Tiyeni tidziwe kuchuluka kwa shuga m'magazi mwanu (Blood Glucose Test)? Kodi izi zimachitika pa matenda a shuga okha?

Moni! Muli bwanji? Lero tikambirana za nkhani yofunika kwa anthu ambiri. Ndiko kuti, kuyang'ana kuchuluka kwa shuga m'magazi, kapena monga momwe timatchulira, "Mayeso a Shuga m'Magazi". Mwina mwachita "mayeso" awa. Kapena mwina mwamvapo wina akulankhula za izi. Tiyeni tiwone chomwe chiri, chifukwa chake chimachitidwa, ndi momwe tingachitire, zonse mwachidule.

Kodi Kuyesa Shuga M'magazi N'chiyani?

Mwachidule, iyi ndi mayeso omwe amayesa kuchuluka kwa shuga m'magazi mwanu. Izi zimagwiritsidwa ntchito makamaka kudziwa ngati muli ndi matenda a shuga kapena muli pachiwopsezo chotenga matenda a shuga. Komabe, mayesowa sagwiritsidwa ntchito pa matenda a shuga okha. Tidzakambirana za izi mtsogolo.

Pali mitundu iwiri ikuluikulu ya mayesowa.

Tsopano onani, pali njira ziwiri zoyezera shuga m'magazi.

• Kuyesa shuga m'magazi a capillary: Izi zimaphatikizapo kubaya chala chanu ndi singano yaying'ono ndikutenga dontho la magazi. Kwa ana aang'ono, izi nthawi zambiri zimachitika kuchokera pachidendene. Dontho la magazi limayikidwa pa mzere woyesera ndikuyikidwa mu glucometer, yomwe imatha kuyeza kuchuluka kwa shuga m'magazi mwa masekondi ochepa. Mwina mwawonapo anthu odwala matenda ashuga akuyang'ana shuga m'magazi awo kunyumba mwanjira iyi. Izi zimapereka zotsatira mwachangu kwambiri.

• Kuyesa shuga m'magazi a Venous/Plasma: Izi zimaphatikizapo kutenga magazi ochepa kuchokera mumtsempha womwe uli m'dzanja lanu pogwiritsa ntchito syringe. Izi zimachitika ndi katswiri wa phlebotomist, munthu amene waphunzitsidwa kutenga magazi. Izi nthawi zambiri zimachitika limodzi ndi mayeso ena a magazi, monga Basic Metabolic Panel (BMP). Kenako chitsanzo cha magazi chimatumizidwa ku labu kuti chikayesedwe.

Kawirikawiri, zotsatira zomwe zapezeka poyesa magazi m'mitsempha zimakhala zolondola kwambiri kuposa zomwe zapezeka poyesa ndi chala.

Kodi pali mitundu ina ya mayeso a glucose?

Inde, pali njira zina zingapo.

• Kuyesa Shuga wa M'magazi Osala Kusala: Iyi ndi mayeso ofunikiranso kuti mudziwe ngati muli ndi matenda a shuga. Kuchuluka kwa shuga m'magazi kumasintha tikadya. Chifukwa chake, pochita "test" iyi patatha maola ochepa (nthawi zambiri maola 8-12) osadya kapena kumwa chilichonse (mumangomwa madzi okha), mutha kudziwa bwino "shuga wanu woyamba m'magazi".

• Kuwunika shuga m'magazi kunyumba: Izi ndizofunikira kwambiri kwa anthu omwe ali ndi matenda a shuga. Amayang'anira shuga m'magazi mwawo nthawi zonse, kaya ndi chipangizo choyezera shuga chomwe chimabaya chala chawo ndi singano yaying'ono, kapena ndi chipangizo chowunikira shuga mosalekeza (CGM), chomwe chimalumikizidwa pakhungu. Kudziwa shuga m'magazi mwa njira imeneyi ndikofunikira kuti matenda anu a shuga akhale osavuta kuwalamulira.

Kodi shuga (shuga) kwenikweni ndi chiyani m'magazi?

Taganizirani izi, shuga ndiye mafuta akuluakulu omwe amapatsa thupi lathu mphamvu. Shuga uyu amapangidwa makamaka kuchokera ku chakudya chomwe timadya ndi kumwa. Chiwindi chathu chimapanganso shuga wina. Shuga uyu amayenda m'magazi kupita ku maselo m'thupi lonse, komwe amapereka mphamvu zomwe amafunikira.

