Wakambonzwa here nezvebvunzo yekushivirira glucose, kana kuti GTT muchidimbu? Chiremba wako angangodaro akakuudza nezvazvo, kana kuti wakatokumbira kuti zviitwe. Iyi bvunzo inokosha zvikuru inoongorora kuti muviri wako unoshandisa uye unochengeta sei shuga, kana glucose. Vanachiremba vanowanzo shandisa bvunzo iyi kuongorora zvirwere zvakaita sechirwere cheshuga. Asi kune dzimwe nzira dzekuongorora chirwere cheshuga, dzakadai sebvunzo yeA1C uye bvunzo yeshuga yeropa yekutsanya.

Saka, chii chinonzi bvunzo iyi yekushivirira glucose (`GTT`)?

Zvichitaurwa zviri nyore, miviri yedu inowana simba rayo kubva muchikafu chatinodya, kunyanya chikafu chine makabhohaidhiretsi akawanda. Izvi ndizvo zvinopa masero edu simba rekushanda. Miviri yedu inochengetawo glucose iyi kuti izoshandiswa gare gare, kunyanya mutsandanyama dzedu nechiropa. Glucose iyi yakachengetwa inonzi glycogen.

Saka, kuti huwandu hweshuga muropa redu hurambe hwakati wandei, maitiro akasiyana-siyana anoitika mumuviri wedu. Pakati pawo , homoni inonzi insulin ndiyo inonyanya kuita basa iri . Iyi insulin inogadzirwa mupancreas yedu. Kana paine dambudziko munzira iyo muviri wedu unoshandisa nayo shuga, huwandu hweshuga muropa hunowanzo kuwedzera. Ndizvo zvatinodaidza kuti hyperglycemia. Zvakare, dzimwe nguva huwandu hweshuga muropa hunogona kudzikira, uye mamiriro iwayo anonzi hypoglycemia.

Kune mhando dzakasiyana dzeGTT. Inonyanya kushandiswa ndiyo Oral Glucose Tolerance Test (OGTT), iyo inosanganisira kupa mhinduro yeglucose nemuromo.

Zvakajairika kuti unzwe kutya zvishoma usati waongororwa nachiremba. Asi yeuka, chinhu chakakosha ndechekuziviswa. Chero zvazvingava, uchadzidza zvakawanda nezvemuviri wako kupfuura zvawaimboziva kare. Neruzivo irworwo, iwe nachiremba wako munogona kugadzira hurongwa hwakanakisa hwehutano hwenyu mune ramangwana.

Mumamiriro api ezvinhu aunofanira kuita izvi `(GTT)`?

Chiremba wako anogona kukupa GTT kuti aongorore kana kusimbisa kuvapo kwechimwe chezvirwere zvinotevera:

• Chirwere cheshuga - kazhinji chirwere cheshuga chisati chatanga, chirwere cheshuga cherudzi rwechipiri, kana chirwere cheshuga chepamuviri.
• Chirwere chinonzi insulin resistance.
• Kuderedza shuga mumuviri (reactive hypoglycemia) - Uku kudzikira kwemazinga eshuga muropa mushure mekudya.
• Acromegaly chirwere chinokonzerwa nemahormone.
• Zvirwere zvisingawanzoitika zvemacarbohydrate metabolism.

Asi yeuka kuti kune mimwe miedzo inogona kushandiswa kuongorora zvirwere izvi. Chiremba wako anogona kuraira bvunzo dzinopfuura imwe chete.

Kunyanya panguva yekuzvitakura, bvunzo yeglucose challenge yeawa imwe inowanzoitwa kuti uone kana chirwere cheshuga chepamuviri chiripo . Kana mhedzisiro yacho isina kujairika, chiremba wako anogona kuraira bvunzo yeglucose tolerance test (OGTT) yeawa nhatu kuti asimbise chirwere chacho kana kuti abvise dambudziko racho.

Munhu anofanira kugadzirira sei chaizvo `(GTT)`?

Sezvo paine mhando dzakasiyana dzeGTT, panogona kunge paine musiyano mudiki mukugadzirira kwako zvichienderana nebvunzo yauri kuita. Asi kazhinji, hezvino zvinhu zvaunofanira kuita:

• Unofanira kuudza chiremba wako nezvemishonga yese uye zvekudya zvinovaka muviri zvauri kutora, sezvo mimwe mishonga inogona kukanganisa mhedzisiro yebvunzo. Chiremba wako anogona kukukumbira kuti urege kutora mimwe mishonga mazuva mashoma bvunzo isati yaitwa.
• Unofanira kudya zvakajairika kwemazuva matatu usati waongororwa. Zvakakosha kudya chikafu chinopa kanenge magiramu 150 emacarbohydrate pazuva.
• Usachinje mabasa ako ezuva nezuva kana maitiro ako ekurovedza muviri kwemazuva matatu . Usaerekana watanga maekisesaizi anorema usati waenda kunoongororwa.
• Uchafanira kutsanya usati waongororwa - izvi zvinoreva kuti haugone kudya kana kunwa chimwe chinhu kunze kwemvura kwemaawa masere (pamwe kupfuura).
• Haufanirwe kudya kana kusvuta panguva yese yebvunzo.

