Reka tumenye urugero rw'isukari mu maraso yawe (Igipimo cy'isukari mu maraso)? Ese ibi bikorwa ku barwayi ba diyabete gusa?

Muraho! Mumeze mute? Uyu munsi tugiye kuvuga ku ngingo ifitiye akamaro abantu benshi. Ni ukuvuga gusuzuma urugero rw'isukari mu maraso, cyangwa nk'uko tubyita, "Igipimo cya Glucose mu maraso". Wenda wakoze iki "kizamini". Cyangwa wenda wumvise umuntu abivugaho. Reka turebe icyo ari cyo, impamvu ikorwa, n'uko bikorwa, byose mu magambo make.

Igipimo cy'isukari mu maraso ni iki?

Muri make, iki ni ikizamini gipima ingano ya glucose (isukari) mu maraso yawe. Iki gipimo gikoreshwa cyane cyane mu kumenya niba urwaye diyabete cyangwa ufite ibyago byo kurwara diyabete. Ariko, iki kizamini ntigikoreshwa gusa kuri diyabete. Tuzabivugaho nyuma.

Hari ubwoko bubiri bw'ingenzi bw'iki kizamini.

Noneho reba, hari uburyo bubiri bwo gukora iki gipimo cy'isukari mu maraso.

• Isuzuma rya glucose mu maraso: Ibi bikubiyemo gutobora urushinge ruto ku rutoki rwawe no gufata igitonyanga cy'amaraso. Ku bana bato, ibi bikunze gukorwa uhereye ku gatsinsino. Igitonyanga cy'amaraso gishyirwa ku gakoresho gapima hanyuma kigashyirwa mu gipimo cya glucose, gishobora gupima urugero rw'isukari mu maraso yawe mu masegonda make. Ushobora kuba warabonye abantu barwaye diyabete basuzuma isukari mu maraso yabo mu rugo muri ubu buryo. Ibi bitanga ibisubizo byihuse cyane.

• Isuzuma rya glucose mu maraso yo mu mitsi/plasma: Ibi bikubiyemo gufata amaraso make mu mitsi iri mu kuboko kwawe ukoresheje syringe. Ibi bikorwa n'inzobere mu by'amaraso, umuntu watojwe gufata amaraso. Ibi akenshi bikorwa hamwe n'ibindi bipimo by'amaraso, nka Basic Metabolic Panel (BMP). Hanyuma icyitegererezo cy'amaraso cyoherezwa muri laboratwari kugira ngo gipimwe.

Muri rusange, ibisubizo byavuye mu isuzuma ry'amaraso yo mu mitsi ni byo by'ukuri kurusha ibyavuye mu isuzuma ry'intoki.

Ese hari ubundi bwoko bw'ibizamini bya glucose?

Yego, hari ubundi buryo bwinshi.

• Ikizamini cy'isukari mu maraso cyo kwiyiriza ubusa: Iki ni ikizamini cy'ingenzi kugira ngo umenye niba urwaye diyabete. Igipimo cy'isukari mu maraso kirahinduka nyuma yo kurya. Kubwibyo, iyo ukoze iki "kizamini" nyuma y'amasaha make (ubusanzwe amasaha 8-12) utariye cyangwa ngo unywe ikintu icyo ari cyo cyose (ushobora kunywa amazi gusa), ushobora gusobanukirwa neza "isukari y'ibanze mu maraso yawe".

• Gukurikirana isukari mu rugo: Ibi ni ingenzi cyane ku bantu barwaye diyabete. Bakurikirana isukari mu maraso yabo buri gihe, haba hakoreshejwe icyuma gipima isukari gifata urutoki rwabo n'urushinge ruto, cyangwa hakoreshejwe icyuma gipima isukari gihoraho (CGM), igikoresho gito gifatanye n'uruhu. Kumenya isukari mu maraso yawe muri ubu buryo ni ingenzi kugira ngo diyabete yawe ikomeze kugenzurwa.

Glucose (isukari) mu maraso ni iki mu by'ukuri?

Tekereza kuri ibi, isukari ni yo mashini nyamukuru iha umubiri wacu ingufu. Iyi sukari ikorerwa ahanini muri karubohidrati mu biribwa turya n'ibyo tunywa. Umwijima wacu nawo ukora isukari. Iyi sukari inyura mu maraso ikagera mu turemangingo two mu mubiri wose, aho itanga ingufu zikenewe.

