Mayeso Ololera Shuga M'kamwa (OGTT): Kodi mukufunikiranso izi?

Kodi dokotala wanu adakuwuzanipo kuti mumwe madzi okhala ndi shuga ndikuyesedwa magazi? Anthu ambiri amadabwa kuti ichi ndi chiyani komanso chifukwa chake chikuchitika, ndipo mwina amaopa pang'ono. Koma kwenikweni palibe choopa. Iyi ndi mayeso ofala kwambiri omwe amachitidwa kuti apeze zambiri zofunika kwambiri zokhudza thanzi lanu. Lero, tiyeni tikambirane za mayeso oletsa shuga m'kamwa, kapena OGTT monga tonse tikudziwira.

Kodi OGTT iyi ndi chiyani?

Mwachidule, OGTT ndi mayeso omwe amayesa momwe thupi lanu limayendetsera shuga wochokera ku gwero la mphamvu. Izi zingapatse dokotala wanu zizindikiro zofunika zokhudza thanzi lanu.

Tikamadya, shuga m'magazi mwathu nthawi zambiri amakwera. Kenako, chiwalo chotchedwa kapamba, chomwe chili mkati mwa mimba mwathu, chimapanga mahomoni otchedwa insulin . Ganizirani maselo a thupi lanu ngati nyumba zazing'ono. Shuga yomwe mumapeza kuchokera ku chakudya chomwe mumadya ndi mphamvu yomwe nyumbazi zimafunikira. Chifukwa chake, insulin ili ngati kiyi yomwe imatenga shuga iyi, kutsegula zitseko za nyumba, ndikulola shuga kulowa. Shuga ikalowa m'maselo, shuga m'magazi amabwerera mwakale.

Komabe, ngati muli ndi matenda a shuga a mtundu wachiwiri, thupi lanu siligwiritsa ntchito bwino kiyi iyi yotchedwa insulin. Kenako shuga amaunjikana m'magazi m'malo molowa m'maselo. Shuga wochulukirapo m'magazi amatha kuwononga mitsempha yamagazi m'thupi lonse. Matenda a shuga angayambitse matenda a mtima, mitsempha, maso, ndi impso.

Choncho mayeso a OGTT makamaka amafufuza ngati muli pachiwopsezo chotenga matenda a shuga, kapena ngati muli kale ndi matenda a shuga. Kuyesa kwachidule kwa OGTT panthawi ya mimba kungathandizenso kudziwa ngati muli ndi matenda a shuga a mimba.

Ndani akupemphedwa kuti achite mayeso a OGTT awa?

Ngati muli ndi chimodzi kapena zingapo mwa zinthu zotsatirazi zomwe zingakubweretsereni chiopsezo, dokotala wanu angakupempheni kuti muyesedwe OGTT.

Kodi OGTT imasiyana bwanji panthawi ya mimba?

Inde, ngati muli ndi pakati, muyenera kukhala ndi mayeso afupiafupi a OGTT pakati pa milungu 24 ndi 28 ya mimba. Mayeso a ola limodzi awa amatchedwa 'mayeso a glucose challenge'.

Komabe, ngati muli pachiwopsezo chachikulu chotenga matenda a shuga a mimba, dokotala wanu angakulangizeni kuti muyesedwe msanga. Zinthu zoopsa izi ndi izi:

• Popeza ndinali ndi matenda a shuga a mimba m'mbuyomu.
• Kukhala ndi matenda a shuga m'banja.
• Kunenepa kwambiri.
• Kukhala ndi vuto lina la matenda lomwe limawonjezera chiopsezo cha matenda a shuga, monga PCOS.

Ngati dokotala wanu akuda nkhawa ndi chiopsezo chanu, kapena ngati zotsatira za mayeso a ola limodzi zili zapamwamba, mungapemphedwe kuti muyesedwe mayeso a OGTT kwa nthawi yayitali omwe amatha maola atatu.

Kodi mumakonzekera bwanji mayeso asanayambe?

Kukonzekera izi n'kosavuta kwambiri.

• Masiku angapo musanayesedwe, idyani bwino. Musadye zakudya zapadera.
• Simungadye kapena kumwa chilichonse kwa maola 8 musanayesedwe. Nthawi yabwino yochitira izi ndikukonzekera mayeso m'mawa. Kenako mutha kusala kudya usiku wonse.
• Mu maola 8 awa , mumaloledwa kumwa madzi okha. Musamwe zakumwa zina zilizonse.
• Lankhulani ndi dokotala wanu za mankhwala ena aliwonse omwe mukumwa mukakonza nthawi yoyezetsa.

