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Ikizamini cyo kwihanganira isukari kigereranya uburyo umubiri wawe utunganya isukari uko igihe kigenda gihita. Ni ikizamini cy'amaraso cyoroshye gifasha abaganga kumenya niba umubiri wawe ushobora gutunganya isukari neza, ibyo bikaba ari ngombwa mu gusuzuma indwara nka diyabete na prediabete.
Bitekereze nk'ikizamini cy'umuvuduko ku buryo umubiri wawe utunganya isukari. Mu gihe cy'ikizamini, uzanywa umuti uryoshye, hanyuma amaraso yawe azagenzurwa mu gihe gito kugira ngo barebe uko urwego rwawe rw'isukari ruzamuka kandi rugabanuka. Ibi bitanga ishusho isobanutse ku muganga wawe ku buzima bwawe bwo mu mubiri.
Ikizamini cyo kwihanganira isukari (GTT) ni ikizamini cy'ubuvuzi kigereranya ubushobozi bw'umubiri wawe bwo gutunganya isukari, ari yo bwoko bw'isukari bw'ingenzi mu maraso yawe. Ikizamini kigaragaza uko urwego rw'isukari mu maraso yawe ruhinduka uko igihe kigenda gihita nyuma yo kunywa isukari runaka.
Hariho ubwoko bubiri bw'ingenzi bw'ibizamini byo kwihanganira isukari. Ikizamini cyo kwihanganira isukari mu kanwa (OGTT) ni cyo gikoreshwa cyane, aho unywa umuti w'isukari hanyuma amaraso yawe agasuzumwa inshuro nyinshi. Ikizamini cyo kwihanganira isukari mu maraso (IVGTT) gikubiyemo guterwa isukari mu urwungano rw'amaraso, ariko ibi ntibikoreshwa cyane muri iki gihe.
Mugihe cya OGTT isanzwe, mubisanzwe amaraso azavanwa mbere yo kunywa umuti w'isukari (urwego rwo kwiyiriza), hanyuma wongere ku isaha imwe, amasaha abiri, rimwe na rimwe amasaha atatu nyuma yaho. Ubu buryo bufasha abaganga kumenya neza uko umubiri wawe witwara ku isukari.
Abaganga bategeka ibizamini byo kwihanganira isukari cyane cyane kugira ngo basuzume diyabete na prediabete iyo ibindi bizamini bitagaragaza neza. Iki kizamini gifasha cyane iyo urwego rw'isukari mu maraso yawe rwo kwiyiriza ruri ku rugero rwo hejuru cyangwa iyo ufite ibimenyetso bigaragaza ibibazo by'isukari mu maraso.
Abagore batwite bakunze gukorerwa isuzuma rya glucose tolerance hagati y'ibyumweru 24 na 28 kugira ngo barebe niba nta diyabete yo mu gihe cyo gutwita bafite. Iyi ndwara ishobora kuza mu gihe cyo gutwita kandi ikagira ingaruka ku buryo umubiri wawe ukoresha isukari, bikaba byagira ingaruka ku buzima bwawe n'ubw'umwana wawe.
Muganga wawe ashobora no kugusaba iri suzuma niba ufite ibintu byongera ibyago byo kurwara diyabete. Ibyo birimo kuba ufite umubyibuho ukabije, kuba mu muryango wawe harimo abafite diyabete, kuba urengeje imyaka 45, cyangwa kuba ufite umuvuduko ukabije w'amaraso. Iri suzuma rishobora kugaragaza ibibazo hakiri kare, mbere y'uko ibimenyetso bigaragara.
Rimwe na rimwe, iri suzuma rifasha gukurikirana uko imiti ivura diyabete ikora neza. Niba waramaze kumenyekana ko urwaye diyabete cyangwa prediabetes, umuganga wawe ashobora gukoresha isuzuma rya glucose tolerance buri gihe kugira ngo akurikirane uko urimo utera imbere kandi ahindure gahunda yawe yo kuvurwa.
Uburyo bwo gukora isuzuma rya glucose tolerance buroroshye ariko busaba igihe n'imyiteguro. Uzatangira ufate amaraso make mu kuboko kwawe kugira ngo bapime urugero rwa glucose mu maraso yawe igihe utararya, bikaba ari ishingiro ryawe.
Nyuma, uzanywa umuti wa glucose uryoshye cyane, usa n'icyo kunywa kirimo isukari nyinshi. Uyu muti usanzwe ukubiyemo garama 75 za glucose ku bantu bakuru, nubwo abagore batwite bashobora guhabwa urugero rutandukanye. Uzagomba kurangiza kunywa uwo muti wose mu minota itanu.
