Izivivinyo Zisetshenziselwa Ukuqinisekisa Ukuxilongwa Ngesifo Sikashukela Sesibili
Ukuxilongwa kwesifo sikashukela sohlobo 1 kungabangela inkinga. Ngaphandle uma kukhona umlando owaziwayo wesifo sikashukela emndenini, abantu abaningi abaqapheli izimpawu nezimpawu zesifo sikashukela uma beqala ukuvela. Lezi zimpawu zingakwazi ukuphutha kalula ngegciwane lesisu ngenxa yokuthi ukuhlanza kuvame ukuvela. Njengoba izimpawu ziqhubeka futhi ziba nzima, abantu abaningi bafuna ukunakekelwa kwezokwelapha futhi kuphela bathola ukuthi bane-type 1 yesifo sikashukela.
Uhlobo Lwe-Diabetes Lwase-1 Luyatholakala Kanjani?
Ngoba izimpawu ziqala ukuvela masinyane uma ama-pancreas evimbela ukukhiqizwa kwe- insulin , iningi labantu litholakala esikhathini esifushane kusuka lapho izimpawu ziqala khona. Kwezinye izimo, kungathatha isikhathi eside. Ukuqaphela isifo sikashukela kudinga isampula yegazi ukukala amazinga e-glucose egazini.
Iziphi Izivivinyo Ezisetshenziswayo?
Kunezivivinyo ezintathu ezijwayelekile ezisetshenziselwa ukuhlonza isifo sikashukela sohlobo lwe-1. Uhlobo lokuhlolwa olusetshenziselwa noma yikuphi umuntu oluthile lusekelwe esimweni kanye nokuthandwa kodokotela. Lezi zivivinyo ziyi:
Ukuzila ukudla iGlucose yegazi (FBG)
Esivivinyweni se-FBG, isampula yegazi itholakala emva kwesikhathi sokuzila okungenani amahora angu-8. Lokhu ngokuvamile kusho ukuthi akukho ukudla noma isiphuzo (ngaphandle kwamanzi) kuthathwa emva kwamabili ebusuku ngaphambi kokuhlolwa. I-sampuli yegazi ivame ukudonsa kusasa ngosuku olulandelayo ngaphambi kokuba kudliwe ukudla noma iziphuzo. Uma imiphumela yalesi sivivinyo ibonisa ukufundwa kwe-glucose ka 126 mg / dl noma ngaphezulu kubonisa isifo sikashukela.
Ukuqinisekisa ukuxilongwa, ngokuvamile kuvumelekile ukuphinda ukuhlolwa okwesibili ngosuku oluhlukile. Ukuzila ukudla kwama-glucose kuvame ukuba phakathi kuka 70 kuya ku-110 mg / dl kumuntu onesifo sikashukela. Isivivinyo se-FBG yisisindo esivame ukusetshenziswa kakhulu sokuxilongwa kwesifo sikashukela.
I-Random Blood Glucose
Esivivinyweni segazi segazi esingavamile, isampula yegazi ihlolwe futhi ukuze kulinganise i-glucose yakho kodwa akukho ukucatshangelwa okwenziwe uma udla ukudla kwakho kokugcina.
Izinga le-glucose elingaphezu kwe-200 mg / dl libonisa ukuthi unesifo sikashukela.
Lona ukuhlolwa kwe-glucose okhethwayo okusetshenziselwa izimo eziphuthumayo zezokwelapha lapho umuntu (ngokuvamile ngokuvamile ingane) enamazinga aphakeme kakhulu e-glucose angase aqhubekele ekuhlaleni okubangelwa yisifo sikashukela. Kungakapheli imizuzu yokusebenzisa lokhu kuhlola, abasebenzi bezokwelapha banganquma ukuthi i-glucose iningi kangakanani egazini futhi bahlinzeke i-insulin uma uhlobo lwesifo sikashukela se-type 1 luqinisekiswa njengesifo.
