Kubiza malini ukuhlolwa kokubekezelela i-glucose: intengo ezindaweni zokusebenzela ezizimele i-Invitro, Gemotest, Heliks kanye nezinhlaka zikahulumeni

Ngeshwa, izibalo zesifo sikashukela somhlaba wonke ziyadumaza. Abantu abaningi bayathola lokhu kwatholakala. Isifo sikashukela i-mellitus sesivele sibizwa ngokuthi umqedazwe wekhulu le-XXI.

Lesi sifo siyabonakala ngoba lokho, kufinyelela iphuzu elithile, kuyaqashelwa, kusesimweni esedlule. Kungakho ukutholwa kusenesifo sikashukela kubaluleke kakhulu.

Kulokhu, kusetshenziswa isivivinyo sokubekezelela i-glucose (GTT) - ukuhlolwa kwegazi okukhethekile okukhombisa izinga lokukhuthazela kwe-glucose komzimba. Endabeni yokuphulwa kokubekezelelana, umuntu angakhuluma ngesifo sikashukela noma i-prediabetes - isimo esingeyona ingozi kangako kunesifo sikashukela uqobo.

Ukwenza i-GTT, ungathola okudluliselwa kumelaphi (okuxhumene nobunzima bakho) noma ungazihlaziya kulabhorethri. Kepha kulokhu, kuphakama umbuzo onengqondo: lapho ungenza khona isivivinyo sokubekezelela ushukela? Futhi yini intengo yayo?

Izinkomba

Ukuhlolwa kokubekezelela ushukela kususelwa ekuzimiseleni kwamazinga amabili kashukela egazini: ukuzila ukudla nangemva kokuvivinya umzimba. Ngaphansi komthwalo kuleli cala kubhekiswa kumthamo owodwa wesisombululo se-glucose.

Ukuze wenze lokhu, inani elithile le-glucose liyachithwa engilazini yamanzi (kubantu abanesisindo esijwayelekile - amagremu angama-75, abantu abakhuluphele - amagremu ayi-100, izingane ngokubheka ukubalwa kwama-gramu ayi-1.75 kashukela ngekhilogremu eyodwa, kepha hhayi ngaphezu kwama-gramu angama-75) futhi bavunyelwe ukuphuza ezigulini.

Ezimweni ezibucayi kakhulu, lapho umuntu engakwazi ukuphuza “amanzi amnandi” eyedwa, isixazululo sikhishwa ngokuqondile. Izinga le-glucose egazini amahora amabili ngemuva kokuzivocavoca kufanele lilingane namazinga ajwayelekile.

Kubantu abaphilile, inkomba ye-glucose ayikwazi ukwedlula inani le-7.8 mmol / L, futhi uma kungazelelwe inani elitholwayo lidlula i-11.1 mmol / L, khona-ke singakhuluma ngesifo sikashukela ngokuqinisekile. Amanani aphakathi nendawo akhombisa ukubekezelela i-glucose engaphazamiseki futhi angabonisa "i-prediabetes."

Kwamanye ama-laboratories, ngokwesibonelo, elabhorethri yeGemotest, ushukela ngemuva kokuzivocavoca ulinganiswa kabili: emva kwemizuzu engama-60 nangemva kwemizuzu engama-120. Lokhu kwenziwa ukuze ungaphuthelwa isibalo, esingakhombisa isifo sikashukela se-latent.

Ngaphezu kokudlula kokuhlaziywa, ukuziqapha ngokwakho kunezinkomba eziningi zokunqunywa kwe-GTT:

• ushukela wegazi ekuhlaziyeni okujwayelekile ungaphezulu kuka-5.7 mmol / l (kepha awudluli ku-6.7 mmol / l);
• ifa - amacala kashukela ezihlotsheni zegazi;
• ukukhuluphala ngokweqile (BMI idlula i-27);
• i-metabolic syndrome;
• i-arterial hypertension;
• isifo sokuqina kwemizwa;
• ukubekezelelwa kwe-glucose okonakele ngaphambili;
• iminyaka engaphezu kwengu-45.

Futhi, abesifazane abakhulelwe bavame ukuthola ukudluliselwa ku-GTT, ngoba izilonda ezifihliwe zivame "ukuphuma" ngalesi sikhathi sempilo. Ngaphezu kwalokho, ngesikhathi sokukhulelwa, ukuthuthukiswa okubizwa ngokuthi yi-gestationalabetes mellitus - "isifo sikashukela esikhulelwe" kungenzeka.

