"Handizivi kana ndiri kutanga chirwere cheshuga..." Wakambova nekutya uku here kana mubvunzo uyu? Zvakajairika kunzwa saizvozvo kana uchinzwa zvinhu zvakaita sekunge uri kuita weti kakawanda, nyota yakawandisa, uye kudzikira uremu pasina chikonzero. Asi usatya. Usati watanga kufungidzira chirwere mupfungwa dzako nekuti mumwe munhu akataura chimwe chinhu, ngatitaurei nezvekuti ungasimbisa sei chirwere cheshuga nenzira yekurapa. Izvi zvichakupa kunzwisisa kwakajeka.
Ndezvipi zviedzo zvikuru zvinoshandiswa pakuongorora chirwere cheshuga?
Zvichitaurwa zviri nyore, chirwere cheshuga chirwere apo huwandu hweshuga (glucose) muropa redu hwakakwira kupfuura zvakajairika. Saka, kuongororwa ropa kwakawanda kunoitwa kuti vaone kana uine izvi kana kuti kwete. Dzimwe nguva chiremba wako angasagutsikana nekuedzwa kamwe chete uye angada kuita kumwe kuongororwa kuti asimbise. Ngationei kuti bvunzo idzi ndedzipi.
1. Kuedza kweGlucose yePlasma (FPG) yekutsanya
Iyi ndiyo bvunzo inowanzo shandiswa. Sezvinotaurwa nezita racho, izvi zvinoda kuti utsanye kwemaawa masere usati watora ropa. Hazvina kuipa kunwa mvura shoma. Bvunzo iyi inowanzoitwa mushure mekudya kwemanheru uye mangwanani anotevera. Mhedzisiro yacho iri nyore kunzwisisa.
2. Kuedzwa kweKushivirira Glucose Mumuromo (OGTT)
Bvunzo iyi inonzwisisika zvishoma pane FPG, zvichireva kuti inogona kuona kunyange prediabetes. Asi zvinotora nguva yakati rebei kuti iite.
Izvi ndizvo zvinoitika:
- Kutanga, unotsanya kwemaawa masere wozobva watora ropa (sekunge zvakaita seFPG).
- Zvadaro, uchapihwa mvura yakakosha ine magiramu makumi manomwe nemashanu eglucose yakanyungudutswa mumvura kuti unwe.
- Mushure memaawa maviri chaiwo mushure mekunwa ropa, imwe sampuro yeropa inotorwa.
Sarudzo yacho inoitwa nekutarisa huwandu hweshuga muropa mbiri idzi. OGTT test imwechete iyi inoshandiswawo kuongorora chirwere cheshuga chepamuviri. Zvisinei, inosanganisira kutora ropa kakawanda mumaawa akati wandei.
3. Kuedzwa kweGlucose yePlasma isina kurongeka
Kuongororwa uku hakuna basa kuti uri kutsanya here kana kuti uri kudya. Kuongororwa kweropa kunotorwa chero nguva yezuva kuti uone huwandu hweshuga muropa rako. Zvisinei, kuongororwa uku chete hakutsigire chirwere cheshuga. Kana munhu ane zviratidzo zviri pachena zvechirwere cheshuga (zvakadai sekuramba achiita weti, nyota yakawandisa) aine huwandu hweshuga muropa rakawanda pakuedzwa uku, chiremba acharaira bvunzo yeFPG kana OGTT kuti asimbise chirwere chacho.
4. Kuongororwa kweavhareji kwemwedzi mitatu (Hemoglobin A1c - HbA1c)
Iyi bvunzo inokosha zvikuru. Haipime shuga yeropa rako panguva imwe chete. Ivhareji yekuti shuga yeropa rako yave ichidzorwa zvakanaka sei mumwedzi miviri kusvika mitatu yapfuura.Izvi ndizvo zvaunowana. Haufanire kutsanya kuti uite izvi. Unogona kuzviita chero nguva yezuva. Izvi zvinobatsira zvikuru pakuongorora chirwere cheshuga, pamwe nekutarisa kutarisirwa kwemunhu ane chirwere cheshuga.
Chinhu chinonyanya kukosha ndechekusavimba chete nemhedzisiro yebvunzo idzi, asi kutaura nachiremba wako nezvazvo uye kutevedzera mazano ake.
