Waliwo omusawo wo akusabye okunywa amazzi agalimu ssukaali n’okukeberebwa omusaayi? Abantu bangi beebuuza nti kino kye ki era lwaki kikolebwa, mpozzi n’okuwulira nga batidde katono. Naye mu butuufu si kintu kya kutya. Kino kigezo kya bulijjo nnyo ekikolebwa okuzuula amawulire amakulu ennyo agakwata ku bulamu bwo. Kale leero, ka twogere ku kino Oral Glucose Tolerance Test, oba OGTT nga ffenna bwetukimanyi.
OGTT eno kye ki?
Mu ngeri ennyangu, OGTT kigezo ekipima engeri omubiri gwo gye guddukanyaamu obulungi glucose ensibuko y’amasoboza. Kino kiyinza okuwa omusawo wo obubonero obukulu obukwata ku bulamu bwo.
Bwe tulya ssukaali mu musaayi gwaffe atera okulinnya. Oluvannyuma, endwadde eyitibwa pancreas, esangibwa munda mu lubuto lwaffe, ekola obusimu obuyitibwa insulin . Lowooza ku butoffaali bw’omubiri gwo ng’ennyumba entonotono. Ssukaali gw’ofuna mu mmere gy’olya ge maanyi amayumba gano ge geetaaga. Kale, insulini eringa ekisumuluzo ekitwala ssukaali ono, n’eggulawo enzigi z’amayumba, n’ayingiza ssukaali.Ssukaali bw’ayingira mu butoffaali, ssukaali mu musaayi n’adda mu mbeera eya bulijjo.
Wabula bw’oba olina Ssukaali ow’ekika kya 2, omubiri gwo tegukozesa bulungi kisumuluzo kino ekiyitibwa insulini. Olwo ssukaali n’azimba mu musaayi mu kifo ky’okuyingira mu butoffaali. Ssukaali ono asusse mu musaayi asobola okwonoona emisuwa mu mubiri gwonna. Ssukaali asobola okuleeta endwadde z’omutima, okukosebwa obusimu, endwadde z’amaaso, n’endwadde z’ekibumba.
Kale okukebera kwa OGTT okusinga kukebera oba oli mu bulabe bw’okufuna ssukaali, oba olina dda ssukaali. Okukebera OGTT okumpi ng’oli lubuto nakyo kisobola okuzuula oba olina ssukaali ow’olubuto.
Ani asabibwa okukola ekigezo kino ekya OGTT?
Bw’oba olina ekimu oba ebisingawo ku bintu bino wammanga, omusawo ayinza okukusaba okukeberebwa OGTT.
| Ensonga y’akabi | Okunnyonnyola |
|---|---|
| Okweyongera omugejjo | Singa omubiri gwo guyitiridde/omugejjo. |
| Ebyafaayo by’amaka | Singa omuntu mu maka go ag’okumpi (maama, taata, baganda bo) alina obulwadde bwa sukaali. |
| Puleesa eri waggulu | Bw’oba olina puleesa. |
| Ebirungo ebiyitibwa triglycerides ebingi | Bw’oba olina ekika ky’amasavu ekiyitibwa triglycerides mu musaayi. |
| Embeera ya PCOS | Bw’oba olina embeera eyitibwa Polycystic Ovary Syndrome (PCOS), ereeta obuzibu mu nsonga z’omukyala. |
| Embeera nga tonnafuna lubuto | Bw’oba ozadde omwana ng’azitowa pawundi ezisukka mu 9 (kkiro nga 4) oba ng’olina obulwadde bwa sukaali mu lubuto ng’oli lubuto olusooka. |
OGTT ya njawulo mu kiseera ky’olubuto?
Yee, bw’oba oli lubuto, ojja kwetaaga okukeberebwa kuno okwa OGTT okumpi wakati wa wiiki 24 ne 28 ng’oli lubuto. Okugezesebwa kuno okw’essaawa emu kuyitibwa ‘okukebera okusoomoozebwa kwa glucose’.
