Ngenqubo yokucwaninga, kusetshenziswa izindlela ezahlukahlukene zokufunda amazinga kashukela.
Olunye uvivinyo olunjalo isivivinyo sikashukela. Ikuvumela ukuthi usihlole ngokuphelele isimo somtholampilo futhi unikeze nokwelashwa okufanele.
Yini le
Ukuhlolwa kokubekezelela ushukela, ngamanye amagama ijika leshukela, kuyindlela eyengeziwe yaselebhu yokuhlola ushukela. Inqubo yenzeka ngezigaba eziningana ngokulungiselela kokuqala. Igazi lithathwa kaningi emunweni noma emthanjeni ukuze lihlolwe. Ngokusetshenziselwa uthango ngalunye, kwakhiwa ishedyuli.
Ukuhlaziywa kutshengisani? Ubonisa odokotela ukusabela komzimba ukulayisha ushukela futhi bakhombisa izici zesifundo salesi sifo. Ngosizo lwe-GTT, amandla, ukumunca kanye nokuthuthwa kweglucose kumaseli kubhekwa.
Ijika yigrafu ehlelwe ngamaphuzu. Inezembe ezimbili. Emgqeni ovundlile, kuvulwa izikhawu zesikhathi, kulayini - ushukela oshukela. Ngokuyinhloko, ijika lakhiwe kumaphoyinti angu-4-5 ngokuphumula kwengxenye yehora.
Umaki wokuqala (esiswini esingenalutho) uphansi kunalo lonke, owesibili (ngemuva kokulayisha) uphakeme, kanti owesithathu (ukulayisha ngehora) uyindawo yokuqothula yegrafu. Umaki wesine ukhombisa ukwehla kwamazinga kashukela. Akufanele ibe ngaphansi kunokuqala. Imvamisa, amaphuzu wejika awanayo i-kuzuba ebukhali nezikhala phakathi kwazo.
Imiphumela incike ezintweni eziningi: isisindo, iminyaka, ubulili, isimo sempilo. Ukuhunyushwa kwemininingwane ye-GTT kwenziwa ngudokotela ohambelayo. Ukutholwa kwesikhathi kokuphambuka kusiza ukuvikela ukuthuthukiswa kwalesi sifo ngezindlela zokuthibela. Ezimweni ezinjalo, ukulungiswa kwesisindo, ukondleka kanye nokufakwa komsebenzi womzimba kunqunyelwe.
Ukuhlaziywa kubhekiswe kubani futhi kubani?
Igrafu ikuvumela ukuthi unqume izinkomba ku-dynamics kanye nokuphendula komzimba ngesikhathi sokulayisha.
I-GTT ichaziwe kumacala alandelayo:
- i-polycystic ovary;
- ukutholwa kwesifo sikashukela se-latent;
- ukuzimisela kwamandla oshukela kushukela;
- ukuthola ushukela emchameni;
- ukuba khona kwezihlobo ezinenkinga yesifo sikashukela;
- ngesikhathi sokukhulelwa;
- ukuqina kwesisindo.
Kwenziwa ngesikhathi sokukhulelwa ngokuchezuka ezimeni zokuhlaziywa komchamo ukuthola isifo sikashukela sokukhulelwa. Esimweni esejwayelekile, i-insulin emzimbeni wowesifazane ikhiqizwa ngevolumu enkulu. Ukunquma ukuthi ama-pancreas ahlangana kanjani nalo msebenzi, i-GTT ivumela.
Okokuqala, ukuhlolwa kubhekiselwe kwabesifazane abanokuphambuka kwesimo esenzeka esikhathini sokuthomba esedlule, kanye nenkomba yesisindo somzimba> 30 nabesifazane abanezihlobo zabo abanesifo sikashukela. Ukuhlaziywa kwenziwa kaningi ngeviki lama-24-28 lesikhathi. Ngemuva kwezinyanga ezimbili ngemuva kokuzalwa, isifundo senziwa futhi.
