Ngationei nezvehuwandu hweshuga muropa rako (Blood Glucose Test)? Izvi zvinoitirwa chirwere cheshuga chete here?

Mhoroi! Makadii? Nhasi tichataura nezvenyaya inokosha kuvanhu vazhinji. Kureva, kutarisa huwandu hweshuga muropa, kana sezvatinoidaidza kuti, "Blood Glucose Test". Pamwe wakaita "test" iyi. Kana kuti pamwe wakanzwa mumwe munhu achitaura nezvazvo. Ngationei kuti chii, nei ichiitwa, uye kuti tingazviita sei, zvese zviri nyore.

Chii chinonzi Blood Glucose Test?

Zvichitaurwa zviri nyore, iyi bvunzo inoyera huwandu hweglucose (shuga) muropa rako. Izvi zvinonyanya kushandiswa kuona kana une chirwere cheshuga kana kuti uri panjodzi yekubatwa nechirwere cheshuga. Zvisinei, bvunzo iyi haingoshandiswi pachirwere cheshuga chete. Tichataura nezvazvo gare gare.

Kune mhando mbiri huru dzebvunzo iyi.

Zvino tarisa, kune nzira mbiri dzekuita bvunzo iyi yeshuga muropa.

• Kuongororwa kweglucose muropa remutsinga: Izvi zvinosanganisira kubaya muromo wemunwe wako netsono diki wotora donhwe reropa. Kune vana vadiki, izvi zvinowanzoitwa kubva pachitsitsinho. Donhwe reropa rinozoiswa pamutsetse wekuyera woiswa mu glucometer, iyo inogona kuyera huwandu hweshuga muropa rako mumasekonzi mashoma. Ungave wakaona vanhu vane chirwere cheshuga vachiongorora shuga yavo muropa kumba nenzira iyi. Izvi zvinopa mhedzisiro nekukurumidza.

• Kuongororwa kweglucose yeropa mutsinga/plasma: Izvi zvinosanganisira kutora ropa shoma kubva mutsinga iri muruoko rwako uchishandisa sirinji. Izvi zvinoitwa nenyanzvi yephlebotomist, munhu akadzidziswa kutora ropa. Izvi zvinowanzoitwa pamwe chete nedzimwe bvunzo dzeropa, dzakadai seBasic Metabolic Panel (BMP). Sample yeropa inozotumirwa kurabhoritari kuti iongororwe.

Kazhinji, mhedzisiro inowanikwa kubva pakuongororwa kweropa mutsinga yakarurama kupfuura iyo inowanikwa kubva pakuongororwa kweminwe.

Kune mamwe marudzi ekuongorora glucose here?

Ehe, kune dzimwe nzira dzakawanda.

• Kuongororwa kweShuga Yeropa Yekutsanya: Iyi bvunzo yakakoshawo yekuona kana uine chirwere cheshuga. Huwandu hweshuga muropa hunochinja mushure mekudya. Saka, nekuita iyi ``test`` mushure memaawa mashoma (kazhinji maawa 8-12) usina kudya kana kunwa chero chinhu (unogona kunwa mvura chete), unogona kuwana pfungwa yakajeka ye``baseline blood sugar`` yako.

• Kuongororwa kweshuga yeropa kumba: Izvi zvakakosha zvikuru kuvanhu vane chirwere cheshuga. Vanogara vachiongorora huwandu hweshuga yeropa ravo, kungave ne glucometer inobaya munwe wavo netsono diki, kana ne continuous glucose monitor (CGM), mudziyo mudiki wakabatana neganda. Kugara uchiziva huwandu hweshuga yeropa rako nenzira iyi kwakakosha kuti chirwere chako cheshuga chirambe chiri pasi pesimba.

Chii chaizvo chinonzi glucose (shuga) muropa?

Funga nezvazvo, glucose ndiyo simba guru rinopa muviri wedu simba. Glucose iyi inonyanya kugadzirwa kubva mumakabhohaidhiretsi ari muzvikafu zvatinodya nekunwa. Chiropa chedu chinoburitsawo glucose. Glucose iyi inofamba nemuropa ichienda kumasero mumuviri wese, uko inopa simba ravanoda.

