Glucose kushivirira bvunzo - isina-nhumbu

Iyo glucose shiviriro bvunzo ndeyeyabvunzo bvunzo kuti uone kuti muviri wako unofambisa sei shuga kubva muropa kuenda kumatishu senge mhasuru uye mafuta. Muedzo unowanzo shandiswa kuongorora chirwere cheshuga.

Kuyedza kuongorora chirwere cheshuga panguva yekuzvitakura kwakafanana, asi kunoitwa zvakasiyana.

Iyo inonyanya kuzivikanwa glucose shiviriro bvunzo ndiyo yemumuromo glucose kushivirira bvunzo (OGTT).

Muedzo usati watanga, sampu yeropa ichatorwa.

Uchazobvunzwa kuti unwe mvura ine huwandu hweshuga (kazhinji 75 gramu). Ropa rako rinozotorwa futi maminetsi makumi matatu kusvika makumi matanhatu mushure mekunwa mhinduro.

Muedzo unogona kutora kusvika maawa matatu.

Chiyero chakafanana ndeye intravenous (IV) glucose kushivirira bvunzo (IGTT). Iyo isingawanzo shandiswa, uye haina kuzomboshandiswa kuongorora chirwere cheshuga. Mune imwe vhezheni ye IGTT, glucose yakaiswa mutsinga yako kwemaminetsi matatu. Ropa insulin mazinga anoyerwa pamberi pejekiseni, uyezve pa1 uye 3 maminetsi mushure mejekiseni. Nguva yacho inogona kusiyana. Iyi IGTT inowanzo shandiswa kutsvagisa zvinangwa chete.

Chiyero chakafanana chinoshandiswa mukutsvaga kwekukura kwehomoni yakawandisa (acromegaly) apo zvese glucose nekukura kwemahormone zvinoyerwa mushure mekumwa kweshuga.

Ita shuwa kuti unodya zvakajairika kwemazuva akati wandei usati waedzwa.

Usadye kana kunwa chero chinhu kwemaawa masere usati waedzwa. Iwe haugone kudya panguva yekuyedzwa.

Kumbira mubatsiri wako wezvehutano kana paine chero mishonga yaunotora inogona kukanganisa mhedzisiro yekuedzwa.

Kunwa mhinduro yeglucose kwakafanana nekunwa soda inotapira kwazvo.

Yakakomba mhedzisiro kubva kuiyedzo haina kujairika. Nekuyerwa kweropa, vamwe vanhu vanonzwa kusvotwa, kutuka, musoro wakareruka, kana kutonzwa mweya kushoma kana kufenda mushure mekunwa glucose. Udza mupi wako wezvehutano kana iwe uine nhoroondo yezviratidzo izvi zvine chekuita nekuongororwa kweropa kana nzira dzekurapa.

Kana tsono ikaiswa kukweva ropa, vamwe vanhu vanonzwa kurwadziwa zvine mwero. Vamwe vanongonzwa kubaya kana kubaya. Mushure meizvozvo, panogona kuve nekurohwa kana kupwanya zvishoma. Izvi zvinokurumidza kuenda.

Glucose ndiyo shuga inoshandiswa nemuviri kuwana simba. Vanhu vane chirwere cheshuga chisina kurapwa vane huwandu hwehuga hweropa.

Kazhinji kazhinji, bvunzo dzekutanga dzinoshandiswa kuongorora chirwere cheshuga muvanhu vasina nhumbu ndedze:

• Kutsanya kweropa glucose level: chirwere cheshuga chinoonekwa kana chiri chakakwirira kupfuura 126 mg / dL (7 mmol / L) pamiyedzo miviri yakasiyana
• Hemoglobin A1c bvunzo: chirwere cheshuga chinoonekwa kana bvunzo yacho iri 6.5% kana kupfuura

Glucose kushivirira bvunzo inoshandiswawo kuongorora chirwere cheshuga. OGTT inoshandiswa kuongorora kana kuongorora chirwere cheshuga muvanhu vane mwero wekutsvaira ropa iro rakakwira, asi harina kukwana zvakakwana (pamusoro pe125 mg / dL kana 7 mmol / L) kusangana nechirwere cheshuga.

Kusagadzikana kweshuga kushivirira (shuga yeropa inokwira zvakanyanya panguva yeglucose dambudziko) chiratidzo chekutanga cheshuga kupfuura shuga isina kujairika yekutsanya.