Ividiyo yesifo sikashukela sokukhulelwa:
Contraindication for ukuphumelela isivivinyo:
- isikhathi sokuya esikhathini;
- izinqubo zokuvuvukala;
- isikhathi sokusebenza;
- ukuhlaselwa yinhliziyo;
- ukuqina kwesibindi;
- malabsorption kashukela;
- ukucindezela kanye nokudangala;
- i-hepatitis;
- izinsuku ezibucayi;
- ukungasebenzi kwesibindi.
Ukulungiselela nokuziphatha kohlolo
Ukuhlolwa kokubekezelela ushukela kudinga lezi zimo ezilandelayo:
- bambelela ekudleni okujwayelekile futhi ungakuguquli;
- Gwema ukucindezelwa kwezinzwa nokuxineka ngaphambi nangesikhathi sokufunda;
- bambelela ekusebenzeni okujwayelekile komzimba kanye nokuxineka;
- ungabhemi ngaphambi nangesikhathi se-GTT;
- khipha utshwala ngosuku;
- ngaphandle kwemithi;
- musa ukwenza izinqubo zezokwelapha nezomzimba;
- isidlo sokugcina - amahora ayi-12 ngaphambi kwenqubo;
- musa ukwenza ama-x-rays ne-ultrasound;
- phakathi nenqubo yonke (amahora ama-2) awukwazi ukudla nokuphuza.
Izidakamizwa ezikhishwa ngokushesha ngaphambi kokuhlolwa zibandakanya: ama-antidepressants, i-adrenaline, ama-glucocorticoids, iMetformin kanye nezinye i-hypoglycemic, i-diuretics, izidakamizwa ezilwa nokuvuvukala.
Ngokucwaninga, ikhambi le-glucose elikhethekile liyadingeka. Ilungiselelwe ngokushesha ngaphambi kokuhlolwa. IGlucose ichithwa emanzini amaminerali. Kuvunyelwe ukwengeza ujusi omncane kalamula. Ukugxila kuncike ekuhambeni kwesikhathi namaphoyinti egrafu.
Ukuzihlola ngokwako kuthatha isilinganiso samahora ama-2, kwenziwe ekuseni. Isiguli sithathwa kuqala ukucwaninga ngesisu esingenalutho. Bese kuthi ngemuva kwemizuzu emi-5, kunikezwe isixazululo sikashukela. Ngemuva kwesigamu sehora, ukuhlaziya kubuye futhi kunikele. Isampula yegazi elandelayo yenzeka ngezikhathi ezithile zemizuzu engama-30.
Umnyombo wale nqubo ukuthola izinkomba ngaphandle komthwalo, bese okuguquguqukayo okunomthwalo kanye nokuqina kokwehla kokuhlushwa. Ngokususelwa kule mininingwane, kwakhiwa igrafu.
I-GTT ekhaya
I-GGT imvamisa yenziwa ngesisekelo esingaphandle kwezindawo noma elabhoratri ezimele ukukhomba ama-pathologies. Uma kunesifo sikashukela esitholakele, isiguli singenza isifundo ekhaya bese senza ijika leshukela sisodwa. Imihlahlandlela yokuhlolwa okusheshayo iyafana nokuhlaziywa kwelabhoratri.
Ngomqondo onjalo, kusetshenziswa i-glucometer ejwayelekile. Ucwaningo lwenziwa okokuqala ngesisu esingenalutho, bese kuba nomthwalo. Izikhathi phakathi kwezifundo - imizuzu engama-30. Ngaphambi kokubhoboza ngakunye, kusetshenziswa umucu omusha wokuhlola.
Ngokuhlolwa kwasekhaya, imiphumela ingahlukahluka kwezinkomba zaselebhu. Lokhu kungenxa yephutha elincane ledivaysi yokulinganisa. Ukungalungile kwayo cishe ku-11%. Ngaphambi kokuhlaziywa, imithetho efanayo iyagcinwa njengokuhlolwa elabhorethri.
