Kodi thupi lanu limalamulira shuga bwino bwanji? Tiyeni tiphunzire za mayeso olekerera shuga (GTT) m'njira yosavuta!

Kodi mudamvapo za mayeso ololera shuga m'magazi, kapena GTT mwachidule? Dokotala wanu mwina adakuuzanipo za izi, kapena mwina mudapempha kuti zichitike. Iyi ndi mayeso ofunikira kwambiri omwe amawunika momwe thupi lanu limagwiritsira ntchito ndikusunga shuga, kapena shuga m'magazi. Madokotala nthawi zambiri amagwiritsa ntchito mayesowa kuti adziwe matenda monga matenda a shuga. Koma pali njira zina zodziwira matenda a shuga, monga mayeso a A1C ndi mayeso a shuga m'magazi osadya.

Ndiye, kodi mayeso oyesera kulekerera shuga (`GTT`) ndi chiyani?

Mwachidule, matupi athu amapeza mphamvu kuchokera ku chakudya chomwe timadya, makamaka zakudya zomwe zili ndi chakudya chambiri. Izi ndi zomwe zimapatsa maselo athu mphamvu yogwirira ntchito. Matupi athu amasunganso shuga uyu kuti adzagwiritse ntchito pambuyo pake, makamaka m'minofu ndi chiwindi. Shuga wosungidwayu amatchedwa glycogen.

Choncho, kuti shuga m'magazi mwathu akhalebe pamlingo winawake, njira zosiyanasiyana zimachitika m'thupi mwathu. Pakati pawo , mahomoni otchedwa insulin ndi omwe amachititsa kwambiri . Insulin iyi imapangidwa mu kapamba wathu. Ngati pali vuto lililonse pa momwe thupi lathu limagwiritsira ntchito shuga, shuga m'magazi nthawi zambiri imatha kukwera. Ndicho chimene timachitcha hyperglycemia. Komanso, nthawi zina shuga m'magazi amatha kuchepa, ndipo vutoli limatchedwa hypoglycemia.

Pali mitundu yosiyanasiyana ya GTT. Yomwe imagwiritsidwa ntchito kwambiri ndi Oral Glucose Tolerance Test (OGTT), yomwe imaphatikizapo kupereka yankho la shuga pakamwa.

Ndizachibadwa kumva mantha pang'ono musanayesedwe mayeso aliwonse azachipatala. Koma kumbukirani, chofunika kwambiri ndikudziwitsidwa. Kaya zotsatira zake ndi ziti, mudzaphunzira zambiri zokhudza thupi lanu kuposa momwe munali mukuzidziwira kale. Ndi chidziwitso chimenecho, inu ndi dokotala wanu mutha kupanga dongosolo labwino kwambiri la thanzi lanu mtsogolo.

Kodi ndi nthawi ziti zomwe muyenera kuchita izi `(GTT)`?

Dokotala wanu angakulangizeni kuti muyese GTT kuti muwone ngati pali vuto lililonse mwa izi:

• Matenda a shuga - nthawi zambiri amakhala ndi matenda a shuga asanafike nthawi yobereka, matenda a shuga amtundu wa 2, kapena matenda a shuga a mimba.
• Matenda otchedwa kukana insulin.
• Kuchepa kwa shuga m'magazi - Izi ndi kuchepa kwa shuga m'magazi mutadya.
• Acromegaly ndi vuto la mahomoni.
• Matenda osowa a kagayidwe kachakudya m'thupi.

Koma kumbukirani kuti pali mayeso ena omwe angagwiritsidwe ntchito pozindikira matenda awa. Dokotala wanu akhoza kulamula mayeso opitilira amodzi.

Makamaka panthawi ya mimba, nthawi zambiri kuyezetsa shuga kwa ola limodzi kumachitika kuti aone ngati muli ndi matenda a shuga a mimba . Ngati zotsatira zake sizikuyenda bwino, dokotala wanu angakupatseni mayeso oletsa shuga m'kamwa (OGTT) a maola atatu kuti atsimikizire kuti muli ndi matendawo kapena kuti athetse vutoli.