Ngokukhula kwengane, umzimba udinga ukukhiqiza i-insulin ethe xaxa, futhi uma lokhu kungenzeki, izinga le-glucose egazini liyakhuphuka futhi kukhuphuke noshukela wokukhulelwa, obaphethe ubungozi enganeni nakunina (kuze kube ukuzalwa).

Kufanele kukhunjulwe ukuthi izinketho zamazinga e-glucose ajwayelekile kumama abakhulelwe zihlukile kwezinkomba "ezingakhulelwe".

Kodwa-ke, ukuhlolwa kokubekezelela kwe-glucose, kukhona okuphulwa:

• ukungabekezelelwa kweglucose;
• I-ARVI;
• ukwanda kwezifo zesisu;
• isikhathi sokusebenza;
• Izinga le-glucose ngesikhathi isampula legazi lisuka emunweni lingaphezulu kuka-6,7 mmol / l - kulokhu, ukoma we-hyperglycemic kungenzeka ngemuva kokuzivocavoca.

Ukuze imiphumela yokuhlolwa kwe-glucose ibe ngokulungile, kubalulekile ukulungiselela ukulethwa kwayo:

• kungakapheli izinsuku ezintathu udinga ukunamathela ekudleni okujwayelekile kanye nokuzivocavoca umzimba, awukwazi ukuqhubeka nokudla noma unqunyelwe ushukela ngokwawo;
• isifundo senziwa ekuseni ngesisu esingenalutho, ngemuva kwamahora we-12-14 wokuzila;
• ngolunye usuku ngaphambi kokuhlolwa, awukwazi ukubhema futhi uphuze utshwala.

Ungasenza kuphi isivivinyo sokubekezelela ushukela?

Ukuhlolwa kokubekezelela i-glucose akuyona into evamile noma akuvamile, futhi kungenziwa emtholampilo wombuso ngokuqondisa udokotela, noma elabhorethri yangasese ngemali ethile, evame ukuba neminyango kunoma yiliphi idolobha.

Umtholampilo Wezwe

Njengomthetho, izinsiza zombuso ezikhokhelwayo azinikezwanga kuma-polyclinics wesifunda sombuso.

Noma yikuphi ukuhlaziya, kufaka phakathi isivivinyo sokubekezelela i-glucose, kungahlolwa kubo kuphela ngemuva kokuthola ukudluliselwa okokuqala kudokotela: udokotela wezokwelapha, i-endocrinologist noma i-gynecologist.

Imiphumela yokuhlaziya izotholakala ezinsukwini ezimbalwa.

Inkampani yezokwelapha i-Invitro

I-Invitro Laborator inikeza izinketho eziningana zokuthatha isivivinyo sokubekezelela i-glucose:

1. ngesikhathi sokukhulelwa (GTB-S) - igama liyazikhulumela: lokhu kuhlolwa kwenziwa kubantu besifazane abakhulelwe. U-Invitro uncoma ukuthi kuhlaziywe emavikini angama-24-28 wokukhulelwa. Ukwenza ucwaningo ku-Invitro, kufanele udlulisele kudokotela wakho ngokusayina kwakhe siqu;
2. Ngokuzimisela kwe-glucose ne-C-peptide egazini elingene emzimbeni wesisu esingenalutho nangemva kokuzivocavoca umzimba ngemuva kwamahora ama-2 (GTGS) - lokhu kuhlaziya kubuye kuhlunge izinga le-C-peptide ebizwa ngokuthi i-C-peptide, evumela ukwahlukanisa ushukela ongaxekile futhi ongathembekile nge-insulin, kanye nokwenza ucwaningo olunembile ezigulini ezihlangabezana nokwelashwa kwe-insulin;
3. nge i-venous glucose esiswini esingenalutho nangemuva kokuvivinya umzimba ngemuva kwamahora ama-2 (GTT).

Umnqamulajuqu wanoma yikuphi ukuhlaziya usuku olulodwa (ukungabali usuku okwathathwa ngalo i-biomaterial).

Inkonzo yeHell Lab

Emalabhoratri kaHezekeli, ungakhetha ezinhlotsheni ezinhlanu ze-GTT:

1. standard [06-258] - uhlobo olujwayelekile lwe-GTT ngesilinganiso sokulawula ushukela amahora amabili ngemuva kokuzivocavoca. Hhayi izingane kanye nabesifazane abakhulelwe;
2. kunwetshiwe [06-071] - Izilinganiso zokulawula zenziwa njalo ngemizuzu engama-30 ngamahora ama-2 (empeleni, kaningi kane);
3. ngesikhathi sokukhulelwa [06-259] - Izilinganiso zokulawula zenziwa ngesisu esingenalutho, kanye nehora namahora amabili ngemuva kokuzivocavoca;
4. nge-insulin yegazi [06-266] - amahora amabili ngemuva kokuzivocavoca, kwenziwa amasampula egazi ukuthola inani le-glucose ne-insulin;
5. nge-C-peptide esegazini [06-260] - Ngokungezelela emazingeni kashukela, lizinga le-C-peptide linqunywe.

