Chii chinonzi Glucose Challenge Test? Chinangwa, Miviri/Maitiro & Mhedzisiro

The glucose challenge test chishandiso chekuongorora chinotarisa kuti muviri wako unobatisa sei shuga, kunyanya panguva yekuzvitakura. Iri bvunzo yeropa iri nyore inobatsira vanachiremba kuona gestational diabetes, mamiriro apo mazinga eshuga yeropa anokwira panguva yekuzvitakura.

Funga nezvazvo senzira yekuti timu yako yehutano itarise mukati uye iongorore kuti muviri wako uri kubata sei glucose. Bvunzo iyi inowanzoitwa, yakachengeteka, uye inopa ruzivo rwakakosha nezvehutano hwako uye hutano hwemwana wako.

Chii chinonzi glucose challenge test?

The glucose challenge test inoyera kuti shuga yako yeropa inopindura sei mushure mekunwa mhinduro inotapira ye glucose. Uchanwa chinwiwa chakakosha chine shuga, wobva watorerwa ropa chaiyo awa rimwe gare gare kuti uongorore mazinga ako e glucose.

Bvunzo iyi inonziwo glucose screening test kana one-hour glucose test. Yakagadzirirwa kubata matambudziko angangovapo kare, apo anonyanya kurapika. Bvunzo iyi yakakosha kunyanya panguva yekuzvitakura nekuti shanduko dzehomoni dzinogona kukanganisa maitiro emuviri wako ekugadzirisa shuga.

Vazhinji vanopa hutano vanokurudzira bvunzo iyi pakati pevhiki re 24 ne 28 rekuzvitakura. Zvisinei, kana uine njodzi ye gestational diabetes, chiremba wako angakurudzira kuongorora kare mukuzvitakura kwako.

Nei glucose challenge test ichiitwa?

Chinangwa chikuru ndechekuongorora gestational diabetes, mamiriro anokanganisa anenge 6-9% yekuzvitakura. Gestational diabetes inoonekwa apo mahomoni ekuzvitakura anoita kuti zvinyanye kuomera muviri wako kushandisa insulin zvinobudirira, zvichikonzera mazinga eshuga yeropa akakwira.

Kuona kare kwakakosha nekuti gestational diabetes isina kurapwa inogona kukanganisa iwe nemwana wako. Kwauri, inowedzera njodzi yeropa rakakwira, preeclampsia, uye kukudziridza type 2 diabetes gare gare muhupenyu.

Kumwana wako, shuga yeropa isingadzoreki inogona kukonzera kukura kwakanyanya, matambudziko ekufema pakuzvarwa, uye shuga yakaderera yeropa mushure mekubereka. Mashoko akanaka ndewekuti nekutarisirwa kwakakodzera, vakadzi vazhinji vane gestational diabetes vane pamuviri une hutano uye vana vane hutano.

Kupfuura pamuviri, bvunzo iyi inogonawo kubatsira kuziva prediabetes kana type 2 diabetes muvanhu vasina pamuviri. Chiremba wako angakurudzira kana uine zviratidzo zvakaita sekuoma muromo kwakanyanya, kuita weti kakawanda, kana kuneta kusingatsananguriki.

Ndeipi nzira yekuyedzwa kwekuyedzwa kweglucose?

Bvunzo inotanga nekunwa mhinduro yeglucose ine chaiyo 50 gramu yeshuga. Chinwiwa ichi chinowanzoita orenji kana lemon-flavored uye chinonaka zvakanyanya, zvakafanana nechinhu chinotapira chinotapira.

Unofanira kupedza chinwiwa chose mukati memaminitsi mashanu. Mushure mekunwa, uchamirira chaiyo awa imwe usati watorwa ropa rako. Munguva iyi yekumirira, zvakakosha kuti ugare mukiriniki kana padyo, sezvo nguva yakakosha kuti uwane mhedzisiro chaiyo.

Kutora ropa pachako kunokurumidza uye kwakananga. Nyanzvi yehutano ichaisa tsono diki mutsinga muruoko rwako kuti iunganidze sampuli yeropa. Maitiro ese, kubva pakunwa mhinduro kusvika pakutorwa ropa rako, anotora anenge awa imwe nemaminitsi gumi nemashanu.

Vamwe vakadzi vanonzwa vachinetseka zvishoma mushure mekunwa mhinduro yeglucose, kunyanya kana vakatove vaine kusvotwa kwakabatana nepamuviri. Kunzwa uku kunowanzoenda mukati memaminitsi makumi matatu uye kwakajairika zvachose.

Maitiro ekugadzirira bvunzo yako yekuyedzwa kweglucose?

