Zunthlum i neih chuan i doctor chuan thisen test hrang hrang a ti mai thei . Chung zingah chuan "C-Peptide Test " tih tir i ni mai thei. He hming i hriat hian mi tam tak chu an buai deuh a, "Hei hi eng test thar nge ni?" Hei hi a takah chuan hlauh tur a ni lo. Test pawimawh tak a ni a, zunthlum enkawlna kawngah nasa takin a pui a ni. Chuvangin, vawiin hian he C-Peptide Test chungchang hi awlsam takin kan sawi dawn a ni.
C-Peptide hi eng nge ni tak tak?
Hei hi hriatthiam a awl hle mai. Kan taksaa pancreas hi insulin siamna factory a ni tih han ngaihtuah teh . Insulin hi hormone pawimawh tak a ni a, kan thisena sugar (glucose) awmte chu cell-ah a lut a, chakna siam turin a pui a ni.
Tunah chuan heng pancreas-a heng cell bikte (beta cells) te hian insulin an siam hian a hmun tlemte chu chu insulin nena inzawm tlat an siam bawk. Chu chu C-peptide kan tih chu a ni. Package khata thil pahnih lo lut ang mai a ni. Insulin leh C-peptide te hi thisenah hian a rualin, a zat inangah an chhuak vek a ni.
A pawimawh ber chu C-peptide hian kan thisen sugar level control theihna a nei lo. Mahse, thisena C-peptide awm zat tehna hmang hian doctor chuan kan taksa chhungah insulin siam chhuah zat chiang takin a hre thei a ni.
Injection angin pawn lam atanga insulin i ei chuan chu insulin chuan C-peptide a pai lo. Chuvangin he test hian pawn lam atanga insulin i ei leh i taksain a chhunga insulin a siam chu a thliar hrang thei a ni.
Engvangin nge doctor chuan he test hi a rawt ang?
C-peptide test hi zunthlum hriat nan hman a ni lo. Chumi atan chuan FBS leh HbA1c ang chi test te hman a ni. Amaherawhchu, zunthlum a vei tih finfiah a nih veleh he test hi a enkawl dan tur dik tak atan a pawimawh hle.
Chu chhante chu eng nge ni tih hriat tumin a hnuaia table hi han en ila.
| Test lak chhan | A awlsam zawngin sawifiah a ni |
|---|---|
| Type 1 leh Type 2 te hi thliar hrang rawh | Type 1 diabetes-ah chuan taksain insulin a siam tlem hle emaw, a siam chhuak lo emaw a ni. Chuvangin C-peptide level hi a hniam hle a ni. Type 2 diabetes tan tirh lamah chuan taksain insulin a siam tha hle a, chuvangin C-peptide level hi a pangngai emaw, a sang emaw pawh a ni thei. |
| Type 1 damlo pakhatah chuan pancreas hnathawh dan en rawh | Type 1 diabetes i nei a nih pawhin pancreas hian insulin engemaw zat a la siam chhuak em tih i hre thei ang. |
| Type 2 damlo tan insulin tan hun dik tak a nih leh nih loh enfiah rawh | Hun a kal zel a, Type 2 vei te pawhin insulin siam chhuah a tlahniam thei bawk. C-peptide level a hniam lutuk chuan pills ringawt a tawk lo tihna a ni a, insulin tan a hun tawh tihna a ni. |
| Thisen thlum tlahniam (hypoglycemia) chhan zawng rawh . | I thisen sugar hi chhan awm lovin a tlahniam reng a nih chuan he test hian a chhan chu taksain insulin a siam tam lutuk vang a ni em tih a enfiah thin. |
| Pancreatic tumor (Insulinoma) a awm nia rinhlelh a nih chuan | A tlem hle a, pancreas-a tumor chi thenkhat chuan anmahni chauhin insulin an siam chhuak thin. Hetih lai hian C-peptide level chu a pangngai lo takin a sang chho ta a ni. |
Test hmain engtin nge i inbuatsaih thin?
He test lak hma hian darkar 8 atanga darkar 10 chhung chaw nghei (ei leh in lak loh) a tha tlangpui. Hei hi a chhan chu kan ei hian insulin leh C-peptide siamchhuahna a pung a, chuvangin fasting test atanga baseline value kan hmuh hi a pawimawh hle.