Ukuhlaziywa kuthatha usuku olulodwa.

Gemotest Medical Laborator

Kwilabhoratri yezokwelapha yaseHemotest, ungathatha okukodwa kokuhlaziya okulandelayo:

1. ukuhlolwa okujwayelekile (0-120) (ikhodi 1.16.) - I-GTT ngesilinganiso se-glucose amahora amabili ngemuva kokuzivocavoca;
2. isivivinyo sokubekezelela i-glucose (0-60-120) (ikhodi 1.16.1.) - Izilinganiso zokulawula ushukela wegazi zenziwa kabili: ihora elilodwa ngemuva kokuvivinya umzimba kanye namahora amabili ngemuva kokuvivinya umzimba;
3. ngokunqunywa kwe-glucose ne-insulin (ikhodi 1.107.) - ngaphezu kwezinga le-glucose, amahora amabili ngemuva komthwalo, inani le-insulin nalo linqunywa: lokhu kuyadingeka ukuhlola i-hyperinsulinemia eyenele. Ukuhlaziywa kwenziwa ngokuqinile njengoba kuchazwe udokotela;
4. ngokunqunywa kweshukela, i-C-peptide, i-insulin (ikhodi 1.108.) - inquma amanani eglucose, i-insulin ne-C-peptide ukukhipha ithonya lezidakamizwa nokwehlukaniswa kohlobo 1 nesifo sikashukela sohlobo 2. Okubiza kakhulu kukho konke ukuhlaziya kwe-GTT;
5. ngokunqunywa kwe-glucose ne-C-peptide (ikhodi 1.63.) - amazinga eglucose ne-C-peptide anqunyelwe.

Isikhathi sokubulawa kokuhlaziywa usuku olulodwa. Imiphumela ingaqoqwa mathupha elabhorethri noma itholakale nge-imeyili noma kwi-akhawunti yakho siqu kuwebhusayithi yeGemotest.

Intengo yokuhlola ukubekezelelwa kwe-glucose

Intengo yohlolo lokubekezelela i-glucose iyahlukahluka ngokuya ngedolobha ohlala kulo kanye nelabhorethri (noma umtholampilo wangasese) lapho kuhlolwa kuthathwa khona. Isibonelo, cabanga ngezindleko ze-GTT kulabhorethri abedumile eMoscow.

Izindleko emtholampilo wombuso

Emtholampilo wombuso, ukuhlaziya kukhululekile, kepha kuqondiswa udokotela kuphela. Ngemali, awukwazi ukwenza uhlaziyo emtholampilo.

Malini ukuhlaziywa emtholampilo yangasese?

Izindleko zokuhlolwa kwelebhu yaseHeli eMoscow yiphansi kakhulu: inani lentengo ejwayelekile (eshibhile) i-GTT ngama-ruble angama-420, intengo ye-GTT ebiza kakhulu - ngokunqunywa kwezinga le-C-peptide - ngama-ruble ayi-1600.

Izindleko zokuhlolwa kumaHemotest zisukela kuma-ruble angama-760 (GTT ngesilinganiso esisodwa sezinga le-glucose) kuya kuma-ruble angama-2430 (GTT ngokunqunywa kwe-insulin ne-C-peptide).

Ngaphezu kwalokho, kuyadingeka ukuthola inani le-glucose egazini ngaphambi kokuzivocavoca, esiswini esingenalutho. Hhayi-ke, uma kunethuba lokusebenzisa i-glucometer yomuntu, uma kungenjalo kwamanye ama-laboratories kuzodingeka uthathe okunye ukuhlolwa - ukunquma izinga le-glucose, elibiza cishe ama-ruble angama-250.

Amavidiyo ahlobene

Mayelana nokuhlolwa kokubekezelela kwe-glucose kuvidiyo:

Njengoba ukwazi ukubona, ukuthatha isivivinyo sokubekezelela ushukela akunzima: akudingi izindleko ezinkulu noma ubunzima bokuthola ilabhorethri.

Uma unesikhathi futhi ufuna ukonga imali, ungaya ku-polyclinic yombuso, uma ufuna ukuthola umphumela ngokushesha, futhi kukhona nethuba lokuwukhokhela - wamukelekile kuma-labouries azimele.