Ngubani Oyidingayo Nento Ongayilindela?
Uvavanyo lweMixed Meal Tolerance (MMTT) ludinga umntu ukuba aphuze "umxube oxubekileyo," njengoKuxhasa okanye Ukuqinisekisa, okuqulethe, iiprotheni, i-carbohydrates, kunye namafutha. Injongo yolu vavanyo kukulinganisa ukuba i-insulin yakho iyakwenza njani i-pancreas ekuphenduleni ukutya. Xa umzimba wabantu usebenza ngokufanelekileyo, isiphuzo senza ukuba ushukela wegazi uphakame, kwaye ngenxa yoko i-pancreas inokukhupha i-insulin eyaneleyo yokumisa iswekile yegazi.
Nangona kunjalo, iimeko ezithile zingenza i-pancreas isebenze ngokungasebenzi-inokuvelisa i-insulin encinci okanye encinane kakhulu. Ukuyiqonda le nkqubo i bhetele ngexesha le-MMTT, igazi lithathwa kwi-IV ukulinganisa i-cell cell storage. Iiseli zeBeta ziiseli ezivelisa i-insulin, ngoko ukulinganisa ukugcinwa kwazo kubalulekile ekuqondeni umsebenzi we-insulin. Nangona i-MMTT isetyenziswa kakhulu kubantu abane-type 1 yeswekile, inokusetyenziswa ngezizathu ezongezelelweyo. Kwaye nangona i-MMTT ibhekiswe kumgangatho wegolide we-beta yesigcino sokuvavanya, ayiqhelekanga isetyenziswe kwimeko yeklinikhi ngokuyininzi ngenxa yokuphazamiseka kwayo-ingadla ixesha kwaye ingabikho. Kunoko, i-MMTT isetyenziswe ngokuqhelekileyo njengethuluzi lokulinganisa kwisethingi zophando, njengezilingo zophando lweklinikhi.
Ngaba Ubani Oya kubuzwa ukuba athathe iVixed Meal Tolerance Test?
Isizathu esiyinqobo sokuba ugqirha ufuna ukuba isigulane sithathe i-MMTT kukuqinisekisa ukuba i-pancreas yakho iphumelele kangakanani ekuveliseni i-insulin.
Ngokomzekelo, iziphumo zokuvavanya zibonisa ukuba i-pancreas ingaphangeli kwe-insulin, i-insulin engaphangeliyo, okanye ingavelisi i-insulin nonke. Ngezantsi uzakufumana iziganeko malunga nokuba i-MMTT ingasetyenziswa njani:
- Ukuba unomntwana omncinci oye wafumanisa ukuba unesifo sikashukela se-type kunye namagqirha akhe azama ukufumanisa ukuba insulin engakanani eyenzayo.
- Ukuba ungumntu ofumana ushukela wegazi ophantsi, emva kweeyure ezimbini ukuya kweyesithathu emva kokutya, imeko yonyango ebizwa ngokuba yi-hypoglycemia esebenzayo , kwaye ungenayo isifo sikashukela, ugqirha wakho unokulinganisa impendulo yakho yeglucose kwisidlo kwaye uqinisekise ukuba umzimba ukhulula i-insulin engaphezu kokutya.
- Ukuba ungumntu oye wafumana utyando lwe-gastric surpass and has had episodes of post post u-hypoglycemia.
- Ukuba ungumntu onokuthi u-insulinoma osolwayo unamaqhekeza aphindaphindiweyo e-hypoglycemia.
- Ukuba ungumntu uthatha inxaxheba kwilingo lekliniki, i-MMTT inokubonelela nge-insulin eyongezelelekileyo yezinto eziphilayo ngenxa yokuba iiseli ze-beta zepascreas ziphendulela kwi-amino acids ezithile kunye nama-acid acids ngaphezu kwe-glucose. Umzekelo: izilingo zophando zingasebenzisa iimvavanyo ze-MMTT ekuphuculweni kweziyobisi, ukuvavanya ukusebenza kweentlobo ezithile zonyango, njengeipompo ze-insulin, i -peptide-glucagon efana ne-GLP-1 kunye ne-monitor glucose.
Yintoni Ongayilindela Ngaphambi Kovavanyo?
Kubalulekile ukuba uzilawule ubuncinane iiyure ezisibhozo ngaphambi kovavanyo. Akufanele uphuze okanye ungadli nto, ngaphandle kwamanzi, iiyure ezisibhozo ngaphambi kokuba uvavanyo luqale. Ukuba uthe wangena into engafanelekanga, nokuba into engabalulekanga, njengokuthi, i-candy okanye i-sugary gum, kufuneka uqalise kwakhona uvavanyo.
Iqela lakho lezonyango lingakutshela ukuba unciphise umzimba, utywala, i-caffeine, kunye nokusetyenziswa kwecuba ngosuku olungaphambi kokuvavanywa ngenxa yokuba le micimbi inokuchaphazela ukuqonda kwe-insulin.
