Ukuhlolwa kukashukela egazini

Ukuhlolwa kukashukela egazini kukala inani likashukela elibizwa nge-glucose kusampula yegazi lakho.

I-glucose ingumthombo omkhulu wamandla kumaseli amaningi omzimba, kufaka phakathi amaseli obuchopho. I-glucose iyindawo yokwakha ama-carbohydrate. Ama-carbohydrate atholakala ezithelweni, okusanhlamvu, isinkwa, i-pasta, nelayisi. Ama-carbohydrate aphenduka ngokushesha abe yi-glucose emzimbeni wakho. Lokhu kungakhuphula izinga leglucose egazini lakho.

AmaHormone enziwe emzimbeni asiza ukulawula izinga likashukela egazini.

Kudingeka isampula yegazi.

Ukuhlolwa kungenziwa ngezindlela ezilandelayo:

• Ngemuva kokuthi ungadlanga lutho okungenani amahora ayisishiyagalombili (ukuzila ukudla)
• Nganoma yisiphi isikhathi sosuku (okungahleliwe)
• Ngemuva kwamahora amabili uphuze inani elithile le-glucose (test oral tolerance test)

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

Umhlinzeki wakho wezokunakekelwa kwempilo anga-oda lokhu kuhlolwa uma unezimpawu zesifo sikashukela. Ngokunokwenzeka, umhlinzeki uzo-oda ukuhlolwa kokuzila ushukela egazini.

Ukuhlolwa kweglucose kuyasetshenziswa futhi ukuqapha abantu asebenesifo sikashukela.

Ukuhlolwa kungenziwa futhi uma une:

• Ukwanda kokuthi udinga ukuchama kangaki
• Muva nje uthole isisindo esiningi
• Ukubona okufiphele
• Ukudideka noma ushintsho endleleni ojwayele ukukhuluma ngayo noma oziphatha ngayo
• Ukuphelelwa amandla
• Ukuquleka (okokuqala ngqa)
• Ukuquleka noma ikhoma

UKUGCOLA ISIKHWAMA

Lokhu kuhlolwa kungasetshenziselwa nokuhlolela umuntu isifo sikashukela.

Ushukela wegazi ophakeme nesifo sikashukela kungenzeka kungazibangeli izimpawu ezigabeni zokuqala. Ukuhlolwa kukashukela egazini okuzila ukudla kwenziwa cishe njalo ukuze kuhlolwe isifo sikashukela.

Uma ungaphezu kweminyaka yobudala engama-45, kufanele uhlolwe njalo eminyakeni emithathu.

Uma ukhuluphele ngokweqile (inkomba yomzimba, noma i-BMI, engama-25 noma ngaphezulu) futhi unezici ezinobungozi ezingezansi, buza umhlinzeki wakho mayelana nokuhlolwa usemncane futhi kaningi:

• Izinga likashukela egazini ekuhlolweni kwangaphambilini
• Umfutho wegazi ongu-140/90 mm Hg noma ngaphezulu, noma amazinga we-cholesterol angenampilo
• Umlando wesifo senhliziyo
• Ilungu lesizwe esisengozini enkulu (i-African American, Latino, Native American, Asian American, noma iPacific Islander)
• Owesifazane oke watholakala enesifo sikashukela sokukhulelwa phambilini
• Isifo se-Polycystic ovary (isimo lapho owesifazane enokulingana kwamahomoni ocansi abesifazane abangela ama-cysts kuma-ovari)
• Isihlobo esiseduze nesifo sikashukela (njengomzali, umfowenu noma udadewenu)
• Akusebenzi ngokomzimba

Izingane ezineminyaka engu-10 nangaphezulu ezikhuluphele futhi okungenani zibe nezici ezimbili zobungozi ezibalwe ngenhla kufanele zihlolwe uhlobo lwesifo sikashukela sohlobo lwesibili njalo eminyakeni emithathu, noma zingenazo izimpawu.

Uma uhlolwe ukuhlolwa kweglucose egazini, izinga eliphakathi kuka-70 no-100 mg / dL (3.9 no-5.6 mmol / L) lithathwa njengelivamile.

Uma ube nokuhlolwa kweglucose okungahleliwe, umphumela ojwayelekile uncike ekutheni ugcine nini ukudla. Isikhathi esiningi, izinga le-glucose egazini lizoba ngu-125 mg / dL (6.9 mmol / L) noma ngaphansi.