Pali njira zosiyanasiyana m'thupi lathu zomwe zimathandiza kusunga shuga m'magazi moyenera. Homoni ya insulin imagwira ntchito yaikulu pa izi.

Chofunika kwambiri ndikukhala ndi shuga m'magazi anu pamlingo wabwino.

Ngati shuga m'magazi mwanu ndi wokwera nthawi zonse, umatchedwa hyperglycemia. Izi nthawi zambiri zimakhala chizindikiro cha matenda a shuga. Matenda a shuga amapezeka pamene kapamba wanu sapanga insulin yokwanira, kapena pamene thupi lanu silingagwiritse ntchito bwino insulin yomwe limapanga.

Kodi muyenera kuyeza shuga m'magazi nthawi yanji?

Pali zifukwa zingapo zochitira 'mayeso' awa. Onani ngati chilichonse mwa izi chikukugwirani ntchito:

• Monga mayeso a magazi achizolowezi omwe dokotala wanu walamula: Nthawi zina dokotala wanu amalamula ``Basic Metabolic Panel (BMP)`` kapena ``Comprehensive Metabolic Panel (CMP)`` ngati mayeso achizolowezi a magazi. ``magawo`` onsewa akuphatikizaponso kuyeza kuchuluka kwa shuga m'magazi mwanu.
• Ngati muli ndi zizindikiro za shuga wambiri kapena wotsika m'magazi: Mukumva ludzu kwambiri, mukukodza pafupipafupi, mumachepetsa thupi, ndipo mukumva kutopa, zomwe ndi zizindikiro za shuga wambiri m'magazi (Hypoglycemia), kapena ngati muli ndi zizindikiro za shuga wotsika m'magazi (Hypoglycemia), monga thukuta, kugwedezeka, kugwedezeka, ndi kumva njala, dokotala wanu adzalamula mayesowa.
• Pa nthawi ya mimba: Anthu ena amatha kukhala ndi matenda a shuga osakhalitsa otchedwa ``gestational diabetes'' panthawi ya mimba. Umu ndi momwe shuga m'magazi amayezedwera pamene mayeso a ``glucose tolerance test'' amachitika kuti adziwe ngati ali ndi matendawa.
• Ngati mumwa mankhwala enaake kwa nthawi yayitali: Mwachitsanzo, mankhwala monga corticosteroids angakhudze kuchuluka kwa shuga m'magazi mwanu akagwiritsidwa ntchito kwa nthawi yayitali. Pazochitika zotere, dokotala wanu angakulangizeni kuti muyang'ane kuchuluka kwa shuga m'magazi mwanu nthawi zonse.

Kuyezetsa shuga m'magazi komwe kumachitika kawirikawiri ndi kuyesa matenda a shuga amtundu wachiwiri (T2D). Ngati muli ndi zinthu zomwe zimayambitsa matenda a shuga (monga mbiri ya banja lanu ya matenda a shuga, kunenepa kwambiri, kusachita masewera olimbitsa thupi), dokotala wanu angakulangizeni kuti muyesedwe nthawi zonse, mosasamala kanthu za zaka zanu. Bungwe la American Diabetes Association limalimbikitsa kuti aliyense wazaka zopitilira 35 ayezedwe nthawi zonse.

Kodi muyenera kukonzekera bwanji musanayese mayesowa?

Ngati mukuchita mayeso a shuga m'magazi osadya,Musadye kapena kumwa chilichonse (kupatula madzi) kwa maola 8 mpaka 12 musanayesedwe.

Ngati mayeso anu a shuga m'magazi achitika ngati gawo la ``Basic Metabolic Panel (BMP)`` kapena ``Comprehensive Metabolic Panel (CMP)``, mungafunikenso kusala kudya kwa maola angapo. Komabe, ngati mukufuna kutsatira malangizo apadera, dokotala wanu adzakudziwitsani pasadakhale. Choncho palibe chodetsa nkhawa.

Kodi chimachitika ndi chiyani panthawi ya mayeso?

Izi zimasiyananso pang'ono kutengera mtundu wa mayeso omwe mukuchita.