Imwe yezvinhu zvakanakira bvunzo iyi ndeyekuti haufanirwe kutsanya pamberi. Unogona kudya nekunwa zvakajairika usati wasangana, izvo zvinoita kuti kuronga kuve nyore.

Zvisinei, zvakachenjera kudzivisa kudya chikafu chikuru kana kunwa shuga yakawandisa usati waita bvunzo. Kudya kwemangwanani kana masikati kwakajairika kwakanaka zvakakwana, asi kusvetuka donut inotapira yekuwedzera inogona kukubatsira kuti unzwe wakasununguka.

Ronga kugara kukiriniki kwenguva inenge awa rimwe chete nehafu. Uya nechinhu chekuti ugare wakabatikana panguva yekumirira, sekabhuku, magazini, kana foni yako. Vamwe vakadzi vanowana zvichibatsira kuuya nechikafu chidiki chekudya mushure mebvunzo, kunyanya kana vachinzwa kusvotwa zvishoma.

Pfeka mbatya dzakasununguka dzine maoko anogona kupetwa nyore nyore kuti ropa ripiwe. Kana uchikurumidza kunzwa kupera simba panguva yekupiwa ropa, zivisa mupi wako wehutano zvisati zvaitika kuti vakwanise kutora matanho ekuwedzera.

Maitiro ekuverenga bvunzo yako yekukwira kweshuga?

Mhedzisiro yakajairika inowanzokwira pasi pe140 mg/dL (7.8 mmol/L) awa rimwe chete mushure mekunwa mhinduro yeshuga. Kana mhedzisiro yako iri muchikamu ichi, wakapasa bvunzo uye unogona kunge usina chirwere cheshuga chekuzvitakura.

Mhedzisiro iri pakati pe140-199 mg/dL (7.8-11.0 mmol/L) inotorwa seyakakwira uye inowanzoita kuti uongororwe zvakare. Izvi hazvireve kuti une chirwere cheshuga chekuzvitakura, asi zvinoratidza kudiwa kwekuongororwa kwakadzama kwemaawa matatu ekushivirira shuga.

Mhedzisiro ye200 mg/dL (11.1 mmol/L) kana kupfuura inotorwa seyakakwira zvakanyanya. Muzviitiko izvi, chiremba wako anogona kuongorora chirwere cheshuga chekuzvitakura pasina kudiwa kwekuongororwa kwakawedzerwa, kunyangwe vachigona kukurudzira bvunzo yemaawa matatu kuti vasimbise.

Zvakakosha kuyeuka kuti iyi ibvunzo yekutarisa, kwete bvunzo yekuongorora. Mhedzisiro isina kujairika haireve otomatiki kuti une chirwere cheshuga chekuzvitakura, asi zvinoreva kuti unoda kuongororwa zvakare kuti uve nechokwadi.

Maitiro ekugadzirisa chiyero chako chebvunzo yekukwira kweshuga?

Kana mhedzisiro yako yebvunzo yekukwira kweshuga yakakwira, kutarisa kunochinjira pakugadzirisa mazinga eshuga yeropa panzvimbo pe

Kuchinja kudya ndiko kunotanga kurapwa. Izvi zvinoreva kudya zvokudya zvenguva dzose, zvakaenzana zvinosanganisira mapurotini akatetepa, makabhohaidhireti akaoma, uye miriwo yakawanda. Kushanda nemunhu akanyoreswa wezvekudya kunogona kukubatsira kugadzira chirongwa chezvokudya chinochengeta shuga yeropa rako yakagadzikana uchipa chikafu chakakodzera iwe nemwana wako.

Kurovedza muviri nguva dzose, zvine mwero kunogona kubatsira muviri wako kushandisa insulin zvakanyanya. Kunyange kufamba kwemaminitsi makumi maviri kana makumi matatu mushure mezvokudya kunogona kuita musiyano unokosha mumazinga eshuga yeropa rako. Kushambira, yoga yemwana asati aberekwa, uye kutenderera kwemuchina ndizvo zvimwe zvisarudzo zvakanaka panguva yekuzvitakura.

Kutarisa shuga yeropa kunova chikamu chakakosha chetsika yako yezuva nezuva. Iwe ungangotarisa mazinga ako kana kana pazuva: chinhu chekutanga mangwanani uye awa rimwe kana maviri mushure mezvokudya zvega zvega. Izvi zvinokubatsira iwe nechikwata chako chehutano kunzwisisa kuti zvokudya zvakasiyana uye zviitiko zvinokanganisa sei shuga yako yeropa.