Nyuma yo kunywa uwo muti, uzategereza ahantu hakorerwa isuzuma mu gihe umubiri wawe ukoresha glucose. Ibi nibyo bibaho mu gihe cyo gutegereza:
Gufata amaraso bifata iminota mike, kandi ikizamini cyose muri rusange gifata amasaha agera kuri atatu. Abantu benshi basanga igihe cyo gutegereza aricyo kigoye cyane, bityo tekereza kuzana igitabo cyangwa ikindi kintu cyo kwinezeza.
Kwitegura neza ni ngombwa kugira ngo ubone ibisubizo by'ukuri by'ikizamini cyo kureba uko umubiri wawe wihanganira isukari. Uzagomba kwiyiriza byibuze amasaha 8 kugeza kuri 12 mbere y'ikizamini, bivuze ko nta biryo, ibinyobwa (usibye amazi), cyangwa ikintu icyo aricyo cyose kirimo kalori muri iki gihe.
Imirire yawe mu minsi ibanza ikizamini ishobora kugira ingaruka ku bisubizo byawe. Mu minsi itatu mbere y'ikizamini cyawe, jya ufata ibiryo bisanzwe kandi ntugerageze kubuza karubohidrate cyangwa guhindura imyifatire yawe yo kurya. Umubiri wawe ugomba kuba uri mu buryo busanzwe kugira ngo ikizamini kigire icyo kivuga.
Dore intambwe z'ingenzi zo kwitegura ugomba gukurikiza:
Menyesha umuganga wawe ibijyanye n'imiti yose urimo ufata, kuko imwe ishobora kugira ingaruka ku kigero cy'isukari mu maraso. Bazakugira inama niba ugomba gukomeza cyangwa guhagarika by'agateganyo imiti iyo ari yo yose mbere y'ikizamini.
Gusobanukirwa ibisubizo by'ikizamini cyo kureba uko umubiri wawe wihanganira isukari bikubiyemo kureba urwego rw'isukari mu maraso yawe mu bihe bitandukanye. Ibisubizo bisanzwe byerekana ko isukari yo mu maraso yawe izamuka nyuma yo kunywa umuti w'isukari ariko igasubira ku rwego ruzima mu isaha ebyiri.
Ku kizamini gisanzwe cyo kureba uko umubiri wihanganira isukari unywa, dore urwego rusanzwe rw'ibisubizo:
Prediabetes isuzumwa iyo ibisubizo byawe by'amasaha abiri biri hagati ya 140 na 199 mg/dL. Ibi bivuze ko umubiri wawe ufite ibibazo byo gutunganya glucose, ariko ntugira diyabete. Ni ikimenyetso cyo kwitondera kiguha umwanya wo guhindura imibereho yawe.
Diyabete isuzumwa iyo ibisubizo byawe by'amasaha abiri ari 200 mg/dL cyangwa hejuru, cyangwa niba urwego rwawe rwo kuzirika ari 126 mg/dL cyangwa hejuru. Iyi mibare yerekana ko umubiri wawe utunganya glucose neza, kandi uzakenera ubuvuzi buhoraho.
Ku bagore batwite, imipaka iratandukanye gato. Diyabete yo mu gihe cyo gutwita isuzumwa niba agaciro ako ariko kose kararenze: urwego rwo kuzirika rwa 92 mg/dL, urwego rw'isaha imwe rwa 180 mg/dL, cyangwa urwego rw'amasaha abiri rwa 153 mg/dL.
Niba ibisubizo byawe byo gupima glucose bidahwitse, inkuru nziza ni uko akenshi ushobora kubinoza binyuze mu guhindura imibereho, kandi, igihe bibaye ngombwa, kuvurwa mu buvuzi. Uburyo biterwa niba ufite prediabetes cyangwa diyabete.
Kubera prediabetes, guhindura imibereho akenshi birinda cyangwa bikadindiza iterambere rya diyabete yo mu bwoko bwa 2. Kugabanya ibiro kuri 5 kugeza kuri 7 ku ijana by'uburemere bw'umubiri wawe bishobora gutuma habaho itandukaniro rinini. Ibi bishobora gusobanura gutakaza ibiro 10 kugeza kuri 15 niba upima ibiro 200.
Dore uburyo bwiza bwo kunoza imikorere yawe ya glucose:
Niba urwaye diyabete, birashoboka ko uzakenera imiti hamwe n'impinduka mu mibereho. Muganga wawe ashobora kugusaba metformin cyangwa indi miti ya diyabete kugira ngo ifashe umubiri wawe gukoresha isukari neza. Gukurikirana buri gihe no guhura bizaba ngombwa.
