Chiremba wako akambokukumbira here kuti unwe mvura ine shuga uye uongororwe ropa? Vanhu vazhinji vanoshamisika kuti chii ichi uye kuti nei chiri kuitwa, uye pamwe vanototya zvishoma. Asi chaizvoizvo hapana chekutya. Iyi bvunzo yakajairika inoitirwa kuwana ruzivo rwakakosha nezvehutano hwako. Saka nhasi, ngatitaurei nezve iyi Oral Glucose Tolerance Test, kana kuti OGTT sezvatinoiziva tese.
Chii chinonzi OGTT ichi?
Muchidimbu, OGTT bvunzo inoyera kuti muviri wako unotarisira sei glucose inobva musimba. Izvi zvinogona kupa chiremba wako zviratidzo zvakakosha nezvehutano hwako.
Patinodya, huwandu hweshuga muropa redu hunowanzo kukwira. Zvadaro, gland rinonzi pancreas, riri mukati medumbu redu, rinogadzira hormone inonzi insulin . Funga nezvemasero emuviri wako sedzimba diki. Shuga yaunowana kubva muchikafu chaunodya isimba rinodiwa nedzimba idzi. Saka, insulin yakaita sekiyi inotora shuga iyi, inovhura magonhi edzimba, uye inobvumidza shuga kupinda. Kana shuga yapinda mumasero, huwandu hweshuga muropa hunodzokera kune zvakajairika.
Zvisinei, kana uine chirwere cheshuga cherudzi rwechipiri, muviri wako haushandisi kiyi iyi inonzi insulin nemazvo. Shuga inoungana muropa pachinzvimbo chekupinda mumasero. Shuga iyi yakawandisa muropa inogona kukanganisa mitsipa yeropa mumuviri wese. Chirwere cheshuga chinogona kukonzera chirwere chemwoyo, kukuvara kwetsinga, chirwere chemaziso, uye chirwere cheitsvo.
Saka bvunzo yeOGTT inonyanya kutarisa kana uri panjodzi yekubatwa nechirwere cheshuga, kana kuti watova nechirwere cheshuga. Kuongororwa kwenguva pfupi kweOGTT panguva yekuzvitakura kunogonawo kuona kana uine chirwere cheshuga chepamuviri.
Ndiani ari kukumbirwa kuti anyore bvunzo iyi yeOGTT?
Kana uine chimwe kana zvimwe zvezvinhu zvinotevera zvinogona kukonzera njodzi, chiremba wako anogona kukukumbira kuti uedze OGTT test.
| Chinhu chine njodzi | Tsananguro |
|---|---|
| Kuwedzera huremu | Kana muviri wako wakafuta/wakafuta. |
| Nhoroondo yemhuri | Kana mumwe munhu wemumhuri mako (amai, baba, vanun'una kana hanzvadzi) aine chirwere cheshuga. |
| Kukwira kweropa | Kana uine BP yakakwira. |
| Ma triglycerides akakwira | Kana uine huwandu hwakawanda hwemafuta anonzi triglycerides muropa rako. |
| Dambudziko rePCOS | Kana uine chirwere chinonzi Polycystic Ovary Syndrome (PCOS), chinokonzera matambudziko panguva yako yekuenda kumwedzi. |
| Mamiriro emwana asati abata pamuviri | Kana wakambobereka mwana anorema kupfuura mapaundi 9 (anenge makirogiramu mana) kana kuti wakambova nechirwere cheshuga panguva yekuzvitakura yapfuura. |
Ko OGTT yakasiyana here panguva yekuzvitakura?
Ehe, kana uine pamuviri, uchafanirwa kuve neongororo pfupi yeOGTT iyi pakati pemavhiki makumi maviri nemana kusvika makumi maviri nemasere epamuviri. Iyi bvunzo yeawa imwe chete inonzi 'glucose challenge test'.
Zvisinei, kana uri panjodzi huru yekubatwa nechirwere cheshuga panguva yekuzvitakura, chiremba wako anogona kukukurudzira kuti uedze bvunzo iyi nekukurumidza. Izvi zvinosanganisira:
- Kumbova nechirwere cheshuga chepamuviri panguva yekuzvitakura.
- Kuva nechirwere cheshuga mumhuri.
- Kufuta zvakanyanya.
- Kuva nechimwe chirwere chinowedzera njodzi yekubatwa nechirwere cheshuga, chakadai sePCOS.
Kana chiremba wako achinetseka nezvenjodzi yako, kana kuti kana mhedzisiro yekuongororwa kweawa imwe chete yakakwira, unogona kukumbirwa kuti uite bvunzo yeOGTT yakareba iyo inotora maawa matatu.
Unogadzirira sei bvunzo isati yaitwa?
Kugadzirira izvi kuri nyore kwazvo.
- Mazuva mashoma usati waenda kunoongororwa, idya zvakanaka. Usadya chero chikafu chakasarudzika.
- Haugone kudya kana kunwa chero chinhu kwemaawa masere bvunzo isati yaitwa. Nguva yakanakisisa yekuita izvi ndeyekuronga bvunzo mangwanani. Wobva watsanya husiku hwese.
- Munguva iyi yemaawa masere , unobvumirwa kunwa mvura chete. Usanwe zvimwe zvinwiwa.
- Taura nachiremba wako nezvemimwe mishonga yauri kutora paunenge uchironga bvunzo yako.
Maitiro ekuita bvunzo nhanho nhanho
Unogona kuita kuti bvunzo iyi yeOGTT iitirwe kuhofisi yachiremba wako, kukiriniki, kuchipatara, kana murabhoritari.
