Kunzwisisa Rudzi rwechipiri Chirwere cheshuga Kuongororwa

Zvemukati

• Gestational chirwere cheshuga
• Tora 1 chirwere cheshuga
• Nyora 2 chirwere cheshuga
• Zviratidzo zverudzi rwechipiri chirwere cheshuga
• Vanoongorora sei vanachiremba vorudzi rwechipiri chirwere cheshuga
• Glycated hemoglobin (A1C) bvunzo
• Kutsanya plasma glucose bvunzo
• Random plasma glucose bvunzo
• Oral glucose kushivirira bvunzo
• Kuwana wechipiri pfungwa
• Mhedzisiro yemiedzo yakambokanganisa here?
• Kuronga kurapwa
• Outlook

Kuongorora rudzi rwechipiri chirwere cheshuga

Nyora 2 chirwere cheshuga Paunenge uchinge waongororwa, unogona kushanda nachiremba wako kugadzira chirongwa chekurapa kuti ugare uine hutano.

Chirwere cheshuga chakakamurwa kuita mhando dzakasiyana. Iwo anowanzoonekwa kuti ndeapi gestational chirwere cheshuga, mhando 1 chirwere cheshuga, uye mhando 2 chirwere cheshuga

Gestational chirwere cheshuga

Pamwe une shamwari yako yakanzi iine chirwere cheshuga panguva yepamuviri. Rudzi rwemamiriro aya rwunonzi gestational chirwere cheshuga. Inogona kukura panguva yechipiri kana yechitatu trimester yepamuviri. Gestational chirwere cheshuga chinowanzoenda mushure mekunge mwana azvarwa.

Tora 1 chirwere cheshuga

Iwe unogona kunge uine shamwari yehudiki ine chirwere cheshuga yaifanira kutora insulin mazuva ese. Rudzi irworwo runonzi type 1 diabetes. Iyo yepamusoro zera rekutanga kwerudzi rwe1 chirwere cheshuga iri pakati pevechidiki. Zvinoenderana neiyo, mhando 1 inoita zvikamu zvishanu kubva muzana zvezviitiko zveshuga zvese.

Nyora 2 chirwere cheshuga

Nyora 2 chirwere cheshuga chinogadzira 90 kusvika 95 muzana yezviitiko zvese zvakawanikwa zvechirwere cheshuga, sekureva kweCDC. Rudzi urwu rwunonziwo vanhu vakuru vanotanga chirwere cheshuga. Kunyangwe ichigona kuitika chero pazera, rudzi rwechipiri chirwere cheshuga chinowanzoitika kune vanhu vakura kupfuura makumi mana nemashanu.

Kana iwe uchifunga kuti ungave uine chirwere cheshuga, taura nachiremba wako. Rudzi rusina kudzorwa rwechipiri chirwere cheshuga chinogona kukonzera matambudziko akakura, senge:

• kudimburwa makumbo netsoka
• upofu
• chirwere chemoyo
• chirwere cheitsvo
• sitiroko

Sekureva kweCDC, chirwere cheshuga ndicho chikonzero chechinomwe chekufa muUnited States. Mazhinji emhedzisiro yakaipa yeshuga inogona kudzivirirwa nekurapwa. Ndicho chikonzero kuongororwa kwekutanga kwakakosha.

Zviratidzo zverudzi rwechipiri chirwere cheshuga

Vamwe vanhu vanoonekwa vaine mhando 2 chirwere cheshuga nekuti vane zviratidzo zvinoonekwa. Zviratidzo zvekutanga zvinogona kusanganisira:

• kuwedzerwa kana kugara uchiita weti
• kuwedzera nyota
• kuneta
• kucheka kana maronda asingarape
• kuona kwakadzikama

Kazhinji kazhinji, vanhu vanoonekwa kuburikidza neyakajairwa kuongororwa bvunzo. Kugara uchiongorora chirwere cheshuga kunotanga pazera remakore makumi mashanu nemashanu. Ungangoda kuongororwa nekukurumidza kana iwe:

• vakafuta
• rarama hupenyu hwekugara
• vane nhoroondo yemhuri yerudzi rwechipiri chirwere cheshuga
• vane nhoroondo yechirwere cheshuga cheshuga kana kuti vakazvara mwana anorema mapaundi mapfumbamwe
• ndeveAfrica -America, Native American, Latino, Asia, kana Pacific Islander vanobva
• uine yakaderera mwero weakanaka cholesterol (HDL) kana yakakwira triglyceride nhanho

Vanoongorora sei vanachiremba vorudzi rwechipiri chirwere cheshuga

Zviratidzo zverudzi rwechipiri chirwere cheshuga zvinowanzo kukura zvishoma nezvishoma. Nekuti iwe unogona kana usingave nezviratidzo, chiremba wako anoshandisa kuongororwa kweropa kuti asimbise kuongororwa kwako. Iyi bvunzo, yakanyorwa pano, kuyera huwandu hweshuga (glucose) muropa rako:

• glycated hemoglobin (A1C) bvunzo
• kutsanya plasma glucose bvunzo
• yakasarudzika plasma glucose bvunzo
• muromo glucose kushivirira bvunzo

Chiremba wako achaita imwe kana yakawanda yemiedzo iyi kanopfuura kamwe chete kuti asimbise kuongororwa kwako.

Glycated hemoglobin (A1C) bvunzo

Iyo glycated hemoglobin (A1C) bvunzo ndiyo yakareba-nguva chiyero cheshuga yeropa kutonga. Iyo inobvumidza chiremba wako kuti aone kuti chii chako chepakati cheshuga reropa rave riri kwemwedzi miviri kusvika mitatu yapfuura.

Iyi bvunzo inoyera chikamu cheshuga yeropa yakanamatira kune hemoglobin. Hemoglobin ipuroteni inotakura okisijeni mumasero ako matsvuku eropa. Iyo yakakwira yako A1C iri, iyo yakakwira yako yazvino shuga mashuga eropa anga ari.

Iyo A1C bvunzo haina kuomarara sekutsanya kweplasma glucose bvunzo kana mukanwa glucose kushivirira bvunzo. Izvi zvinoreva kuti inoratidza mashoma mashuga eshuga. Chiremba wako anozotumira yako sampuro kune yakasaraborabhoritari yekuongororwa. Zvinotora nguva yakareba kuti uwane mhinduro pane kuyedzwa kunoitwa muhofisi yechiremba wako.

Mukana weiyo A1C bvunzo zviri nyore. Haufanire kutsanya pamberi peiyi bvunzo. Muenzaniso weropa unogona kuunganidzwa chero nguva yezuva. Zvakare, ako mhedzisiro miedzo haina kukanganiswa nekushushikana kana kurwara.

Chiremba wako achaenda pamusoro pemhedzisiro yako newe. Hezvino izvo zvinogona yako A1C bvunzo mhedzisiro inogona kureva:

• A1C ye6.5 muzana kana yepamusoro = chirwere cheshuga
• A1C pakati pe5.7 uye 6.4 muzana = prediabetes
• A1C isingasviki 5.7 muzana = zvakajairwa

Rudzi urwu rwekuyedza runogona zvakare kushandiswa kuongorora kudzora kweshuga yeropa mushure mekunge waonekwa. Kana iwe uine chirwere cheshuga, ako A1C mazinga anofanirwa kuongororwa kakawanda pagore.

Kutsanya plasma glucose bvunzo

Mune mamwe mamiriro ezvinhu, iyo A1C bvunzo haina basa. Semuenzaniso, haigone kushandiswa kune vakadzi vane nhumbu kana vanhu vane hemoglobin musiyano. Iyo yekutsanya shuga yeropa kuyedzwa inogona kushandiswa pachinzvimbo. Pamuedzo uyu, muenzaniso weropa rako uchatorwa mushure mekunge iwe watsanya husiku hwese.

