Chirwere cheshuga Kuedzwa

Zvemukati

• Ndiani anofanira kuongororwa chirwere cheshuga?
• Kuongororwa kweropa chirwere cheshuga
• A1c bvunzo
• Ongororo yeropa shuga
• Kutsanya bvunzo yeshuga yeropa
• Oral glucose kushivirira bvunzo
• Weti kuongorora chirwere cheshuga
• Gestational chirwere cheshuga bvunzo

Chii chinonzi chirwere cheshuga?

Chirwere cheshuga chiitiko chinokanganisa kugona kwemuviri kuburitsa kana kushandisa insulin. Insulin inobatsira muviri kushandisa shuga yeropa kune simba. Chirwere cheshuga chinoguma neshuga yeropa (glucose yeropa) iyo inokwira kusvika pamwero wakasarudzika.

Nekufamba kwenguva, chirwere cheshuga chinokanganisa kukuvara kwemitsipa yeropa uye tsinga, zvichikonzera zviratidzo zvakasiyana, zvinosanganisira:

• kuoma kuona
• kurira uye chiveve mumaoko nemakumbo
• yakawedzera njodzi yekurwadziwa kwemoyo kana sitiroko

Kuongororwa kwekutanga kunoreva kuti unogona kutanga kurapwa uye kutora matanho ekurarama hupenyu hune hutano.

Ndiani anofanira kuongororwa chirwere cheshuga?

Mumatanho ayo ekutanga, chirwere cheshuga chinogona kana kusakonzera zviratidzo zvakawanda. Iwe unofanirwa kuongororwa kana iwe ukasangana nechimwe chekutanga zviratidzo izvo zvinomboitika dzimwe nguva, kusanganisira:

• kuva nenyota yakanyanya
• kunzwa kuneta nguva dzese
• kunzwa nzara kwazvo, kunyangwe mushure mekudya
• kuva nemaonero mashoma
• kuita weti kakawanda kupfuura zvakajairika
• kuva nemaronda kana kucheka zvisingarape

Vamwe vanhu vanofanirwa kuongororwa chirwere cheshuga kunyangwe vasiri kuwana zviratidzo. IAmerican Diabetes Association (ADA) inokurudzira kuti uongororwe chirwere cheshuga kana uine huremu hwakawanda (body mass index older than 25) wobva wawira mune chero eanotevera mapoka:

• Iwe uri wedzinza rine njodzi huru (African-American, Latino, Native American, Pacific Islander, Asia-American, pakati pevamwe).
• Une BP, high triglycerides, yakaderera HDL cholesterol, kana chirwere chemwoyo.
• Iwe une nhoroondo yemhuri yeshuga.
• Iwe une nhoroondo yako wega yemashuga eropa akasarudzika kana zviratidzo zvekudzivirira insulin.
• Iwe haubatanidzi mune yenguva dzose chiitiko chemuviri.
• Iwe uri mukadzi ane nhoroondo ye polycystic ovary syndrome (PCOS) kana gestational chirwere cheshuga.

Iyo ADA inokurudzirawo kuti iwe uitwe ongororo yeropa rekutanga kana iwe uri pamusoro pemakore makumi mana nemashanu. Izvi zvinobatsira kuti iwe ugadzire hwaro hwekutanga hweshuga yeropa. Nekuti njodzi yako yeshuga inowedzera nezera, kuyedzwa kunogona kukubatsira iwe kuona mikana yako yekukudziridza.

Kuongororwa kweropa chirwere cheshuga

A1c bvunzo

Kuongororwa kweropa kunotendera chiremba kuona huwandu hweshuga yeropa mumuviri. Chiyero cheA1c ndechimwe chezvakanyanya kuwanda nekuti mhedzisiro yacho inofungidzira huwandu hweshuga yeropa nekufamba kwenguva, uye haufanire kutsanya.

Iyo bvunzo inozivikanwa zvakare seyakanyorwa glycated hemoglobin. Inoyera kuti glucose yakazvisunga sei kumasero matsvuku eropa mumuviri wako pamwedzi miviri kusvika mitatu yekupedzisira.

Sezvo masero matsvuku eropa ane hupenyu hwemwedzi ingangoita mitatu, iyo A1c bvunzo inoyera muyero weshuga yeropa kweinenge mwedzi mitatu. Chiyero chinoda kuunganidza chete shoma shoma reropa. Mhedzisiro yacho inoyerwa muzana:

• Mhedzisiro isingasviki 5.7 muzana yakajairwa.
• Mhedzisiro iri pakati pe5.7 uye 6.4 muzana inoratidza prediabetes.
• Mhedzisiro yakaenzana kana yakakura kupfuura 6.5 muzana inoratidza chirwere cheshuga.

Miedzo yeLab inomisikidzwa neNational Glycohemoglobin Standardization Chirongwa (NGSP). Izvi zvinoreva kuti kunyangwe zvikaita sei bvunzo, nzira dzekuyedza ropa dzakafanana.

