Ingabe udokotela wakho wake wakucela ukuthi uphuze uketshezi olunoshukela bese uhlolwa igazi? Abantu abaningi bayazibuza ukuthi kuyini lokhu nokuthi kungani kwenziwa, futhi mhlawumbe baze bazizwe besaba kancane. Kodwa empeleni akusikho okufanele ukwesabe. Lokhu ukuhlolwa okuvamile kakhulu okwenziwa ukuthola ulwazi olubaluleke kakhulu mayelana nempilo yakho. Ngakho-ke namuhla, ake sixoxe ngalokhu kuhlolwa kokubekezelela i-glucose ngomlomo, noma i-OGTT njengoba sonke sikwazi.
Iyini le OGTT?
Kalula nje, i-OGTT ukuhlolwa okulinganisa ukuthi umzimba wakho uphatha kahle kangakanani i-glucose yomthombo wamandla. Lokhu kunganikeza udokotela wakho izinkomba ezibalulekile mayelana nempilo yakho.
Uma sidla, amazinga ethu kashukela egazini avame ukukhuphuka. Bese kuthi, indlala ebizwa ngokuthi i-pancreas, etholakala ekujuleni kwesisu sethu, ikhiqize i-hormone ebizwa ngokuthi i-insulin . Cabanga ngamaseli omzimba wakho njengezindlu ezincane. Ushukela owuthola ekudleni okudlayo amandla la makhaya adingayo. Ngakho-ke, i-insulin ifana nesihluthulelo esithatha lo shukela, sivule iminyango yezindlu, bese sivumela ushukela ungene. Lapho ushukela ungena emaseli, amazinga kashukela egazini abuyela esimweni esijwayelekile.
Kodwa-ke, uma unesifo sikashukela sohlobo lwesibili, umzimba wakho awusebenzisi lesi sihluthulelo esibizwa ngokuthi i-insulin ngendlela efanele. Khona-ke ushukela uyanqwabelana egazini esikhundleni sokungena emangqamuzaneni. Lokhu kushukela okweqile egazini kungalimaza imithambo yegazi emzimbeni wonke. Isifo sikashukela singabangela isifo senhliziyo, ukulimala kwemizwa, isifo samehlo, kanye nesifo sezinso.
Ngakho-ke ukuhlolwa kwe-OGTT kuhlola kakhulu ukuthi usengozini yokuthola isifo sikashukela, noma ukuthi usuvele unesifo sikashukela. Ukuhlolwa okufushane kwe-OGTT ngesikhathi sokukhulelwa nakho kungabona ukuthi unesifo sikashukela sokukhulelwa.
Ubani ocelwa ukuba abhale lolu vivinyo lwe-OGTT?
Uma unesinye noma ngaphezulu kwezici ezilandelayo eziyingozi, udokotela wakho angase akucele ukuthi wenze isivivinyo se-OGTT.
| Isici sengozi | Incazelo |
|---|---|
| Ukwanda kwesisindo | Uma umzimba wakho ukhuluphele/ukhuluphele kakhulu. |
| Umlando womndeni | Uma othile emndenini wakho oseduze (umama, ubaba, izingane zakini) enesifo sikashukela. |
| Umfutho wegazi ophakeme | Uma une-high blood pressure. |
| Ama-triglyceride aphezulu | Uma unezinga eliphezulu lamafutha abizwa ngokuthi ama-triglyceride egazini lakho. |
| Isimo se-PCOS | Uma unesifo esibizwa ngokuthi i-Polycystic Ovary Syndrome (PCOS), esibangela izinkinga ngomjikelezo wakho wokuya esikhathini. |
| Isimo sangaphambi kokukhulelwa | Uma ubelethe umntwana onesisindo esingaphezu kwamakhilogremu angu-9 (cishe amakhilogremu angu-4) noma uma unesifo sikashukela sokukhulelwa ngesikhathi sokukhulelwa kwangaphambilini. |
Ingabe i-OGTT ihlukile ngesikhathi sokukhulelwa?
Yebo, uma ukhulelwe, kuzodingeka ube nenguqulo emfushane yalolu vivinyo lwe-OGTT phakathi kwamasonto angama-24 nama-28 okukhulelwa. Lolu vivinyo lwehora elilodwa lubizwa ngokuthi 'ukuhlolwa kwe-glucose challenge'.