Kusiyana neiyo A1C bvunzo, iyo yekutsanya plasma glucose bvunzo inoyera huwandu hweshuga muropa rako panguva imwechete panguva. Mashuga eropa anokosheswa mumamirigiramu padhisita (mg / dL) kana mamirioni pa litita (mmol / L). Izvo zvakakosha kuti unzwisise kuti mhedzisiro yako inogona kukanganisika kana iwe uchishushikana kana kurwara.

Chiremba wako achaenda pamusoro pemhedzisiro yako newe. Hezvino izvo zvingagone kureva mhinduro dzako:

• kutsanya shuga yeropa ye126 mg / dL kana yepamusoro = chirwere cheshuga
• kutsanya shuga yeropa ye100 kusvika 125 mg / dL = prediabetes
• kutsanya shuga yeropa isingasviki 100 mg / dL = zvakajairwa

Random plasma glucose bvunzo

Kuongororwa kweshuga yeropa zvisina kujairika kunoshandiswa muvanhu vane zviratidzo zveshuga. Ongororo yeshuga yeropa inogona kuitwa chero nguva yezuva. Muedzo unotarisa shuga yeropa pasina kufunga nezvekudya kwako kwekupedzisira.

Hazvina mhosva kuti wakapedzisira kudya riini, ongororo yeshuga yeropa ye200 mg / dL kana pamusoro inoratidza kuti une chirwere cheshuga.Izvi zvinonyanya kuitika kana uchitova nezviratidzo zveshuga.

Chiremba wako achaenda pamusoro pemhedzisiro yako newe. Hezvino izvo zvinogona yako mhinduro bvunzo zvinogona kureva:

• shuga yeropa yakasarudzika ye200 mg / dL kana zvimwe = chirwere cheshuga
• yakasarudzika shuga yeropa pakati pe140 ne199 mg / dL = prediabetes
• yakasarudzika shuga yeropa isingasviki 140 mg / dL = yakajairwa

Oral glucose kushivirira bvunzo

Kufanana neyekutsanya plasma glucose bvunzo, iyo yemumuromo glucose shiviriro bvunzo inodawo kuti iwe utsanye husiku hwese. Paunosvika pakurangana kwako, iwe unozotora ongororo yeshuga yeropa. Ipapo uchanwa mvura ine shuga. Mushure mekupedza, chiremba wako anozoyedza yako mashuga eropa nguva nenguva kwemaawa akati wandei.

Kugadzirira bvunzo iyi, iyo National Institute of Diabetes uye Digestive uye Kidney Zvirwere (NIDDK) inokurudzira kuti iwe udye angangoita 150 magiramu emakabhohaidhiretsi pazuva kwemazuva matatu anotungamira bvunzo. Chikafu senge chingwa, zviyo, pasita, mbatatisi, michero (nyowani uye makedheni), uye muto wakajeka zvese zvine makabhohaidhiretsi.

Udza chiremba wako nezve chero kushushikana kana chirwere chauri kusangana nacho. Ita shuwa kuti chiremba wako anoziva nezve yese mishonga yauri kutora. Kushungurudzika, kurwara, uye mishonga zvese zvinogona kukanganisa mhedzisiro yemukanwa glucose shiviriro bvunzo.

Chiremba wako achaenda pamusoro pemhedzisiro yako newe. Zvemuromo wemuromo glucose shiviriro bvunzo, izvi ndizvo zvinogona mhedzisiro yako inogona kureva:

• shuga yeropa ye200 mg / dL kana kupfuura mushure maawa maviri = chirwere cheshuga
• shuga yeropa pakati pe140 ne199 mg / dL mushure maawa maviri = prediabetes
• shuga yeropa isingasviki 140 mg / dL mushure maawa maviri = zvakajairwa

Glucose shiviriro yekuedzwa inoshandiswawo kuongorora chirwere cheshuga cheshuga panguva yekuzvitakura.