Mahse, a châng chuan i doctor chuan ei tûr engemaw zât i taksain a chhân lêt dân chu a en duh mai thei. Chutiang hunah chuan chaw chi khat ei turin an ti che a, chutah chuan test an nei thei bawk. Chuvangin i doctor thupek dik takin zawm fo ang che.
Tin, i damdawi ei tur zawng zawng (Western medicine, Ayurveda, vitamins, traditional medicine) doctor hnenah hriattir a pawimawh hle bawk.
Report-a value awmte hian eng nge an sawi?
Ni engemaw zat hnuah i report i hmu thei tlangpui. C-peptide hman dan pangngai chu 0.5 leh 2.0 nanograms/milliliter (0.5 - 2.0 ng/mL) inkar a ni . Mahse, heng value te hi lab hrang hrangah a inang lo deuh thei a ni.
C-peptide level sang tak a ni
Hemi atang hian thil engemaw zat chhiar theih a awm a:
- Type 2 diabetes i nei : A bik takin natna tan tirh lamah chuan taksaah insulin resistance a neih avangin pancreas hian insulin a siam tam zawk thin. Hei hian C-peptide level a tisang a ni.
- Kidney Disease: C-peptide hi kal (kidney) hian taksa atangin a paih chhuak thin. Kidney hnathawh a chhiat chuan C-peptide hi thisenah a pungkhawm thei a, a level pawh a sang thei hle.
- Insulinoma: Pancreatic tumor chi khat, a hmaa kan sawi tawh kha.
- Zunthlum damdawi thenkhat: Sulfonylureas (e.g. Gliclazide, Glimepiride) hian pancreas chu insulin tam zawk siam turin a tichak a, hei hian C-peptide level a tisang thei a ni.
C-peptide level hniam tak a ni
Chumi awmzia chu i taksain insulin a siam tlem tihna a ni.
- Type 1 diabetes i nei: Hetiang a nih chuan C-peptide level a hniam hle a, a chhan chu pancreas chhunga insulin siamtu cell te chu a chhe vek a ni.
- Hun rei tak chhunga Type 2 diabetes: Kum tam tak chhung Type 2 diabetes vei tawh chuan zawi zawiin pancreas "chau" a nei thei a, insulin siamchhuah a ti tlem thei bawk.
- Insulin injection hman dan: Insulin injection pawn lam atanga i ei chuan pancreas hian taksain insulin a mamawh a phuhruk avangin hun eng emaw chen a ti tlem a ni.
- Insulinoma enkawl hnuah: C-peptide level sang chu tumor lakchhuah emaw, enkawlna hmanga control emaw a nih hnuah a tlahniam thin.
I theihnghilh suh! He report-a hlutna awmte hi hmangin nangmah ngeiin thutlukna siam suh. I doctor chauhvin he report awmzia dik tak hi a hrilhfiah thei che a, i natna lan chhuah dan te, damdawi ei dan te leh test result dangte ngaihtuah chungin.
He test hmang hian risk a awm em?
A ni lo tak zet. Hei hi a him hle a, thisen test dan pangngai a ni. Thisen test dang ang bawkin, hlauhawmna tlemte chauh a awm.
- Puncture na hmun atanga thisen chhuak tlem (a bik takin thisen tihthianghlimna damdawi i ei a nih chuan) .
- Gnat ang maia inhriatna
- Thisen lakna hmunah hliam (bruising) a awm
- Infection a tlem hle
Hengte hi thil tenawm tak tak a nih avangin hei hi hlauh tur a awm lo.
Take-Home Thuchah a ni
- C-peptide test hi i taksa chhunga insulin siam chhuah zat tehna atana hmanraw pawimawh tak a ni.
- Hei hian i doctor chu Type 1 emaw Type 2 emaw diabetes i vei leh vei loh dik taka a hriat theih nan nasa takin a pui ang.
- He test result hi insulin enkawlna i tan a ngai em tih leh tuna i damdawi ei mek hi a tawk em tih hriat nan a pawimawh hle.
- I C-peptide report i dawn hnuah a awmzia dik tak leh a hnuaia hmalakna tur te chu i doctor nen sawiho ngei ang che.
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