Kodi munthu ayenera kukonzekera bwanji `(GTT)`?

Popeza pali mitundu ingapo ya GTT, pakhoza kukhala kusiyana pang'ono pa momwe muyenera kukonzekera kutengera mayeso omwe mukuchita. Koma kawirikawiri, izi ndi zinthu zomwe muyenera kuchita:

• Muyenera kuuza dokotala wanu za mankhwala onse ndi zowonjezera zomwe mukumwa, chifukwa mankhwala ena amatha kusokoneza zotsatira za mayeso. Dokotala wanu angakufunseni kuti musiye kumwa mankhwala ena masiku angapo mayeso asanachitike.
• Muyenera kudya zakudya zomwe zili ndi magalamu osachepera 150 a chakudya patsiku musanayesedwe .
• Musasinthe zochita zanu za tsiku ndi tsiku kapena masewera olimbitsa thupi kwa masiku osachepera atatu . Musachite masewera olimbitsa thupi mwadzidzidzi musanayese mayeso.
• Muyenera kusala kudya musanayesedwe - izi zikutanthauza kuti simungadye kapena kumwa china chilichonse kupatula madzi kwa maola osachepera 8 (mwina kuposerapo).
• Simungathe kudya kapena kusuta panthawi yonse ya mayeso.

Dokotala wanu adzakupatsani malangizo omveka bwino a zomwe mungachite kutengera matenda anu ndi mtundu wa GTT yomwe muli nayo. Ndikofunikira kwambiri kuwatsatira bwino. Ngati muli ndi mafunso kapena simukumvetsa kalikonse, musazengereze kufunsa dokotala wanu, chabwino?

Kodi chimachitika ndi chiyani pa tsiku la `(GTT)`?

Takambirana kale kuti momwe `(GTT)` imachitikira ingasiyane kutengera mtundu wa mayeso. Tiyeni titenge chitsanzo cha momwe `(Oral Glucose Tolerance Test - OGTT)` imachitikira kwa maola awiri.

Nthawi zambiri, mayesowa amayamba m'mawa, nthawi zambiri pakati pa 7:00 ndi 9:00 a.m. Popeza mudzakhala kuchipatala kapena kuchipatala mpaka mayesowo atatha, ndi bwino kubweretsa china chake kuti musamavutike, monga buku kapena notebook.

Izi ndi njira zomwe zimachitika nthawi zambiri:

1. Choyamba, dokotala kapena katswiri wa matenda a phlebotomist adzakuyezani magazi kuchokera m'mitsempha yanu. Izi zimagwiritsidwa ntchito kuyeza kuchuluka kwa shuga m'magazi mwanu osadya.

2. Kenako, mudzapatsidwa yankho lapadera la shuga kuti mumwe. Nthawi zambiri limakhala ndi magalamu 75 a shuga wosungunuka mu mamililita 250-300 a madzi. Mudzalangizidwa kuti mumwe yankho lonseli mkati mwa mphindi zisanu.Komabe, kuchuluka kwa shuga woperekedwa kwa ana aang'ono ndi amayi apakati kumatha kusiyana. Yankho la shuga uyu ndi lotsekemera kwambiri, ngati Gatorade wotsekemera. Anthu ena angaone kukoma kwake kukhala kosasangalatsa pang'ono.

3. Patatha maola awiri kuchokera pamene mwamwa madzi a shuga, magazi ena adzatengedwa kuchokera m'mitsempha yanu kuti aone kuchuluka kwa shuga m'magazi mwanu. Kutengera chifukwa cha mayesowa, magazi amatha kutengedwa mphindi 30 zilizonse, kamodzi pa ola limodzi, kapena kangapo mutamwa madzi a shuga.