Mune zvimwe zviitiko, kuchinja mararamiro ega hakukwani kuchengetedza mazinga eshuga yeropa ane hutano. Kana kuchinja kudya uye kurovedza muviri zvisingauyi mazinga ako muchiyero chinangwa, chiremba wako angakurudzira majekiseni e insulin. Insulin yemazuva ano yakachengeteka panguva yekuzvitakura uye haipfuuri placenta kuti ikanganise mwana wako.

Ndeipi nhanho yakanakisa yekuyedzwa kweglucose?

Mhedzisiro yakanaka ndeye shuga yeropa iri pasi pe140 mg/dL (7.8 mmol/L) awa rimwe mushure mekunwa mhinduro yeglucose. Izvi zvinoratidza kuti muviri wako uri kugadzirisa shuga zvakajairika uye nemazvo.

Zvisinei,

Kune vakadzi vane pamuviri, mazinga eshuga yeropa akasiyana zvishoma pane evanhu vasina pamuviri. Chiremba wako achashandisa mazinga akakodzera pamuviri kuti adudzire mhedzisiro yako uye aone kana kumwe kuyedzwa kana kurapwa kuchidikanwa.

Rangarira kuti mhedzisiro imwe chete yekuyedzwa haitsananguri hutano hwako hwese. Kana uine mhedzisiro isina kujairika, chiratidzo chekuti unoda kumwe kutariswa uye pamwe kuchinja mararamiro kuti iwe nemwana wako muve neutano.

Ndezvipi zvinhu zvinokonzera njodzi yekuyedzwa kweshuga kwakanyanya?

Zvimwe zvinhu zvinogona kuwedzera mukana wako wekuva nemazinga eshuga yeropa akakwira panguva yekuzvitakura. Kunzwisisa izvi zvinhu zvinokonzera njodzi kunobatsira iwe nechikwata chako chehutano kuti murambe makangwarira uye mutore matanho ekudzivirira pazvinogoneka.

Heano zvinhu zvinowanzoitika zvinokonzera njodzi zvekuziva nezvazvo:

• Nhoroondo yapfuura ye gestational diabetes mukuzvitakura kwakamboitika
• Nhoroondo yemhuri ye type 2 diabetes, kunyanya kuvabereki kana hama
• Kuva uremu hwakawandisa kana kuva mafuta akawandisa usati wava nepamuviri
• Zera rinopfuura makore makumi maviri nemashanu, njodzi ichiwedzera nezera
• Mamwe madzinza, kusanganisira Hispanic, African American, Native American, kana Asian descent
• Kuburitswa kwemwana akarema kupfuura mapaundi mapfumbamwe
• Polycystic ovary syndrome (PCOS)
• Kurasikirwa kwepamuviri kusingatsanangurwi kana kuberekwa kwemwana akafa kare
• High blood pressure kana chirwere chemoyo
• Prediabetes kana insulin resistance usati wava nepamuviri

Kuva nechinhu chimwe chete kana zvimwe zvinokonzera njodzi hakuvimbisi kuti uchaita gestational diabetes, asi zvinoreva kuti chiremba wako achakutarisisa zvakanyanya. Kutarisirwa kwepamuviri kwekutanga uye nguva dzose kunobatsira kubata chero nyaya dzisati dzava matambudziko akakomba.

Zviri nani kuva nemhedzisiro yepamusoro kana yakaderera yeshuga yekuyedzwa?

Mhedzisiro dzisina kukwirisa zvakanyanya kana dzakaderera zvakanyanya hadzina kunaka. Chinangwa ndechekuita kuti shuga yako yeropa iwire mukati mehuwandu hwakajairika, izvo zvinoratidza hutano hwe glucose metabolism.

Mhedzisiro yakajairika iri pasi pe140 mg/dL ndiyo yaunoda kuona. Izvi zvinoratidza kuti muviri wako uri kushanda zvakanaka glucose challenge uye kuchengetedza mazinga akagadzikana eshuga yeropa. Izvi zvinonyaradza iwe nevechikwata chako chehutano.

Mhedzisiro yepamusoro iri pamusoro pe140 mg/dL inoratidza kuti muviri wako ungave uchinetseka kubata glucose load, zvichigona kuratidza gestational diabetes. Kunyange izvi zvichida kutariswa nekutariswa, zvakakosha kuziva kuti nekutarisirwa kwakakodzera, vakadzi vazhinji vane gestational diabetes vane pamuviri une hutano.

Mhedzisiro yakaderera kwazvo, kunyange isingawanzoitiki, dzimwe nguva inogona kuratidza dzimwe nyaya dzakadai se hypoglycemia kana mamiriro akati wandei emetabolic. Mupi wako wehutano achatarisa chero mhedzisiro isina kujairika maererano nehutano hwako hwese uye zviratidzo.