Izibonelo ezingenhla zibonisa izilinganiso ezivamile zemiphumela yalezi zivivinyo. Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Amanye amalebhu asebenzisa izilinganiso ezahlukahlukene noma angahlola izinhlobo ezihlukile. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

I-glucose yegazi elinganiswa ngokuhlolwa kwegazi emthanjeni ibhekwa njengeyiqonde kakhulu ukuthi ushukela wegazi ulinganiswa kusuka eminweni yemitha ngemitha yeglucose yegazi, noma ushukela wegazi olinganiswa ngeso elibukhali le-glucose.

Ukube ube nokuhlolwa kokudla kweglucose okuzila ukudla:

• Izinga elingu-100 kuye ku-125 mg / dL (5.6 kuye ku-6.9 mmol / L) lisho ukuthi unenkinga yokukhubazeka kokuzila ukudla, uhlobo lwe-prediabetes. Lokhu kwandisa amathuba okuba ube nesifo sikashukela sohlobo lwesibili.
• Izinga le-126 mg / dL (7 mmol / L) noma ngaphezulu lisho ukuthi unesifo sikashukela.

Uma ngabe uhlolwe ngokungahleliwe kweglucose yegazi:

• Izinga lama-200 mg / dL (11 mmol / L) noma ngaphezulu lisho ukuthi unesifo sikashukela.
• Umhlinzeki wakho uzo-oda i-glucose yegazi esheshayo, ukuhlolwa kwe-A1C, noma ukuhlolwa kokubekezelelana kwe-glucose, kuya ngomphumela wakho wokuhlolwa kweglucose ongahleliwe.
• Kumuntu onesifo sikashukela, umphumela ongajwayelekile ekuhlolweni kweglucose okungahleliwe kungasho ukuthi isifo sikashukela asilawulwa kahle. Khuluma nomhlinzeki wakho ngezinhloso zakho ze-glucose yegazi uma unesifo sikashukela.

Ezinye izinkinga zezokwelapha nazo zingadala izinga le-glucose egazi eliphakeme kakhulu kunokujwayelekile, kufaka phakathi:

• Indlala yegilo eyeqile
• Umdlavuza wepancreatic
• Ukuvuvukala nokuvuvukala kwamanyikwe (i-pancreatitis)
• Ukucindezeleka ngenxa yokuhlukumezeka, isifo sohlangothi, isifo senhliziyo, noma ukuhlinzwa
• Izicubu ezivamile, kufaka phakathi i-pheochromocytoma, i-acromegaly, i-Cushing syndrome, noma i-glucagonoma

Izinga le-glucose egazini eliphansi kunokujwayelekile (i-hypoglycemia) lingahle libe ngenxa ye:

• I-Hypopituitarism (isifo se-pituitary gland disorder)
• Indlala yegilo engasebenzi noma i-adrenal gland
• I-tumor kuma-pancreas (i-insulinoma - engavamile kakhulu)
• Ukudla okuncane kakhulu
• I-insulin eningi kakhulu noma eminye imithi yesifo sikashukela
• Isibindi noma isifo sezinso
• Ukwehla kwesisindo ngemuva kokuhlinzwa kwesisindo
• Ukuzivocavoca ngamandla

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

Kwabesifazane abancane abancane, ushukela wegazi osheshayo ongaphansi kuka-70 mg / dL (3.9 mmol / L) ungajwayelekile.

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

Ezinye izingozi ezihambisana nokudonswa igazi zincane, kepha zingafaka:

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

Ushukela wegazi ongahleliwe; Izinga likashukela egazini; Ukuzila ushukela wegazi; Ukuhlolwa kweglucose; Ukuhlolwa kwesifo sikashukela - ukuhlolwa kukashukela egazini; Isifo sikashukela - ukuhlolwa kukashukela egazini

• Thayipha i-2 yesifo sikashukela - okufanele ubuze udokotela wakho

• Ukuhlolwa kwegazi

I-American Diabetes Association. 2. Ukwahlukaniswa nokuxilongwa kwesifo sikashukela: izindinganiso zokunakekelwa kwezokwelapha kwisifo sikashukela - 2019. Ukunakekelwa yisifo sikashukela. I-2019; i-42 (iSuppl 1): S13-S28. I-PMID: 30559228 pubmed.ncbi.nlm.nih.gov/30559228/.

IChernecky CC, iBerger BJ. Ishukela, i-2-hour postprandial - serum evamile. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. ISt Louis, MO: Elsevier Saunders; 2013: 585.

IChernecky CC, iBerger BJ. Ukuhlolwa kokubekezelelana kwe-glucose (GTT, OGTT) - ukujwayelekile kwegazi. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. ISt Louis, MO: Elsevier Saunders; 2013: 591-593.