Cwangcisa u kunxiba impahla epholileyo. Ukuba umntwanakho nguye onokuvavanywa, unokuthi umlethe iingubo ezikhethekileyo okanye isilwanyana esikhonyelwe njengendlela yokuthuthuzela.
Yintoni omele uyilindele ngexesha lovavanyo?
Kufuneka ulindele ukuba ubekhona ukuvavanya kwiiyure eziliqela, njengoko uvavanyo loqobo luthatha ubuncinci beeyure ezimbini kwaye kukho ukulungiswa okubandakanyekayo. Kukho uphando olwenziweyo, nangona kunjalo, ngokuphumelela kokunciphisa uvavanyo ukuya kwiminithi engama-90, kwaye wenza isampuli enye yegazi.
Ukuba unemibuzo malunga nobude bakho bokuhlala, cela iqela lakho lezokwelapha ngaphambi komhla wovavanyo. Nantsi into onokuyilindela uvavanyo lwakho:
- Xa ufika, uya kubhalisa kwaye ube nobude bakho nokulinganiswa kwakho.
- Emva koko, uya kufakwa kwigumbi lesigulane apho uza kufumana i-cathterter (intravenous (IV). I-IV isetyenziswe ukudweba iisampula zegazi. Ukuba ne-IV ibekwe ingancinci, ingakumbi kumntwana omncinane ngoko kubalulekile ukuba uzilungiselele.
- Emva kokubekwa i-IV, uya kusela isiselo sokutya esiphucukileyo, njenge-Boost. Esi siphuzo sithandeka ngokufana nokuloba ubisi kwaye kuza kwiindidi ezahlukeneyo.
- Igazi lithathwe kwi-IV nganye ngemizuzu engama-30 ngaphaya kweeyure ezimbini.
- Ngelixa ulinde, ungabukela ithelevishini, vala amehlo akho, ufunde okanye wenze nantoni na eyenza ukhululeke.
Yintoni Ongayilindela Emva kovavanyo?
Emva kokuba ugqibile uvavanyo, iziphumo zithunyelwa kwibha. Ngokuqhelekileyo iziphumo zithatha iiveki ezimbalwa ukuba zivelise-uya kuva kugqirha wakho xa zifika. Akufanele uzive naziphi na iziphumo zecala, ngaphandle kobuhlungu obunzima kwisiza se-IV.
Uvavanyo lweMixed Meal Tolerance Test Simahla Akukho mlinganiselo
Unokuzibuza-ngaba i-MMTT ifana novavanyo lwe- Oral Glucose Tolerance Test (OGTT) ? Ukuba unayo i-OGTT ngexesha elidlulileyo, uyazi ukuba ezi mvavanyo zifana kodwa azifani ngokufanayo.
I-OGTT ibonakaliso esihle sokunyamezela kwe-glucose kwaye isetyenziselwa kunye nezinye iimvavanyo, ezifana nokutya kweGlucose yegazi (i-FBG) kunye neHemoglobin A1c ukuxilonga i-prediabetes, isifo sikashukela, kunye nekhenkethi yesifo seswekile.
Ngokufanayo ne-MMTT, kufuneka usebenzise olu vavanyo xa uzila ukudla ubuncinane iiyure ezisibhozo. Nangona kunjalo, ngokuchasene nokusela isonka esixubekileyo, ngexesha le-OGTT umntu ucelwa ukuba atye umthwalo we-glucose kuphela, elilingana ne-75 grams ye-glucose (ishukela) echithwe ngamanzi.
Iziphumo ze-OGTT zinokunceda oogqirha banqume, ukungaxilwanga kwe-glucose (IFG) kunye nokungaxhaswa kwe-glucose (IGT). I-IFG ne-IGT ayikwazi ukufunyaniswa ukuba isebenzise i-MMTT ukususela kuloo mva unikeza umngeni we-glucose yomlomo ongaqhelekanga.
Uvavanyo lweMixed Meal Not Usetyenzisiweyo Ukuchonga i-Type 1 yesifo sikashukela
I-MMTT inokukunceda ekufumaneni izigaba zokuqala zokungaxhaswa kwe-glucose, kodwa ayisetyenziselwa ukuxilonga uhlobo lwesifo sikashukela se-1. Kunoko, kwizigulane ezibonakalisa izifo, i-American Diabetes Association incoma ukuba i-blood glucose ifanele isetyenziswe ukuxilonga ukuqala kokuqala kwesifo sikashukela. Ngokubambisana, uvavanyo lwe-c-peptide okanye uvavanyo lwe-autoantibodies (zombini ukuhlolwa kwegazi) kunokuqinisekisa ukuxilongwa kwe-type 1 yeswekile.
