Ingabe udokotela wakho ukunike i-'GTT'? Noma mhlawumbe uke wezwa ngomuntu emndenini wakho noma umngane othola lokhu kuhlolwa. Abanye abantu bayesaba kancane lapho bezwa leli gama. "Luhlobo luni lokuhlolwa lolu? Ingabe luzolimaza? Ingabe ukugula okungathi sína?" bacabanga. Kodwa empeleni, lokhu ukuhlolwa okulula okuvame ukusetshenziselwa ukuhlola isifo sikashukela. Ngakho-ke, ake sicacise yonke imibuzo onayo ngaso namuhla.
Kuyini Ukuhlolwa Kokubekezelela I-Glucose (GTT)?
Kalula nje, i-GTT ukuhlolwa okulinganisa ngokunembile ikhono lomzimba wakho lokusebenzisa nokugcina i-glucose, noma 'ushukela'. Odokotela bavame ukusebenzisa lokhu kuhlolwa ukuxilonga isifo sikashukela .
Cabanga ngakho, ukudla esikudlayo, ikakhulukazi ama-carbohydrate afana nelayisi, isinkwa, namazambane, kunikeza imizimba yethu ushukela oyidingayo ukuze uthole amandla. Lo shukela yiwona onika amangqamuzana emizimba yethu amandla njengophethiloli. Igazi lethu lithwala lo shukela emizimbeni yethu yonke.
Imizimba yethu inendlela emangalisayo yokugcina amazinga ethu kashukela egazini esezingeni elithile. Eyinhloko esiza ngalokhu yi-hormone ebizwa ngokuthi i-insulin . Lokhu kukhiqizwa yi-pancreas yethu. Uma kunenkinga yokusebenzisa le glucose ngandlela thile, izinga likashukela egazini lingakhuphuka. Sikubiza ngokuthi i-hyperglycemia . Ngezinye izikhathi izinga likashukela egazini lingancipha, okubizwa ngokuthi i-hypoglycemia .
Ngakho-ke okwenziwa yi-GTT ukukunikeza inani elithile le-glucose bese ubheka ukuthi umzimba wakho usabela kanjani kuyo amahora amaningana.
Kufanele kwenziwe nini i-GTT?
Kunezimo eziningana lapho udokotela wakho angase acele khona lolu vivinyo. Eziyinhloko yilezi:
- Isifo Sikashukela: Ikakhulukazi thola izimo ezifana ne-prediabetes, isifo sikashukela sohlobo 2, noma isifo sikashukela sokukhulelwa.
- Ukumelana ne-insulin: Isimo lapho amangqamuzana omzimba engasabeli kahle ku-insulin.
- I-hypoglycemia esabelayo: Qaphela amazinga kashukela egazini aphansi ngokungavamile ngemuva nje kokudla.
- I-Acromegaly: Thola isimo esibangelwa ukukhiqizwa ngokweqile kwe-hormone yokukhula.
- Thola ezinye zezinkinga ezingavamile ze-carbohydrate metabolism.
Ikakhulukazi, lokhu kuhlolwa kuvame ukwenziwa ukuze kutholakale isifo sikashukela sokukhulelwa, isimo esingase senzeke komama ngesikhathi sokukhulelwa. Kuwukuhlolwa okuvamile okwenziwa ngesikhathi sokukhulelwa.
Ngingakulungiselela kanjani lokhu kuhlolwa kwe-GTT?
Udokotela uzochaza ngokucacile ukuthi kufanele uzilungiselele kanjani lolu vivinyo. Ukulandela leyo miyalelo kubaluleke kakhulu ukuze uthole imiphumela yokuhlolwa enembile. Ake sibheke ezinye zezinto okufanele uzenze ngokuvamile.
| Okufanele ngikwenze | Incazelo |
|---|---|
| Ukwazisa ngemithi | Tshela udokotela wakho ngayo yonke imithi oyithathayo, ngisho namavithamini. Eminye imithi ingathinta imiphumela yokuhlolwa. Ungase ucelwe ukuthi uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokuhlolwa. |
| Ukudla ngendlela evamile | Izinsuku ezintathu ngaphambi kokuhlolwa, kufanele udle njengokujwayelekile. Kufanele uthole okungenani amagremu angu-150 ama-carbohydrate ngosuku. Lokho kusho ukudla ingxenye yakho evamile yelayisi, imifino, nezithelo njengokujwayelekile. |
| Imisebenzi ejwayelekile | Gwema ukuvivinya umzimba ngokweqile ezinsukwini ezingaphambi kokuhlolwa. Qhubeka nemisebenzi yakho evamile yansuku zonke. |
| Ukuzila ukudla | Akufanele udle noma uphuze lutho okungenani amahora angu-8 ngaphambi kokuhlolwa. Kulungile ukuphuza amanzi amancane. |
| Ngesikhathi sokuhlolwa | Uma ukuhlolwa sekuqalile, awukwazi ukudla, ukuphuza (ngaphandle kwamanzi), noma ukubhema noma yini kuze kube yilapho sekuphelile. |
Kwenzekani ngesikhathi sokuhlolwa?
Ukuhlolwa kwe-GTT kuvame ukwenziwa ekuseni. Kuzodingeka uhlale esibhedlela noma elabhorethri amahora ambalwa kuze kuqedwe ukuhlolwa, ngakho-ke kungumqondo omuhle ukuletha into efana nencwadi.
Ake sibone ukuthi kwenzekani ngesikhathi se-GTT yamahora amabili ethandwa kakhulu:
1. Isampula yegazi lokuqala: Okokuqala, kuzothathwa igazi elithile kuwe. Lokhu kwenzelwa ukuhlola izinga lakho likashukela egazini lokuzila ukudla.