Kune maitiro akasiyana-siyana mumuviri wedu anobatsira kuchengetedza huwandu hwakakodzera hweshuga muropa. Homoni inonzi insulin inoita basa guru mune izvi.

Chinhu chinonyanya kukosha ndechekuchengetedza huwandu hweshuga muropa rako huri padanho rakanaka.

Kana huwandu hweshuga muropa rako hwakakwira nguva dzose, hunonzi hyperglycemia. Ichi chinowanzova chiratidzo chechirwere cheshuga. Chirwere cheshuga chinoitika kana pancreas yako isingagadzire insulin yakakwana, kana kuti muviri wako usingakwanise kushandisa insulin yaunoburitsa nemazvo.

Inguva ipi yaunofanira kuongorora shuga yako yeropa?

Pane zvikonzero zvakawanda zvekutora "bvunzo" iyi. Ona kana chimwe chezvikonzero izvi chichishanda kwauri:

• Sekuongororwa ropa nguva dzose kwakarairwa nachiremba wako: Dzimwe nguva chiremba wako anoraira ``Basic Metabolic Panel (BMP)`` kana ``Comprehensive Metabolic Panel (CMP)`` sekuongorora ropa nguva dzose. ``mapaneru`` ese ari maviri anosanganisirawo kuyera huwandu hweglucose mumuviri wako.
• Kana uine zviratidzo zveshuga yakakwira kana yakaderera muropa: Unonzwa nyota yakawanda, unogara uchiita weti, unoderedza huremu, uye unonzwa kuneta, izvo zviratidzo zveshuga yakakwira muropa (Hypoglycemia), kana kana uine zviratidzo zveshuga yakaderera muropa (Hypoglycemia), zvakaita sekudikitira, kudedera, kunzwa kudedera, uye kunzwa nzara, chiremba wako acharaira bvunzo iyi.
• Munguva yekuzvitakura: Vamwe vanhu vanogona kuva nechirwere cheshuga chenguva pfupi chinonzi "gestational diabetes" panguva yekuzvitakura. Izvi ndizvo zvinoyerwawo shuga muropa kana bvunzo ye "glucose tolerance test" yaitwa kuti ionekwe.
• Kana ukatora mimwe mishonga kwenguva refu: Semuenzaniso, mishonga yakaita se corticosteroids inogona kukanganisa huwandu hweshuga muropa rako kana ikashandiswa kwenguva yakareba. Muzviitiko zvakadaro, chiremba wako anogona kukukurudzira kuti uongorore huwandu hweshuga yako nguva nenguva.

Kuongororwa kweshuga muropa kunonyanya kuitwa ndekwekutarisa chirwere cheshuga cherudzi rwechipiri (T2D). Kana uine zvinhu zvinokonzera chirwere cheshuga (semuenzaniso, nhoroondo yemhuri yechirwere cheshuga, kufuta, kusaita maekisesaizi), chiremba wako anogona kukukurudzira kuti uedzwe bvunzo iyi nguva dzose, zvisinei nezera rako. Sangano reAmerican Diabetes Association rinokurudzira kuti munhu wese ane makore anopfuura makumi matatu nemashanu aedzwe nguva dzose.

Unofanira kugadzirira sei bvunzo iyi isati yaitwa?

Kana uri kuita bvunzo yeglucose yeropa nekutsanya,Usadye kana kunwa chero chinhu (kunze kwemvura) kwemaawa masere kusvika gumi nemaviri bvunzo isati yaitwa.

Kana bvunzo yako yeshuga yeropa ikaitwa sechikamu che "Basic Metabolic Panel (BMP)`` kana `Comprehensive Metabolic Panel (CMP)``, ungangodawo kutsanya kwemaawa mashoma. Zvisinei, kana uchida kutevedzera chero mirairo yakakosha, chiremba wako achakuzivisa pachine nguva. Saka hapana chekunetseka nacho.

Chii chinoitika panguva yebvunzo?

Izvi zvinosiyanawo zvishoma zvichienderana nerudzi rwebvunzo yauri kuita.