Ndezvipi zvinhu zvinogona kukonzerwa nehigh glucose challenge test?

High glucose challenge test results inoratidza gestational diabetes inogona kukonzera matambudziko akati wandei kana akasiyiwa asina kurapwa. Zvisinei, nekutarisirwa kwakakodzera, matambudziko mazhinji aya anogona kudzivirirwa kana kuderedzwa zvakanyanya.

Kwauri semukadzi, matambudziko anogona kusanganisira:

• High blood pressure uye preeclampsia
• Kuwedzera njodzi yekuzvara cesarean
• Mukana wepamusoro wekuvandudza type 2 diabetes gare gare muhupenyu
• Polyhydramnios (mvura yakawandisa yeamniotic)
• Preterm labor uye kubereka
• Recurring gestational diabetes mune ramangwana pamuviri

Kwemwana wako, uncontrolled gestational diabetes inogona kukonzera:

• Macrosomia (kurema kwakanyanya pakuzvarwa, kazhinji kunodarika mapaundi 9)
• Kukuvara pakuzvarwa nekuda kwehukuru hwakakura panguva yekuzvara
• Kutambudzika kufema pakuzvarwa
• Shuga yakaderera yeropa (hypoglycemia) mushure mekuberekwa
• Kuwedzera njodzi yekufutisa uye chirwere cheshuga type 2 gare gare muhupenyu
• Jaundice (kuita yero kweganda nemaziso)

Nhau dzinokurudzira ndedzekuti nekutarisa kwakakodzera uye kurapwa, matambudziko aya anogona kudzivirirwa zvakanyanya. Vakadzi vazhinji vane gestational diabetes inotarisirwa zvakanaka vanoenda mberi vane nhumbu dzine hutano uye vana vane hutano.

Ndezvipi zvingaitika zvekuongorora kwe glucose challenge test?

Mhedzisiro ye glucose challenge test yakaderera haisi yakajairika uye kazhinji haina kunetsa kupfuura mhedzisiro yepamusoro. Zvisinei, mazinga eshuga yeropa akaderera zvakanyanya dzimwe nguva anogona kuratidza nyaya dzehutano dzinoda kutariswa.

Zvinogona kukonzera mhedzisiro yakaderera zvisina kujairika zvinosanganisira:

• Reactive hypoglycemia, uko shuga yeropa inodonha zvakanyanya mushure mekudya
• Mishonga yakati wandei inokanganisa shuga yeropa
• Hormonal disorders inokanganisa metabolism
• Matambudziko echiropa kana itsvo
• Kurwara kwemangwanani kwakanyanya kunokanganisa chikafu
• Tumors inoburitsa insulin (isingawanzoitika zvakanyanya)

Zviratidzo zve shuga yakaderera yeropa panguva kana mushure mekuongorora zvinogona kusanganisira dzungu, kutetereka, kutukutira, kuvhiringidzika, kana kunzwa kufenda. Kana iwe ukasangana nezviratidzo izvi, zivisa mupi wako wehutano nekukasira.

Muzviitiko zvakawanda zvemigumisiro yakaderera hazviratidzi matambudziko akakomba uye zvinogona kungoratidza misiyano yemunhu mumetabolism. Mupi wako wehutano achaongorora mhedzisiro yako pamwe chete nezviratidzo zvako uye nhoroondo yako yekurapa kuti aone kana chero kutevera kunodiwa.

Ndingashanyira chiremba rini kuti ndiongororwe glucose challenge test?

Unofanira kutaurirana nachiremba wako nekukasira kana ukaona zviratidzo zvakanyanya panguva kana mushure mebvunzo. Izvi zvinosanganisira kusvotwa nekutsvuka zvisingapere, dzungu rakanyanya, kufenda, kana chero zviratidzo zvinokunetsa.

Kana mhedzisiro yebvunzo yako isina kujairika, chiremba wako anowanzo kutaurirana newe mukati memazuva mashoma kuti akurukure matanho anotevera. Usamirira kuti vakufonere kana uchinetseka nezvemhedzisiro yako - zvakakodzera kufona uye kubvunza nezvemhedzisiro yako uye zvinoreva.

Ronga kugadzwa kwekutevera kana wakaongororwa uine chirwere cheshuga chegestational. Iri harisi chinhu chekuzvitarisira wega - unozoda kuongororwa nguva dzose uye pamwe kugadzirisa kurapwa kwako panguva yekuzvitakura kwako.