Kodwa-ke, uma usengozini enkulu yokuthola isifo sikashukela sokukhulelwa, udokotela wakho angase akuncome ukuthi wenze lokhu kuhlolwa kusenesikhathi. Lezi zici eziyingozi zifaka:
- Ukuba nesifo sikashukela sokukhulelwa esikhathini esidlule.
- Ukuba nesifo sikashukela emndenini.
- Ukukhuluphala ngokweqile.
- Ukuba nesinye isimo sezokwelapha esikhuphula ingozi yesifo sikashukela, njenge-PCOS.
Uma udokotela wakho ekhathazekile ngengozi yakho, noma uma imiphumela yokuhlolwa kwehora elilodwa iphezulu, ungase ucelwe ukuba wenze ukuhlolwa kwe-OGTT okude okuhlala amahora amathathu.
Uzilungiselela kanjani ngaphambi kokuhlolwa?
Ukulungiselela lokhu kulula kakhulu.
- Ezinsukwini ezimbalwa ngaphambi kokuhlolwa, yidla ngendlela evamile. Ungadli ukudla okukhethekile.
- Awukwazi ukudla noma ukuphuza lutho amahora angu-8 ngaphambi kokuhlolwa. Isikhathi esingcono kakhulu sokwenza lokhu ukuhlela ukuhlolwa ekuseni. Ngemuva kwalokho ungazila ukudla ubusuku bonke.
- Phakathi nalesi sikhathi samahora angu-8 , uvunyelwe ukuphuza amanzi kuphela. Ungaphuzi ezinye iziphuzo.
- Khuluma nodokotela wakho nganoma yimiphi eminye imithi oyiphuzayo uma uhlela ukuhlolwa kwakho.
Indlela yokwenza isivivinyo isinyathelo ngesinyathelo
Ungenza lokhu kuhlolwa kwe-OGTT ehhovisi likadokotela wakho, emtholampilo, esibhedlela, noma elebhu.
1. Okokuqala, kuzothathwa isampula yegazi ukuze kuhlolwe izinga lakho likashukela egazini lokuzila ukudla.
2. Ngemuva kwalokho uzonikezwa ingilazi enkulu yoketshezi olunoshukela ukuze uphuze.
3. Okulandelayo, kuzodingeka ulinde isikhashana. Phakathi nalesi sikhathi, ngeke ukwazi ukuphuma elabhorethri noma emtholampilo.
4. Uma wenza ukuhlolwa kwesifo sikashukela okuvamile , uzophuza isisombululo sikashukela bese uthatha elinye isampula yegazi ngemva kwamahora ama-2 .
5. Uma wenza ukuhlolwa kwesifo sikashukela sokukhulelwa (amahora ama-3) , uzophuza isisombululo sikashukela bese uthatha amasampula egazi ngehora eli-1, amahora ama-2, namahora ama-3 .
Ngemva kokuphela kokuhlolwa, ungabuyela emisebenzini yakho evamile.
Ingabe zikhona izingozi ngalolu vivinyo?
Ukuhlolwa kwe-OGTT kuwukuhlolwa okuphephile kakhulu, kodwa abanye abantu bangase babe nemiphumela emibi emincane.
Izinto ezingenzeka ngenxa yeziphuzo ezinoshukela:
- Isicanucanu
- Ukuhlanza
- Ukugcwalisa isisu
- Ikhanda elibuhlungu
- Amazinga kashukela aphansi egazini (angavamile kakhulu)
Izinto ezingenzeka ngenxa yokunikela ngegazi:
- Ukopha ngokweqile
- Isiyezi
- Isimo sokutheleleka
- Ubuhlungu obuncane obuvela emizamweni ephindaphindwayo yokuthola umthambo wegazi
- Ukulimala noma ubuhlungu endaweni yokulimala
Lezi yizinto ezincane kakhulu futhi zizophola ngokushesha.
Imiphumela ithini?