Kyokka bw’oba oli mu bulabe bwa maanyi obw’okufuna ssukaali ow’olubuto, omusawo ayinza okukugamba nti okebere kuno nga bukyali. Ebintu bino eby’obulabe mulimu:
- Okuba nga yalina ssukaali ow’olubuto mu lubuto lwe yasooka.
- Okubeera n’obulwadde bwa sukaali mu maka.
- Obunene.
- Okubeera n’embeera endala ey’obujjanjabi eyongera ku bulabe bwa sukaali, gamba nga PCOS.
Singa omusawo wo mweraliikirivu olw’akabi kwo, oba singa ebyava mu kukeberebwa okw’essaawa emu biba bingi, oyinza okusabibwa okukeberebwa OGTT okumala essaawa 3 okumala essaawa 3.
Oteekateeka otya nga tonnaba kugezesebwa?
Okwetegekera kino kyangu nnyo.
- Ng’ebula ennaku ntono okukeberebwa, lya mu ngeri eya bulijjo. Togenda ku mmere yonna ey’enjawulo.
- Tosobola kulya wadde okunywa ekintu kyonna okumala essaawa 8 nga tebannaba kukeberebwa. Ekiseera ekisinga obulungi okukola kino kwe kutegeka okukebera ku makya. Olwo osobola okusiiba ekiro kyonna.
- Mu kiseera kino eky’essaawa 8 , okkirizibwa okunywa mazzi gokka. Tonywa byokunywa birala byonna.
- Yogerako n’omusawo wo ku ddagala eddala lyonna ly’omira ng’oteekateeka okukeberebwa kwo.
Engeri y’okukolamu okugezesebwa mutendera ku mutendera
Osobola okukola okukebera kuno okwa OGTT mu ofiisi y’omusawo wo, mu ddwaaliro, mu ddwaaliro, oba mu laabu.
1. Okusooka, omusaayi gujja kuggyibwako omusaayi okukebera omutindo gwa glucose mu musaayi gwo mu kisiibo.
2. Olwo ojja kuweebwa egiraasi ennene ey’amazzi aga ssukaali okunywa.
3. Ekiddako, ojja kulinda akaseera. Mu kiseera kino, tojja kusobola kuva mu laabu oba mu ddwaaliro.
4. Bwoba okola okukebera kwa sukaali okwa bulijjo , ojja kunywa ssukaali solution n'oluvannyuma otwale omusaayi omulala oluvannyuma lw'essaawa 2 .
5. Bw’oba okola okukebera ssukaali mu lubuto (essaawa 3) , ojja kunywa eddagala lya ssukaali era ojja kuggyibwako omusaayi ku ssaawa emu, essaawa 2, n’essaawa 3 .
Oluvannyuma lw’okugezesebwa okuggwa, osobola okudda mu mirimu gyo egya bulijjo.
Waliwo akabi konna akali mu kukeberebwa kuno?
Okukebera OGTT kukeberebwa kwa bulabe nnyo, naye abantu abamu bayinza okufuna ebizibu ebitonotono.
Ebintu ebiyinza okubaawo olw’ebyokunywa ebirimu ssukaali:
- Ekikeeto
- Okusesema
- Okujjuza olubuto
- Okulumizibwa omutwe
- Ssukaali omutono mu musaayi (tatera nnyo) .
Ebintu ebiyinza okubaawo olw’okugaba omusaayi:
- Okuvaamu omusaayi ekisusse
- Okuziyira
- Embeera y’okukwatibwa obulwadde
- Obulumi obutonotono okuva mu kugezaako enfunda eziwera okuzuula omusuwa gw’omusaayi
- Okunyiga oba okulumwa mu kifo we balumwa
Bino bintu bitono nnyo era bijja kuwona mangu.
Ebyavaamu byogera ki?
