Masifumanise ngenqanaba leswekile egazini lakho (Uvavanyo lweGlucose egazini)? Ingaba oku kwenziwa kuphela kwisifo seswekile?

Molo! Unjani? Namhlanje siza kuthetha ngesihloko esibalulekileyo kubantu abaninzi. Oko kukuthi, ukujonga amanqanaba eswekile egazini, okanye njengoko sikubiza njalo, "Uvavanyo lweGlucose egazini". Mhlawumbi ulwenzile olu "vavanyo". Okanye mhlawumbi ukhe weva umntu ethetha ngalo. Makhe sibone ukuba yintoni, kutheni lwenziwa, kwaye lungenziwa njani, konke ngokulula.

Yintoni uvavanyo lweglucose egazini?

Ngamafutshane, olu luvavanyo olulinganisa ubungakanani beglucose (iswekile) egazini lakho. Olu vavanyo lusetyenziswa kakhulu ukufumanisa ukuba unesifo seswekile okanye usemngciphekweni wokuba nesifo seswekile. Nangona kunjalo, olu vavanyo alusetyenziselwa isifo seswekile kuphela. Siza kuthetha ngaloo nto kamva.

Kukho iintlobo ezimbini eziphambili zolu vavanyo.

Ngoku khangela, kukho iindlela ezimbini zokwenza olu vavanyo lweswekile egazini.

• Uvavanyo lweglucose egazini le-capillary: Oku kuquka ukuhlaba incam yomnwe wakho ngenaliti encinci uze uthathe ithontsi legazi. Kubantwana abancinci, oku kudla ngokwenziwa ukusuka esithendeni. Ithontsi legazi libekwa kumcu wovavanyo lize lifakwe kwi-glucose meter, enokulinganisa amanqanaba eswekile egazini lakho kwimizuzwana embalwa. Usenokuba ubabonile abantu abanesifo seswekile bejonga iswekile yabo egazini ekhaya ngale ndlela. Oku kunika iziphumo ezikhawulezayo kakhulu.

• Uvavanyo lweglucose egazini le-Venous/Plasma: Oku kuquka ukuthatha igazi elincinci kumthambo osengalweni yakho usebenzisa isirinji. Oku kwenziwa yingcali ye-phlebotomist, umntu oqeqeshwe ukuthatha igazi. Oku kudla ngokwenziwa kunye nezinye iimvavanyo zegazi, ezifana neBasic Metabolic Panel (BMP). Isampuli yegazi emva koko ithunyelwa kwilebhu ukuze ivavanywe.

Ngokubanzi, iziphumo ezifunyenwe kuvavanyo lwegazi oluphuma kwimithambo yegazi zichanekile ngakumbi kunezo zifunyenwe kuvavanyo lweminwe.

Ngaba kukho ezinye iintlobo zovavanyo lweglucose?

Ewe, kukho ezinye iindlela ezininzi.

• Uvavanyo lweswekile yegazi lokuzila ukutya: Olu luvavanyo olubalulekileyo lokufumanisa ukuba unesifo seswekile na. Inqanaba leswekile egazini liyatshintsha emva kokuba sityile. Ke ngoko, ngokwenza olu vavanyo emva kweeyure ezimbalwa (ngesiqhelo iiyure ezisi-8-12) ngaphandle kokutya okanye ukusela nantoni na (ungasela amanzi kuphela), unokufumana umbono ocacileyo weswekile yakho yegazi esisiseko.

• Ukujonga iswekile egazini ekhaya: Oku kubaluleke kakhulu kubantu abanesifo seswekile. Bajonga amanqanaba eswekile egazini labo rhoqo, nokuba nge-glucose meter ehlaba umnwe wabo ngenaliti encinci, okanye nge-continuous glucose monitor (CGM), isixhobo esincinci esinamathele eluswini. Ukuhlala uqaphela amanqanaba eswekile egazini lakho ngale ndlela kubalulekile ukuze ugcine isifo sakho seswekile siphantsi kolawulo.

Yintoni kanye kanye iglucose (iswekile) egazini?

Cinga ngayo, i-glucose yeyona nto iphambili enika imizimba yethu amandla. Le glucose iveliswa kakhulu kwii-carbohydrates ekutyeni esikutyayo nesikuselayo. Isibindi sethu sikwavelisa i-glucose ethile. Le glucose ihamba ngegazi iye kwiiseli emzimbeni wonke, apho inika khona amandla eziwadingayo.