Chiremba wako achakupa mirairo yakajeka yekuti woita sei zvichienderana nemamiriro ako ezvinhu uye rudzi rweGTT yauri kuita. Zvakakosha kuitevedzera nemazvo. Kana uine mibvunzo kana kuti usinganzwisise chimwe chinhu, usazeza kubvunza chiremba wako, zvakanaka here?

Chii chinoitika pazuva re `(GTT)`?

Tatokurukura kuti maitirwo e `(GTT)` anogona kusiyana zvichienderana nerudzi rwebvunzo. Ngatitorei muenzaniso wekuti `(Oral Glucose Tolerance Test - OGTT)` inoitwa sei kwemaawa maviri.

Kazhinji, bvunzo iyi inotanga mangwanani, kazhinji pakati pa7:00 na9:00 mangwanani. Sezvo uchange uri kuchipatara kana kunzvimbo yekurapa kusvika bvunzo yapera, kuchenjera kuuya nechimwe chinhu chinokuchengetedza wakabatikana, senge bhuku kana notebook.

Aya ndiwo matanho anowanzoitika:

1. Kutanga, chiremba kana chiremba wephlebotomist achatora ropa kubva mutsinga yako. Izvi zvinoshandiswa kuyera huwandu hweshuga muropa rako uchitsanya.

2. Zvadaro, uchapihwa mushonga weglucose wakakosha wekunwa. Kazhinji uyu une magiramu angangoita 75 eglucose yakanyungudutswa mu250-300 milliliters emvura. Ucharayirwa kunwa mushonga uyu wese mukati memaminitsi mashanu.Zvisinei, huwandu hweglucose hunopiwa vana vadiki naamai vane pamuviri hunogona kusiyana. Mushonga uyu weglucose unotapira zvikuru, seGatorade inotapira. Vamwe vanhu vanogona kuwana kuravira kwacho kusingafadzi.

3. Maawa maviri chaiwo mushure mekunwa mushonga weglucose, imwe sampuro yeropa ichatorwa kubva mutsinga yako kuti iongororwe huwandu hweglucose muropa rako. Zvichienderana nechikonzero chekuongororwa, ropa rinogona kutorwa maminetsi makumi matatu ega ega, kamwe chete paawa, kana kakawanda mushure mekunwa mushonga weglucose.

Pane mimwe misiyano ye `(GTT)` here?

Ehe, kune mhando dzakasiyana dze `(GTT)` dzakagadzirirwa zvinodiwa zvakasiyana. Ngatitarisei mienzaniso mishoma:

• Kuongororwa kweglucose kweawa imwe chete: Izvi zvinowanzoitwa kuti uongorore chirwere cheshuga chepamuviri. Unonwa mvura ine 50 gramu yeglucose, wozoongororwa huwandu hweshuga muropa rako awa imwe chete gare gare. Kuongororwa uku hakudi kutsanya.
• Kuongororwa kweglucose kwemaawa matatu: Mukuedzwa uku, ropa rinotorwa usati wanwa glucose (mushure mekutsanya). Zvadaro, sampuro dzeropa dzinotorwa zvakare awa imwe, maawa maviri, uye maawa matatu mushure mekunwa glucose.
• Kuongororwa kweglucose kuti ikwanise kushivirira acromegaly: Mukuedzwa uku, chiremba wako anotora sampuli yeropa kwete kuti aongorore huwandu hweshuga muropa rako, asi kuti aongorore huwandu hwehormone yekukura kwemunhu (HGH). Mushure mekunwa glucose solution, ropa rako rinogona kutorwa mumaminitsi makumi matatu ega ega kwemaawa maviri (ndiko kuti, pamaminitsi makumi matatu, makumi matanhatu, makumi mapfumbamwe, uye zana nemakumi maviri).

Chii chaunotarisira mushure mekunge bvunzo yapera?

Mushure mekuongororwa kweGTT, unogona kuita mabasa ako ezuva nezuva semazuva ese. Unogona zvakare kutanga kudya zvakare. Zvingava zvakanaka kuuya nechingwa chekudya mushure mekuongororwa. Chiremba wako achakuudza kana paine mirairo yakakosha, uye achakuzivisawo kuti mhedzisiro yacho ichawanikwa riini.

Zvinotora nguva yakareba sei kuti uzive mhedzisiro yebvunzo?

Kazhinji, uchakwanisa kuwana mhinduro dze "GTT" mukati memazuva mashoma ekushanda. Zvisinei, nguva ino inogona kusiyana zvishoma kubva murabhoritari kuenda kune imwe. Saka usazvidya mwoyo.

Pane migumisiro yakaipa inobva ku `(GTT)` iyi here?