Gukorana n'umuhanga mu by'imirire byanditswe bishobora gufasha cyane kuri prediabetes na diyabete. Bashobora gukora gahunda y'imirire yihariye ifasha kuringaniza isukari mu maraso yawe mugihe ikiryohera kandi kirambye.
Ibisubizo byiza byo gupima isukari ni ibyo bigaragara mu kigereranyo gisanzwe, bigaragaza ko umubiri wawe ukoresha isukari neza. Ibisubizo byiza bigaragaza isukari mu maraso yawe yiyongera mu rugero ruto nyuma yo kunywa isukari igasubira ku rwego rwo hasi mu masaha abiri.
Urugero rwawe rwiza rwa isukari iyo utararya rugomba kuba hagati ya 70 na 99 mg/dL. Urugero rugaragaza ko umubiri wawe ufata urugero rwa isukari mu maraso iyo utararya mu masaha menshi. Urugero muri uru rugero rutanga ubuzima bwiza bwo mu mubiri no gukora neza kwa insuline.
Nyuma yo kunywa umuti wa isukari, isukari mu maraso yawe igomba kugera ku rwego rwo hejuru hafi isaha imwe hanyuma ikagenda igabanuka buhoro buhoro. Urugero rw'amasaha abiri rugomba kuba munsi ya 140 mg/dL, hamwe n'abavuzi benshi bakunda kubona urugero ruri munsi ya 120 mg/dL kugira ubuzima bwiza.
Ariko, icyiza "cyane" gishobora gutandukana gato bitewe n'uko ubuzima bwawe bwifashe. Imyaka, gutwita, n'indwara zimwe na zimwe bishobora kugira uruhare mu byo muganga wawe afata nk'ibigomba kugerwaho kuri wowe. Umuganga wawe azasobanura ibisubizo byawe mu rwego rw'ubuzima bwawe muri rusange.
Ibintu byinshi bishobora kongera ibyago byo kugira ibisubizo bitari byiza bya test ya glucose. Kumva ibyo bintu byongera ibyago bishobora gufasha wowe n'umuganga wawe kumenya niba ikizamini gikwiye kandi n'ibisubizo byitezwe.
Imyaka ni kimwe mu bintu byongera ibyago cyane, aho ibyago bya diyabete byiyongera cyane nyuma y'imyaka 45. Uko ushaje, ubushobozi bw'umubiri wawe bwo gutunganya glucose bushobora kugabanuka mu buryo busanzwe, bigatuma ibisubizo bitari byiza bishoboka cyane.
Dore ibintu byongera ibyago by'ingenzi bishobora kugira ingaruka ku kwihanganira glucose:
Amoko amwe na yo afite ibyago byinshi, harimo Abanyamerika b'Abirabura, Abanyamerika b'Abahisipaniya, Abanyamerika kavukire, Abanyamerika b'Abashinwa, n'Abanyaburayi bo mu birwa bya Pasifika. Ibi byongera ibyago bisa nkaho bifitanye isano n'ibintu bya genetike bihurijweho n'imibereho n'ibidukikije.
Imiti imwe na yo ishobora kugira ingaruka ku kwihanganira glucose, harimo corticosteroids, imiti imwe na imwe yo kugabanya umuvuduko w'amaraso, n'imiti imwe na imwe ya psychiatrie. Niba ufata imwe muri iyi miti, ganira n'umuganga wawe uko byagira uruhare mu bisubizo byawe bya test.
Ibisubizo byo hasi byo gupima urugero rwa glucose muri rusange ni byiza, kuko byerekana ko umubiri wawe ukoresha glucose neza. Ariko, intego si ukugira imibare iri hasi cyane bishoboka, ahubwo ni ukugira ibisubizo biri mu rugero rusanzwe, rwiza.
Urugero rusanzwe rwa glucose rugaragaza ko urugingo rw'umwijima wawe rukora insulin ihagije kandi uturemangingo twawe tuyisubiza neza. Ibi bivuze ko umubiri wawe ushobora gukura neza glucose mu maraso yawe ukayijyana mu turemangingo twawe aho ikenewe ku ngufu.
Ibisubizo byo hejuru byo gupima urugero rwa glucose byerekana ko umubiri wawe uhanganye no gukoresha glucose neza. Ibi bishobora kuvuga ko urugingo rw'umwijima wawe rutakora insulin ihagije, uturemangingo twawe ntidusubiza insulin neza, cyangwa byombi. Ibi bisubizo byazamutse byongera ibyago byo kurwara diyabete n'ingaruka zayo.