Kukho iinkqubo ezahlukeneyo emzimbeni wethu ezinceda ukugcina inqanaba elifanelekileyo leglucose egazini. Ihomoni i-insulin idlala indima enkulu koku.

Eyona nto ibalulekileyo kukugcina amanqanaba eglucose egazini lakho ekwinqanaba elifanelekileyo.

Ukuba amanqanaba eswekile egazini lakho ahlala ephezulu, ibizwa ngokuba yi-hyperglycemia. Oku kudla ngokuba luphawu lwesifo seswekile. Iswekile yenzeka xa ipancreas yakho ingavelisi i-insulin eyaneleyo, okanye xa umzimba wakho ungakwazi ukuyisebenzisa ngokufanelekileyo i-insulin oyivelisayo.

Ngaliphi ixesha ekufuneka ujonge iswekile yakho egazini?

Kukho izizathu ezahlukeneyo zokwenza olu vavanyo. Jonga ukuba kukho naziphi na kwezi zinto ezikusebenzayo:

• Njengovavanyo lwegazi oluqhelekileyo oluyalelwe ngugqirha wakho: Ngamanye amaxesha ugqirha wakho uya kuyalela i-"Basic Metabolic Panel (BMP)" okanye i-"Comprehensive Metabolic Panel (CMP)" njengovavanyo lwegazi oluqhelekileyo. Zombini ezi "phaneli" ziquka nokulinganisa amanqanaba eglucose yakho.
• Ukuba uneempawu zeswekile ephezulu okanye ephantsi egazini: Uziva unxaniwe kakhulu, uchama rhoqo, wehla emzimbeni, kwaye uzive udiniwe, ezi ziimpawu zeswekile ephezulu egazini (Hypoglycemia), okanye ukuba uneempawu zeswekile ephantsi egazini (Hypoglycemia), ezifana nokubila, ukungcangcazela, ukuziva ungcangcazela, kwaye uzive ulambile, ugqirha wakho uya kuyalela olu vavanyo.
• Ngexesha lokukhulelwa: Abanye abantu banokuba nohlobo lwesifo seswekile okwethutyana olubizwa ngokuba yi-"gestational diabetes" ngexesha lokukhulelwa. Le yindlela iswekile yegazi elinganiswa ngayo xa kwenziwa uvavanyo "lokunyamezela iswekile" ukuze kubonwe ukuba ingakanani.
• Ukuba uthatha amayeza athile ixesha elide: Umzekelo, amayeza afana ne-corticosteroids anokuchaphazela amanqanaba eswekile yegazi lakho xa esetyenziswa ixesha elide. Kwimeko ezinjalo, ugqirha wakho unokukucebisa ukuba ujonge amanqanaba eswekile yakho rhoqo.

Uvavanyo lweswekile egazini oluqhelekileyo kukujonga isifo seswekile sohlobo lwesibini (T2D). Ukuba unezinto ezibangela isifo seswekile (umz., imbali yentsapho yesifo seswekile, ukutyeba kakhulu, ukungazilolongi), ugqirha wakho unokucebisa ukuba ufumane olu vavanyo rhoqo, nokuba uneminyaka emingaphi. I-American Diabetes Association icebisa ukuba wonke umntu oneminyaka engaphezu kwama-35 ubudala ahlolwe rhoqo.

Ufanele uzilungiselele njani ngaphambi kolu vavanyo?

Ukuba wenza uvavanyo lweglucose egazini lokuzila ukutya,Musa ukutya okanye ukusela nantoni na (ngaphandle kwamanzi) iiyure ezisi-8 ukuya kwezili-12 ngaphambi kovavanyo.

Ukuba uvavanyo lwakho lweswekile yegazi lwenziwe njengenxalenye ye-"Basic Metabolic Panel (BMP)" okanye "Comprehensive Metabolic Panel (CMP)", ungadinga nokuzila ukutya iiyure ezimbalwa. Nangona kunjalo, ukuba kufuneka ulandele nayiphi na imiyalelo ekhethekileyo, ugqirha wakho uza kukwazisa kwangaphambili. Ngoko ke akukho nto ibalulekileyo.

Kwenzeka ntoni ngexesha lovavanyo?

Oku kuyahluka kancinci ngokuxhomekeke kuhlobo lovavanyo olwenzayo.