Muongororo apo ropa rinotorwa kubva mutsinga (Venous glucose test):

• Uchagara pachigaro.
• Chiremba wephlebotomist achasarudza tsinga iri nyore muruoko rwako kuti atore ropa kubva mairi. Kazhinji, inenge iri mugokora.
• Kana tsinga yacho yaonekwa, nzvimbo yacho inocheneswa zvakanaka uye inopiswa nemishonga inouraya utachiona.
• Zvadaro tsono diki inopinzwa mutsinga uye ropa rinotorwa.
• Mushure mekunge tsono yaiswa, ropa diki rinounganidzwa muchubhu diki yekuyedza.
• Mushure mekunge ropa ratorwa, tsono inobviswa uye chidimbu chedonje kana jira rinoiswa panzvimbo yacho kuti ropa rimire kubuda.
• Pakupedzisira, isa bhandeji diki panzvimbo yacho wobva wapedza. Zviri nyore kwazvo.

Mubvunzo wemunwe (bvunzo yeglucose yeropa reCapillary):

• Mushandi wehutano achakubvunza kuti ropa ripi raunoda kutora.
• Zvadaro, minwe yako inocheneswa ne alcohol swab.
• Tevere, tsono diki inonzi "lancet" (iyi inowanzo shandiswa mupurasitiki diki) inoshandiswa kubaya muromo wemunwe. Izvi hazvinyanyi kurwadza.
• Wobva wadzvanya muromo wemunwe wako zvishoma kuti ubudise donhwe reropa.
• Donhwe reropa iroro rinoiswa pamutsetse wekuyera wakabatana ne glucometer.
• Mushure mekutorwa ropa rakakwana kuti uongororwe, vachakupa donje kana gauze kuti ropa rimire kubuda uye vachakukumbira kuti ubate minwe yako zvakasimba.
• Mumasekonzi mashoma, glucometer icharatidza huwandu hweshuga muropa rako pachiratidziro.

Unoona, izvi zvakare zviri nyore kwazvo.

Zvinotora nguva yakareba sei kuti uzive mhedzisiro?

Kana ukaongororwa ropa uchishandisa venous blood glucose, unogona kuwana mhinduro mukati mezuva rimwe kana maviri.

Mhedzisiro yekuongororwa kweglucose muropa re capillary inogona kuonekwa mumasekonzi mashoma uchishandisa glucometer.

Shuga yeropa inofanira kunge yakaita sei?

Huwandu hweshuga muropa hune hutano kumunhu asina chirwere cheshuga hunofanira kuva pakati pe70 ne99 milligrams pa deciliter (mg/dL) . Kureva kuti, mu millimoles pa litre (mmol/L), pakati pe3.9 ne5.5 (3.9-5.5 mmol/L) .

Dzimwe nguva, kukosha kuri pakati pe50 mg/dL (2.8 mmol/L) ne70 mg/dL (3.9 mmol/L) kunogona kutove "kwakajairika" kune vanhu vasina chirwere cheshuga.

Zvinorevei kuti shuga yakakwira muropa?

Kana huwandu hweshuga muropa rako huri pakati pe100 mg/dL ne125 mg/dL (5.6 mmol/L uye 6.9 mmol/L), zvinowanzoreva kuti une prediabetes . Vanhu vane prediabetes vane mukana we50% wekuva nechirwere cheshuga cherudzi rwechipiri mumakore mashanu kusvika gumi anotevera. Asi chinhu chakanakisa ndechekuti, unogona kutora matanho ekuderedza prediabetes.

Kana huwandu hweshuga muropa rako huri 126 mg/dL (7.0 mmol/L) kana kupfuura kana ukaongororwa shuga yako yeropa kakawanda, zvinoreva kuti une chirwere cheshuga. Vanhu vane chirwere cheshuga cherudzi rwekutanga vanogona kuva nehuwandu hweshuga yeropa hwakakwira zvakanyanya (200 mg/dL kana 11.1 mmol/L kana kupfuura).

Chero zvazvingava, chiremba wako angangoda kuti uedze A1c test asati aongorora chirwere chako. A1c test inoratidza huwandu hweshuga muropa rako kwemwedzi yakati wandei.

Pane zvimwe zvikonzero here zvinoita kuti huwandu hweshuga muropa hukwire?

