Isivivinyo Sokuthola I-Diabetes
Isivivinyo somlomo we-glucose ukubekezelelana (OGTT), esibizwa nangokuthi uvivinyo lokubekezelelana kwe-glucose, linciphisa ikhono lomzimba lokugcoba i-glucose noma ukulihlanza ngaphandle kwegazi. Isivivinyo singasetshenziselwa ukuxilonga isifo sikashukela, isifo sikashukela sokukhulelwa (isifo sikashukela ngesikhathi sokukhulelwa) noma ama- prediabetes (isimo esibonakala ngamazinga ashukela ephezulu aphezulu-ajwayelekile-angabangela isifo sikashukela sohlobo lwesibili).
Ngokusho kweNational Institutes of Health (NIH), i-OGTT ikwazi kangcono ukuxilonga i- high blood glucose ngemuva kwenselele ye-glucose kunokuba kuhlolwe i-blood glucose test. Udokotela angase atusa uma ephikisana nesifo sikashukela ezimweni lapho izinga lokugaya igazi lesiguli livamile. Kodwa-ke, ukuhlolwa kudla isikhathi esiningi futhi kunzima kunokuhlola ukudla kwegazi kwegazi. Ngokusho kwamazinga okuHlelwa kweSifo sikashukela , ukuhlolwa kubuye kukhethwe ekuhloleni i-Type 2 yesifo sikashukela ezinganeni nasezingane.
Uhlolo luqhutshwa kanjani?
Iziguli kufanele zizilale okungenani amahora angu-8 kuya kwangu-12 ngaphambi kokuhlolwa. Ngemuva kokuzila ukudla, igazi ludonselwa ukubeka izinga lokudla kwe-glucose. Okulandelayo, isiguli kumele siphuze ngokushesha isiphuzo eshukela (i-glucose-rich). Ngokuvamile, isiphuzo sine-75 amagremu we-carbohydrate, nakuba amanye amanani angenzeka. Igazi lizodonswa ngezikhathi ezehlukene ukukala amazinga e-glucose, ngokuvamile ihora elilodwa namahora amabili emva kokuphuza isiphuzo.
Uyini Ukuhlolwa Okubonisa?
Ukuhlolwa kwembula ukuthi i-glucose ngokushesha isetshenziswe kanjani egazini ukuze isebenziswe ngamaseli njengomthombo wamandla. Izinga elijwayelekile lokuhlanza i-glucose lixhomeke ekungeneni kweglucose. Ngemuva kokuzila ukudla, isilinganiso segazi se-glucose se-60 kuya ku-100 mg / dL (ama-milligram ngamunye nge-deciliter).
Ngama-gramu angama-75 we-glucose, amanani ajwayelekile wegazi we-glucose yi:
- Ihora eli-1: ngaphansi kuka 200 mg / dL
- Amahora amabili: ngaphansi kuka 140 mg / dL. Phakathi kwama-140-200 mg / dL kubonisa ukubekezelelana kwe-glucose ukukhubazeka (prediabetes). Uma imiphumela yokuhlolwa ikhona kulolu hlu, isiguli sisengozini enkulu yokuthuthukisa isifo sikashukela. Ngaphezulu kuka 200 mg / dL ibonisa isifo sikashukela.
Ukukhulelwa kanye nokuhlolwa kwe-Oral Glucose Ukubekezela
Ukukhulelwa kuthinta ikhono lomfazi lokugubha ushukela wegazi. Yingakho i-American Diabetes Association ikhuthaza ukuhlolwa kwe-glucose ukubekezelelana komlomo, okuyinto ehlola isifo sikashukela sokugaya, kubo bonke omama abalindele. Lokhu kuhlolwa kuvamile phakathi nesonto lama-24 kuya kwesonto lama-28 lokukhulelwa. Ukuhlolwa kungenziwa ngokusebenzisa indlela eyodwa yokufaka i-glucose engama-75g noma ukusebenzisa izindlela ezimbili okuyizikrini zokuqala ukungavumi kwe-glucose usebenzisa 50g we-glucose. Uma umuntu ehluleka inselele azoyilandela nge-100-gram test test tolerance test. Inzuzo yalokhu ukuthi akudingeki ukuba uzila ukudla ukuthatha ukuhlolwa kwenselele ye-50g (okuyinto elula kakhulu), noma kunjalo, uma uhluleka kumele ulandele futhi wenze ukuhlolwa kwe-100g okudinga ukuthi uzilawule.
Ukuze uthole ukuhlolwa kokubekezelelana kwe-glucose ye-75-gram yomlomo okusetshenziselwa ukuhlola isikhumba sikashukela sokukhulelwa:
Ukuxilongwa kwe-GDM kwenziwa uma kunoma yiliphi lamagugu e-plasma glucose ehlangene noma
idlule:
- 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 kwenselele ye-glucose engu-50-gram esetshenziselwa ukubuka isikashukela sokukhulelwa:
Umuntu uzodinga ukuthatha uhlolo lwe-glucose lokubekezelelana kwe-100g uma ushukela wegazi luyi:
- Ihora eli-1: likhulu kunelilingana no 140 mg / dL
I-100-gram yokuhlolwa kwe-glucose ukubekezelelana ngomlomo:
Ukuxilongwa kwe-GDM kwenziwa uma kunoma yiliphi lamagugu e-plasma glucose ehlangene noma
idlule:
- Ukuzila: 95 mg / dL
- Ihora eli-1: 180 mg / dL
- Amahora amabili: 155 mg / dL
- Amahora amathathu: 140 mg / dL
Yini Okulandelayo?
Amazinga aphezulu angavamile we-glucose angabonisa isifo sikashukela, isifo sikashukela sokubeletha noma ama-prediabetes.
Kodwa-ke, isiguli cishe siyocelwa ukuba sibe nesinye isilingo sokuhlola i-glucose ukuqinisekisa ukuxilongwa.
Khumbula ukuthi ukuhlolwa komlomo we-glucose ukubekezelelana akusetshenziswanga nje ukuhlolisisa isifo sikashukela kodwa futhi ukusiza ukuhlinzeka ngolwazi mayelana namandla omzimba wokugubha ushukela wegazi. Amanani aphezulu angabonisa ukukhathazeka kokudla nokuphila kanye nezinkinga zokusebenza kwe-insulin . Ngale ndlela, lokhu kuhlolwa kuyisignali yesenzo esizosiza isiguli ukuthatha ukulawula impilo yakhe.
> Imithombo:
> "Ukuvivinywa kwe-Glucose Ukubekezela." Isikhungo Sezokwelapha sase-University of Maryland. 11 Aug. 2006. Isikhungo sezokwelapha saseYunivesithi yaseMadrid.
> I-American Diabetes Association. Amazinga Wokunakekela. Ukunakekelwa yisifo sikashukela 2016; 39 (Isihlomelo 1): S1-S119
> Ikomidi le-Bulletins Yokuzivocavoca. Obstetrics. Zisebenzise i-Bulletin No. 137: Isifo sikashukela sokugaya isisu. I-Obstet Gynecol 2013; 122: 406.
> "Ukuvivinya komlomo we-Glucose ukubekezelela ngesikhathi sokukhulelwa." I-Centre Information Information Centre ye-Cleveland. 31 Okthoba 2006. Umtholampilo waseCleveland.
> "Ukuvivinywa kwe-Glucose Ukubekezela." I-Medline Plus Medical Encyclopedia. 11 Agasti 2006. I-US National Library of Medicine kanye nezikhungo zezempilo zikazwelonke.