Kazhinji ropa rinokosheswa ne75 gramu OGTT inoshandiswa kuongorora rudzi rwechipiri chirwere cheshuga kune avo vasina pamuviri:

Kutsanya - 60 kusvika 100 mg / dL (3.3 kusvika 5.5 mmol / L)

1 awa - Asingasviki 200 mg / dL (11.1 mmol / L)

Maawa maviri - Ukoshi uhwu hunoshandiswa kugadzira chirwere cheshuga.

• Asingasviki 140 mg / dL (7.8 mmol / L).
• Pakati pe141mg / dL uye 200 mg / dL (7.8 kusvika 11.1 mmol / L) inoonekwa seisina kukodzera glucose shiviriro.
• Pamusoro pe200 mg / dl (11.1mmol / L) kuongororwa kwechirwere cheshuga.

Iyi mienzaniso iripamusoro zviyero zvakajairika zvemhedzisiro yeiyi bvunzo. Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Mamwe marabhu anoshandisa zviyero zvakasiyana kana kuyedza akasiyana sampuli. Taura nemupi wako nezve zvinorehwa nemimwe miedzo yako.

Chiyero cheglucose icho chakakwirira kupfuura zvakajairwa chingareva kuti une pre-chirwere cheshuga kana chirwere cheshuga:

• Iyo 2-awa kukosha pakati pe140 ne200 mg / dL (7.8 uye 11.1 mmol / L) inonzi isina kufanira glucose shiviriro. Wako mupi anogona kudaidza ichi pre-chirwere cheshuga. Zvinoreva kuti uri panjodzi yekuwedzera chirwere cheshuga nekufamba kwenguva.
• Chero huwandu hweglucose hwe200 mg / dL (11.1 mmol / L) kana yakakwira inoshandiswa kuongorora chirwere cheshuga.

Kushushikana kwakanyanya kumuviri, senge kubva mukushungurudzika, kurohwa, kurohwa nemoyo, kana kuvhiyiwa, kunogona kukwidziridza huwandu hweropa rako. Kurovedza muviri kwakasimba kunogona kudzikisa ropa rako rehuga.

Mimwe mishonga inogona kusimudza kana kudzikisa ropa rako rehuga. Usati waita bvunzo, udza mupi wako nezve chero mishonga yauri kutora.

Unogona kunge uine zvimwe zvezviratidzo zvakanyorwa pamusoro pasi pemusoro wakanzi "Muedzo Uchanzwa Sei."

Pane njodzi shoma inosanganisirwa nekutorwa kweropa rako. Tsinga uye tsinga zvinosiyana muhukuru kubva kumunhu kuenda kune mumwe uye kubva kune rimwe divi remuviri kuenda kune rimwe. Kutora ropa kubva kune vamwe vanhu kunogona kunge kwakaoma kupfuura kubva kune vamwe.

Dzimwe njodzi dzinosangana nekutorwa kweropa idiki, asi dzinogona kusanganisira:

• Kuwedzera kubuda ropa
• Akawanda punctures ekutsvaga mutsinga
  
• Kufenda kana kunzwa kushaya musoro
• Hematoma (kuwanda kweropa pasi peganda)
• Utachiona (hushoma njodzi chero nguva ganda parinovhunika)

Oral glucose kushivirira bvunzo - isina-nhumbu; OGTT - isina-nhumbu; Chirwere cheshuga - bvunzo yekutsungirira glucose; Chirwere cheshuga - glucose kushivirira bvunzo

• Kutsanya plasma glucose bvunzo
• Oral glucose kushivirira bvunzo

American Chirwere cheshuga Association. 2. Kupatsanura uye kuongororwa kwechirwere cheshuga: zviyero zvekurapwa mune cheshuga - 2020. Chirwere cheshuga. 2020; 43 (Suppl 1): S14-S31. PMID: 31862745 pubmed.ncbi.nlm.nih.gov/31862745/.

Nadkarni P, Weinstock RS. Carbohydrate. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chits.

Masaga DB. Chirwere cheshuga mellitus. Mu: Rifai N, ed. Tietz Chinyorwa cheKiriniki Chemistry uye Molecular Diagnostics. 6th ed. Philadelphia, PA: Elsevier; 2018: chits. 57.