Mu mayeso omwe magazi amatengedwa kuchokera mumtsempha (mayeso a shuga m'mitsempha):

• Mudzakhala pampando.
• Dokotala wa phlebotomist adzasankha mtsempha wosavuta m'dzanja lanu kuti atenge magazi. Nthawi zambiri, umakhala m'chigongono.
• Mtsempha ukapezeka, malowo amatsukidwa bwino ndikutsukidwa ndi mankhwala ophera tizilombo.
• Kenako singano yaying'ono imalowetsedwa mumtsempha ndipo magazi amatengedwa.
• Singano ikalowetsedwa, magazi ochepa amasonkhanitsidwa mu chubu chaching'ono choyesera.
• Pambuyo poyesa magazi, singano imachotsedwa ndipo chidutswa cha thonje kapena gauze chimayikidwa pamalopo kuti magazi asiye kutuluka.
• Pomaliza, ikani bandeji yaying'ono pamalopo ndipo mwatha. Ndi zophweka kwambiri.

Mu mayeso a chala (mayeso a shuga m'magazi a capillary):

• Wogwira ntchito zachipatala adzakufunsani chala chomwe mungatenge magazi.
• Kenako, zala zanu zimatsukidwa ndi swab ya mowa.
• Kenako, singano yaying'ono yotchedwa ``lancet'' (nthawi zambiri imakhala mu chipangizo chaching'ono cha pulasitiki) imagwiritsidwa ntchito kubaya nsonga ya chala. Izi sizipweteka kwambiri.
• Kenako, finyani pang'ono chala chanu kuti mutulutse dontho la magazi.
• Dontho la magazi limenelo limayikidwa pa mzere woyesera womwe umalumikizidwa ndi glucometer.
• Mukatenga magazi okwanira kuti muyesedwe, adzakupatsani thonje kapena gauze kuti musiye kutuluka magazi ndipo adzakupemphani kuti mugwire zala zanu mwamphamvu.
• Pakangopita masekondi ochepa, glucometer idzawonetsa kuchuluka kwa shuga m'magazi anu pazenera.

Mukuona, izi ndizosavuta.

Zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira zake?

Ngati mwayesedwa shuga m'magazi, nthawi zambiri mutha kupeza zotsatira zake pasanathe tsiku limodzi kapena awiri.

Zotsatira za mayeso a shuga m'magazi a capillary zitha kuwonedwa mumasekondi ochepa pogwiritsa ntchito glucometer.

Kodi shuga m'magazi mwa munthu ayenera kukhala wotani?

Mulingo wabwino wa shuga m'magazi mwa munthu wopanda matenda a shuga uyenera kukhala pakati pa 70 ndi 99 mamiligalamu pa decilita (mg/dL) . Ndiko kuti, mu mamiligalamu pa lita (mmol/L), pakati pa 3.9 ndi 5.5 (3.9-5.5 mmol/L) .

Nthawi zina, kuchuluka kwa shuga pakati pa 50 mg/dL (2.8 mmol/L) ndi 70 mg/dL (3.9 mmol/L) kungakhale "kwabwinobwino" kwa anthu opanda matenda a shuga.

Kodi shuga wambiri m'magazi amatanthauza chiyani?

Ngati shuga m'magazi mwanu ndi pakati pa 100 mg/dL ndi 125 mg/dL (5.6 mmol/L ndi 6.9 mmol/L), nthawi zambiri zimatanthauza kuti muli ndi matenda a shuga . Anthu omwe ali ndi matenda a shuga ali ndi mwayi wa 50% wokhala ndi matenda a shuga amtundu wa 2 m'zaka 5 mpaka 10 zikubwerazi. Koma chabwino kwambiri ndichakuti, mutha kuchitapo kanthu kuti muchepetse matenda a shuga.

Ngati shuga m'magazi mwanu ndi 126 mg/dL (7.0 mmol/L) kapena kupitirira apo pa mayeso ambiri a shuga m'magazi osadya, nthawi zambiri zimatanthauza kuti muli ndi matenda a shuga. Anthu omwe ali ndi matenda a shuga amtundu woyamba amatha kukhala ndi shuga wambiri m'magazi (200 mg/dL kapena 11.1 mmol/L kapena kupitirira apo).

Mulimonsemo, dokotala wanu mwina angakupatseni mayeso a A1c asanakupatseni matenda. Mayeso a A1c amasonyeza kuchuluka kwa shuga m'magazi mwa miyezi ingapo.