Momwe mungachitire mayeso sitepe ndi sitepe

Mutha kuyesedwa kwa OGTT ku ofesi ya dokotala wanu, ku chipatala, kuchipatala, kapena ku labu.

1. Choyamba, mudzatengedwa magazi kuti muwone kuchuluka kwa shuga m'magazi mwanu osadya.

2. Kenako mudzapatsidwa galasi lalikulu la madzi okhala ndi shuga kuti mumwe.

3. Kenako, muyenera kudikira kwakanthawi. Panthawiyi, simungathe kutuluka mu labu kapena chipatala.

4. Ngati mukuchita mayeso a shuga nthawi zonse , mudzamwa madzi a shuga kenako mudzatenganso magazi ena patatha maola awiri .

5. Ngati mukuchita mayeso a shuga a mimba (maola atatu) , mudzamwa madzi a shuga ndipo mudzatengedwa magazi pa ola limodzi, maola awiri, ndi maola atatu .

Mayeso akatha, mutha kubwerera ku zochita zanu zachizolowezi.

Kodi pali zoopsa zilizonse ndi mayesowa?

Kuyesa kwa OGTT ndi kotetezeka kwambiri, koma anthu ena angakumane ndi zotsatirapo zazing'ono.

Zinthu zomwe zingachitike chifukwa cha zakumwa zotsekemera:

• Kusanza
• Kusanza
• Kudzaza mimba
• Mutu
• Shuga wochepa m'magazi (wosowa kwambiri)

Zinthu zomwe zingachitike chifukwa chopereka magazi:

• Kutuluka magazi kwambiri
• Chizungulire
• Mkhalidwe wa matenda
• Kupweteka pang'ono chifukwa choyesa mobwerezabwereza kupeza mtsempha wamagazi
• Kutupa kapena kupweteka pamalo pomwe pavulala

Izi ndi zinthu zazing'ono kwambiri ndipo zidzachira msanga.

Kodi zotsatira zake zikuti chiyani?

Mukatha kumwa chakumwa chokhala ndi shuga, shuga m'magazi mwanu amakwera ndipo ayenera kubwerera mwakale pakapita kanthawi chifukwa cha ntchito ya insulin ya mahomoni. Ngati zitenga nthawi yayitali kuti zibwerere mwakale, chikhoza kukhala chizindikiro cha matenda a shuga. Zotsatira za lipoti lanu zalembedwa mu "mg/dL" (milligrams pa deciliter).

Ngati mayi woyembekezera ali ndi chimodzi mwa zotsatira zomwe zili pamwambapa zomwe zili zapamwamba kuposa zachizolowezi, dokotala wake angakulangizeni kuti akapimidwenso pakatha milungu ingapo. Ngati zotsatira ziwiri kapena kuposerapo zili zapamwamba, adzapezeka ndi matenda a shuga a mimba.

Kodi chimachitika ndi chiyani pambuyo pa mayeso?

Dokotala wanu adzakufotokozerani zomwe mungachite pambuyo pake kutengera zotsatira zake.

• Ngati muli ndi matenda a shuga asanafike: Dokotala wanu adzakulankhulani za njira zopewera kuti asakule nthenda ya shuga. Kuchita masewera olimbitsa thupi ndi kuchepetsa thupi ndi njira ziwiri zabwino kwambiri zochepetsera chiopsezo chanu cha matenda a shuga.
• Ngati muli ndi matenda a shuga: Mungapemphedwe kuti muchite mayeso ena, monga A1c, kuti mutsimikizire kuti muli ndi matendawa. Zakudya zabwino, masewera olimbitsa thupi, ndi mankhwala zingathandize kuchepetsa kuchuluka kwa shuga m'magazi mwanu.
• Ngati muli ndi matenda a shuga a mimba: Mutha kuwongolera vutoli mwa kudya zakudya zabwino komanso kuchita masewera olimbitsa thupi. Shuga m'magazi mwanu ayenera kubwerera mwakale mutatha kubereka mwana wanu. Komabe, munthu amene wakhala ndi matenda a shuga a mimba ali pachiwopsezo chachikulu chotenga matenda a shuga a mtundu wa 2 mtsogolo. Ndicho chifukwa chake ndikofunikira kupitiriza kukhala ndi moyo wathanzi.

Chofunika kwambiri ndikulankhula ndi dokotala wanu za zonsezi ndikutsatira malangizo ake molondola.