1. Kutanga, ropa richatorwa kuti rionekwe huwandu hweshuga muropa rako uchitsanya.
2. Zvadaro uchapihwa girazi guru remvura ine shuga kuti unwe.
3. Zvadaro, uchafanira kumirira kwenguva yakati. Munguva iyi, haugone kubuda murabhoritari kana kukiriniki.
4. Kana uri kuita bvunzo yechirwere cheshuga nguva dzose , uchanwa mvura yeshuga wozotora imwe ropa mushure memaawa maviri .
5. Kana uri kuita bvunzo yechirwere cheshuga chepamuviri (maawa matatu) , uchanwa mvura yeshuga wozotorwa ropa mukati meawa imwe, maawa maviri, uye maawa matatu .
Kana bvunzo yapera, unogona kudzokera kumabasa ako enguva dzose.
Pane njodzi here nebvunzo iyi?
Kuongororwa kweOGTT bvunzo kwakachengeteka zvikuru, asi vamwe vanhu vanogona kusangana nematambudziko madiki.
Zvinhu zvinogona kuitika nekuda kwezvinwiwa zvine shuga:
- Kusvotwa
- Kurutsa
- Kuzadza dumbu
- Musoro
- Mazinga eshuga akaderera muropa (haawanzoitiki)
Zvinhu zvinogona kuitika nekuda kwekupa ropa:
- Kubuda ropa zvakanyanya
- Dzungu
- Mamiriro ehutachiona
- Kurwadziwa kudiki kubva pakuedza kakawanda kutsvaga mutsinga weropa
- Kukuvara kana kurwadziwa panzvimbo yakarumwa
Izvi zvinhu zvidiki kwazvo uye zvinokurumidza kupora.
Mhedzisiro yacho inoti chii?
Mushure mekunwa chinwiwa chine shuga, huwandu hweshuga muropa rako hunokwira uye hunofanira kudzokera pakare mushure mechinguva nekuda kwebasa rehomoni ye insulin. Kana zvikatora nguva yakareba kuti udzokere pakare, zvinogona kunge zviri chiratidzo chechirwere cheshuga. Mhedzisiro iri pamushumo wako inoshumwa mu "mg/dL" (milligrams pa deciliter).
| Huwandu hweshuga muropa (mg/dL) | Zvinoreva |
|---|---|
| Kuongororwa chirwere cheshuga nguva dzose (OGTT kwemaawa maviri) | |
| 139 mg/dL kana pasi | Zvakajairika : Muviri wako unodzora shuga zvakanaka. |
| Pakati pe140 mg/dL ne199 mg/dL | Prediabetes : Uri panjodzi yakakura yekubatwa nechirwere cheshuga. |
| 200 mg/dL kana kupfuura | Chirwere cheshuga . Ungave uine chirwere cheshuga. |
| Kuongororwa kwechirwere cheshuga panguva yekuzvitakura (OGTT yemaawa matatu) | |
| Kutsanya | Inofanira kunge iri pasi pe95 mg/dL . |
| Mushure meawa imwe chete | Inofanira kunge iri pasi pe180 mg/dL . |
| Mushure memaawa maviri | Inofanira kunge iri pasi pe155 mg/dL . |
| Mushure memaawa matatu | Inofanira kunge iri pasi pe140 mg/dL . |
Prediabetes zvinoreva kuti uri panjodzi yakakura yekubatwa nechirwere cheshuga. Izvi zvakafanana nechiratidzo chekunyevera. Kana ukachinja mararamiro ako panguva ino, unogona kubatsira zvikuru kudzivirira chirwere cheshuga.
Kana mukadzi ane pamuviri akawana chimwe chezviratidzo zvataurwa pamusoro apa chakakwira kupfuura zvakajairwa, chiremba wake anokurudzira kuti aongororwezve mushure memavhiki mashoma. Kana zviratidzo zviviri kana kupfuura zvakakwira, anoonekwa aine chirwere cheshuga chepamuviri.
Chii chinoitika mushure mekuyedzwa?
Chiremba wako achakutsanangurira zvekuita zvichienderana nemigumisiro yacho.
- Kana uine chirwere cheshuga chisati chatanga: Chiremba wako achataura newe nezvenzira dzekudzivirira kuti chisazokura kuita chirwere cheshuga. Kurovedza muviri uye kuderedza uremu ndiyo nzira mbiri dzakanakisa dzekuderedza njodzi yako yekubatwa nechirwere cheshuga.
- Kana uine chirwere cheshuga: Ungangokumbirwa kuti uite mimwe miedzo, yakaita seA1c, kuti usimbise chirwere chako. Kudya zvine hutano, kurovedza muviri, uye mishonga zvinogona kubatsira kudzora huwandu hweshuga muropa rako.
- Kana uine chirwere cheshuga chepamuviri: Unogona kudzora chirwere ichi nekudya zvakanaka uye kurovedza muviri. Shuga yako muropa inofanira kudzokera kune yakajairika mushure mekubereka mwana wako. Zvisinei, munhu akambova nechirwere cheshuga chepamuviri ari panjodzi huru yekubatwa nechirwere cheshuga cherudzi rwechipiri mune ramangwana. Ndosaka zvichikosha kuti urambe uine mararamiro ane hutano.
Chinhu chinonyanya kukosha kutaura nachiremba wako nezveizvi zvose uye kutevedzera mirairo yake nemazvo.
Mharidzo Yekuenda Nayo Kumba
- OGTT inzira inokosha yekuongorora kuti muviri wako unoshandisa sei shuga.
- Izvi zvinogona kubatsira kuona chirwere cheshuga uye chirwere cheshuga chepamuviri.
- Zvinosungirwa kutsanya kwemaawa masere bvunzo isati yaitwa.
- Zvichibva pamhedzisiro yacho, chiremba wako achakupa mazano akakodzera.
- Iyi bvunzo yakachengeteka ine njodzi shoma, saka usatye.
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