Hariho inzira zitandukanye mu mubiri wacu zifasha mu kubungabunga urugero rwiza rwa glucose mu maraso. Imisemburo ya insuline igira uruhare runini muri ibi.

Igikuru ni ugukomeza kugira urugero rwiza rw'isukari mu maraso yawe.

Iyo igipimo cy'isukari mu maraso yawe gikomeje kuba kinini, cyitwa hyperglycemia. Iki gikunze kuba ikimenyetso cya diyabete. Diyabete ibaho iyo pancreas yawe idakora insuline ihagije, cyangwa iyo umubiri wawe udashobora gukoresha insuline ikora neza.

Ni ryari ugomba gusuzuma isukari mu maraso yawe?

Hari impamvu nyinshi zo gukora iki 'kizamini'. Reba niba hari kimwe muri ibi kikureba:

• Nk'isuzuma ry'amaraso risanzwe ryategetswe na muganga wawe: Hari igihe muganga wawe agutegeka "Itsinda ry'ibanze rya Metabolic Panel (BMP)" cyangwa "Itsinda ry'ibinyabutabire rihagije (CMP)" nk'isuzuma ry'amaraso risanzwe. Ibi "binyabutabire" byombi birimo no gupima urugero rw'isukari mu maraso yawe.
• Niba ufite ibimenyetso by'isukari iri hejuru cyangwa iri hasi mu maraso: Ugira inyota cyane, ukunda kunyara, ugatakaza ibiro, kandi ukumva unaniwe, ibyo bikaba ari ibimenyetso by'isukari iri hejuru mu maraso (Hypoglycemia), cyangwa niba ufite ibimenyetso by'isukari iri hasi mu maraso (Hypoglycemia), nko kubira ibyuya, kunyeganyega, kumva unyeganyega, no kumva ushonje, muganga wawe azagutegeka iki kizamini.
• Mu gihe cyo gutwita: Hari abantu bashobora kurwara diyabete y'igihe gito yitwa "diyabete yo mu gihe cyo gutwita" mu gihe cyo gutwita. Uku ni nako isukari yo mu maraso ipimwa iyo hakozwe "ikizamini cyo kwihanganira isukari" kugira ngo bayimenye.
• Niba ufata imiti imwe n'imwe igihe kirekire: Urugero, imiti nka corticosteroids ishobora kugira ingaruka ku rugero rw'isukari mu maraso yawe iyo uyikoresheje igihe kirekire. Muri ibyo bihe, muganga wawe ashobora kukugira inama yo kugenzura urugero rw'isukari yawe buri gihe.

Igipimo cy’isukari mu maraso gikunze gukoreshwa cyane ni ugusuzuma diyabete yo mu bwoko bwa 2 (T2D). Niba ufite ibintu bishobora gutera diyabete (urugero: amateka y’umuryango wa diyabete, umubyibuho ukabije, kutagira imyitozo ngororamubiri), muganga wawe ashobora kukugira inama yo kwipimisha buri gihe, hatitawe ku myaka yawe. Ishyirahamwe ry’Abanyamerika rishinzwe diyabete risaba ko abantu bose barengeje imyaka 35 bakwipimisha buri gihe.

Wakwitegura ute mbere y'iki kizamini?

Niba urimo gukora ikizamini cya glucose mu maraso wiyiriza ubusa,Ntukarye cyangwa ngo unywe ikintu icyo ari cyo cyose (usibye amazi) amasaha 8 kugeza kuri 12 mbere yo gupimwa.

Niba isuzuma ryawe ry'isukari mu maraso rikozwe muri "Basic Metabolic Panel (BMP)" cyangwa "Comprehensive Metabolic Panel (CMP)", ushobora no gukenera kwiyiriza ubusa amasaha make. Ariko, niba ukeneye gukurikiza amabwiriza yihariye, muganga wawe azabikumenyesha mbere y'igihe. Bityo rero nta kintu na kimwe ugomba guhangayikishwa nacyo.

Ni iki kibaho mu gihe cy'ikizamini?

Ibi kandi biratandukanye gato bitewe n'ubwoko bw'ikizamini urimo gukora.

