Ukuvavanya ukufumana i-Diabetes
Uvavanyo lwe-glucose tolerance tolerance (OGTT), olubizwa ngokuba luvavanyo lokunyamezela kwe-glucose, lusetyenziswa amandla omzimba wokugcoba i-glucose okanye ukuyikhupha ngaphandle kwegazi. Uvavanyo luya kusetyenziswa ukuxilonga isifo sikashukela, isifo sikashukela (isifo sikashukela ngexesha lokukhulelwa) okanye i- prediabetes (imeko ebonakaliswe ngamanqanaba aphezulu aneshukela ephezulu angakhokelela kwisifo sikashukela se-2).
Ngokutsho kweZizwe zeSizwe zezeMpilo (NIH), i-OGTT inokukwazi ukuxilonga i- high blood glucose emva komngeni we-glucose kunokuzila ukudla kwegazi. Ugqirha unokuyincoma ukuba uyakrokrela isifo sikashukela kwiimeko apho isigulane segazi lokuzila ukudla sejwayelekile. Nangona kunjalo, ukuvavanya kudla ixesha elide kwaye kunzima kunokuba kuhlolwe i-blood glucose test. Ngokutsho kweMigangatho yeSondlo soKhathalelo , uvavanyo lukhethwa kwakhona ekuhloleni i-Type 2 yeswekile kwiintsholongwane kunye nabantwana.
Uvavanyo luqhutywa njani?
Izigulane kufuneka zizilawule ubuncinane kwiiyure eziyi-8 ukuya kwi-12 ngaphambi kokuvavanywa. Emva kokuzila ukudla, igazi litsalwa ukuseka izinga lokutya kwe-glucose. Emva koko, isigulane kufuneka siphuze ngokukhawuleza isiphuzo (isisityebi-i-glucose-rich). Ngokuqhelekileyo, isiselo sine-75 gram ye-carbohydrate, nangona ezinye iimali zenzeka. Igazi liya kutsalwa ngeendlela ezihlukeneyo ukulinganisa amazinga e-glucose, ngokuqhelekileyo iyure kunye neeyure ezimbini emva kokusela isiselo.
Uvavanyo luchaza ntoni?
Uvavanyo lubonisa ukuba i-glucose ngokukhawuleza i-metabolized from blood flow for use by cells as source energy. Inqanaba eliqhelekileyo lokucoca i-glucose lixhomekeke kwisixa se-glucose esayinayo. Emva kokuzila ukutya, isilinganiselo segazi esisisigxina se-60 ukuya ku-100 mg / dL (i-milligram nge-deciliter).
I-75 grams ye-glucose, ixabiso eliqhelekileyo le-glucose yegazi yile:
- Iyure eli-1: ngaphantsi kwama-200 mg / dL
- Iiyure ezingama-2: ngaphantsi kwama-140 mg / dL. Phakathi kwama-140-200 mg / dL kubonisa ukunyamezela kwe-glucose tolerance (prediabetes). Ukuba iziphumo zokuvavanya ziloluhlu, isiguli sisengozini yokwanda kwesifo sikashukela. Umkhulu kunama-200 mg / dL ubonisa isifo sikashukela.
Ukukhulelwa kunye noVavanyo lweNtsholongwane yoTywala
Ukukhulelwa kuthinta ikhono lomfazi lokugubungela ushukela wegazi. Yingakho i-American Diabetes Association incoma uvavanyo lomlomo we-glucose ukunyamezela, oluhlola isifo sikashukela sesifo sikashukela, kubo bonke oomama abalindeleyo. Olu vavanyo luqhelekile kwi-24 ukuya kweveki ye-28 yokukhulelwa. Uvavanyo lunokwenziwa ngokusebenzisa indlela yokunyusa i-glucose engama-75g okanye usebenzisa iindlela ezimbini zokuqala ukungabikho kokunyanzeliswa kwe-glucose usebenzisa i-50g ye-glucose. Ukuba umntu uyasilela umngeni baya kulandelelana ne-100-gram ye-glucose test tolerance. Inzuzo yale nto kukuba akudingeki ukuba uzila ukudla ukuthatha uvavanyo lwe-50g mngeni (olulungele ngakumbi), nangona kunjalo, ukuba uyaphula kufuneka ulandele kwaye wenze uvavanyo lwe-100g olufuna ukuba uzilawule.
Uvavanyo lwe-glucose lokunyamezela ngomlomo we-75-gram olusetyenziselwa ukukhenkcelela isifo sikashukela sesifo sikashukela:
Ukuxilongwa kwe-GDM kwenziwa xa kukho nayiphi na ilandelayo yexabiso le-plasma glucose
kudlulile:
- Ukuzila: 92 mg / dL (5.1 mmol / L)
- 1 h: 180 mg / dL (10.0 mmol / L)
- 2 h: 153 mg / dL (8.5
Ukuhlolwa kovavanyo lomngeni we-glucose we-50-gram esetyenziselwa ukukhenkcelela isifo sikashukela sesifo sikashukela:
Umntu uya kufuneka athathe i-100g ye-glucose ukunyamezela ukuvavanya ukuba ushukela wegazi:
- Iyure eli-1: likhulu kunokuba lilingana no-140 mg / dL
Ukuhlolwa kwe-100-gram yomlomo we-glucose ukunyamezela:
Ukuxilongwa kwe-GDM kwenziwa xa kukho nayiphi na ilandelayo yexabiso le-plasma glucose
kudlulile:
- Ukuzila: 95 mg / dL
- Iyure eli-1: 180 mg / dL
- 2 iiyure: 155 mg / dL
- Iiyure ezingama-3: 140 mg / dL
Yintoni elandelayo?
Amanqanaba aphezulu angenakuqhelekanga e-glucose angabonisa isifo sikashukela, isifo sikashukela okanye i-prediabetes.
Nangona kunjalo, isigulane mhlawumbi siyacelwa ukuba singene kwenye i-glucose test screening test ukuqinisekisa ukuxilongwa.
Khumbula ukuba uvavanyo lomlomo we-glucose ukunyamezela lusetyenziswanga nje kuphela ukuxilonga isifo sikashukela kodwa nokukunceda ukubonelela ngolwazi malunga nokukwazi komzimba ukuguqula iswekile yegazi. Amanani aphakamileyo anokubonakalisa ukutya kunye neendlela zokuphila kunye neengxaki zokusebenza kwe-insulin . Ngaloo mvo, lo vavanyo luphawu lwesenzo esiya kunceda isigulane sithathe ulawulo lwempilo yakhe.
> Imithombo:
> "I-Glucose Yokunyamezela Ukuvavanya." IYunivesithi yaseMary University. 11 Agasti 2006. I-University of Maryland Medical Centre.
> I-American Diabetes Association. MiGangatho yoNonophelo. Uncedo lweSwekile 2016; 39 (iSiza 1): S1-S119
> IKomidi yokuSebenza kweziBulletins. I-Obstetrics. Sebenzisa i-Bulletin No. 137: Isifo sikashukela sesifo sikashukela. I-Obstet Gynecol 2013; 122: 406.
> "Uvavanyo lwe-Glucose Oral Orance Test During Pregnancy." Iziko leNkcukacha zezeMpilo zeCleveland. 31 Oktobha 2006. Ikliniki yaseCleveland.
> "I-Glucose Yokunyamezela Ukuvavanya." IMedialine Plus Medical Encyclopedia. 11 Agasti 2006. iThala leSizwe likaMatriki le-US kunye namaZiko eZiko lezeMpilo.