Kodi pali mitundu ina ya `(GTT)`?

Inde, pali mitundu ingapo ya `(GTT)` yokonzedwa kuti igwirizane ndi zosowa zosiyanasiyana. Tiyeni tiwone zitsanzo zingapo:

• Kuyesa kwa ola limodzi kwa shuga: Izi nthawi zambiri zimachitika kuti muone ngati muli ndi matenda a shuga a mimba. Mumamwa madzi okhala ndi magalamu 50 a shuga, kenako shuga m'magazi mwanu amayesedwa ola limodzi pambuyo pake. Kuyesaku nthawi zambiri sikutanthauza kusala kudya.
• Mayeso oyesera kulekerera shuga m'magazi kwa maola atatu: Mu mayesowa, magazi amatengedwa musanamwe shuga (mutasala kudya). Kenako, zitsanzo za magazi zimatengedwanso ola limodzi, maola awiri, ndi maola atatu mutamwa shuga.
• Kuyesa kwa shuga m'magazi kuti mudziwe ngati muli ndi shuga wambiri m'magazi (acromegaly): Mu mayesowa, dokotala wanu amatenga magazi osati kuti aone kuchuluka kwa shuga m'magazi mwanu, koma kuti aone kuchuluka kwa mahomoni a kukula kwa munthu (HGH). Mukamwa madzi a shuga, magazi anu akhoza kutengedwa mphindi 30 zilizonse kwa maola awiri (ndiko kuti, pa mphindi 30, 60, 90, ndi 120).

Kodi mungayembekezere chiyani mayeso atatha?

Mukamaliza GTT, mutha kuchita zinthu zanu zatsiku ndi tsiku monga mwachizolowezi. Muthanso kuyamba kudya kachiwiri. Kungakhale bwino kubweretsa chotupitsa kuti mudye mukamaliza mayeso. Dokotala wanu adzakuuzani ngati pali malangizo apadera, ndipo adzakudziwitsaninso nthawi yomwe zotsatira zake zidzapezeke.

Zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira za mayeso?

Nthawi zambiri, mudzatha kupeza zotsatira za ``GTT'' mkati mwa masiku ochepa ogwira ntchito. Komabe, nthawi ino imatha kusiyana pang'ono kuchokera ku labu kupita ku labu. Choncho musadandaule.

Kodi pali zotsatirapo zilizonse zoyipa zomwe zimabwera chifukwa cha `(GTT)` iyi?

Kuyesa kulekerera shuga m'magazi nthawi zambiri kumakhala kotetezeka kwambiri . Anthu ambiri samva kupweteka akamamwa madzi a shuga. Komabe, anthu ena amatha kumva nseru pang'ono kapena chizungulire. Komabe, zotsatirapo zoyipa sizimachitika kawirikawiri.

Kutenga magazi ndi gawo lofala kwambiri komanso lofunikira poyesa matenda. Sizimabweretsa zoopsa zilizonse. Mungamve kupweteka pang'ono kapena kuvulala pang'ono, koma adzachira msanga.

Kodi zotsatira za `(GTT)` zikuti chiyani kwenikweni?

Lipoti lanu la zotsatira za GTT lidzawonetsa kuchuluka kwa shuga m'magazi nthawi iliyonse yomwe magazi anu adatengedwa. Ku Sri Lanka, shuga m'magazi nthawi zambiri amayesedwa mu ma milligrams pa deciliter (mg/dL).

Mitundu yosiyanasiyana ya shuga m'magazi yomwe ma lab ndi madokotala amagwiritsa ntchito pozindikira matenda a shuga m'magazi monga matenda a shuga imatha kusiyana pang'ono, choncho nthawi zonse onani mndandanda wa zizindikiro zomwe zaperekedwa pa lipoti lanu la zotsatira.