Kuvavanyo apho igazi lithathwa emthanjeni (uvavanyo lweglucose yemithambo):

• Uza kuhlaliswa esitulweni.
• Ingcali ye-phlebotomist iza kukhetha umthambo olula engalweni yakho ukuze itsale igazi kuwo. Ngokuqhelekileyo, uba sengqinibeni.
• Nje ukuba umthambo ufunyenwe, indawo leyo icocekile kwaye ibulawe iintsholongwane.
• Emva koko kufakwa inaliti encinci emthanjeni kwaye kuthathwa isampuli yegazi.
• Emva kokuba inaliti ifakiwe, igazi elincinci liqokelelwa kwityhubhu encinci yokuvavanya.
• Emva kokuba isampuli yegazi ithathiwe, inaliti iyasuswa kwaye iqhekeza lekotoni okanye i-gauze libekwe kwindawo yokucoca ukuze kumiswe ukopha.
• Okokugqibela, faka ibhandishi encinci kwindawo leyo uze ugqibe. Kulula kakhulu.

Kuvavanyo lweminwe (uvavanyo lweglucose egazini le-capillary):

• Umsebenzi wezempilo uza kukubuza ukuba uza kuthatha igazi kumnwe onjani.
• Emva koko, iminwe yakho ihlanjululwe nge-alcohol swab.
• Okulandelayo, inaliti encinci ebizwa ngokuba yi-"lancet" (ehlala ikwisixhobo seplastiki esincinci) isetyenziselwa ukuhlaba incam yomnwe. Oku akubuhlungu kakhulu.
• Emva koko, cinezela incam yomnwe wakho kancinci ukuze uvelise ithontsi legazi.
• Elo thontsi legazi libekwa kumcu wovavanyo oqhagamshelwe kwi-glucose meter.
• Emva kokuthatha igazi elaneleyo lovavanyo, baya kukunika iqhekeza lekotoni okanye i-gauze ukunqanda ukopha baze bakucele ukuba ubambe iminwe yakho ngokuqinileyo.
• Kwimizuzwana embalwa, i-glucose meter iya kubonisa inqanaba leswekile egazini lakho kwiscreen.

Uyabona, oku kulula kakhulu.

Kuthatha ixesha elingakanani ukwazi iziphumo?

Ukuba uvavanyo lweglucose egazini lwemithambo yegazi lugqityiwe, ungafumana iziphumo kungekapheli usuku okanye ezimbini.

Iziphumo zovavanyo lweglucose egazini le-capillary zinokujongwa kwimizuzwana embalwa nge-glucose meter.

Ingakanani inqanaba leswekile egazini eliqhelekileyo?

Inqanaba leswekile egazini elisempilweni kumntu onesifo seswekile kufuneka libe phakathi kwama-70 nama-99 eemiligrama nge-deciliter (mg/dL) . Oko kukuthi, kwi-millimoles ngelitha (mmol/L), phakathi kwama-3.9 nama-5.5 (3.9-5.5 mmol/L) .

Ngamanye amaxesha, amaxabiso aphakathi kwe-50 mg/dL (2.8 mmol/L) kunye ne-70 mg/dL (3.9 mmol/L) anokuba "yinto eqhelekileyo" nakubantu abangenaso isifo seswekile.

Kuthetha ukuthini ukuba neswekile ephezulu egazini?

Ukuba inqanaba leswekile egazini lakho liphakathi kwe-100 mg/dL kunye ne-125 mg/dL (5.6 mmol/L kunye ne-6.9 mmol/L), oko kuthetha ukuba unesifo seswekile esingaphambi kwesifo . Abantu abanesifo seswekile esingaphambi kwesifo banethuba elingama-50% lokufumana isifo seswekile sohlobo lwesibini kwiminyaka emi-5 ukuya kweli-10 ezayo. Kodwa eyona nto ilungileyo kukuba, ungathatha amanyathelo okubuyisela isifo seswekile esingaphambi kwesifo.

Ukuba inqanaba leswekile egazini lakho liyi-126 mg/dL (7.0 mmol/L) okanye ngaphezulu xa uvavanywa iswekile yegazi ngokuzila ukutya okuninzi, oko kuthetha ukuba unesifo seswekile. Abantu abanesifo seswekile sohlobo loku-1 banokuba namanqanaba aphezulu kakhulu eswekile egazini (200 mg/dL okanye 11.1 mmol/L okanye ngaphezulu).

Nokuba kunjalo, ugqirha wakho uya kuyalela uvavanyo lwe-A1c ngaphambi kokuba enze uxilongo. Uvavanyo lwe-A1c lubonisa amanqanaba akho aqhelekileyo eswekile egazini kwiinyanga ezininzi.