Unganzwisisa sei mhedzisiro yebvunzo?
Zvakanaka, ngationei kuti kukosha kwemiedzo iyi kunorevei. Unogona kuzvionera wega nekutarisa matafura aya.
| Kuongorora chirwere cheshuga uye prediabetes | |
|---|---|
| Zita rebvunzo | Mhedzisiro (mg/dL kana %) |
| Hutano (hwakajairika) | |
| HbA1c | Zvisingasviki 5.7% |
| Kutsanya Glucose yePlasma (FPG) | Zvisingasviki 100 mg/dL |
| Kuongororwa kweGlucose yemuromo (OGTT) - Mushure memaawa maviri | Zvisingasviki 140 mg/dL |
| Prediabetes - chinhu chine njodzi | |
| HbA1c | Pakati pe5.7% ne6.4% |
| Kutsanya Glucose yePlasma (FPG) | Pakati pe100 mg/dL ne125 mg/dL |
| Kuongororwa kweGlucose yemuromo (OGTT) - Mushure memaawa maviri | Pakati pe140 mg/dL ne199 mg/dL |
| Akaonekwa aine chirwere cheshuga* | |
| HbA1c | 6.5% kana kupfuura |
| Kutsanya Glucose yePlasma (FPG) | 126 mg/dL kana kupfuura |
| Kuongororwa kweGlucose yemuromo (OGTT) - Mushure memaawa maviri | 200 mg/dL kana kupfuura |
| Kusarongeka kweGlucose yePlasma + Zviratidzo | 200 mg/dL kana kupfuura |
*Cherechedza: Kazhinji, kana paine kukosha kwakanyanya mubvunzo imwe chete, chiremba anosimbisa izvi nekuita imwe bvunzo rimwe zuva.
Ungaziva sei kana chirwere ichi chiri cheType 1 Diabetes?
Vanhu vazhinji vane chirwere cheshuga cherudzi rwechipiri. Asi vamwe vanhu, kunyanya vechidiki nevana, vanogona kubatwa nechirwere cheshuga cherudzi rwekutanga. Zvinokonzera uye marapirwo emhando mbiri idzi zvakasiyana. Saka, mushure mekunge waonekwa uine chirwere cheshuga, kana uchifungidzira kuti une chirwere cheshuga cherudzi rwekutanga, chiremba wako anogona kuraira bvunzo dzakakosha.
- Kuongororwa kweAutoantibodies: Muchirwere cheshuga cherudzi rwekutanga, masoja emuviri wedu anorwisa masero ari mupancreas anogadzira insulin. Kuongororwa uku kunotsvaga ma antibodies (`autoantibodies`) muropa anorwisa chirwere ichi.
- Kuongororwa kweC-peptide: Izvi zvinoyera kuti pancreas yedu iri kugadzira insulin yakawanda sei. Mu `Type 1`, kugadzirwa kweinsulin kushoma kana kuti kunomira zvachose.
- Kuedzwa kweWeti Ketones:Kana insulin yapera, muviri haugone kushandisa shuga sesimba. Muviri unobva wapisa mafuta sesimba. Munguva iyi, maasidhi anonzi 'Ketones' anogadzirwa. Kuongorora izvi muweti kunogona kubatsira kuona 'Type 1 Diabetes'.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheshuga hachisi chirwere chekutyiwa kana kufungidzira. Kune bvunzo dzakajeka dzekurapa dzinogona kusimbisa chokwadi.
- `Prediabetes` chiratidzo chekunyevera. Kana ukachinja mararamiro ako (kudya, kurovedza muviri) panguva ino, unogona kudzivirira kana kunonotsa kukura kwechirwere cheshuga chakazara.
- Kana uine zviratidzo zvechirwere cheshuga, usazviregeredza uye taura nachiremba.
- Usazvidya mwoyo kana bvunzo imwe chete ikaita kuti ive yakakwira zvishoma. Chiremba wako acharaira imwe bvunzo kuti asimbise.
- Kana ukaonekwa uine chirwere cheshuga, hausi mugumo wehupenyu hwako. Inguva yekufunga nezvehutano hwako nenzira itsva uye kuhubata zvakanaka. Nekutevera mazano akakodzera ekurapa, unogona kurarama hupenyu hune hutano.
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