. Nɔto ɔlman go gɛt fɔ go na di sɛkɔn step.
1. Fɔs tɛst (Glucose Challenge Test): Dis tan lɛk tɛst. Dɛn kin du am fɔ si if yu de pan denja fɔ gɛt dayabitis we yu gɛt bɛlɛ . Dis na tɛst we dɛn kin du fɔ chɛk pɔsin .
2. Sεkכn tεst (Oral Glucose Tolerance Test - OGTT): dεn kin du dis sεkכn tεst כnli if di rizulεt fכ di fכs tεst nכ nכmal. Dis na wetin de kɔnfyus if yu gɛt gestational dayabitis ɔ yu nɔ gɛt.
Fɔ tɔk am simpul wan, if di fɔs wan mek pipul dɛn gɛt dawt, di sɛkɔn wan de sho se dɛn gɛt da dawt de.
| Nem fɔ di tɛst | Wetin mek yu de du dis? | Taym we dɛn spɛn |
|---|---|---|
| Glukɔs Chalenj Tɛst (Tɛst fɔ ɛvri awa) . | Skrin fɔ no if risk de fɔ gɛt gestational dayabitis. | Na lɛk wan awa so. |
| Ɔral Glukɔs Tolɛreshɔn Tɛst - OGTT (Tri-Awa Tɛst) . | Fɔ kɔnfɔm wit shɔ if yu gɛt gestational dayabitis (Diagnosis). | I pas tri awa. |
Ustɛm dɛn kin du dis tɛst?
dis fכs blכd shuga tεst kin bi bitwin 24 εn 28 wiks we uman bεlε . Bɔt if yu gɛt ɛni wan pan dɛn tin ya we kin mek yu gɛt dis sik, yu dɔktɔ kin tɛl yu fɔ du dis tɛst bifo tɛm.
- If yu bin gɛt dayabitis we yu bin gɛt bɛlɛ bifo.
- If ɛnibɔdi na yu famili (mama, papa, brɔda ɛn sista) gɛt dayabitis.
- If yu gɛt bɔku bɔku bɔdi ( obese ).
- If yu dɔn pas 35 ia.
- If yu gɛt ay blɔd prɛshɔn .
- If yu gɛt ɔda mɛrɛsin lɛk PCOS ( Polycystic Ovary Syndrome ).
- If wan rutin tɛst detekt shuga na yu urine.
Aw fɔ rɛdi fɔ di tɛst ɛn aw fɔ du am?
Di we aw wi fɔ pripia fɔ dɛn tu tɛst ya difrɛn smɔl.
Fɔs tɛst (wan awa tɛst) .
Dis nɔ nid fɔ pripia bɔku. Yu kin it nɔmal wan. Bɔt dɔktɔ dɛn kin advays yu nɔ fɔ it bɔku swit it dɛn (e.g., kek, donut, drink we gɛt shuga) di mɔnin bifo di tɛst, bikɔs dis kin afɛkt di rizɔlt.
Aw fɔ du am:
1. We yu go na di lab, dɛn go gi yu swit drink (Glucola) we gɛt 50 gram glukɔs. Yu fɔ drink dis kwik kwik wan insay 5 minit.
2. Eksakto wan awa afta yu drink am, dem go tek smol blɔd na wan vein we de na yu an.
3. Yu no fit it o drink eni oda tin fo dis awa. I nɔ bad fɔ drink smɔl wata.
Di impɔtant tin na dat, ivin if dis fɔs tɛst sho se yu blɔd shuga lɛvɛl dɔn ay smɔl, i nɔ min se yu gɛt dayabitis. I jɔs min se yu nid fɔ du sɛkɔn tɛst.
Di sɛkɔn, big tɛst (di tri awa OGTT) .
Dis kin apin nɔmɔ if di tin dɛn we kin kɔmɔt frɔm di fɔs wan nɔ kin fayn. Dis nid fɔ rɛdi gud gud wan.
Aw fɔ pripia:
- Yu fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Bɔrku tɛm, dɛn kin tɛl yu fɔ fast fɔ 8-12 awa bifo di tɛst. Dat min se yu nɔ go ebul fɔ it ɔ drink ɛnitin afta 10 oklɔk na nɛt te di tɛst dɔn na mɔnin. I nɔ bad fɔ drink smɔl wata.
- I bɛtɛ fɔ mek yu tek dis tɛst fɔs na mɔnin.
Aw fɔ du am:
1. We yu go na di lab, dɛn go fɔs tek blɔd sɛmpul fɔ chɛk yu blɔd shuga lɛvɛl we yu de fast .
2. Dɔn, dɛn go gi yu swit drink we gɛt 100 gram glukɔs.
3. Dɛn kin tek blɔd sɛmpul bak wan awa, tu awa, ɛn tri awa afta dɛn dɔn drink am. Dat min se dɛn kin tek wan ɔl 4 blɔd sɛmpul dɛn.