Tsvaga rubatsiro rwekurapa nekukasira kana ukaona zviratidzo zve shuga yeropa yakanyanya, senge nyota yakanyanya, kuenda chimbuzi kakawanda, kuona kwakajeka, kana kuneta kusingapere. Zviratidzo izvi, kunyanya kana zvakanyanya kana kuwedzera, zvinoda kuongororwa kwekurapa nekukurumidza.

Rangarira kuti gestational diabetes chirwere chinogoneka nekuchengetwa kwekurapa kwakakodzera. Chikwata chako chehutano chiripo kuti chikutsigire kuburikidza neiyi nzira uye kuona mhedzisiro yakanakisa kwauri nemwana wako.

Mibvunzo inowanzo bvunzwa nezve bvunzo yekugona glucose

Q.1 Ko bvunzo yekugona glucose yakarurama here ye gestational diabetes?

Bvunzo yekugona glucose chishandiso chakavimbika chekuongorora chinonyatsoziva vanenge 80% yevakadzi vane gestational diabetes. Yakagadzirirwa kubata mazhinji emakesi uku ichidzivirira bvunzo dzekutevera dzisina kufanira kuvakadzi vasina chirwere.

Zvisinei, zvakakosha kunzwisisa kuti iyi ibvunzo yekutarisa, kwete bvunzo yekuziva. Kana mhedzisiro yako isina kujairika, unozoda bvunzo dzakawedzerwa kuti usimbise kana iwe chaizvo uine gestational diabetes. Bvunzo yemaawa matatu yekushivirira glucose ndiyo yegoridhe chiyero chekuongorora.

Q.2 Ko bvunzo yepamusoro yekugona glucose inogara ichireva gestational diabetes here?

Aihwa, mhedzisiro yepamusoro yebvunzo yekuyera glucose hairevi kuti une chirwere cheshuga chekuzvitakura. Vanenge 15-20% yevakadzi vane pamuviri vachava nemhedzisiro yebvunzo isina kujairika, asi vanenge 3-5% chete ndivo vane chirwere cheshuga chekuzvitakura.

Zvizhinji zvezvinhu zvinogona kukonzera mhedzisiro yakakwira kwenguva pfupi, kusanganisira kushushikana, kurwara, mishonga yakati wandei, kana kunyange zvawadya usati waita bvunzo. Ichi ndicho chikonzero nei mamwe ma bvunzo achiwanzoitwa kuti vasimbise kuongororwa.

Q.3 Ndingadzokorora bvunzo yekuyera glucose kana ndikatadza?

Kazhinji, hauzodzokorori bvunzo imwechete yekuyera glucose. Panzvimbo pezvo, chiremba wako achakurudzira bvunzo yakadzama yeawa nhatu yekushivirira glucose kuti uwane kuongororwa kwakajeka.

Bvunzo yeawa nhatu inosanganisira kutsanya husiku hwese, wobva wamwa mhinduro ye glucose uye ropa richitorwa kakawanda kwemaawa matatu. Bvunzo iyi inopa mufananidzo wakakwana wekuti muviri wako unobata sei glucose uye inopa mhinduro yakajeka nezve chirwere cheshuga chekuzvitakura.

Q.4 Zvichaitika sei kana ndisingakwanise kuchengeta chinwiwa che glucose pasi?

Kana ukarutsa mukati meawa imwe chete yekunwa mhinduro ye glucose, uchafanirwa kuronga zvakare uye kudzokorora bvunzo. Nguva yakakosha kuti uwane mhedzisiro yakarurama, saka kana usingakwanise kuchengeta chinwiwa pasi, bvunzo haizove yechokwadi.

Zivisa chiremba wako kana uri kusangana nekurwara kwemangwanani kwakanyanya. Vanogona kukwanisa kuronga bvunzo yako panguva yezuva yaunowanzoita zviri nani, kana vanogona kukurudzira mushonga wekurwisa kusvotwa usati waita bvunzo.

Q.5 Kune dzimwe nzira dzimwe dzinoshandiswa panzvimbo pebvunzo yekuyera glucose here?

Hongu, kune nzira dzimwe dzinoshandiswa, kunyangwe dzisingawanzo shandiswa. Vamwe vanachiremba vanogona kushandisa bvunzo yehemoglobin A1C, iyo inoyera avhareji yeshuga yeropa mumwedzi miviri mitatu yapfuura, kana bvunzo yeshuga yeropa.

Imwe nzira ndeyekuongorora shuga yeropa rako kumba kwevhiki, uchiongorora mazinga paunomuka uye mushure mekudya. Zvisinei, bvunzo yekuyera glucose inoramba iri nzira yakajairika yekutarisa nekuti yakavimbika, yakajairwa, uye inowanikwa zvakanyanya.