Ngaba kukho ezinye izizathu zokuba amanqanaba eswekile egazini anyuke?

Ewe, ngaphandle kwesifo seswekile, amanqanaba eglucose egazini anokunyuka ngenxa yezizathu ezininzi:

• Iingxaki ngeendlala zakho ze-adrenal, umzekelo, i-Cushing syndrome.
• Iingxaki ngepancreas yakho, umzekelo, i-pancreatitis.
• I-Hyperthyroidism.
• Ukuba sesichengeni soxinzelelo olukhulu lwengqondo, umzekelo emva kotyando okanye ingozi enkulu (ukwenzakala).
• Amayeza athile, ingakumbi ii-corticosteroids.

Kuthetha ukuthini ukuba neswekile ephantsi egazini?

Inqanaba leswekile egazini eliyi-70 mg/dL okanye ngaphantsi (iHypoglycemia) lithathwa njengeliphantsi kakhulu kumntu omdala onesifo seswekile.

Iziqendu ze-Hypoglycemia zixhaphakile kubantu abanesifo seswekile sohlobo loku-1. Zinokuchaphazela nabantu abanesifo seswekile sohlobo lwesibini abasebenzisa amayeza athile. Nangona kunjalo, azixhaphakanga kubantu abangenaso isifo seswekile.

Nokuba awunaso isifo seswekile, amanqanaba aphantsi eswekile egazini angaba luphawu lwemeko efana nale:

• Isifo sesibindi
• Isifo sezintso
• I-Hypothyroidism
• Isifo sika-Addison (ukungasebenzi kakuhle kwe-adrenal)
• Ingxaki Yokusetyenziswa Kotywala (AUD)
• I-Insulinoma (Le yithumba elingaqhelekanga kakhulu)

Ezi meko zihlala zibangela ukuba kubekho iziqendu ezihlala zikho zeswekile ephantsi egazini. Umntu onesifo seswekile akufuneki oyike ukuba kukho umlinganiselo omnye weswekile ephantsi egazini.

Kuqhelekile ukuba noloyiko xa ubona iziphumo zovavanyo ezingaqhelekanga. Kodwa khumbula, inqanaba elinye leswekile ephezulu okanye ephantsi egazini akuthethi ukuba unesifo okanye udinga unyango. Oogqirha basebenzisa okungaphezulu nje kovavanyo lwegazi ukuxilonga izifo ezifana nesifo seswekile. Ungoyiki ukubuza ugqirha wakho imibuzo. Bakho ukuze bakuncede.

Kulungile, zeziphi izinto ekufuneka sizikhumbule kuzo zonke ezi zinto? (Umyalezo Wokubuyela Ekhaya)

Kulungile, sithethe kakhulu ngale "Blood Glucose Test". Nazi ezinye izinto ekufuneka uzikhumbule ngokufutshane:

• Nangona uvavanyo lweswekile yegazi lusetyenziswa kakhulu ekuxilongeni isifo seswekile, lunokubonelela nangezinye izifo.
• Ukongeza kwiimvavanyo zeminwe ezikhawulezayo, kukho iimvavanyo ezichanekileyo ezenziwa kwilebhu ngokutsala igazi emthanjeni.
• Uvavanyo lweswekile yegazi oluzila ukutya lunokukunika umbono olungileyo ngamanqanaba eswekile egazini lakho asisiseko.
• Ngaphambi kokuba woyike iziphumo, qiniseka ukuba uthetha nogqirha wakho. Musa ukwenza uxilongo ngokusekelwe kwiziphumo zovavanyo olunye.
• Ukuba usemngciphekweni wokuba nesifo seswekile, okanye uneempawu, kubaluleke kakhulu ukuba olu vavanyo lwenziwe rhoqo njengoko ugqirha wakho ekucebisile.
• Ukugcina amanqanaba eswekile egazini ngaphakathi komlinganiselo oqhelekileyo kubalulekile ukuze umntu abe sempilweni.

Ngoko ke, ukuba ugqirha wakho ukhe wakucela ukuba wenze oku "(Uvavanyo lweGlucose egazini)", akukho nto yokoyika okanye yokukrokrela. Yinto ebalulekileyo ekufuneka uyenze ukujonga impilo yakho. Uyayazi?

Iswekile yegazi, uvavanyo lweswekile, isifo seswekile, inqanaba leswekile, uvavanyo lokuzila ukutya, i-hyperglycemia, i-hypoglycemia