Ehe, kunze kwechirwere cheshuga, huwandu hweshuga muropa hunogona kuwedzera nekuda kwezvimwe zvikonzero zvakawanda:

• Matambudziko neadrenal glands ako, semuenzaniso, Cushing syndrome.
• Matambudziko nepancreas yako, semuenzaniso, pancreatitis.
• Hyperthyroidism.
• Kusangana nekushushikana kwepfungwa kwakanyanya, semuenzaniso mushure mekuvhiyiwa kana tsaona yakakomba (kushungurudzika).
• Mimwe mishonga, kunyanya corticosteroids.

Zvinorevei kuderera kweshuga muropa?

Kuwanda kweshuga muropa kwe70 mg/dL kana pasi (Hypoglycemia) kunoonekwa sekunge kwakaderera zvikuru kumunhu mukuru ane chirwere cheshuga.

Zvirwere zveHypoglycemia zvinowanzoonekwa kuvanhu vane chirwere cheshuga cheType 1. Zvinogonawo kukanganisa vanhu vane chirwere cheshuga cheType 2 vanotora mimwe mishonga. Zvisinei, hazviwanzoitika kuvanhu vasina chirwere cheshuga.

Kunyangwe usina chirwere cheshuga, kuderera kweshuga muropa kunogona kuva chiratidzo chechirwere chakadai:

• Chirwere chechiropa
• Chirwere cheitsvo
• Hypothyroidism
• Chirwere cheAddison (kusakwana kweadrenal cortex)
• Dambudziko rekushandisa doro (AUD)
• Insulinoma (Iri bundu risingawanzoitiki)

Zvirwere izvi zvinowanzokonzera kuderera kweshuga muropa kakawanda. Munhu asina chirwere cheshuga haafanire kutya kana paine kuderera kweshuga muropa kamwe chete.

Zvakajairika kuti unzwe kutya kana ukaona mhinduro yebvunzo isingawanzoitiki. Asi yeuka, huwandu hweshuga hweropa hwakakwira kana kuderera hazvirevi kuti une chirwere kana kuti unoda kurapwa. Vanachiremba vanoshandisa zvinopfuura kungoongororwa ropa kuti vaongorore zvirwere zvakaita sechirwere cheshuga. Usatya kubvunza chiremba wako mibvunzo. Varipo kuti vakubatsire.

Zvakanaka, saka ndezvipi zvinhu zvatinofanira kurangarira kubva pane izvi zvese? (Mharidzo Yekuenda Kumba)

Zvakanaka, tataura zvakawanda nezve "Blood Glucose Test" iyi. Heano zvimwe zvinhu zvekurangarira muchidimbu:

• Kunyangwe bvunzo yeshuga yeropa ichinyanya kushandiswa kuona chirwere cheshuga, inogonawo kupa zviratidzo nezvemamwe matambudziko ehutano.
• Kuwedzera pakuongororwa kweminwe nekukurumidza, kune kumwe kuongororwa kwakanyatsojeka kunoitwa murabhoritari nekubvisa ropa kubva mutsinga.
• Kuongororwa kweshuga yeropa nekutsanya kunogona kukupa pfungwa yakanaka yehuwandu hweshuga yeropa rako rekutanga.
• Usati watya nezvemhedzisiro, iva nechokwadi chekutaura nachiremba wako. Usaite kuti uzive chirwere chako zvichibva pane zvabuda muongororo imwe chete.
• Kana uri panjodzi yekubatwa nechirwere cheshuga, kana kuti uine zviratidzo, zvakakosha kuti bvunzo iyi iitwe nguva nenguva sezvakarairwa nachiremba wako.
• Kuchengetedza huwandu hweshuga muropa huri pakati pehuwandu hwakajairika kwakakosha kuti munhu ave nehupenyu hwakanaka.

Saka, kana chiremba wako akakukumbira kuti uite izvi "(Blood Glucose Test)", hapana chekutya kana chekufungira nezvacho. Chinhu chakakosha chete kuti utarise hutano hwako. Wanzwisisa here?

` Shuga yeropa, bvunzo yeglucose, chirwere cheshuga, huwandu hweshuga, bvunzo yekutsanya, hyperglycemia, hypoglycemia