Bw’omala okunywa ekyokunywa ekirimu ssukaali, ssukaali mu musaayi gwo alinnya era alina okudda mu mbeera eya bulijjo oluvannyuma lw’akaseera olw’ekikolwa ky’obusimu bwa insulini. Singa kitwala ekiseera kiwanvu okudda mu mbeera eya bulijjo, kiyinza okuba akabonero akalaga nti alina ssukaali. Ebivudde mu lipoota yo biwandiikiddwa mu "mg/dL" (milligrams per deciliter).
| Omuwendo gwa sukaali mu musaayi (mg/dL) . | Okutegeeza |
|---|---|
| Okukebera ssukaali okwa bulijjo (OGTT ey’essaawa 2) . | |
| 139 mg/dL oba wansi | Normal : Omubiri gwo gufuga bulungi sukaali. |
| Wakati wa 140 mg/dL ne 199 mg/dL | Prediabetes : Oli mu bulabe obw’okufuna ssukaali. |
| 200 mg/dL oba okusingawo | Ekirwadde ekya sukaali . Oyinza okuba nga olina obulwadde bwa sukaali. |
| Okukebera ssukaali mu lubuto (OGTT ey’essaawa 3) . | |
| Okusiiba | Alina okuba wansi wa 95 mg/dL . |
| Oluvannyuma lw’essaawa emu | Alina okuba wansi wa 180 mg/dL . |
| Oluvannyuma lw’essaawa 2 | Alina okuba wansi wa 155 mg/dL . |
| Oluvannyuma lw’essaawa 3 | Alina okuba wansi wa 140 mg/dL . |
Prediabetes kitegeeza nti oli mu bulabe obw’okufuna ssukaali. Kiba ng’akabonero akalaga okulabula. Singa okola enkyukakyuka mu bulamu bw’omuntu mu kiseera kino, osobola okugenda wala mu kuziyiza ssukaali.
Singa omukyala ow’olubuto aba n’ekimu ku bivuddemu waggulu nga bisinga ku bya bulijjo, omusawo we ajja kumuwa amagezi okuddamu okwekebejjebwa mu wiiki ntono. Singa ebivaamu bibiri oba okusingawo biba bingi, azuulibwa nti alina ssukaali ow’olubuto.
Kiki ekibaawo oluvannyuma lw’okukeberebwa?
Omusawo ajja kukunnyonnyola ekiddako okusinziira ku bivuddemu.
- Bw’oba olina obulwadde bwa ssukaali obusooka: Omusawo ajja kwogera naawe ku ngeri gy’oyinza okubuziyiza okufuuka ssukaali. Dduyiro n’okugejja y’engeri bbiri ezisinga okukendeeza ku bulabe bw’okulwala ssukaali.
- Bw’oba olina obulwadde bwa sukaali: Oyinza okusabibwa okukola ebikeberebwa ebirala, gamba nga A1c, okukakasa nti olina obulwadde buno. Endya ennungi, dduyiro n’eddagala bisobola okuyamba okufuga ssukaali mu musaayi.
- Bw’oba olina obulwadde bwa sukaali mu lubuto: Embeera eno osobola okugifuga ng’olya bulungi n’okukola dduyiro. Ssukaali mu musaayi gwo alina okudda mu mbeera eya bulijjo ng’omaze okuzaala omwana wo. Wabula omuntu abadde n’obulwadde bwa sukaali mu lubuto aba mu bulabe bwa maanyi okukwatibwa ssukaali ow’ekika eky’okubiri mu biseera eby’omu maaso. Eno y’ensonga lwaki kikulu okugenda mu maaso n’okukuuma obulamu obulungi.
Ekisinga obukulu kwe kwogera n’omusawo wo ku bino byonna era ogoberere ddala ebiragiro bye.
Obubaka Obutwala Awaka
- OGTT kigezo kikulu ekitunuulira engeri omubiri gwo gye gukozesaamu ssukaali.
- Kino kiyinza okuyamba okuzuula ssukaali ne sukaali ow’olubuto.
- Kikakatako okusiiba okumala essaawa 8 nga tebannaba kukeberebwa.
- Okusinziira ku bivuddemu, omusawo ajja kukuwa amagezi agasinga okutuukirawo.
- Kino kigezo ekitali kya bulabe nga kirimu akabi katono nnyo, kale tokitya.











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