C-Peptide Test chungchang hi i zir chiang ang u. Diabetes vei te tan engvangin nge hei hi a pawimawh?

Zunthlum i nei em? A nih loh leh i doctor chuan C-Peptide tih test nei turin a ti che em? He hming i hriat hian tlem chuan hlauthawng leh hriat duhna i nei mai thei. "He test thar hi eng nge ni? Eng nge a zawn?" I ngaihtuah a ni mai thei. Mahse, lungngai suh. Hei hi test awlsam tak a ni a, i zunthlum enkawl dan tur pawimawh tak tak min pe a ni. Vawiin hian he C-Peptide test chungchang hi chipchiar takin kan sawi dawn a, awlsam taka i hriatthiam theih tur angin.

A awlsam zawngin C-peptide chu eng nge ni?

Hei hi hrethiam tur chuan hetiang hian ngaihtuah ila. Kan taksaa pancreas hi factory te tak te ang mai a ni. He factory atanga thil siam chhuah ber chu hormone insulin an tih a ni . Insulin hi hormone pawimawh tak a ni a, kan thisena sugar (glucose) awm zat a control a, kan taksa cell te pawhin chu sugar chu chakna atan a hmang thei a ni.

Tunah chuan pancreas hian he insulin hi a siam chhuah hian a inzawm tlat chu a tichhuak bawk. Chu chu C-peptide kan tih chu a ni. A dik tak chuan insulin molecule hi ‘proinsulin’ an tih molecule lian tak atanga siam a ni. Hemi atanga insulin part hi inthen a, thisenah a chhuah chuan C-peptide part la awm chu thisenah a chhuak bawk.

Pawimawh tak chu pancreas atanga insulin molecule a chhuah apiangin C-peptide pawh a tlukpui a chhuak thin. Chumi awmzia chu mi thisena C-peptide awm zat kan teh chuan an taksa ngei, anmahni pancreas ngeiin insulin a siam chhuah zat chiang takin kan hre thei tihna a ni. Hei hi he test hlutna lian ber a ni.

Engvangin nge doctor chuan he test hi ti turin a tih ang che?

I doctor hian he test hi a rawt theih chhan hrang hrang a awm. Natna chhuitu detective tan chuan evidence pawimawh tak ang mai a ni.

• Zunthlum i neih chi hrang hrangte chu teh rawh: Zunthlum hi chi hnih a awm a, chungte chu Type 1 diabetes leh Type 2 diabetes te an ni. A chi hnih hian taksaah hna an thawk dan a inang lo.
• Type 1 diabetes -ah chuan taksa hriselna (immune system) hian pancreas-a insulin siamtu cell te chu a tichhia a ni. Chuvang chuan taksain insulin a siam chhuak lo tluk a ni. Chuvangin, chutiang mi C-peptide level i en chuan a hniam hle ang.A nih loh leh zero a ni thei bawk.
• Type 2 diabetes -ah chuan a tir lamah chuan pancreas hian insulin siam tha hle mahse, taksa cell-te chuan chu insulin (insulin resistance) chu an chhang tha lo hle. Tichuan, pancreas hian insulin tam zawk a siam chhuak a, chu chuan a tlakchhamna chu a khum ta a ni. Chuvangin, Type 2 diabetes vei tan tirh lamah chuan C-peptide level chu a pangngai emaw, a sang emaw a ni thei .

• Enkawlna hlawhtlinna teh rawh: Zunthlum damdawi i ei a nih chuan he test hian i pancreas chu chu damdawi chuan a tichak em tih leh insulin a siam tha em tih a enfiah thei a ni.

• Insulin injection a ngai em tih hriatfiah rawh: A bik takin Type 2 diabetes i neih rei chuan i pancreas chu a chak lo zauh zauh thei a, insulin siam chhuah a titawp thei bawk. Chutih lai chuan i C-peptide level chu a tlahniam zauh zauh ang. Chutih hunah chuan i doctor chuan pawn lam atanga insulin injection i lak tan hun a ni tawh tih a rel ang.

• Taksa atanga insulin siam leh insulin inject te hi thliar hrang rawh: Hei hi thil pawimawh tak a ni. Insulin injection hmang mi i ni ang tih han ngaihtuah teh. I thisena insulin level kan en chuan i taksa atanga insulin siam leh i inject insulin te chu a lang vek a ni. Mahse C-peptide chu chutiang chu a ni lo. Exogenous insulin hian C-peptide a pai lo. Chuvangin, C-peptide level en hian i taksain insulin a la siam chhuah zat dik takin i hre thei a, injection i ei lai pawhin.