Ngemva kokuphuza isiphuzo esinoshukela, izinga likashukela egazini lakho liyakhuphuka futhi kufanele libuyele esimweni esijwayelekile ngemva kwesikhashana ngenxa yesenzo se-hormone insulin. Uma kuthatha isikhathi eside ukubuyela esimweni esijwayelekile, kungaba uphawu lwesifo sikashukela. Imiphumela embikweni wakho ibikwe ngo-"mg/dL" (ama-milligram nge-deciliter).
| Izinga likashukela egazini (mg/dL) | Incazelo |
|---|---|
| Ukuhlolwa kwesifo sikashukela okuvamile (i-OGTT yamahora ama-2) | |
| 139 mg/dL noma ngaphansi | Okuvamile : Umzimba wakho ulawula ushukela kahle. |
| Phakathi kuka-140 mg/dL no-199 mg/dL | I-Prediabetes : Usengozini enkulu yokuba nesifo sikashukela. |
| 200 mg/dL noma ngaphezulu | Isifo sikashukela . Ungase ube nesifo sikashukela. |
| Ukuhlolwa kwesifo sikashukela sokukhulelwa (i-OGTT yamahora ama-3) | |
| Ukuzila ukudla | Kufanele kube ngaphansi kuka-95 mg/dL . |
| Ngemva kwehora eli-1 | Kufanele kube ngaphansi kuka-180 mg/dL . |
| Ngemva kwamahora ama-2 | Kufanele kube ngaphansi kuka-155 mg/dL . |
| Ngemva kwamahora ama-3 | Kufanele kube ngaphansi kuka-140 mg/dL . |
I-prediabetes isho ukuthi usengozini enkulu yokuba nesifo sikashukela. Kufana nesibonakaliso esiyisixwayiso. Uma wenza izinguquko endleleni yokuphila kulesi sigaba, ungenza lukhulu ekuvimbeleni isifo sikashukela.
Uma owesifazane okhulelwe enemiphumela engenhla ephakeme kunejwayelekile, udokotela wakhe uzoncoma ukuthi ahlolwe futhi emavikini ambalwa. Uma imiphumela emibili noma ngaphezulu iphakeme, kutholakala ukuthi unesifo sikashukela sokukhulelwa.
Kwenzekani ngemva kokuhlolwa?
Udokotela wakho uzochaza ukuthi yini okufanele uyenze ngokulandelayo ngokusekelwe emiphumeleni.
- Uma une-prediabetes: Udokotela wakho uzokhuluma nawe ngezindlela zokuvimbela ukuthi ingaguquki ibe yisifo sikashukela. Ukuzivocavoca umzimba kanye nokwehlisa isisindo yizindlela ezimbili ezinhle kakhulu zokunciphisa ingozi yakho yesifo sikashukela.
- Uma unesifo sikashukela: Ungase ucelwe ukuthi wenze ezinye izivivinyo, njenge-A1c, ukuqinisekisa ukuthi unesifo. Ukudla okunempilo, ukuzivocavoca umzimba, kanye nemithi kungasiza ekulawuleni amazinga kashukela egazini lakho.
- Uma unesifo sikashukela sokukhulelwa: Ungasilawula lesi simo ngokudla okuhle kanye nokuzivocavoca. Amazinga kashukela egazini lakho kufanele abuyele esimweni esijwayelekile ngemva kokubeletha umntwana wakho. Kodwa-ke, umuntu oke waba nesifo sikashukela sokukhulelwa usengozini enkulu yokuthola isifo sikashukela sohlobo 2 esikhathini esizayo. Yingakho kubalulekile ukuqhubeka nokugcina indlela yokuphila enempilo.
Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngakho konke lokhu bese ulandela imiyalelo yakhe ngqo.
Umlayezo Wokuya Nawe Ekhaya
- I-OGTT iyisivivinyo esibalulekile esibheka indlela umzimba wakho osebenzisa ngayo ushukela.
- Lokhu kungasiza ekuxilongeni isifo sikashukela kanye nesifo sikashukela sokukhulelwa.
- Kuphoqelekile ukuzila ukudla amahora angu-8 ngaphambi kokuhlolwa.
- Ngokusekelwe emiphumeleni, udokotela wakho uzokunikeza iseluleko esifanele kakhulu.
- Lokhu ukuhlolwa okuphephile okunengozi encane kakhulu, ngakho-ke ungesabi.
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