Ividiyo evela kuDkt Malysheva ezihlolweni ezintathu zesifo sikashukela:
Ukuhunyushwa kwemiphumela
Lapho uhumusha imininingwane, kucatshangelwa izici eziningi. Ngesisekelo sokuhlaziywa kuphela, ukutholakala kwesifo sikashukela akutholakali.
I-capillary ushukela wegazi ungaphansi kwe-venous:
- Isilinganiso se-Sugar Curve. Okujwayelekile kubhekwa njengezinkomba kuze kufike kumthwalo ongu-5.5 mmol / l (capillary) no-6.0 mmol / l (venous), ngemuva kwengxenye yehora - kuze kufike ku-9 mmol. Izinga likashukela emahoreni ama-2 ngemuva kokulayisha ku-7.81 mmol / l kubhekwa njengenzuzo eyamukelekayo.
- Ukubekezelelwa okungahambi kahle. Imiphumela ebangeni le-7.81-11 mmol / L ngemuva kokuzivocavoca ibhekwa njenge-prediabetes noma ukubekezelela okungahambi kahle.
- Isifo sikashukela mellitus. Uma izinkomba zokuhlaziya zedlula uphawu lwe-11 mmol / l, khona-ke lokhu kubonisa ukuba khona kwesifo sikashukela.
- Imvamisa ngesikhathi sokukhulelwa. Esiswini esingenalutho, amanani ajwayelekile abhekwa njengafika ku-5.5 mmol / l, ngokushesha ngemuva kokulayisha - aze afike ku-10 mmol / l, ngemuva kwamahora ama-2 - cishe u-8.5 mmol / l.
Ukuphambuka okungenzeka
Ngokuphambuka okungenzeka, kuhlolwe isivivinyo sesibili, imiphumela yaso izoveza noma iphikise ukutholwa. Lapho iqinisekisiwe, kukhethwe umugqa wokwelashwa.
Ukuphambuka kokujwayelekile kungabonisa izimo zomzimba ezingaba khona.
Lokhu kufaka phakathi:
- ukuphazamiseka kokusebenza kohlelo lwezinzwa;
- ukuvuvukala kwamanyikwe;
- ezinye izinqubo zokuvuvukala;
- hyperfunction
- ukuphazamiseka kokufaka ushukela;
- ukuba khona kwezinqubo zesimila;
- Izinkinga ngepheshana lesisu.
Ngaphambi kokuphindwa kwe-GTT, imibandela yokulungiselela ibonwa ngokuqinile. Uma kwenzeka wephula ukubekezelelana kubantu abangama-30%, izinkomba zingabanjwa isikhathi esithile, bese ubuyela kokujwayelekile ngaphandle kokungenelela kwezokwelashwa. I-70% yemiphumela ihlala ingashintshiwe.
Izinkomba ezimbili ezengeziwe zesifo sikashukela se-latent zingaba ukwanda ushukela kumchamo osezingeni elamukelekayo egazini nezinkomba ezikhuphukayo ngokwesilinganiso ekuhlaziyeni kwezempilo okungahambi ngaphezu kwesilinganiso.
Isazi esiphawula. I-Yaroshenko I.T., iNhloko yeLabhorethri:
Ingxenye ebalulekile yesigaxa esinoshukela esithembekile ukulungiselela okulungile. Iphuzu elibalulekile ukuziphatha kwesiguli ngesikhathi senqubo. Isasasa elikhethekile, ukubhema, ukuphuza, ukunyakaza okungazelelwe. Kuvunyelwe ukusebenzisa inani elincane lamanzi - ayithinti imiphumela yokugcina. Ukulungiselela kahle isihluthulelo semiphumela ethembekile.
Ijika leshukela - ukuhlaziya okubalulekile okusetshenziselwa ukunquma impendulo yomzimba ekuxinekeni. Ukuxilongwa ngesikhathi sokuphazamiseka kokukhuthazelela kuzokwenza ukuthi kwenzeke kuphela ngezindlela zokuvimbela.