2. Phuza isixazululo se-glucose: Uzonikezwa uketshezi olumnandi ukuze uluphuze. Lokhu kwenziwa ngokuncibilikisa cishe amagremu angu-75 e-glucose emanzini. Uzocelwa ukuthi uluphuze lonke zingakapheli imizuzu emi-5. Lokhu kungase kube yinto engavamile kwabanye abantu. Kufana nesiphuzo esiphuzi esinoshukela. Inani le-glucose elinikezwa izingane nabesifazane abakhulelwe lingahluka.
3. Isampula yegazi elilandelwayo: Ngemva kwamahora amabili nje kuphela kokuphuza uketshezi, kuzothathwa elinye isampula yegazi kuwe. Ngezinye izikhathi, udokotela angathatha amasampula egazi izikhathi eziningana, cishe njalo ngemva kwesigamu sehora, njengoba kudingeka.
Ezinye izinhlobo ze-GTT
- I-GTT yehora elilodwa: Lokhu ukuhlolwa okuvame ukusetshenziselwa ukuhlola isifo sikashukela kwabesifazane abakhulelwe. Kunikezwa isiphuzo se-glucose esingamagremu angu-50 bese kuthathwa isampula yegazi ngemva kwehora elilodwa. Lokhu ngokuvamile akudingi ukuzila ukudla.
- I-GTT yamahora amathathu: Amasampula egazi athathwa ngaphambi kokuphuza isisombululo se-glucose, bese kuthi njalo ngehora amahora amathathu.
- I-GTT ye-Acromegaly: Lokhu akukali ushukela egazini, kodwa amazinga e-hormone yokukhula (i-HGH). Kubheka ukuthi lelo hormone liyancipha yini ngemva kokuphuza i-glucose.
Kwenzekani ngemva kokuhlolwa? Ingabe ikhona imiphumela emibi?
Uma isivivinyo sesiphelile, ungaqhubeka nomsebenzi wakho njengenjwayelo. Ungadla futhi. Njengoba ungeke udle amahora amaningana, kuwumqondo omuhle ukuletha ukudla okulula okuncane.
I-GTT iyisivivinyo esiphephile kakhulu .
Abanye abantu bangase bazizwe benesiyezi noma benesicanucanu ngemuva kokuphuza uketshezi olunoshukela. Kodwa lokho kuvamile. Imiphumela emibi emibi ayivamile. Kungase kube nokuklwebheka kanye nobuhlungu lapho igazi likhishwe khona. Kodwa lokho kuzophela ngosuku olulodwa noma ezimbili.
Ungayiqonda kanjani imiphumela yoMbiko we-GTT?
Umbiko wakho uzokhombisa izinga likashukela egazini lakho ku-mg/dL (ama-milligram nge-deciliter) kokuhlolwa kwegazi ngakunye. Imiphumela ye-GTT yamahora amabili ivame ukuhunyushwa kanje:
| Izinga likashukela egazini ngemva kwamahora ama-2 | Incazelo |
|---|---|
| Ngaphansi kuka-140 mg/dL | Okuvamile - Umzimba wakho ulawula kahle ushukela wegazi. |
| Phakathi kuka-140 mg/dL no-199 mg/dL | I-Prediabetes - Isimo esiyingozi. Isifo sikashukela singavinjelwa ngokwenza izinguquko endleleni yokuphila. |
| 200 mg/dL noma ngaphezulu | Isifo Sikashukela - Isifo sikashukela singaba yisifo esitholakalayo. |
Into ebaluleke kakhulu ukuthi, ungazami ukuzichaza wedwa lezi zindinganiso. Kubalulekile ukuxoxa ngombiko nodokotela wakho, njengoba lezi zindinganiso zingashintsha ezimweni ezifana nesifo sikashukela sokukhulelwa.
Uma imiphumela ingajwayelekile, yini oyenzayo ngokulandelayo?
Ungakhathazeki uma inani embikweni lihlukile kancane. Udokotela ngeke anqume ukuthi unesifo sikashukela ngoba nje umphumela owodwa wokuhlolwa kwe-GTT awujwayelekile.
Esikhathini esiningi, udokotela wakho uzokucela ukuthi uphinde ukuhlolwa ngolunye usuku, noma bazokwenza olunye ukuhlolwa okufana ne-A1C ukuqinisekisa. Kungakhathaliseki ukuthi kwenzekani, udokotela wakho uzochaza konke okudingeka ukwazi. Buza noma yimiphi imibuzo noma ukukhathazeka onakho ngaleso sikhathi. Ukuthola ulwazi olufanele kuyisinyathelo sokuqala sokuba nempilo enhle.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa Kokubekezelela I-Glucose (GTT) akulona neze into okufanele uyesabe. Kuyindlela evamile nephephile yokuhlola ukuthi umzimba usebenzisa kanjani ushukela.
- Kubalulekile ukulandela imiyalelo kadokotela (njengokuzila ukudla) ngaphambi nje kwalolu vivinyo ukuze uthole imiphumela enembile.
- Ngesikhathi sokuhlolwa, uphuza uketshezi olumnandi bese unikeza amasampula egazi amaningana esikhathini esingamahora amaningana.
- Ungesabi uma imiphumela ingavamile. Ukuhlolwa okukodwa akwanele ukuthola isifo.
- Okubaluleke kakhulu: Uma usuthole umbiko wakho wokuhlolwa, qiniseka ukuthi uwubonisa udokotela wakho bese uxoxa ngawo naye. Ungalokothi wenze izinqumo wedwa.
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