Ibisubizo bya glucose biri hasi cyane mugihe cyo gupima ntibisanzwe ariko rimwe na rimwe birashobora kubaho. Niba isukari yo mu maraso yawe igabanuka cyane mugihe cyo gupima, birashobora kwerekana hypoglycemia ikora, aho isukari yo mu maraso yawe igabanuka cyane nyuma yo kurya. Iyi ndwara isaba uburyo butandukanye bwo kuyivura kurusha diyabete.
Ibisubizo byo hasi byo gupima urugero rwa glucose muri rusange ntibijyana n'ingaruka zikomeye, kuko muri rusange byerekana imikorere myiza ya glucose. Ariko, ibisubizo biri hasi cyane bishobora kwerekana hypoglycemia ikora, ishobora gutera ibimenyetso byayo.
Hypoglycemia ikora ibaho iyo isukari yo mu maraso yawe igabanuka cyane mumasaha make nyuma yo kurya. Ibi bishobora kubaho niba umubiri wawe ukora insulin nyinshi cyane mu gusubiza glucose, bigatuma isukari yo mu maraso yawe igabanuka munsi y'urugero rusanzwe.
Dore ibimenyetso bishobora guterwa n'ingaruka za hypoglycemia ikora:
Ibi bimenyetso mubisanzwe bikemuka vuba na vuba umaze kurya ikintu kirimo karubohidrate. Ariko, ibihe byinshi bishobora kubangamira imirimo ya buri munsi kandi bishobora kwerekana indwara yihishe ikeneye ubuvuzi.
Mu bihe bidasanzwe, urugero rwo hasi cyane rwa glucose mugihe cyo gupima rushobora gutanga ibindi bibazo byubuzima, nka insulinomas (ibibyimba bikora insulin) cyangwa indwara zimwe na zimwe zifitanye isano n'imisemburo. Izi ndwara zisaba isuzuma ryihariye ryubuvuzi n'imiti.
Ibisubizo byiza byo gupima glucose byerekana prediabetes cyangwa diyabete, byombi bishobora gutera ingaruka zikomeye zirambye niba bitavuzwe neza. Uko urugero rwawe rwa glucose ruri hejuru, niko ibyago byo guteza izi ngaruka uko igihe kigenda.
Ingaruka za diyabete zigaragara buhoro buhoro kandi zishobora kugira ingaruka kumurimo w'inzego nyinshi mumubiri wawe. Inkuru nziza nuko kugenzura neza isukari mumaraso bishobora gukumira cyangwa gutinda izi ngaruka nyinshi, niyo mpamvu kumenya kare binyuze mukugerageza kwihanganira glucose ari ngombwa cyane.
Hano hari ingaruka zishobora guterwa n'isukari nyinshi idagenzurwa:
Ibyago byo guhura n'izi ngorane byiyongera bitewe n'urugero rwo hejuru rwa glucose mu maraso ndetse n'igihe cyose glucose itagenzurwa neza. Ibi nibyo bituma ari ngombwa gufata ibisubizo bitari bisanzwe by'igeragezwa rya glucose mu maraso nk'aho bikomeye kandi ugakorana n'umuganga wawe kugira ngo utegure gahunda yo kubungabunga ubuzima neza.
N'ubwo ufite prediabetes, ufite ibyago byiyongereye byo kurwara indwara z'umutima na situroke. Ariko, impinduka mu mibereho yawe muri iki gihe akenshi zirinda ko indwara ya diyabete yo mu bwoko bwa 2 ikura kandi zigabanya ibyago byo guhura n'ingorane.
Ukwiriye kubona umuganga kugira ngo muganire ku bisubizo by'igeragezwa rya glucose mu maraso bitewe n'uko byagenze kose. Umuganga wawe akeneye gusobanura ibisubizo mu rwego rw'ubuzima bwawe muri rusange, ibimenyetso, n'ibintu byongera ibyago.
Niba ibisubizo byawe ari ibisanzwe, ntushobora gukenera gukora irindi geragezwa ryihuse, ariko umuganga wawe ashobora kugusaba kongera gukora iryo geragezwa nyuma y'umwaka umwe cyangwa itatu bitewe n'ibintu byongera ibyago. Kugenzura buri gihe ni ingenzi kuko urugero rwa glucose rushobora guhinduka uko igihe kigenda.
