Une pamuviri wemavhiki makumi maviri nemana kana makumi maviri nemasere here? Zvino chiremba wako angangodaro akakukumbira kuti uongororwe shuga . Vanaamai vazhinji vanotya uye vanonetseka pavanonzwa izvi. Mibvunzo yakaita sekuti "Ndichabatwa nechirwere cheshuga here?", " Kuongororwa uku kwakaoma here?", "Pane chimwe chinhu chichaitika kumwana here?" inouya mupfungwa. Asi hapana chekutya. Iyi bvunzo inowanzoitwa panguva yekuzvitakura . Ngatitaurei nezvese nenzira iri nyore uye yakajeka nhasi.
Sei bvunzo iyi yeshuga ichikosha kudaro?
Munguva yekuzvitakura, mahormone emuviri wedu anochinja zvakanyanya. Nekuda kwekuchinja uku, dzimwe nguva zvinova zvakaoma kuti muviri wedu utonge huwandu hweshuga (glucose) muropa redu. Ipapo huwandu hweshuga muropa hunogona kukwira kupfuura zvinodiwa. Chirwere ichi chinonzi chirwere cheshuga chepamuviri.
Ichi chirwere chinowanzoitika chinogona kubata vanhu vanosvika 10% vane pamuviri. Zvisinei, kana chikasaongororwa zvakanaka uye chikasagadziriswa, chinogona kukonzera matambudziko kwamuri nemwana wenyu. Ndosaka bvunzo iyi yeshuga ichiitwa kuti chirwere ichi chionekwe nekukurumidza.
Kune mhando mbiri dzebvunzo idzi.
Kuongororwa kweshuga muropa uku kwaunoudzwa nachiremba wako kuti uite kunogona kunge kuine matanho maviri. Havasi vese vanozofanira kuenda kudanho rechipiri.
1. Kuongororwa kwekutanga (Glucose Challenge Test): Izvi zvakafanana nekuongororwa. Zvinoitwa kuti zvionekwe kana uri panjodzi yekubatwa nechirwere cheshuga panguva yekuzvitakura . Uku kuongororwa kwemuviri .
2. Bvunzo yechipiri (Oral Glucose Tolerance Test - OGTT): Bvunzo yechipiri iyi inongoitwa chete kana mhedzisiro yebvunzo yekutanga isina kujairika. Izvi ndizvo zvinosimbisa kana une chirwere cheshuga chepamuviri kana kuti kwete.
Zvichitaurwa zviri nyore, kana yekutanga ikamutsa kusava nechokwadi, yechipiri inosimbisa kusava nechokwadi ikoko.
| Zita rebvunzo | Sei uri kuita izvi? | Nguva yakashandiswa |
|---|---|---|
| Bvunzo reGlucose Challenge (Bvunzo reAwa) | Kuongororwa kuti uone kana paine njodzi yekubatwa nechirwere cheshuga panguva yekuzvitakura. | Inenge awa imwe chete. |
| Kuyedzwa kweKushivirira Glucose Mumuromo - OGTT (Kuyedzwa kwemaawa matatu) | Kuti uve nechokwadi chekuti une chirwere cheshuga chepamuviri (Diagnosis). | Kupfuura maawa matatu. |
Bvunzo iyi inowanzoitwa rini?
Kuongororwa kwekutanga kweshuga muropa kunowanzoitwa pakati pemavhiki makumi maviri nemana kusvika makumi maviri nemasere ekuzvitakura . Zvisinei, kana uine chimwe chezvinhu zvinotevera zvinogona kukonzera njodzi, chiremba wako anogona kukurudzira kuti uedze bvunzo iyi nekukurumidza.
- Kana wakambova nechirwere cheshuga pamuviri wako wapfuura.
- Kana paine munhu mumhuri mako (amai, baba, vanun'una kana hanzvadzi) ane chirwere cheshuga.
- Kana wakafuta ( wakafuta ).
- Kana une makore anopfuura makumi matatu nemashanu ekuberekwa.
- Kana uine BP yakakwira .
- Kana uine chimwe chirwere chakadai sePCOS ( Polycystic Ovary Syndrome ).
- Kana bvunzo yenguva dzose ikaona shuga iri muweti yako.
Ungagadzirira sei bvunzo uye ungazviita sei?
Nzira yekugadzirira bvunzo idzi mbiri yakasiyana zvishoma.
Bvunzo rekutanga (bvunzo yeawa imwe)
Izvi hazvidi kugadzirira kwakawanda. Unogona kudya zvakajairika. Zvisinei, vanachiremba vanowanzo kurudzira kuti usadye zvikafu zvinotapira zvakawandisa (semuenzaniso, makeke, madonati, zvinwiwa zvine shuga) mangwanani usati waenda kunoongororwa, sezvo izvi zvichigona kukanganisa mhedzisiro.
Maitiro ekuzviita:
1. Paunoenda kurabhoritari, uchapihwa chinwiwa chinotapira (Glucola) chine magiramu makumi mashanu eglucose. Unofanira kunwa ichi nekukurumidza mukati memaminitsi mashanu.
2. Awa imwe chete chaiyo mushure mekuinwa , ropa shoma richatorwa kubva mutsinga iri muruoko rwako.
3. Haugone kudya kana kunwa chimwe chinhu mukati meawa iyi. Hazvina kuipa kunwa mvura shoma.
Chinhu chakakosha ndechekuti, kunyangwe bvunzo yekutanga iyi ikaratidza kuti shuga yako yeropa yakakwira zvishoma, hazvirevi kuti une chirwere cheshuga. Zvinongoreva kuti unofanira kuongorora kechipiri.