• Thisen sugar tlahniam chhan zawng rawh (hypoglycemia): Mi thenkhat chuan thisen sugar level hlauhawm takin an tlahniam thin. He test hian a chhan chu taksaa insulin tam lutuk nge a chhan dang a nih leh nih loh hriat theih nan a pui a ni.

Test lak dan leh inbuatsaih dan

He test hi i tih hlauh a ngai lo. A kalphung awlsam tak a ni.

Engtin nge test hi i tih thin?

A tam zâwk chuan, hei hian thisen sample lak a huam a ni . Thisen test pangngai ang bawkin nurse emaw lab technician emaw chuan i kut vein atanga thisen tlemte a la ang. Hriselna te tak te ang maiin a awm ang, rulhut seh ang maiin, chu chu a ni mai.

A tlem hle a, he test hi zun sample hmanga tih theih a ni . Chutiang hunah chuan darkar 24 chhung zun sample lak a ngai fo thin. I doctor emaw laboratory emaw chuan he thil atan hian instruction leh container a pe ang che.

Test hmain inbuatsaih a ngai em?

Ni e, a châng chuan inbuatsaihna tlem a ngai mai thei.

• Chaw nghei: I doctor chuan test hma darkar 8 atanga darkar 12 chhung ei leh in loh turin a ti thei che a ni. Amaherawhchu, tui in hi khap a ni tlangpui lo.
• Stimulation hnua test neih dan:Hun dangah chuan i doctor chuan thil engemaw (sugar nei thil) ei turin a duh mai thei che a, i pancreas a tihchak hnuah i C-peptide level enfiah turin a duh mai thei bawk. Chuvangin i doctor thupek chu uluk takin zawm fo ang che.
• Damdawi: Condition dang atana damdawi i ei a nih chuan i doctor hnenah hrilh ngei ang che. Damdawi thenkhat chuan he test result hi a nghawng thei a, chuvangin test hma ni khat emaw ni hnih emaw chhung chu rei lo te chhung atan tihtawp turin an ti mai thei che a ni.

He test-ah hian hlauhawmna lian tham a awm lo. Thisen lak chhuah hian hliam engemaw zat i nei thei a, mahse hei hi rei vak lo hnuah a reh mai ang.

Test result hian eng nge a sawi?

I test report-a number awmte hian hlauthawng suh. I doctor chauh hian result chu dik takin a hrilhfiah thei a, thil dang, i thisen sugar level leh i damdawi ei te nen khaikhin a ngai a ni.

Hetah hian C-peptide level pangngai thenkhat kan rawn tarlang e. Mahse heng value te hi lab hrang hrangah hian a danglam deuh thei tih hre reng ang che.

C-peptide level a hniam chuan (Low C-peptide) .

I C-peptide level chu a pangngai aia hniam a nih chuan i pancreas hian insulin a siam tlem hle emaw, a siam chhuak lo emaw tihna a ni.

Chu bakah, C-peptide level tlahniam thei dinhmun dangte chu:

• Hun rei tak chhung Type 2 diabetes: Kum tam tak chhung Type 2 diabetes i neih tawh chuan pancreas chu a chau thei a, insulin siamchhuah a tlahniam thei bawk.
• Addison’s disease: Adrenal glands hnathawh that lohna hmun a ni.
• Liver natna.
• Insulin injection lak: Pawn lam atanga insulin ei hian taksain insulin siamchhuah a titawp thei a ni.

C-peptide level a san chuan (High C-peptide) .

I C-peptide level chu normal range aia sang a nih chuan i pancreas hian hna a thawk tam lutuk a, insulin a siam tam lutuk tihna a ni.

Chu bakah, C-peptide level sang tak thlen thei dinhmun dangte chu:

• Insulin resistance: Pre-diabetes-ah pawh hmuh tur a awm bawk.
• Cushing syndrome: Taksain hormone cortisol a siam chhuah tam lutukna dinhmun a ni.
• Kidney failure: Kidney-in C-peptide a paih chhuah that loh chuan thisenah a level a sang chho thin.
• Insulinoma: Tumor chi khat, insulin tam lutuk siamtu, a awm lo hle.
• Thisenah potassium level a tlahniam (Hypokalemia).

Eng ang result pawh ni se, i doctor chu hrilhfiahna dik ber leh a hnuaia hmalakna tur petu tur che a ni ang. Chuvangin report chu la la, hmu ngei ang che.