Kuongororwa kweglucose kusingapindi mumuviri kazhinji inzira yakachengeteka . Vanhu vazhinji havanzwi kusagadzikana mushure mekunwa glucose solution. Zvisinei, vamwe vanhu vanogona kunzwa kuda kurutsa kana dzungu. Zvisinei, migumisiro yakaipa haiwanzoitiki.

Kutorwa ropa chinhu chinowanzoitwa pakuongororwa kwechiremba. Hazvina njodzi huru. Unganzwa kurwadziwa zvishoma kana kukuvadzwa zvishoma, asi zvinokurumidza kupora.

Zvakabuda muongororo ye `(GTT)` zvinorevei chaizvo?

Mushumo weGTT wako ucharatidza huwandu hweshuga muropa pese pawakatorwa ropa rako. MuSri Lanka, shuga muropa inowanzo kuyerwa mumamirigiramu pa deciliter (mg/dL).

Mhando dzemakiriniki anoshandiswa nemakiriniki akasiyana-siyana kuongorora matambudziko eshuga muropa akadai sechirwere cheshuga dzinogona kusiyana zvishoma, saka gara uchitarisa huwandu hwezviratidzo zvakapihwa pamushumo wemhedzisiro yako.

Kazhinji, vanachiremba vanoshandisa aya marudzi ehutano kweOGTT yemaawa maviri:

• Zvakajairika: Zvisingasviki 140 mg/dL.
• Prediabetes: Pakati pe140 mg/dL ne199 mg/dL.
• Chirwere cheshuga: 200 mg/dL kana kupfuura.

Izvi zvinoonekwa uye nguva dzekutorwa kweropa zvinogona kusiyana kune zvimwe zvirwere, zvakaita sechirwere cheshuga chepamuviri uye acromegaly. Semuenzaniso, bvunzo yekukura kwehomoni (GTT) yekutarisa acromegaly inoongorora shanduko mumazinga ekukura kwehomoni. Chiremba wako achakurukura newe nezvemhedzisiro iyi zvakadzama.

Kana mhedzisiro yacho isina kujairika, chii chinozoitika?

Fungidzira, chii chinoitika kana mhedzisiro yako ye `(GTT)` isiri yakajairika, kureva kuti, `isina kujairika`. Usanetseke, chiremba wako achakuudza zvakajeka matanho ekutevera. Ichokwadi, zvakajairika kunzwa kunetseka uye kutya kana mhedzisiro yacho isiri yakajairika. Asi ziva izvi, vanachiremba havakurumidzi kusarudza kuti une `prediabetes` kana `diabetes` nekuda kwekungoti mhedzisiro imwe chete ye `(OGTT)` haina kujairika.

Ungangoda kuongororwa zvakafanana zvakare mumazuva mashoma, kana kuti chiremba wako anogonawo kuraira imwe bvunzo yekuongorora, senge bvunzo yeA1C. Zvisinei, chiremba wako achava newe panguva yese yekuongorora. Usazeza kubvunza chero mibvunzo yaunayo uye kutaura nezvezvinokunetsa.

Zvakajairika kuti unzwe kutya kana ukaona mhinduro yebvunzo isina kujairika. Asi yeuka, mhinduro yeGTT isina kujairika hazvirevi kuti une chirwere cheshuga. Kana mhinduro dzikaratidzwa kuti shuga yako yeropa yakakwira, chiremba wako angangoita mimwe miedzo kuti aongorore chirwere chako. Usatya kubvunza chiremba wako mibvunzo. Varipo kuti vakubatsire.

Zvinhu zvakakosha zvikuru zvatinofanira kutora kubva munyaya iyi

Saka, bvunzo yeGlucose Tolerance Test (GTT) yatataura nezvayo nhasi ibvunzo yakakosha zvikuru yekurapa inotibatsira kuziva mashandisiro anoita muviri wedu uye machengeterwo anoitwa shuga, kureva glucose. Izvi zvinobatsira zvikuru pakuona zvirwere zvakaita seshuga nekukurumidza.

Pane kugadzirira kushoma bvunzo isati yaitwa, uye kuitevera kwakakosha zvikuru kuti uwane mhinduro dzakarurama. Munguva yekuongororwa, uchanwa mvura inotapira yeglucose, uye wozotorwa sampuro dzeropa kakawanda mumaawa mashoma.

Chinhu chinonyanya kukosha kusatya, zvisinei nekuti mhedzisiro yacho ndeyei . Kunyangwe mhedzisiro yacho isiri yemazuva ese, haisiriyo mugumo wenyika. Taura nachiremba wako nokungwarira uye uwane zvekuita chaizvo. Yeuka, kuona nekukurumidza uye kurapwa kwezvirwere ndiyo nzira yakanakisisa yekurarama hupenyu hune hutano uye hunofadza! Kana uine mibvunzo, usazeza kutaura nachiremba.

Kuongororwa kweKushivirira Glucose , GTT, OGTT, Chirwere cheshuga, Kuongororwa kweShuga, Chirwere cheshuga cheGestational, Glucose yeRopa