Ijika le-Glycemic: liyini, liyini kanye namanani ayizethenjwa

-Delile

• Amanani ayizethenjwa wejika le-glycemic
• Kwenziwa kanjani ukuhlolwa
• Ukuhlolwa kokubekezelelana kwe-glucose ngomlomo lapho ukhulelwe

Ukuhlolwa kwejika le-glycemic, elibizwa nangokuthi i-oral glucose tolerance test, noma i-TOTG, yisivivinyo esinga-odolwa ngudokotela ukuze asize ekutholeni isifo sikashukela, isifo sangaphambi kwesifo sikashukela, ukumelana ne-insulin noma ezinye izinguquko ezihlobene ne-pancreatic amaseli.

Lokhu kuhlolwa kwenziwa ngokuhlaziya ukugxila kweglucose egazini nangemva kokufaka uketshezi olunoshukela olunikezwa ilebhu. Ngakho-ke, udokotela angahlola ukuthi umzimba usebenza kanjani lapho ubhekene nokugxila okuphezulu kwe-glucose. I-TOTG isivivinyo esibalulekile ngesikhathi sokukhulelwa, sifakwa ohlwini lwezivivinyo zokubeletha, njengoba isifo sikashukela sokukhulelwa singabonisa ubungozi kumama nengane.

Lokhu kuhlolwa kuvame ukucelwa lapho ukuzila ukudla kwe-glucose egazini kuguqulwa futhi udokotela kudingeka ahlole ubungozi besifo sikashukela. Ngokuqondene nabesifazane abakhulelwe, uma i-glucose yegazi esheshayo iphakathi kuka-85 no-91 mg / dl, kunconywa ukwenza i-TOTG cishe amasonto angama-24 kuye kwangama-28 okukhulelwa futhi uphenye ubungozi besifo sikashukela ngesikhathi sokukhulelwa. Funda kabanzi ngobungozi

Amanani ayizethenjwa wejika le-glycemic

Ukuchazwa kwejika le-glycemic ngemuva kwamahora ama-2 kungendlela elandelayo:

• Jwayelekile: ngaphansi kuka-140 mg / dl;
• Ukwehlisa ukubekezelelana kwe-glucose: phakathi kuka-140 no-199 mg / dl;
• Isifo sikashukela: ilingana noma ngaphezulu kuka-200 mg / dl.

Lapho umphumela wehliswa ukubekezelelana kwe-glucose, kusho ukuthi kunengozi enkulu yokuhlaselwa yisifo sikashukela, esingabhekwa njengesandulela sikashukela. Ngaphezu kwalokho, isampula elilodwa kuphela lalesi sivivinyo alanele ukutholakala kwalesi sifo, futhi umuntu kufanele abe neqoqo lokuzila ukudla kwegazi ngosuku olulandelayo ukuze aqinisekise.

Uma ucabanga ukuthi ungaba nesifo sikashukela, ziqonde kangcono izimpawu nokwelashwa kwesifo sikashukela.

Kwenziwa kanjani ukuhlolwa

Ukuhlolwa kwenziwa ngenhloso yokuqinisekisa ukuthi umzimba uphendula kanjani ekugxileni okuphezulu kweglucose. Ngalokhu, ukuqoqwa kwegazi lokuqala kumele kwenziwe ngokuzila kwesiguli okungenani amahora ayi-8. Ngemuva kweqoqo lokuqala, isiguli kufanele siphuze uketshezi olunoshukela oluqukethe cishe i-75 g kashukela, esimweni sabantu abadala, noma i-1.75 g kashukela kukhilogremu ngalinye lengane.

Ngemuva kokusetshenziswa ketshezi, okunye ukuqoqwa kwenziwa ngokwencomo yezokwelapha. Imvamisa, kuthathwa amasampula egazi ama-3 kuze kufike emahoreni amabili ngemuva kokuphuza isiphuzo, okungukuthi, amasampuli ayathathwa ngaphambi kokuthatha uketshezi kanye nemizuzu engama-60 nengu-120 ngemuva kokudla uketshezi. Kwezinye izimo, udokotela angacela imithamo eminingi kuze kuphele amahora amabili okusetshenziswa ketshezi.

Amasampula aqoqiwe athunyelwa elabhorethri, lapho kwenziwa khona ukuhlaziywa ukuze kutholakale inani likashukela osegazini. Umphumela ungakhishwa ngesimo segrafu, okukhombisa inani le-glucose esegazini umzuzu ngamunye, okuvumela umbono oqondile wecala, noma ngendlela yemiphumela yomuntu ngamunye, futhi udokotela kufanele enze igrafu hlola isimo sempilo sesiguli.

Ukuhlolwa kokubekezelelana kwe-glucose ngomlomo lapho ukhulelwe

Ukuhlolwa kwe-TOTG kubalulekile kwabesifazane abakhulelwe, njengoba kuvumela ubungozi besifo sikashukela sokukhulelwa ukuqinisekiswa. Ukuhlolwa kwenziwa ngendlela efanayo, okungukuthi, owesifazane udinga ukuzila ukudla okungenani amahora ayi-8 futhi, ngemuva kweqoqo lokuqala, kufanele athathe uketshezi olunoshukela ukuze ngemuva kwalokho imithamo ingenziwa ngokwencomo yezokwelapha.

Amaqoqo kufanele enziwe nowesifazane olele kamnandi ukuze agweme ukugula, isiyezi nokuwa kusuka ekuphakameni, ngokwesibonelo. Amanani esithenjwa esivivinyo se-TOTG kwabesifazane abakhulelwe ahlukile futhi ukuhlolwa kufanele kuphindwe uma kukhona ushintsho olubonakalayo.

Lokhu kuhlolwa kubalulekile ngesikhathi sokubeletha, kuyanconywa ukuthi kwenziwe phakathi kwamaviki angama-24 kuya kwangama-28 eminyaka yobudala bokukhulelwa, futhi kuhlose ukwenza ukuthi kusheshe kutholakale isifo sikashukela sohlobo 2 nesifo sikashukela sokukhulelwa. Amazinga aphezulu eglucose ngesikhathi sokukhulelwa angaba yingozi kubo bobabili abesifazane nezingane, ngokuzalwa ngaphambi kwesikhathi kanye ne-neonatal hypoglycemia, ngokwesibonelo.

Ukuqonda kangcono ukuthi izimpawu, izingozi kanye nokudla kufanele kube njani kwisifo sikashukela sokukhulelwa.