Ukuhlolwa kokubekezelelana kwe-glucose - okungakhulelwe

Ukuhlolwa kokubekezelelana kwe-glucose ukuhlolwa kwelebhu ukubheka ukuthi umzimba wakho ususa kanjani ushukela egazini uye ezicutshini ezinjengemisipha namafutha. Ukuhlolwa kuvame ukusetshenziselwa ukuxilonga isifo sikashukela.

Ukuhlolwa kokuhlola isifo sikashukela ngesikhathi sokukhulelwa kuyafana, kepha kwenziwa ngokuhlukile.

Isivivinyo esivame kakhulu sokubekezelelana kweglucose ukuhlolwa komlomo kokubekezela i-glucose (OGTT).

Ngaphambi kokuqala kokuhlolwa, kuzothathwa isampula yegazi.

Ngemuva kwalokho uzocelwa ukuthi uphuze uketshezi oluqukethe inani elithile le-glucose (imvamisa i-75 gram). Igazi lakho lizothathwa futhi njalo ngemuva kwemizuzu engama-30 kuye kwengu-60 ngemuva kokuphuza ikhambi.

Ukuhlolwa kungathatha kufikela kumahora ama-3.

Ukuhlolwa okufanayo ukuhlolwa kwe-glucose (IVTT) kwe-intravenous (IV). Akuvamile ukusetshenziswa, futhi akukaze kusetshenziselwe ukuxilonga isifo sikashukela. Kwinguqulo eyodwa ye-IGTT, i-glucose ifakwe emthanjeni wakho imizuzu emithathu. Amazinga e-insulin egazi alinganiswa ngaphambi komjovo, aphinde abuye ngemizuzu engu-1 no-3 ngemuva komjovo. Isikhathi singahluka. Le IGTT icishe isetshenziselwe izinhloso zocwaningo kuphela.

Ukuhlolwa okufanayo kusetshenziselwa ukuxilongwa kwe-hormone ekhulayo ngokweqile (i-acromegaly) lapho i-glucose ne-hormone yokukhula kukalwa ngemuva kokuphuzwa kwesiphuzo se-glucose.

Qiniseka ukuthi udla ngokujwayelekile izinsuku ezimbalwa ngaphambi kokuhlolwa.

UNGADLI noma uphuze noma yini okungenani amahora ayi-8 ngaphambi kokuhlolwa. Awukwazi ukudla ngesikhathi sokuhlolwa.

Buza umhlinzeki wakho wezokunakekelwa kwezempilo uma ngabe kukhona umuthi owuthathayo ongathinta imiphumela yokuhlolwa.

Ukuphuza isisombululo se-glucose kuyefana nokuphuza i-soda emnandi kakhulu.

Imiphumela emibi evela kulesi sivivinyo ayivamile kakhulu. Ngokuhlolwa kwegazi, abanye abantu bazizwa becanuzelelwa inhliziyo, ukujuluka, ikhanda elikhanyayo, noma bangaze bazizwe bephefumula kanzima noma baquleke ngemuva kokuphuza i-glucose. Tshela umhlinzeki wakho wezokunakekelwa kwezempilo uma unomlando walezi zimpawu ezihlobene nokuhlolwa kwegazi noma izinqubo zokwelashwa.

Lapho inaliti ifakwa ukudonsa igazi, abanye abantu bezwa ubuhlungu obulinganiselayo. Abanye bazizwa beshaywa noma betinyelwa kuphela. Ngemuva kwalokho, kungahle kube nokushaywa okuthile noma ukulimazeka okuncane. Lokhu maduzane kuyaphela.

I-glucose ushukela osetshenziswa umzimba ukuthola amandla. Abantu abanesifo sikashukela esingalashwa banamazinga aphezulu eglucose egazini.

Imvamisa, izivivinyo zokuqala ezisetshenziselwa ukuxilonga isifo sikashukela kubantu abangakhulelwe yilezi:

• Izinga lokushukela egazini: Isifo sikashukela sitholakala uma singaphezulu kwe-126 mg / dL (7 mmol / L) ezivivinyweni ezi-2 ezihlukile
• Ukuhlolwa kwe-Hemoglobin A1c: isifo sikashukela sitholakala uma imiphumela yokuhlolwa ingu-6.5% noma ngaphezulu

Izivivinyo zokubekezelela i-glucose nazo zisetshenziselwa ukuxilonga isifo sikashukela. I-OGTT isetshenziselwa ukuhlola noma ukuxilonga isifo sikashukela kubantu abanezinga lokushukela egazini eliphakeme eliphakeme, kepha aliphezulu ngokwanele (ngaphezulu kwe-125 mg / dL noma i-7 mmol / L) ukuhlangabezana nokutholakala kwesifo sikashukela.