4. Yu get fo ste fo lab fo dis tri awa. So if yu kam wit sɔntin lɛk buk, yu nɔ go bost. Yu nɔ go ebul fɔ it insay dis tɛm sɛf. Yu kin drink sɔm wata.
Sɔm pipul dɛn kin fil smɔl nauses ɔ diziz afta dɛn dɔn drink dis wata we gɛt shuga, bɔt dat na nɔmal tin.
Aw fɔ ɔndastand di tin dɛn we kin apin?
Yu dɔktɔ go ɛksplen to yu di rizɔlt we yu gɛt am, bɔt i fayn fɔ no wetin na di nɔmal valyu dɛm.
| Tɛst | Avrej valyu (i fɔ smɔl pas dis) . |
|---|---|
| Glukɔs Chalenj Tɛst | 140 mg/dL, ɛn di ɔda wan dɛn |
| Tri awa ɔral glukɔs tolɛreshɔn tɛst (OGTT) . | |
| Fɔ fast | 95 mg/dL |
| Afta wan awa | 180 mg/dL |
| Afta tu awa | 155 mg/dL |
| Afta tri awa | 140 mg/dL, ɛn di ɔda wan dɛn |
If tu ɔ mɔ pan dɛn valyu ya pas di nɔmal we dɛn de du di tri awa tɛst, yu dɔktɔ go kɔnfirm se yu gɛt dayabitis we yu gɛt bɛlɛ.
Wetin yu kin du if dɛn tɛl yu se yu gɛt dayabitis?
Nɔ wɔri. Dis na kɔndishɔn we pɔsin kin ebul fɔ kɔntrol. Yu dɔktɔ go ɛp yu. Bɔku tɛm, yu go nid fɔ:
- Kɔntrol di it: Yu nid fɔ ridyus swit ɛn stach it ɛn yus to balans it.
- Ɛksesaiz: Yu kin du simpul ɛgzampul dɛn we go fayn fɔ yu, lɛk aw yu dɔktɔ tɛl yu fɔ du.
- Fɔ chɛk yu blɔd shuga lɛvɛl ɔltɛm: Dɛn go gi yu wan smɔl tin (blɔd glukɔs mita) we go mek yu ebul fɔ chɛk yu blɔd shuga lɛvɛl na os.
- Mɛrɛsin: Sɔntɛnde, if it ɛn ɛksesaiz nɔmɔ nɔ go du fɔ kɔntrol di blɔd shuga, yu go nid fɔ tek insulin injɛkshɔn.
Di impɔtant tin na dat dis sik go mɔs dɔn afta dɛn bɔn am, so mɛmba se dis na fɔ shɔt tɛm nɔmɔ.
Wetin go apin if dɛn nɔ du dis tɛst?
Yu gɛt rayt fɔ nɔ gri fɔ du dis tɛst, bɔt dɔktɔ dɛn nɔ kin tɛl yu fɔ du am atɔl. Bikɔs if dɛn nɔ kɔntrol di sik we dɛn kɔl gestational diabetes, sɔm prɔblɛm dɛn kin de fɔ yu ɛn yu pikin.
- Risk dɛm we yu kin gɛt: Ay blɔd prɛshɔn (preeclampsia), risk fɔ mek yu gɛt sizarian sɛkshɔn kin bɔku.
- Risk fɔ di pikin: I go gɛt bɔku bɔku wet, di blɔd shuga nɔ bɔku (hypoglycemia) we dɛn bɔn am, ɛn i go mek i gɛt dayabitis tumara bambay.
So, ɔndastand se dis na impɔtant tɛst fɔ mek yu ɛn yu pikin we nɔ bɔn yet sef.
Mɛsej we dɛn kin kɛr go na os
- di glukoz tolerans tεst (GTT) na wan tεst we yu kin du ɔltɛm we impɔtant fכ yu εn yu pikin. Nɔ fred am.
- Tu tɛst dɛn kin de fɔ dis. Di fɔs wan (Screening) de chɛk fɔ risk, ɛn di sɛkɔn wan (OGTT) de kɔnfɔm di sik.
- I fɔ fast fɔ 8-12 awa bifo di tri awa tɛst.
- If dɛn no se yu gɛt shuga we yu gɛt bɛlɛ, yu kin ebul fɔ kɔntrol am izi wan wit it ɛn ɛksesaiz lɛk aw yu dɔktɔ advays yu.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis, tɔk to yu dɔktɔ opin wan bɔt am.
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