Kodi pali zifukwa zina zomwe zimapangitsa kuti shuga m'magazi akwere?

Inde, kupatula matenda a shuga, kuchuluka kwa shuga m'magazi kumatha kukwera chifukwa cha zifukwa zina zingapo:

• Mavuto ndi adrenal glands, mwachitsanzo, matenda a Cushing.
• Mavuto ndi kapamba wanu, mwachitsanzo, kapamba.
• Hyperthyroidism.
• Kukumana ndi nkhawa yaikulu yamaganizo, mwachitsanzo pambuyo pa opaleshoni kapena ngozi yaikulu (kuvulala).
• Mankhwala ena, makamaka corticosteroids.

Kodi shuga wochepa m'magazi amatanthauza chiyani?

Kuchuluka kwa shuga m'magazi kwa 70 mg/dL kapena kutsika (Hypoglycemia) kumaonedwa kuti ndi kochepa kwambiri kwa munthu wamkulu yemwe ali ndi matenda a shuga.

Matenda a shuga m'magazi amapezeka kawirikawiri kwa anthu omwe ali ndi matenda a shuga amtundu woyamba. Amathanso kukhudza anthu omwe ali ndi matenda a shuga amtundu wachiwiri omwe amamwa mankhwala enaake. Komabe, amapezeka kawirikawiri kwa anthu omwe alibe matenda a shuga.

Ngakhale mutakhala kuti mulibe matenda a shuga, kuchuluka kwa shuga m'magazi kungakhale chizindikiro cha:

• Matenda a chiwindi
• Matenda a impso
• Hypothyroidism
• Matenda a Addison (kulephera kwa adrenal)
• Matenda Ogwiritsa Ntchito Mowa (AUD)
• Insulinoma (Ichi ndi chotupa chosowa kwambiri)

Matendawa nthawi zambiri amachititsa kuti shuga m'magazi azichepa pafupipafupi. Munthu wopanda matenda a shuga sayenera kuopa kuti shuga m'magazi mwake azichepa kamodzi kokha.

Ndizachibadwa kuchita mantha mukaona zotsatira zachilendo za mayeso. Koma kumbukirani, kuchuluka kwa shuga m'magazi komwe kumakwera kapena kutsika sikutanthauza kuti muli ndi vuto lachipatala kapena mukufuna chithandizo. Madokotala amagwiritsa ntchito zambiri osati kungoyesa magazi kuti adziwe matenda monga matenda a shuga. Musaope kufunsa dokotala wanu mafunso. Alipo kuti akuthandizeni.

Chabwino, ndiye ndi zinthu ziti zomwe tiyenera kukumbukira kuchokera pa zonsezi? (Uthenga Wopita Nawo Kunyumba)

Chabwino, takambirana zambiri za "Kuyesa kwa Shuga m'magazi". Nazi zinthu zina zomwe muyenera kukumbukira mwachidule:

• Ngakhale kuti mayeso a shuga m'magazi amagwiritsidwa ntchito makamaka pozindikira matenda a shuga, angaperekenso zizindikiro za matenda ena.
• Kuwonjezera pa mayeso ofulumira a zala, palinso mayeso olondola kwambiri omwe amachitidwa mu labu potenga magazi kuchokera m'mitsempha.
• Kuyesa shuga m'magazi osadya kungakuthandizeni kudziwa bwino kuchuluka kwa shuga m'magazi anu.
• Musanachite mantha ndi zotsatira zake, onetsetsani kuti mwalankhula ndi dokotala wanu. Musapange matenda potengera zotsatira za mayeso amodzi.
• Ngati muli pachiwopsezo chotenga matenda a shuga, kapena muli ndi zizindikiro, ndikofunikira kwambiri kuti muyesedwe nthawi ndi nthawi monga momwe dokotala wanu walangizira.
• Kusunga shuga m'magazi mwachizolowezi n'kofunika kwambiri kuti munthu akhale ndi moyo wathanzi.

Kotero, ngati dokotala wanu akukupemphani kuti muchite izi (Kuyesa Shuga m'magazi)', palibe choopa kapena chokayikira. Ndi chinthu chofunikira kuchita kuti muwone thanzi lanu. Mwamva?

Shuga m'magazi , mayeso a shuga, matenda a shuga, kuchuluka kwa shuga m'magazi, mayeso osala kudya, hyperglycemia, hypoglycemia