Ukubekezelelana okungajwayelekile kwe-glucose (ushukela wegazi ukhuphuka kakhulu ngesikhathi senselelo ye-glucose) yisibonakaliso sangaphambilini sesifo sikashukela kuneshukela elingajwayelekile lokuzila ukudla.

Amanani ejwayelekile egazi we-75 gram OGTT asetshenziselwa ukuhlola uhlobo lwesifo sikashukela sohlobo 2 kulabo abangakhulelwe:

Ukuzila ukudla - 60 kuya ku-100 mg / dL (3.3 kuye ku-5.5 mmol / L)

Ihora eli-1 - Ngaphansi kuka-200 mg / dL (11.1 mmol / L)

Amahora ama-2 - Leli nani lisetshenziselwa ukuxilonga isifo sikashukela.

• Ngaphansi kuka-140 mg / dL (7.8 mmol / L).
• Phakathi kuka-141mg / dL no-200 mg / dL (7.8 kuye ku-11.1 mmol / L) kubhekwa njengokukhubazeka kweswekile.
• Ngaphezulu kuka-200 mg / dl (11.1mmol / L) ukuxilongwa kwesifo sikashukela.

Izibonelo ezingenhla yizilinganiso ezijwayelekile zemiphumela yalezi zivivinyo. Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Amanye amalebhu asebenzisa izilinganiso ezahlukahlukene noma avivinye amasampula ahlukile. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Izinga le-glucose eliphakeme kunokujwayelekile lingasho ukuthi une-pre-diabetes noma isifo sikashukela:

• Inani lamahora amabili eliphakathi kuka-140 no-200 mg / dL (7.8 no-11.1 mmol / L) libizwa ngokuthi ukubekezelelana koshukela okhubazekile. Umhlinzeki wakho angabiza lesi sifo sangaphambi kwesifo sikashukela. Kusho ukuthi usengozini enkulu yokuthola isifo sikashukela ngokuhamba kwesikhathi.
• Noma yiliphi izinga le-glucose lama-200 mg / dL (11.1 mmol / L) noma ngaphezulu lisetshenziselwa ukuxilonga isifo sikashukela.

Ukucindezeleka okukhulu emzimbeni, njengokuhlukumezeka, ukushaywa unhlangothi, isifo senhliziyo, noma ukuhlinzwa, kungakhuphula izinga leglucose egazini lakho. Ukuvivinya umzimba ngamandla kungehlisa izinga le-glucose egazini lakho.

Eminye imithi ingakhuphula noma yehlise izinga likashukela egazini lakho. Ngaphambi kokuhlolwa, tshela umhlinzeki wakho nganoma yimiphi imithi oyiphuzayo.

Ungaba nezinye zezimpawu ezibalwe ngenhla ngaphansi kwesihloko esithi "Ukuthi Uzozizwa Kanjani Ukuhlolwa."

Kunengozi encane ethintekayo ekuthatheni igazi lakho. Imithambo nemithambo yegazi kuyahluka ngosayizi komunye umuntu kuya kolunye uhlangothi lomzimba kuya kolunye. Ukuthatha igazi kwabanye abantu kungaba nzima kakhulu ukwedlula kwabanye.

Ezinye izingozi ezihambisana nokudonswa igazi zincane, kepha zingafaka:

• Ukopha ngokweqile
• Ukubhoboza okuningi ukuthola imithambo
  
• Ukuquleka noma uzizwe unekhanda elincane
• I-hematoma (i-blood buildup ngaphansi kwesikhumba)
• Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)

Ukuhlolwa kokubekezelelana kwe-glucose ngomlomo - okungakhulelwe; I-OGTT - engakhulelwe; Isifo sikashukela - ukuhlolwa kokubekezelelana kwe-glucose; Ukuhlolwa kokubekezelelana kwesifo sikashukela

• Ukuzila ukudla kwe-plasma glucose test
• Ukuhlolwa kokubekezelelana kwe-glucose ngomlomo

I-American Diabetes Association. 2. Ukwahlukaniswa nokuxilongwa kwesifo sikashukela: izindinganiso zokunakekelwa kwezokwelapha kusifo sikashukela - 2020. Ukunakekelwa yisifo sikashukela. 2020; 43 (Suppl 1): S14-S31. I-PMID: 31862745 pubmed.ncbi.nlm.nih.gov/31862745/.

UNadkarni P, Weinstock RS. Ama-carbohydrate. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; I-2017: isahluko 16.

Amasaka DB. Isifo sikashukela. Ku: Rifai N, ed. I-Tietz Textbook ye-Clinical Chemistry kanye ne-Molecular Diagnostics. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2018: isahluko 57.