Kawirikawiri, madokotala amagwiritsa ntchito mitundu iyi ya ma values ​​​​kwa maola awiri a OGTT:

• Yabwinobwino: Yochepera 140 mg/dL.
• Matenda a shuga asanakwane: Pakati pa 140 mg/dL ndi 199 mg/dL.
• Matenda a shuga: 200 mg/dL kapena kupitirira apo.

Kuchuluka kwa magazi ndi nthawi zomwe magazi amatengedwa zimatha kusiyana malinga ndi matenda ena, monga matenda a shuga a mimba ndi acromegaly. Mwachitsanzo, mayeso a kukula kwa mahomoni (GTT) kuti ayang'ane acromegaly amayesa kusintha kwa kuchuluka kwa mahomoni okulira. Dokotala wanu adzakambirana nanu mwatsatanetsatane za zotsatirazi.

Ngati zotsatira zake sizili zachilendo, nchiyani chimachitika pambuyo pake?

Tangoganizirani, zomwe zingachitike pambuyo pake ngati zotsatira zanu za `(GTT)` sizili bwino, kutanthauza kuti, `zosazolowereka`. Musadandaule, dokotala wanu adzakuuzani momveka bwino zomwe mungachite pambuyo pake. Zoona, ndi zachilendo kumva nkhawa pang'ono komanso mantha pamene zotsatira zake sizili bwino. Koma dziwani izi, madokotala sasankha nthawi yomweyo kuti muli ndi `prediabetes` kapena `diabetes` chifukwa chakuti zotsatira zake za `(OGTT)` sizili bwino.

Mwina mungafunikenso kuyesedwanso komweko patatha masiku angapo, kapena dokotala wanu angakupatseninso mayeso ena ozindikira matenda, monga mayeso a A1C. Komabe, dokotala wanu adzakhala nanu nthawi yonse yodziwira matenda. Musazengereze kufunsa mafunso aliwonse omwe muli nawo ndikukambirana za nkhawa zanu.

Ndizachibadwa kuchita mantha mukaona zotsatira za mayeso osazolowereka. Koma kumbukirani, zotsatira za GTT zosazolowereka sizitanthauza kuti muli ndi matenda a shuga. Ngati zotsatira zake zikusonyeza kuti shuga m'magazi mwanu ndi wokwera, dokotala wanu mwina adzachita mayeso ena kuti adziwe matendawo bwinobwino. Musaope kufunsa dokotala wanu mafunso. Alipo kuti akuthandizeni.

Zinthu zofunika kwambiri zomwe tiyenera kutenga kuchokera m'nkhaniyi

Kotero, mayeso oletsa shuga m'magazi (GTT) omwe takambirana lero ndi mayeso ofunikira kwambiri azachipatala omwe amatithandiza kudziwa momwe thupi lathu limagwiritsira ntchito komanso kusunga shuga, kutanthauza shuga. Izi zimathandiza kwambiri pozindikira matenda monga matenda a shuga msanga.

Pali kukonzekera pang'ono musanayese mayeso, ndipo kutsatira bwino ndikofunikira kwambiri kuti mupeze zotsatira zolondola. Pa nthawi yoyezetsa, mudzamwa madzi otsekemera a shuga, kenako mudzatengedwa magazi kangapo kwa maola angapo.

Chofunika kwambiri ndi kusachita mantha, ngakhale zotsatira zake zikhale zotani . Ngakhale zotsatira zake zitakhala zachilendo, si mapeto a dziko. Lankhulani ndi dokotala wanu mosamala ndipo mudziwe chomwe mungachite kenako. Kumbukirani, kuzindikira msanga ndi kuchiza matenda ndiyo njira yabwino kwambiri yokhalira ndi moyo wathanzi komanso wachimwemwe! Ngati muli ndi mafunso, musazengereze kulankhula ndi dokotala.

Mayeso Ololera Shuga, GTT, OGTT, Matenda a Shuga, Mayeso a Shuga, Matenda a Shuga a Mimba, Shuga wa M'magazi