Ukuhlolwa kwe-Oral Glucose Ukubekezela (OGTT)
Loluhlolo lokuhlola, olubizwa ngokuthi i-oral glucose test tolerance test, luhlukile kwezinye ezimbili ngoba uceliwe ukuba uphuze isiphuzo soshukela njengendlela yokukala ukuthi ama-pancreas akho angaphatha kanjani i-glucose oyithathayo. Ngaphambi kokuba uphuze isiphuzo, ukudla okuyisisekelo i-blood glucose ithathwa. Usuyiphuza isiphuzo futhi phezu kwamahora amabili alandelayo, amazinga e-blood glucose athathwa njalo ngemizuzu engu-30. Kumuntu onesifo sikashukela, amazinga e-glucose aphakama bese ewa ngokushesha ngoba umzimba uveza i-insulini ngokweqile ukwehlisa i-glucose yegazi. Ngokuphambene nalokho, umuntu onesifo sikashukela sohlobo 1 uzobona ukuphakama okubukhali kanye nezinga eliphakeme eliphakeme le-glucose ngoba ama-pancrea akakwazi ukuletha i-insulin edingekayo ukwehlisa i-glucose egazini.
Uma i-glucose yegazi lakho emanzini amabili ehora lingaphansi kuka 140 mg / dl, ushukela wakho wegazi uthathwa njengokujwayelekile.
Ukufundwa okungaphezu kuka 200 mg / dl ngemuva kwesikhathi esifanayo kubonisa isifo sikashukela. Uma amazinga e-glucose ephakeme kunama-200 mg / dl, ukuhlolwa kufanele kuphindwe ngosuku oluhlukile ukuqinisekisa ukuxilongwa.
Ukuhlolwa kwe-A1c (Hemoglobin A1c)
Uhlolo lwe-hemoglobin A1c luye lwaba yisilinganiso sokulawula isikhathi eside kwamazinga e-glucose egazini. Kodwa ngo-2010, i-American Diabetes Association yancoma ukuthi ukuhlolwa kusetshenziswe njengenye indlela yokuthola isifo sikashukela kanye nama-prediabetes. Nakuba ukusebenzisa ukuhlolwa kwe-A1c kuzovame ukusetshenziselwa ukuhlolisisa uhlobo lwesifo sikashukela sohlobo lwe-2 , kufanele lukhulume lapha ngoba lungasetshenziswa ukuhlola uhlobo 1.
Lapho ukuhlolwa kwe-glucose kuphumela ku-A1c isilinganiso samaphesenti angu-6.5 noma ngaphezulu kwi-blood hemoglobin, kubhekwe njengesifo sesifo sikashukela. Izinzuzo zokusebenzisa ukuhlolwa kwe-A1c phezu kwegazi le-plasma glucose ukuthi kuthatha isikhathi esincane futhi kulula kakhulu kunokuhlolwa kwe-glucose ukubekezelelana komlomo futhi akudingi ukuzila ukudla ngaphambi kokuhlolwa.
Ezinye izivivinyo zingenziwa (ezifana ne-thyroid) ukunquma ukuthi zikhona yini ezinye izifo zomzimba ezizimele ezikhona. Kuzo zonke lezi zivivinyo ukunikeza imiphumela enokwethenjelwa, kufanele ube mahhala ezifweni kanye namagciwane futhi ungathathi imithi engathinta i-glucose yegazi lakho.
Imithombo:
> I-American Diabetes Association. Izincomo zokwenziwa komtholampilo: 2002. Ukuhlolwa kwesifo sikashukela. Ukunakekelwa yisifo sikashukela. 2002; 25: 21S
> I-American Diabetes Association. Izincomo Ze-New Clinical Practice Association zakwa-American Diabetes Association zithuthukisa i-A1C njengoHlelo lokuThola isifo sikashukela.
> Ukuxilongwa kwesifo sikashukela. I-National Diabetes Information Clearinghouse. http://diabetes.niddk.nih.gov/dm/pubs/diagnosis/index.htm