Isifo sikashukela akuyona ukuphela kwesifo esibonisa ukuba khona kwezinkinga kumanyikwe. Ngaphezu kwesifo sikashukela, isiguli singase sitholakale nesifo sikashukela, ushukela wokuzila okuphezulu noma ukubekezelela ushukela okhubazekile, okuthi uma kungekho ukwelashwa nokulawulwa okufika ngesikhathi kungabi yingozi kangako.
Ukuthola ukuthi kwenzekani ngempela emzimbeni wesiguli, ukuhlolwa kokubekezelela ushukela omlomo noma i-PGTT kuyasiza.
Ukuhlolwa kokubekezelela kwe-glucose yomlomo: kuyini?
Lolu uhlobo lokuhlaziywa okuthuthukile okuvumela ukuthi unqume izinga le-glucose ku-plasma esiswini esingenalutho.
Ukuhlolwa kufaka iqoqo lezilinganiso ezithathwa njalo ngemizuzu engama-30 emahoreni ama-2 alandelayo ngemuva kokuthatha umthamo othile kashukela.
Isiguli sithatha ingxenye ye-glucose ngomlomo ngendlela yemvelo, siphuza isixazululo esimnandi, yingakho ukuhlolwa kubizwa ngomlomo (futhi nasenkambisweni yezokwelapha, i-PGTT isetshenziswa lapho ama-carbohydrate enikezwa isiguli ngaphakathi). Ukuqapha okunjalo kwesimo kukuvumela ukuthi ubone noma yikuphi ukwephulwa kwe-carbohydrate metabolism.
Kungani kuhlolwa i-glucose tolerance test ne-glycated hemoglobin?
Ngokusebenzisa isivivinyo sokubekezelela i-glucose ngomlomo, izimo ezinjengesifo sikashukela sanoma yiluphi uhlobo noma i-prediabetes zinganqunywa, kanye nezinga lokubekezelela amashukela egazini.
Njengomthetho, ukuhlolwa okunjalo kubekelwe lezo ziguli okungenani okungenani empilweni yazo ezibe ne-hyperglycemia engapheli noma yesikhashana eye yavela ngemuva kwesizinda sokuxineka, ukushaya kwenhliziyo, isifo sohlangothi, i-pneumonia.
Uma ukwanda kwezinga likashukela kwenzeka kanye, isiguli sizothunyelwa kohlaziywa ngemuva kokuthi isimo sakhe sibuyele kwesejwayelekile.
Ukwenza i-PHTT kuveza ukwephulwa okulandelayo:
- thayipha 1 noma thayipha isifo sikashukela 2;
- isifo sikashukela sokukhulelwa;
- i-metabolic syndrome;
- ukukhuluphala
- ukuphathwa kabi okuhlukahlukene kwe-endocrine okubangela ukwanda kwamazinga kashukela.
Ukuhlolwa ngomlomo kungenziwa kokubili elabhorethri nasekhaya usebenzisa i-glucometer. Kuliqiniso, esimweni sesibili, uzohlola igazi lonke. Kodwa-ke, ukuzithiba lokhu kuzokwanela.
Imithetho yokulungiselela isiguli isifundo
I-PGTT, njengolunye uvivinyo oluningi, idinga ukulungiswa. Ukuze umzimba ukhombise ukumelana noshukela, kuyadingeka izinsuku eziningana ngaphambi kokuba amasampula adle ukudla okunothile kuma-carbohydrate, noma aqukethe inani lawo elijwayelekile. Kungcono ukufaka emikhiqizweni yokudla equkethe kusuka ku-150 g wama-carbohydrate noma ngaphezulu.
Ukulandela ukudla okune-carb ephansi ngaphambi kokuthola i-PGTT akwamukeleki. Kulokhu, uzothola isilinganiso esincishisiwe sento esegazini, esizophazamisa nomthelela ongemuhle. Njengomphumela, ungabelwa ukuphinda uhlolo.
Ngaphezu kokulungisa ukudla, ezinye izinguquko zizodingeka futhi ezinhlelweni zokuphuza imithi. Cishe ezinsukwini ezintathu, kungakuhle ukuthi uyeke ukuthatha i-thiazide diuretics, izindlela zokuvimbela inzalo ngomlomo, ama-glucocorticosteroids.
Ukuhlaziywa kuthathwa ngokuqinile esiswini esingenalutho! Ngakho-ke, amahora angama-8 kuya kwe-12 kuyadingeka ukuyeka ukudla noma yikuphi ukudla, kanye nokufaka ngaphandle kotshwala kwimenyu. Ungaphuza kuphela amanzi ajwayelekile angenawo amakhabhoni ngamanani amancane.