Mu isuzuma aho amaraso afatwa mu mitsi (isuzuma rya glucose yo mu mitsi):

• Uzicara ku ntebe.
• Umuganga w’indwara z’imitsi azahitamo umutsi woroshye wo mu kuboko kwawe wo gukuramo amaraso. Akenshi, uba uri mu nkokora.
• Iyo umutsi ubonetse, aho hantu hasukurwa neza kandi hagashyirwamo imiti yica udukoko.
• Hanyuma urushinge ruto rushyirwa mu mutsi hanyuma hagafatwa ikizamini cy'amaraso.
• Nyuma yo gushyiramo urushinge, amaraso make akusanywa mu muyoboro muto w'isuzuma.
• Nyuma yo gufata icyitegererezo cy'amaraso, urushinge rurakurwaho hanyuma agace k'ipamba cyangwa gaze gashyirwa aho byakorewe kugira ngo amaraso ahagarike.
• Amaherezo, shyira agatambaro gato ku gice cy'umubiri hanyuma urangize. Biroroshye cyane.

Mu isuzuma ry'urutoki (Isuzuma rya glucose mu maraso yo mu miyoboro y'amaraso):

• Umukozi w’ubuzima azakubaza urutoki rwo gufata amaraso.
• Hanyuma, intoki zawe zozwa n'agapfukamunwa ka alukolo.
• Hanyuma, urushinge ruto rwitwa "lancet" (ubusanzwe uru ruboneka mu gikoresho gito cya pulasitiki) rukoreshwa mu gutobora umutwe w'urutoki. Ibi ntibibabaza cyane.
• Hanyuma, kanda urutoki rwawe gato kugira ngo havemo igitonyanga cy'amaraso.
• Icyo gitonyanga cy'amaraso gishyirwa ku gakoresho gapima gahujwe n'icyuma gipima isukari.
• Nyuma yo gufata amaraso ahagije yo gupima, bazaguha agace k'ipamba cyangwa gaze kugira ngo bahagarike kuva amaraso kandi bagusabe gufata intoki zawe neza.
• Mu masegonda make, icyuma gipima isukari mu maraso kizagaragaza urugero rw'isukari mu maraso yawe kuri ecran.

Urabona, ibi nabyo biroroshye cyane.

Bitwara igihe kingana iki kugira ngo umenye ibisubizo?

Iyo upimye isukari mu maraso yo mu mitsi, akenshi ushobora kubona ibisubizo mu munsi umwe cyangwa ibiri.

Ibisubizo by'ikizamini cya glucose mu maraso y'imitsi bishobora kureberwa mu masegonda make hakoreshejwe icyuma gipima glucose.

Igipimo cy'isukari isanzwe mu maraso kigomba kuba kingana iki?

Igipimo cy’isukari mu maraso cyiza ku muntu udafite diyabete kigomba kuba hagati ya miligarama 70 na 99 kuri desilita (mg/dL) . Ni ukuvuga muri milimetero kuri litiro (mmol/L), hagati ya 3.9 na 5.5 (3.9-5.5 mmol/L) .

Hari igihe, agaciro kari hagati ya 50 mg/dL (2.8 mmol/L) na 70 mg/dL (3.9 mmol/L) gashobora kuba "ibisanzwe" ku bantu badafite diyabete.

Isukari nyinshi mu maraso bivuze iki?

Niba urugero rw'isukari mu maraso yawe ruri hagati ya 100 mg/dL na 125 mg/dL (5.6 mmol/L na 6.9 mmol/L), akenshi bivuze ko ufite diyabete itaragera . Abantu bafite diyabete itaragera ku myaka 50 bafite amahirwe angana na 50% yo kurwara diyabete yo mu bwoko bwa 2 mu myaka 5 kugeza ku 10 iri imbere. Ariko ikintu cyiza ni uko ushobora gufata ingamba zo kugabanya diyabete itaragera ku myaka 10 iri imbere.

Niba igipimo cya glucose mu maraso yawe kiri kuri 126 mg/dL (7.0 mmol/L) cyangwa kirenze iyo upimwe inshuro nyinshi isukari mu maraso, akenshi bivuze ko urwaye diyabete. Abantu barwaye diyabete yo mu bwoko bwa 1 bashobora kugira igipimo cy'isukari kiri hejuru cyane mu maraso (200 mg/dL cyangwa 11.1 mmol/L cyangwa kirenze).

Uko byagenda kose, muganga wawe ashobora gutegeka ko upimwa A1c mbere yo gusuzuma. Ikizamini cya A1c kigaragaza impuzandengo y'isukari mu maraso yawe mu mezi menshi.

