Umubiri wawe ugenzura neza isukari gute? Reka twige ku gipimo cyo kwihanganira isukari (GTT) mu buryo bworoshye!

Ese wigeze wumva ikizamini cyo kwihanganira isukari, cyangwa GTT mu magambo make? Muganga wawe ashobora kuba yarakubwiye, cyangwa se ukaba waranasabye ko gikorwa. Iki ni ikizamini cy'ingenzi cyane kigenzura uburyo umubiri wawe ukoresha kandi ubika isukari, cyangwa isukari. Abaganga bakunze gukoresha iki kizamini kugira ngo bamenye indwara nka diyabete. Ariko hari ubundi buryo bwo gusuzuma diyabete, nko gusuzuma A1C no gusuzuma isukari yo mu maraso idafite isuku.

None se, iki kizamini cyo kwihanganira isukari (`GTT`) ni iki?

Muri make, imibiri yacu ibona imbaraga zayo mu byo turya, cyane cyane ibiryo birimo karubohidrati nyinshi. Ibi nibyo biha uturemangingo twacu imbaraga zo gukora. Imibiri yacu kandi ibika iyi glucose kugira ngo izakoreshwe nyuma, cyane cyane mu mitsi yacu no mu mwijima. Iyi glucose yabitswe yitwa glycogen.

Rero, kugira ngo urugero rwa glucose mu maraso yacu rugume ku rugero runaka, ibintu bitandukanye biba mu mubiri wacu. Muri byo , imisemburo yitwa insuline igira uruhare runini . Iyi insuline ikorerwa mu impyiko zacu. Iyo hari ikibazo mu buryo umubiri wacu ukoresha glucose, urugero rw'isukari mu maraso rushobora kwiyongera. Ibyo ni byo twita hyperglycemia. Nanone, rimwe na rimwe urugero rw'isukari mu maraso rushobora kugabanuka, kandi iyo ndwara yitwa hypoglycemia.

Hari ubwoko butandukanye bwa GTT. Ikoreshwa cyane ni Oral Glucose Tolerance Test (OGTT), aho ikoreshwa mu gutanga umuti wa glucose unyuze mu kanwa.

Ni ibisanzwe kumva ufite ubwoba mbere yo gupimwa na muganga. Ariko ibuka ko icy'ingenzi ari ukumenya amakuru. Uko ibisubizo byazagenda kose, uzamenya byinshi ku mubiri wawe kurusha uko wari usanzwe ubizi. Ukoresheje ayo makuru, wowe na muganga wawe mushobora gukora gahunda nziza ku buzima bwanyu mu gihe kiri imbere.

Ni mu bihe ibihe wakenera gukora ibi `(GTT)`?

Muganga wawe ashobora kukugira inama yo gusuzuma GTT kugira ngo arebe cyangwa yemeze niba hari kimwe muri ibi bikurikira:

• Diyabete – akenshi iterwa na diyabete itaravuka, diyabete yo mu bwoko bwa 2, cyangwa diyabete yo mu gihe cyo gutwita.
• Indwara yitwa ubudahangarwa bwa insuline.
• Kugabanuka k'umuvuduko w'isukari mu maraso - Iyi ni igabanuka ry'umuvuduko w'isukari mu maraso nyuma yo kurya.
• Acromegaly ni ikibazo cy'imisemburo.
• Ibibazo bidakunze kubaho mu mikorere y'ibinyasukari.

Ariko ibuka ko hari ibindi bipimo bishobora gukoreshwa mu gusuzuma izi ndwara. Muganga wawe ashobora gutegeka ko upimwa inshuro zirenze imwe.

Cyane cyane mu gihe cyo gutwita, ikizamini cy’isaha imwe gikunze gukorwa kugira ngo harebwe diyabete yo mu gihe cyo gutwita . Niba ibisubizo bidakunze kugaragara, muganga wawe ashobora gutegeka ko hakorwa ikizamini cyo kwihanganira isukari mu kanwa (OGTT) cy’amasaha atatu kugira ngo yemeze ko indwara yanduye cyangwa ngo yemeze ko nta ndwara ifite.

Ni gute umuntu yakwitegura neza `(GTT)`?

Kubera ko hari ubwoko butandukanye bwa GTT, hashobora kubaho itandukaniro rito mu buryo ugomba kwitegura bitewe n'ikizamini urimo gukora. Ariko muri rusange, dore ibintu ugomba gukora:

• Ugomba kubwira muganga wawe imiti yose n'inyongeramusaruro ufata, kuko hari imiti ishobora kugira ingaruka ku bisubizo by'ibizamini. Muganga wawe ashobora kugusaba guhagarika gufata imiti imwe n'imwe iminsi mike mbere y'ikizamini.
• Ugomba kurya ibisanzwe nibura iminsi itatu mbere yo kwipimisha. Ni ngombwa kurya ibiryo bitanga nibura garama 150 za karubohidrati ku munsi.
• Ntugahindure imirimo yawe ya buri munsi cyangwa gahunda yawe yo gukora imyitozo ngororamubiri byibuze iminsi itatu . Ntugahite ukora imyitozo ngororamubiri ikomeye mbere yo gukora ikizamini.
• Uzakenera kwiyiriza ubusa mbere yo kwipimisha - bivuze ko udashobora kurya cyangwa kunywa ikindi kintu kitari amazi nibura amasaha 8 (wenda arenzeho).
• Ntushobora kurya cyangwa kunywa itabi mu gihe cyose cy'ikizamini.