Ngabe kuhlolwa ushukela wegazi onwetshiwe ngomthwalo ongakanani?
Umphumela wokuhlolwa kokubekezelela kwe-glucose yomlomo ukuvumela ukuthi unqume ukuthi ukuhlukaniswa kwe-glucose egazini ngokuphelele nokutholwa kwayo kwenzeka kanjani.
Izinga lezinto ezikhuphukayo egazini libonisa ukumunca kwalo okungekuhle ngumzimba.
Futhi njengoba i-glucose ibhekwa njengomthombo oyinhloko wamandla kuwo wonke amaseli omzimba, ukumunca okubuthakathaka kuthathwa njenge-pathology, ngenxa yokuthi ngazo zonke izinhlaka zezitho zihlupheka kakhulu.
Ngokungeziwe ekuthuthukisweni kwezinqubo zesifo sikashukela, ukwenza isivivinyo sikashukela ngomthwalo futhi kukuvumela ukuthi ukhombe ubungozi be-intrauterine hypoxia ngesikhathi sokukhulelwa kanye nezinye izinkinga zesifo sikashukela ezingalimaza umntwana ongakazalwa.
Kwenziwa kanjani ukuhlolwa kwesifo sikashukela?
Ukuhlolwa kuthatha isikhathi eside. Inqubo ithatha cishe amahora angama-2, lapho isiguli sithathwa ngamasampula njalo ngehora lehora (30, 60, 90, imizuzu engama-120).
Igazi lithathwa ngaphambi nangemuva koshukela ukuqhathanisa umehluko emazingeni kashukela.
Inqubo eyinkimbinkimbi enjalo yenzeka ngenxa yokuthi izinga le-glucose esegazini alizethembeki, futhi isinqumo sokugcina songcweti sizoncika ekutheni ilawulwa kanjani ngamanyikwe. Ngesikhathi sokuhlaziywa, isiguli siphuza isisombululo se-glucose esifudumele, esithengiswa emakhemisi ngesimo sempuphu.
Abantu abadala baphuza cishe ama-250-300 ml wamanzi, okuthi kuwo u-75 g we-glucose uqothulwe. Ezinganeni, umthamo uzohluka. Kubo, i-1.75 g / kg yesisindo somzimba iyancibilika, kepha hhayi ngaphezu kwe-75 g.
Uma sikhuluma ngomama abakhulelwe, bancibilikisa u-75 g we-glucose ku-100 g wamanzi. Uma owesifazane enobuthi obunzima, i-GTT yomlomo izothathelwa indawo ukuhlaziywa kwe-intravenous.
Ukuhunyushwa kwemiphumela: izinkambiso zobudala nokuphambuka kwezinkomba
Imiphumela etholakele ngesikhathi sokuhlolwa, uchwepheshe uqhathanisa izinkambiso ezisetshenzisiwe kubantu abaphilile.
Kuyaqapheleka ukuthi kubamele izigaba ezahlukahlukene zobudala, imikhawulo evumelekile iyohluka:
- ezinganeni ezisanda kuzalwa, okujwayelekile ngu-2.22-3.33 mmol / l;
- ezinganeni ezisuka enyangeni engu-1 ubudala - 2.7-4.44 mmol / l;
- izingane ezingaphezulu kweminyaka engu-5 ubudala - 3.33-5.55 mmol / l;
- kubantu abangaphansi kweminyaka engama-60 - 4.44-6.38 mmol / l;
- kubantu abadala kuneminyaka engama-60, i-4.61-6.1 mmol / L kuthathwa njengokujwayelekile.
Noma yikuphi ukuphambuka okujwayelekile kuthathwa njenge-pathology.
Izilinganiso ezincishisiwe ziwubufakazi bokukhula kwe-hypoglycemia, kanti eziphakeme ziwuphawu lwesifo sikashukela.
Contraindication ocwaningweni
Ngaphandle kokusebenza nokufinyeleleka kwalolu vivinyo, alunakudluliselwa kuzo zonke iziguli.
Phakathi kokuphikisana kokuhlaziywa kufaka phakathi:
- ukungabekezelelwa kweglucose;
- inkambo esibi yesifo esithathelwanayo;
- i-toxosis enkulu (kwabesifazane abakhulelwe);
- isikhathi sokusebenza;
- isidingo sokuphumula kombhede;
- izifo zesisu zamapheshana.
Endabeni ye-PHTT ezimweni ezingenhla, ukuwohloka okubukhali esimweni sesiguli kungenzeka.