Muedzo wechipiri mukuru (OGTT yemaawa matatu)
Izvi zvinongoitwa chete kana mhedzisiro yekutanga isina kunaka. Izvi zvinoda kugadzirira kwakanaka.
Maitiro ekugadzirira:
- Unofanira kutevedzera mirairo yachiremba wako nemazvo.
- Kazhinji, unoudzwa kuti utsanye kwemaawa 8-12 bvunzo isati yaitwa . Izvi zvinoreva kuti haugone kudya kana kunwa chero chinhu mushure me10pm kusvika bvunzo yapera mangwanani. Hazvina kuipa kunwa mvura shoma.
- Zvakanaka kutanga waita bvunzo iyi mangwanani.
Maitiro ekuzviita:
1. Paunoenda kuchipatara, vanotanga vatora ropa kuti vaone huwandu hweshuga yako muropa uchitsanya .
2. Zvadaro, uchapihwa chinwiwa chinotapira chine magiramu zana eglucose.
3. Masampuli eropa anotorwa zvakare awa imwe, maawa maviri, uye maawa matatu mushure mekunwa. Izvi zvinoreva kuti masampuli eropa mana anotorwa.
4. Unofanira kugara murabhoritari kwemaawa matatu aya. Saka kana ukauya nechimwe chinhu chakaita sebhuku, hauzonetseki. Haugone kudya panguva iyi futi. Unogona kunwa mvura.
Vamwe vanhu vanogona kunzwa kuda kurutsa kana kuti dzungu mushure mekunwa mvura iyi ine shuga, asi izvozvo zvakajairika.
Nzira yekunzwisisa sei mhedzisiro?
Chiremba wako achakutsanangurira zvabuda kana wazviwana, asi zvakanaka kuziva kuti zvinoonekwa sei.
| Bvunzo | Avhareji yemutengo (inofanira kunge iri pasi peizvi) |
|---|---|
| Kuedzwa kweGlucose Challenge | 140 mg/dL |
| Kuongororwa kweglucose yemuromo kwemaawa matatu (OGTT) | |
| Kutsanya | 95 mg/dL |
| Mushure meawa imwe | 180 mg/dL |
| Mushure memaawa maviri | 155 mg/dL |
| Mushure memaawa matatu | 140 mg/dL |
Kana zviviri kana kupfuura zvezviratidzo izvi zviri pamusoro pezvakajairika panguva yekuongororwa kwemaawa matatu, chiremba wako achasimbisa kuti une chirwere cheshuga chepamuviri.
Unoita sei kana ukaudzwa kuti une chirwere cheshuga?
Usazvidya mwoyo. Ichi chirwere chinorapika. Chiremba wako achakubatsira. Kazhinji, unofanira:
- Kudzora kudya: Unofanira kuderedza zvinotapira uye zvine starch uye kujaira kudya zvine mwero.
- Kurovedza muviri: Unogona kuita maekisesaizi akareruka akakodzera iwe, sezvakakurudzirwa nachiremba wako.
- Kuongorora huwandu hweshuga muropa rako nguva dzose: Uchapihwa mudziyo mudiki (blood glucose meter) unokubvumira kuongorora huwandu hweshuga muropa rako kumba.
- Mishonga: Dzimwe nguva, kana kudya uye kurovedza muviri chete zvisina kukwana kudzora shuga yeropa, ungangoda kubayiwa jekiseni re insulin.
Chinhu chakakosha ndechekuti chirwere ichi chingangopera mushure mekusununguka, saka yeuka kuti izvi ndezvenguva pfupi.
Chii chinoitika kana bvunzo iyi ikasaitwa?
Une kodzero yekuramba bvunzo iyi, asi vanachiremba havakurudziri zvachose. Nekuti kana chirwere cheshuga chepamuviri chikasadzorwa, panogona kunge paine njodzi dzakati kwauri nemwana wako.
- Njodzi dzaungasangana nadzo: Kukwira kweropa (preeclampsia), kuwedzera kwenjodzi yekuvhiyiwa section.
- Njodzi kumwana: Kuwedzera huremu hwakawandisa, shuga shoma muropa (hypoglycemia) pakuzvarwa, uye kuwedzera kwenjodzi yekubatwa nechirwere cheshuga mune ramangwana.
Saka, nzwisisa kuti iyi inyaya inokosha yekuchengetedzeka kwako nekwemwana wako asati aberekwa.
Mharidzo Yekuenda Nayo Kumba
- Kuongororwa kweglucose tolerance test (GTT) inzira yekuongorora nguva dzose inokosha kwauri nemwana wako. Usazvitye.
- Panogona kunge paine bvunzo mbiri dzeizvi. Yekutanga (Kuongorora) inoongorora njodzi, uye yechipiri (OGTT) inosimbisa chirwere.
- Zvinosungirwa kutsanya kwemaawa 8-12 bvunzo isati yaitwa kwemaawa matatu.
- Kana ukaonekwa uine chirwere cheshuga panguva yekuzvitakura, chinogona kurapwa zviri nyore nekudya uye kurovedza muviri sezvakarayirwa nachiremba wako.
- Kana muine mibvunzo kana zvinokunetsai nezvazvo, taurai nachiremba wenyu pachena nezvazvo.
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