Muganga wawe azaguha amabwiriza asobanutse neza y'icyo wakora bitewe n'uburwayi bwawe n'ubwoko bwa GTT ufite. Ni ngombwa cyane kuyakurikiza neza. Niba ufite ikibazo cyangwa hari icyo utumva, ntutindiganye kubaza muganga wawe, sibyo?

Ni iki kibaho ku munsi wa `(GTT)`?

Twamaze kuvuga ko uburyo `(GTT)` ikorwa bushobora gutandukana bitewe n'ubwoko bw'ikizamini. Reka dufate urugero rw'uburyo `(Oral Glucose Tolerance Test - OGTT)` ikorwa cyane cyane mu masaha abiri.

Akenshi, iki kizamini gitangira mu gitondo, akenshi hagati ya saa moya na saa tatu za mu gitondo. Kubera ko uzaba uri mu bitaro cyangwa ku kigo nderabuzima kugeza igihe ikizamini kirangiye, ni byiza kuzana ikintu kigutera kugira ibyo uhugiraho, nk'igitabo cyangwa ikaye.

Izi ni intambwe zikunze kubaho:

1. Ubwa mbere, umuganga cyangwa inzobere mu by’imitsi azagufatira amaraso mu mitsi yawe. Ibi bikoreshwa mu gupima urugero rw’isukari mu maraso yawe yihuta.

2. Hanyuma, uzahabwa umuti wihariye wa glucose wo kunywa. Ubusanzwe uyu muti urimo garama 75 za glucose ivanze muri mililitiro 250-300 z'amazi. Uzahabwa amabwiriza yo kunywa uyu muti wose mu minota itanu.Ariko, ingano ya glucose ihabwa abana bato n'ababyeyi batwite ishobora gutandukana. Iyi glucose iraryoshye cyane, nk'iya Gatorade iryoshye. Hari abantu bashobora gusanga uburyohe bwayo butari bwiza.

3. Nyuma y'amasaha abiri gusa unyoye umuti wa glucose, hazafatwa indi ngero y'amaraso mu mitsi yawe kugira ngo harebwe urugero rw'isukari mu maraso yawe. Bitewe n'impamvu yo gupimwa, amaraso ashobora gufatwa buri minota 30, rimwe mu isaha, cyangwa inshuro nyinshi unyoye umuti wa glucose.

Ese hari izindi nyuguti za `(GTT)`?

Yego, hari ubwoko butandukanye bwa `(GTT)` bujyanye n'ibikenewe bitandukanye. Reka turebe ingero nke:

• Ikizamini cyo kwihanganira isukari y'isaha imwe: Ibi bikunze gukorwa kugira ngo harebwe diyabete yo mu gihe cyo gutwita. Unywa amazi arimo garama 50 za isukari, hanyuma igipimo cy'isukari mu maraso yawe kikapimwa nyuma y'isaha imwe. Ubusanzwe iki kizamini ntigisaba kwiyiriza ubusa.
• Ikizamini cyo kwihanganira isukari mu masaha atatu: Muri iki kizamini, amaraso afatwa mbere yo kunywa isukari (nyuma yo kwiyiriza ubusa). Hanyuma, ibizamini by'amaraso bifatwa isaha imwe, amasaha abiri, n'amasaha atatu nyuma yo kunywa isukari.
• Ikizamini cyo kwihanganira isukari mu maraso (acromegaly): Muri iki kizamini, muganga wawe agufata ikizamini cy'amaraso atari ukugira ngo arebe urugero rw'isukari mu maraso yawe, ahubwo kugira ngo arebe urugero rw'imisemburo ikura mu mubiri w'umuntu (HGH). Umaze kunywa umuti wa glucose, amaraso yawe ashobora gukururwa buri minota 30 mu gihe cy'amasaha abiri (ni ukuvuga ku minota 30, 60, 90, na 120).

Ni iki wakwitega nyuma y'uko ikizamini kirangiye?

Nyuma yo gupimwa GTT, ushobora gukora imirimo yawe ya buri munsi nk'uko bisanzwe. Ushobora no gutangira kurya. Byaba byiza kuzana akantu ko kurya nyuma yo gupimwa. Muganga wawe azakubwira niba hari amabwiriza yihariye, kandi azakubwira igihe ibisubizo bizabonekera.

Bitwara igihe kingana iki kugira ngo umenye ibisubizo by'ibizamini?

Kenshi na kenshi, uzabasha kubona ibisubizo bya "GTT" mu minsi mike y'akazi. Ariko, iki gihe gishobora gutandukana gato bitewe na laboratwari. Rero ntugahangayike.

Ese hari ingaruka mbi zikomoka kuri iyi `(GTT)`?