Ukuhlolwa kwesifo sikashukela se-Type 1 sinokujamelana nobungozi besifo sikashukela
Uhlobo lwe-1 lwesifo sikashukela luye lwafunyaniswa emva kokuba eso sifo siphumelele kwiinqanaba ezizayo. Ngentuthuko yezobugcisa, ngoku sinakho ukukhangela isifo sikashukela se-type 1 kwisetyenziswe kwilingo lophando, kwilungu lokuqala losapho, okanye i-type 1 ye-diabetes. Ukuphonononga kuqukethe ukuvavanywa kwepaneli ye-autoantibodies. Esi sifo sesifo sikashukela, zezi zi-autoantibodies, ezibonisa ukusetyenziswa kwezilwanyana zokuhlaselwa kwamaseli e-beta ekuveliseni i-insulin kwi-pancreas, ekugqibeleni idale iiseli ze-beta zife. I-American Diabetes Association ithi:
[Ngoku] kucacile kwiinkalo zesigidi sokuqala sesigulane sezigulane ezine-type 1 zeswekile esinobukho obunzima bezinto ezimbini okanye ngaphezulu ze-autoantibodies ngumbali othe ngqo malunga ne-hyperglycemia kunye nesifo sikashukela. Izinga lokuqhubela phambili lixhomekeke kwiminyaka ekutholeni kokuqala kwe-antibody, inani lama-antibodies, i-antibody specificity, kunye ne-antibody titer.
Ukusebenzisa i-autoantibodies ukunceda ukufumana umngcipheko wesifo sikashukela kunokunciphisa izinga le-ketoacidosis yesifo sikashukela, kuncedisa abaphandi ekuqulunqweni kwezifundo zokuthintela, ekunokubambezela ukuqhubela phambili kwesifo, nokunceda abantu baqonde kwaye balungiselele kangcono eso sifo.
Kubalulekile ukuba uqaphele ukuba nje ngokuba unama-autoantibodies akuthethi ukuba uthe wagxininisa ngokugcwele uhlobo lwe-insulin oluxhomekeke kwi-1; kunokuba oko kuthetha ukuba amathuba okuphuhlisa ayenyuka. Ukuba ungathanda ulwazi oluninzi kwinkqubo yesiteji ungakwazi ukufikelela kwiMigangatho yeSondlo yeSoabetes yaseMelika .
ILizwi
Uvavanyo lweMixed Meal Tolerance ludinga ukuba umntu aphuze isiselo, njenge-Boost, ngelixa igazi lithatha yonke imizuzu engama-30 iiyure ezimbini. Uvavanyo olunzulu lokunceda ukwazi ukuba umntu unako ukwenza i-insulin, okwenza kube yinto exabisekileyo yokulinganisa. Kodwa, uvavanyo lungaba lukhuni kwaye lukhuni ukwenza ngenxa yoxinzelelo kunye nokuzinikela kwexesha. Ngoko ke, yayisetyenziswa ngokuthe rhoqo kwiindawo zeekliniki-njengeofisi yakho yogqirha.
Kwezinye iimeko kunjalo, iikliniki zingayisebenzisa, ngokomzekelo, ukuvavanya kwe-hypoglycemia esebenzayo. Ngokukodwa, ukuba uthatha inxaxheba kwilingo leklinikhi, unokucelwa ukuba uthathe enye. Ukuba uceba ukwenza olu vavanyo, ungakhathazeki. Nangona uvavanyo lingaba ludla ixesha, alubuhlungu kwaye alubanga nasiphi na igalelo.
Khumbula kwakhona, ukuba lo vavanyo alunasetyenziswa ukuxilonga naluphi na uhlobo lwesifo sikashukela. Kwaye njengoko kunjalo, ukuba ucinga ukuba wena okanye umntu omthandayo unokufumana isifo sikashukela ngenxa yeempawu ezinokukrokrela, njengokunyuka ukoma, ukwandisa ukuchama, ukukhathala, ukulamba ngokweqile, ukulahleka kwesisindo, njl. Qhagamshelana neqela lakho lokunakekelwa kwezempilo kwangoko.
> Imithombo:
> I-American Diabetes Association. ImiGangatho yoLondolozo lwezoNyango kwiSwekile-2017. 2017 Jan; 38 (iSiza 1): S1-132.
> Besser, R et. al. Izifundo ezivela kuvavanyo lokuxhatshazwa kokutya. Ukunyamekela isifo sikashukela 36: 195-201, 2013
> ICincinnati Izingane. Uvavanyo lokunyamezela kokutya.
> I-Koh, A, uvavanyo lokunyamezela kokutya okuxubileyo (MMTT) kunye novavanyo lwe-glucose yokunyamezela ukunyamezela (OGTT) emva kokutshintshwa kwesityalo se-clinic (CIT)
> ProSciento. Uvavanyo lwe-glucose ukunyamezela ukunyamezela kunye novavanyo lokuxhatshazwa kokutya okuxutywayo.