Sekureva kweNational Institute of Diabetes uye Digestive uye Kidney Zvirwere, bvunzo chete dzakabvumidzwa neNGP dzinofanirwa kutariswa seyakajeka zvakakwana kuti uongorore chirwere cheshuga.

Vamwe vanhu vanogona kunge vaine mhinduro dzakasiyana vachishandisa iyo A1c bvunzo. Izvi zvinosanganisira vakadzi vane nhumbu kana vanhu vane yakasarudzika hemoglobin musiyano inoita kuti bvunzo mhedzisiro isakarurama. Chiremba wako anogona kukurudzira kumwe kuongorora kweshuga mune aya mamiriro.

Ongororo yeropa shuga

Kuongororwa kweshuga yeropa kusingaite kunosanganisira kudhonza ropa chero nguva, zvisinei kuti wakapedzisira kudya riini. Mhedzisiro yakaenzana kana yakakura kupfuura mazana maviri emamirigiramu padesilita (mg / dL) inoratidza chirwere cheshuga.

Kutsanya bvunzo yeshuga yeropa

Kutsanya kweshuga yeropa bvunzo kunosanganisira kutora ropa rako mushure mekutsanya husiku, izvo zvinowanzoreva kusadya kwemaawa masere kusvika gumi nemaviri:

• Mhedzisiro yepasi pe100 mg / dL yakajairwa.
• Mhedzisiro iri pakati pe100 ne125 mg / dL inoratidza prediabetes.
• Mhedzisiro yakaenzana kana yakakura kudarika 126 mg / dL mushure mekuyedzwa kaviri kunoratidza chirwere cheshuga.

Oral glucose kushivirira bvunzo

Iyo yemuromo glucose bvunzo (OGTT) inoitika mukati meawa maviri. Shuga yako yeropa inoedzwa pakutanga, wobva wapihwa chinwiwa cheshuga. Mushure memaawa maviri, mashuga eropa rako anoedzwa zvakare:

• Mhedzisiro yepasi pe140 mg / dL yakajairwa.
• Mhedzisiro iri pakati pe140 ne199 mg / dL inoratidza prediabetes.
• Mhedzisiro yakaenzana kana yakakura kudarika 200 mg / dL inoratidza chirwere cheshuga.

Weti kuongorora chirwere cheshuga

Weti miedzo haiwanzoshandiswa kuongorora chirwere cheshuga. Vanachiremba vanowanzovashandisa kana vachifunga kuti unogona kuva nechirwere cheshuga cheshuga. Muviri unoburitsa ketone miviri kana mafuta tishu achishandiswa simba panzvimbo yeshuga yeropa. Laboratories anogona kuyedza weti yeiyi ketone miviri.

Kana miviri yemaketone iripo zvine mwero kusvika muhombe mumuti, izvi zvinogona kuratidza kuti muviri wako hausi kugadzira insulin yakakwana.

Gestational chirwere cheshuga bvunzo

Gestational chirwere cheshuga chinogona kuitika kana mukadzi ane nhumbu. Iyo ADA inoratidza kuti vakadzi vane njodzi zvinhu vanofanirwa kuongororwa chirwere cheshuga pakushanya kwavo kwekutanga kuti vaone kana vatove nechirwere cheshuga. Gestational chirwere cheshuga chinoitika mune yechipiri neyechitatu trimester.

Vanachiremba vanogona kushandisa maviri marudzi ebvunzo kuti vaongorore gestational chirwere cheshuga.

Yokutanga ndeyekutanga glucose dambudziko bvunzo. Uyu muedzo unosanganisira kunwa glucose sirasi mhinduro. Ropa rinodhonzwa mushure meawa yekuyera mashuga eropa. Mhedzisiro ye130 kusvika 140 mg / dL kana zvishoma zvinoonekwa zvakajairika. Kuverenga kwepamusoro-kupfuura-kwakajairwa kunoratidza kudiwa kwekuedzwazve.

Iko kwekutevera-glucose kushivirira kuyedza kunosanganisira kusadya chero chinhu husiku. Chikamu chekutanga cheshuga cheropa chinoyerwa. Amai vanotarisira vanobva vanwa mhinduro ine shuga yakawanda. Iyo shuga yeropa inozoongororwa paawa kweawa matatu. Kana mukadzi aine maviri kana kupfuura akakwirira-kupfuura-akajairwa kuverenga, mhedzisiro inoratidza gestational chirwere cheshuga.

Chiyero chechipiri chinosanganisira kuita kwemaawa maviri glucose bvunzo yekutsungirira, yakafanana neiyo yakatsanangurwa pamusoro. Imwe yekubuda-kwe-renji kukosha kungave kuri kuongororwa kwechiratidzo cheshuga cheshuga uchishandisa bvunzo iyi.