Wellness ngemuva kokuhlaziywa kanye nemiphumela emibi
Ezimweni eziningi, ukuhlolwa kokubekezelela i-glucose komlomo kukhuthazelelwa kahle yiziguli.
Uma uyiqhathanisa ngokubaluleka kwenani le-calorific nokulimaza ngokudla, kuzoba njengokudla kwasekuseni okubandakanya itiye elimnandi ne-donut enjamu. Ngakho-ke, isixazululo se-glucose ngeke sibangele ukulimala okukhulu emzimbeni.
Kwezinye izimo, iziguli ngemuva kokuthatha i-glucose zibona ukuvela kwenhliziyo, isicubu esiswini, ukulahleka kwesikhashana kokudla, ubuthakathaka, nokunye ukubonakaliswa. Njengomthetho, ziyanyamalala ngemuva kwesikhashana nje futhi azilimazi empilweni.
Uma ngemuva kokuphasa isivivinyo impilo yakho ingathuthuki kungakapheli usuku, qiniseka ukuthi uthintana nodokotela. Kungenzeka ukuthi kuzodingeka usebenzise ezinye izidakamizwa ukuze ususe izimpawu ezivele.
Izindleko zokuhlola
Ungathatha ukuhlolwa kokubekezelela i-glucose esibhedlela esibhedlela sedolobha noma elabhorethri yangasese.
Konke kuzoncika ekuthandweni komuntu siqu nakumakhono wezezimali wesiguli.Izindleko ezijwayelekile zokuhlaziywa emitholampilo yaseRussia Federation zingama-ruble ayi-765.
Kepha ngokuvamile, izindleko zokugcina zenkonzo zizoncika kwinqubomgomo yamanani yesikhungo sezokwelapha nendawo okuyo. Isibonelo, intengo yokudlula enkabeni yedolobha eMoscow izoba yi-oda lokuphakama okukhulu kunase-Omsk noma kwamanye amadolobha amancane eRussia.
Ukubuyekezwa kweziguli
Ukuhlolwa kweziguli ekuhlolweni kwegazi kokubekezelelwa kwe-glucose:
- U-Olga, oneminyaka engama-38. Hhawu, ngesaba kanjani ukuphumelela loluvivinyo! Ngithukile ngqo, ngethusa! Kepha akukho. Weza esibhedlela, wanginika i-glucose emgodini, waphuza, base bethatha igazi lami kaningana. IGlucose yayiyinsindiso yami, ngoba ngesikhathi sokuphasa isivivinyo ngangilambile njengempisi! Ngakho-ke ungesabi kulokhu kuhlaziya. Lapho-ke kungenzeka futhi ukudlala iphango, njengeyami, ngokwesibonelo.
- Katya, 21 iminyaka. Angibekezelelanga ukuhlaziya kahle. Angazi ukuthi kungani. Mhlawumbe ngoba wake waba ne-hepatitis, kodwa namanje. Ngemuva kokuthatha ushukela esiswini sami, kwakuyinto ebonakalayo. Sekuyizinsuku eziningana manje, futhi angifuni ngempela ukudla ngenxa yomuzwa ongathandeki esiswini sami. Isibindi nama-pancreas kuthinteka kakhulu ekuhlaziyeni kanye nokuqaqanjeka ngezikhathi ezithile.
- U-Oleg, oneminyaka engama-57 ubudala. Konke kuhlukile kuwo wonke umuntu. Sengikudlulisile lokho kuhlaziya kabili. Isikhathi sokuqala, ngokujwayelekile, senza umsebenzi omuhle kakhulu, kwathi ngokwesibili kwaba ukuhlanza isikhashana cishe ihora ngemuva koshintsho. Kepha-ke konke kwahamba. Kepha angazi ukuthi yini eyangigulisa kakhulu, ngenxa yobumnandi beshukela noma yindlala.
- U-Ekaterina Ivanovna, oneminyaka engama-62. Ukuhlolwa akulula. Kepha uma uzivumelanisa nezimpawu zomzimba wakho, zidlulise kahle. Isibonelo, ngibonile ukuthi uma ngingathathanga okuthile nami, ngizozizwa ngigula usuku lonke. Ngakho-ke ngokushesha ngemuva kokuqeda zonke izinqubo ngizama ukudla kahle.
Amavidiyo ahlobene
Mayelana nokuhlolwa kwegazi kwe-glucose kuvidiyo:
Ukuhlolwa kokubekezelela kwe-glucose ngomlomo kuyindlela enhle yokuthola i-pathologies ku-carbohydrate metabolism. Ngakho-ke, uma sengithole incwadi yokudluliselwa yingcweti ukuze ihlaziywe okufanele, umuntu akufanele anqabe ukwenza lokho.