Ukwiriye guteganya gahunda yo kubonana n'umuganga vuba na bwangu niba ibisubizo byawe bigaragaza prediabetes cyangwa diyabete. Dore igihe cyo gushaka ubufasha bw'abaganga:
Ntukitinde gushaka ubuvuzi niba ufite ibimenyetso bifitanye isano na diyabete, n'ubwo ibisubizo byawe by'igeragezwa bitaraza. Ibimenyetso nk'inyota ikabije, kunyara kenshi, guhumirwa, cyangwa ibikomere bikira bigenda gahoro bikeneye ubuvuzi bwihuse.
Muganga wawe azagufasha gusobanukirwa icyo ibisubizo byawe bisobanuye kandi agutegurire gahunda yo kwita ku buzima bwawe mu gihe kizaza. Ibi bishobora kuba birimo inama ku bijyanye n'imibereho, imiti, cyangwa kohereza kwa muganga w'inzobere nka endocrinologists cyangwa abigisha indwara ya diyabete.
Yego, igeragezwa ryo kwihanganira isukari ni igikoresho cyiza cyane mu gusuzuma diyabete na prediabetes. Rifatwa nk'imwe mu igeragezwa ryiza kuko ryerekana uburyo umubiri wawe ukoresha isukari uko igihe kigenda gihita, aho gutanga ishusho gusa nk'igeragezwa ryo gupima isukari mu maraso igihe umuntu yiyirije.
Iri geragezwa rifitiye akamaro kanini iyo izindi ngeragezo zitanga ibisubizo bidasobanutse cyangwa iyo ufite ibimenyetso bivuga ibibazo by'isukari mu maraso ariko urugero rusanzwe rw'isukari mu maraso igihe wiyirije. Rishobora gufata diyabete ishobora kurenganwa n'ibizamini byoroshye, cyane cyane mu ntangiriro.
Ibisubizo byinshi byo kwihanganira isukari ntibitera diyabete, ahubwo byerekana ko diyabete cyangwa prediabetes isanzwe ihari. Ibisubizo by'igeragezwa ni urugero rw'uburyo umubiri wawe ukoresha isukari ubu, ntabwo ari intandaro y'icyo kibazo.
Bitekereze nk'urugero rw'urugero rwa thermometer mugihe cy'umuriro - urugero rwo hejuru ntirutera indwara, ariko rugaragaza ko hari ikitagenda neza kigomba kwitabwaho. Mu buryo nk'ubwo, ibisubizo bidasanzwe byo kwihanganira isukari bigaragaza ko sisitemu y'umubiri wawe ikoresha isukari ikeneye ubuvuzi.
Yego, urashobora gusubira mu ngeso zawe zisanzwe zo kurya ako kanya urangije igeragezwa ryo kwihanganira isukari. Mubyukuri, abantu benshi bumva bafite inzara nyuma yo kwiyiriza no gukora igeragezwa, bityo kurya ifunguro riringaniye ni igitekerezo cyiza.
Abantu bamwe barumva bananiwe gato cyangwa bagira isesemi ntoya nyuma yo gupimwa, cyane cyane biturutse ku kinyobwa cya glucose gisharira. Kurya ifunguro risanzwe ririmo poroteyine na karubohidrate zikomeye birashobora kugufasha kumva umeze neza no kugabanya isukari mu maraso yawe mu buryo busanzwe.
Uburyo bwo gusubiramo isuzuma rya glucose tolerance biterwa n'ibisubizo byawe n'ibintu bigushyira mu kaga. Niba ibisubizo byawe ari ibisanzwe kandi nta bintu bigushyira mu kaga ufite, muganga wawe ashobora kugusaba gusubiramo iri suzuma buri myaka itatu nyuma y'imyaka 45.
Niba ufite prediabetes, mubisanzwe uzakenera gupimwa buri mwaka kugirango ukurikirane uko ubuzima bwawe buhagaze. Abantu barwaye diyabete mubisanzwe ntibakeneye gusubiramo isuzuma rya glucose tolerance, kuko izindi nzira zo gukurikirana nka hemoglobin A1C zikoreshwa cyane mugihe cyo kwita ku buzima burambye.
Yego, umunaniro wo mu mutwe cyangwa uwo mu mubiri birashobora kugira ingaruka ku bisubizo byawe bya glucose tolerance binyuze mu kuzamura urugero rw'isukari mu maraso yawe. Imisemburo itera umunaniro nka cortisol ishobora kubangamira imikorere ya insuline na metabolism ya glucose.
Niba wumva urimo guhangayika cyane ku munsi wo gupimwa, bimenyeshe umuganga wawe. Bashobora kugusaba gusubika gupimwa niba umunaniro ukabije, cyangwa bazasobanura ibisubizo byawe bazi ko umunaniro ushobora kuba waragize uruhare mu gusoma kwose kwazamutse.
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