Kuwana wechipiri pfungwa

Iwe unofanirwa kugara uchinzwa wakasununguka kuwana rwechipiri pfungwa kana iwe uine chero zvinetsekana kana kusahadzika nezve chirwere chako.

Kana iwe ukachinja vanachiremba, iwe uchazoda kukumbira bvunzo nyowani. Mahofisi akasiyana echiremba anoshandisa marabhoritari akasiyana kuti aongorore sampuli. Iyo NIDDK inoti inogona kutsausa kuenzanisa mhedzisiro kubva kumarabhu akasiyana. Yeuka kuti chiremba wako achazoda kudzokorora chero bvunzo kuti asimbise kuongororwa kwako.

Mhedzisiro yemiedzo yakambokanganisa here?

Pakutanga, mhinduro dzako dzinogona kusiyana. Semuenzaniso, bvunzo yeshuga yeropa inogona kuratidza kuti une chirwere cheshuga asi bvunzo yeA1C inogona kuratidza kuti hauna. Iyo yekumashure inogona zvakare kuve yechokwadi.

Izvi zvinoitika sei? Zvinogona kureva kuti iwe uri muchikamu chekutanga cheshuga, uye mashuga eropa rako anogona kunge asina kukwana zvakakwana kuratidza pane bvunzo dzese.

Iyo A1C bvunzo inogona kukanganisa mune vamwe vanhu vemuAfrica, Mediterranean, kana Southeast Asia nhaka. Muedzo unogona kuve wakanyanya kuderera kune vanhu vane anemia kana kubuda ropa kwakanyanya, uye zvakare kukwirira kune vanhu vane iron kushomeka kweanemia. Usatombo kunetseka - chiremba wako achadzokorora bvunzo asati aongorora.

Kuronga kurapwa

Kana uchinge waziva kuti une chirwere cheshuga, unogona kushanda nachiremba wako kugadzira chirongwa chekurapa chakakukodzera. Izvo zvakakosha kuteedzera pane ako ese ekutarisa uye ekurapa kugadzwa. Kuwana ropa rako kuongororwa nguva dzese uye kuteedzera zviratidzo zvako matanho akakosha ekuona hutano hurefu.

Taura nachiremba wako nezvechinangwa cheshuga cheropa. Sangano reNational Diabetes Education Program rinoti chinangwa chevanhu vazhinji iA1C pazasi pe 7. Bvunza chiremba wako kuti kangani kaunofanira kuongorora shuga yako yeropa.

Gadzira chirongwa chekuzvichengeta-wega kubata chirwere cheshuga. Izvi zvinogona kusanganisira shanduko yemararamiro sekudya chikafu chine hutano, kurovedza muviri, kurega kuputa, uye kutarisa shuga yako yeropa.

Pakushanya kwese, taura nachiremba wako nezvekuti chirongwa chako chekuzvichengetedza chiri kushanda sei.

Outlook

Iko hakuna kuripo kuripo kwerudzi rwechipiri chirwere cheshuga. Nekudaro, ichi chiitiko chinogadzirika zvakanyanya neakawanda anoshanda ekurapa sarudzo.

Nhanho yekutanga kuongororwa uye kunzwisisa mhinduro dzako. Kuti usimbise kuongororwa kwako, iwe chiremba uchafanirwa kudzokorora imwe kana yakawanda yeiyi bvunzo: A1C, kutsanya kweropa glucose, isina kujairika ropa glucose, kana nemumuromo glucose kushivirira.

Kana iwe ukabatwa nechirwere cheshuga, gadzira chirongwa chekuzvichengetedza, gadza chinangwa cheshuga cheropa, uye tarisa nachiremba wako nguva dzose.