Ese hari izindi mpamvu zituma urugero rw'isukari mu maraso rwiyongera?

Yego, uretse diyabete, urugero rwa glucose mu maraso rushobora kwiyongera bitewe n'izindi mpamvu nyinshi:

• Ibibazo ku ngirabuzimafatizo zawe z'impyiko, urugero nk'indwara ya Cushing.
• Ibibazo bya pancreas yawe, urugero, pancreatitis.
• Hyperthyroidism.
• Guhura n'ibibazo bikomeye byo mu mutwe, urugero nyuma yo kubagwa cyangwa impanuka ikomeye (ihungabana).
• Imiti imwe n'imwe, cyane cyane imiti ya corticosteroid.

Isukari nke mu maraso bivuze iki?

Igipimo cy'isukari mu maraso cya 70 mg/dL cyangwa kiri munsi yayo (Hypoglycemia) gifatwa nk'aho kiri hasi cyane ku muntu mukuru urwaye diyabete.

Ibihe by’isukari y’umusemburo (hypoglycemia) bikunze kugaragara ku bantu barwaye diyabete yo mu bwoko bwa 1. Bishobora no kwibasira abantu barwaye diyabete yo mu bwoko bwa 2 bafata imiti imwe n’imwe. Ariko, ni gake cyane ku bantu badafite diyabete.

Nubwo udafite diyabete, urugero rwa glucose mu maraso rushobora kuba ikimenyetso cy'indwara nk'iyi:

• Indwara y'umwijima
• Indwara y'impyiko
• Hypothyroidism
• Indwara ya Addison (kunanirwa k'ubuhumekero bw'impyiko)
• Indwara yo gukoresha inzoga (AUD)
• Insulinoma (Iki ni ikibyimba kidakunze kugaragara)

Izi ndwara akenshi zitera ibihe byinshi byo kugira isukari nke mu maraso. Umuntu udafite diyabete ntagomba gutinya ko isukari nke mu maraso igaragara.

Ni ibisanzwe kugira ubwoba iyo ubonye ibisubizo bidasanzwe by'ikizamini. Ariko ibuka ko igipimo kimwe cy'isukari mu maraso kiri hejuru cyangwa kiri hasi ntabwo bivuze ko ufite ikibazo cy'uburwayi cyangwa ukeneye kuvurwa. Abaganga bakoresha ibirenze ikizamini cy'amaraso gusa kugira ngo bapime indwara nka diyabete. Ntutinye kubaza muganga wawe ibibazo. Barahari kugira ngo bagufashe.

None se ni ibihe bintu tugomba kwibuka muri ibi byose? (Ubutumwa bwo kujyana mu rugo)

Twavuze byinshi kuri iki "Gipimo cy'isukari mu maraso". Dore bimwe mu byo kwibuka muri make:

• Nubwo ikizamini cy'isukari mu maraso gikoreshwa cyane cyane mu gusuzuma diyabete, gishobora no gutanga ibimenyetso ku zindi ndwara.
• Uretse ibizamini byihuse byo gupima intoki, hari n'ibindi bizamini by'ukuri bikorerwa muri laboratwari bikura amaraso mu mitsi.
• Gupima isukari mu maraso mu buryo bwo kwiyiriza ubusa bishobora kuguha ishusho nziza y'urugero rw'isukari mu maraso yawe.
• Mbere yo kugira ubwoba ku bisubizo, banza uganire na muganga wawe. Ntugakore isuzuma rishingiye ku bisubizo by'ikizamini kimwe.
• Niba ufite ibyago byo kurwara diyabete, cyangwa ufite ibimenyetso, ni ngombwa cyane ko iki kizamini gikorwa buri gihe nk'uko muganga wawe yabigutegetse.
• Kugumana igipimo cy'isukari mu maraso kiri ku rugero rusanzwe ni ingenzi kugira ngo umuntu agire ubuzima bwiza.

Rero, niba muganga wawe agusabye gukora iki "(Igipimo cya glucose mu maraso)", nta kintu cyo gutinya cyangwa gukeka. Ni ikintu cy'ingenzi gusa ugomba gukora kugira ngo urebe ubuzima bwawe. Urabyumva?

Isukari yo mu maraso , isuzuma rya glucose, diyabete, urugero rw'isukari, isuzuma ryo kwiyiriza ubusa, hyperglycemia, hypoglycemia