Ikizamini cyo kwihanganira isukari muri rusange ni ikizamini cyizewe cyane . Abantu benshi ntibaba bumva bamerewe nabi nyuma yo kunywa umuti wa glucose. Ariko, hari abantu bashobora kumva bafite isesemi cyangwa isereri. Ariko ingaruka mbi zikomeye ni gake cyane.

Gufata amaraso ni ikintu gisanzwe kandi gikenewe mu gupima kwa muganga. Nta ngaruka zikomeye bitera. Ushobora kumva ubabara gato cyangwa ufite ibikomere bike, ariko bizakira vuba.

Ibyavuye muri `(GTT)` bivuga iki mu by'ukuri?

Raporo y'ibyavuye mu bushakashatsi bwawe ku ndwara ya GTT izagaragaza urugero rw'isukari mu maraso igihe cyose wakuraga amaraso yawe. Muri Sri Lanka, isukari mu maraso isanzwe ipimwa muri mililitiro kuri desilita (mg/dL).

Uburyo butandukanye bukoreshwa na laboratwari n'abaganga mu gusuzuma ibibazo by'isukari mu maraso nka diyabete bushobora gutandukana gato, bityo buri gihe reba urugero rw'uburyo bugaragara ku byavuye mu bushakashatsi bwawe.

Muri rusange, abaganga bakoresha izi ntera z'agaciro mu gihe cy'amasaha abiri ya OGTT:

• Ibisanzwe: Munsi ya 140 mg/dL.
• Prediabetes: Hagati ya 140 mg/dL na 199 mg/dL.
• Diyabete: 200 mg/dL cyangwa irenga.

Izi ngamba n'igihe cyo gufata amaraso bishobora gutandukana bitewe n'izindi ndwara, nka diyabete yo mu gihe cyo gutwita na acromegaly. Urugero, ikizamini cy'imisemburo yo gukura (GTT) kugira ngo harebwe acromegaly gipima impinduka mu rugero rw'imisemburo yo gukura. Muganga wawe azaganira nawe ku bisubizo birambuye.

Niba ibisubizo bidasanzwe, ni iki gikurikiraho?

Tekereza, bizakurikiraho niba ibisubizo byawe bya `(GTT)` bitameze neza, ni ukuvuga `ibidasanzwe`. Ntugahangayike, muganga wawe azakubwira neza intambwe ugomba gutera. Nibyo, ni ibisanzwe kumva uhangayitse kandi ufite ubwoba iyo ibisubizo bitameze neza. Ariko menya ibi, abaganga ntibahita bafata icyemezo cy'uko ufite `prediabete` cyangwa `diyabete` kubera ko igisubizo kimwe cya `(OGTT)` kidasanzwe.

Ushobora kongera gukorerwa ikizamini nk'icyo mu minsi mike, cyangwa muganga wawe ashobora no gutegeka ikindi kizamini cyo gusuzuma, urugero nk'ikizamini cya A1C. Ariko, muganga wawe azaba ari kumwe nawe mu gihe cyose cyo gusuzuma. Ntutinye kubaza ikibazo icyo ari cyo cyose ufite no kuganira ku mpungenge zawe.

Ni ibisanzwe kugira ubwoba iyo ubonye ibisubizo by’ikizamini kidasanzwe. Ariko ibuka ko ibisubizo by’indwara ya GTT idasanzwe atari ngombwa ko bivuze ko urwaye diyabete. Niba ibisubizo bigaragaza ko isukari iri hejuru mu maraso yawe, muganga wawe ashobora gukora ibindi bipimo kugira ngo agufashe gusuzuma indwara. Ntutinye kubaza muganga wawe ibibazo. Barahari kugira ngo bagufashe.

Ibintu by'ingenzi cyane dukwiye kujyana mu nkuru

Rero, ikizamini cyo kwihanganira isukari (GTT) twavuze uyu munsi ni ikizamini cy'ingenzi cyane cy'ubuvuzi kidufasha kumenya neza uko umubiri wacu ukoresha kandi ukabika isukari, ni ukuvuga isukari. Ibi ni ingirakamaro cyane mu gutahura indwara nka diyabete hakiri kare.

Hari imyiteguro mike mbere yo gupimwa, kandi kuyikurikiza neza ni ingenzi cyane kugira ngo ubone ibisubizo nyabyo. Mu gihe cyo gupimwa, uzanywa amazi meza ya glucose, hanyuma amaraso azafatwa inshuro nyinshi mu masaha make.

Igikuru ni ukudatinya, uko ibisubizo byaba bimeze kose . Nubwo ibisubizo byaba bidasanzwe, si iherezo ry'isi. Vugana na muganga wawe witonze kandi umenye neza icyo wakora nyuma yaho. Wibuke ko kumenya indwara hakiri kare no kuzivura ni bwo buryo bwiza bwo kubaho ubuzima bwiza kandi bushimishije! Niba ufite ikibazo, ntutindiganye kuvugana na muganga.

Ikizamini cyo kwihanganira isukari, GTT, OGTT, Diyabete, Ikizamini cy'isukari, Diyabete yo mu gihe cyo gutwita, Isukari yo mu maraso