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Muedzo weglucose tolerance unoyera kuti muviri wako unogadzirisa sei shuga nekufamba kwenguva. Iwo muedzo weropa uri nyore unobatsira vanachiremba kunzwisisa kana muviri wako uchikwanisa kubata glucose zvakanaka, izvo zvakakosha pakuongorora mamiriro akaita sediabetes uye prediabetes.
Funga nezvazvo semuedzo wekumanikidza wehurongwa hwemuviri wako hwekugadzirisa shuga. Munguva yemuedzo, uchanwa mhinduro inotapira, uye ipapo ropa rako richaongororwa panguva dzakatarwa kuti uone kuti mazinga ako eglucose anokwira sei uye anodonha. Izvi zvinopa mupi wako wehutano mufananidzo wakajeka wehutano hwako hwemetabolic.
Muedzo weglucose tolerance (GTT) imuedzo wekurapa unoyera kugona kwemuviri wako kugadzirisa glucose, iyo ndiyo mhando huru yeshuga muropa rako. Muedzo uyu unoratidza kuti mazinga eshuga yeropa rako anochinja sei nekufamba kwenguva mushure mekunge watora huwandu hweglucose.
Kune mhando mbiri huru dzemiedzo ye glucose tolerance. Muedzo weglucose tolerance wemuromo (OGTT) ndiyo inowanzoitika, kwaunonwa mhinduro yeglucose uye ropa rako rinoedzwa kakawanda. Muedzo weintravenous glucose tolerance (IVGTT) unosanganisira glucose ichijowa zvakananga mutsinga yako, asi izvi hazviwanzo shandiswa nhasi.
Munguva yeOGTT yakajairika, iwe unowanzoita kuti ropa ridhonzerwe usati watora mhinduro yeglucose (fasting level), wobva wazve paawa imwe, maawa maviri, uye dzimwe nguva maawa matatu mushure. Iyi pateni inobatsira vanachiremba kuona chaizvo kuti muviri wako unopindura sei kune shuga.
Vanachiremba vanoraira miedzo ye glucose tolerance kunyanya kuongorora chirwere cheshuga uye prediabetes kana mimwe miedzo isingagumisi. Muedzo uyu unobatsira zvakanyanya kana mazinga eshuga yeropa rako ari pamuganho kana kana uine zviratidzo zvinoratidza matambudziko eshuga yeropa.
Vakadzi vane mimba vanowanzoitwa bvunzo yeglucose tolerance pakati pevhiki rechi24 nechi28 kuti vaone kana vaine gestational diabetes. Mamiriro aya anogona kukura panguva yekuzvitakura uye anokanganisa maitiro emuviri wako ekugadzirisa shuga, zvichikanganisa iwe nehutano hwemwana wako.
Chiremba wako anogonawo kukurudzira bvunzo iyi kana uine njodzi dzekuva nechirwere cheshuga. Izvi zvinosanganisira kuva uremu hwakanyanya, kuva nenhoroondo yemhuri yechirwere cheshuga, kuva nemakore anopfuura 45, kana kuva neropa rakakwira. Bvunzo iyi inogona kubata matambudziko nekukurumidza, kunyange zvisati zvaitika zviratidzo zvinooneka.
Dzimwe nguva, bvunzo iyi inobatsira kutarisa kuti kurapwa kwechirwere cheshuga kuri kushanda sei. Kana wakatoongororwa uine chirwere cheshuga kana prediabetes, mupi wako wehutano anogona kushandisa periodic glucose tolerance tests kuti atevere kufambira mberi kwako uye agadzirise chirongwa chako chekurapa.
Nzira yebvunzo yeglucose tolerance yakatwasuka asi inoda nguva nekugadzirira. Uchatanga nekuita kuti ropa diki ribviswe kubva muruoko rwako kuti uyerere glucose yako yekutsanya, iyo inoshanda seyakavakirwa yako.
Zvadaro, uchanwa mhinduro yeglucose inonaka zvakanyanya, yakafanana nechinwiwa chinyoro chine shuga yakawanda. Mhinduro yakajairika ine 75 magiramu eglucose yevakuru, kunyangwe vakadzi vane mimba vachigona kugamuchira huwandu hwakasiyana. Uchada kupedza chinwiwa chose mukati memaminitsi mashanu.
Mushure mekunwa mhinduro, uchamirira munzvimbo yekuyedza apo muviri wako unogadzirisa glucose. Zvinotevera zvinotevera panguva yekumirira:
Kuburitswa kweropa rega rega kunotora maminitsi mashoma, uye bvunzo yese inowanzoita maawa matatu. Vanhu vazhinji vanowana nguva yekumirira ndiyo chikamu chinonetsa zvakanyanya, saka funga kuunza bhuku kana chimwe chinhu chakanyarara kuti uzvichengete wakabatikana.
Kugadzirira kwakakodzera kwakakosha kuti uwane mhedzisiro chaiyo yebvunzo yekushivirira glucose. Unozofanira kutsanya kwemaawa angangoita 8 kusvika ku12 usati waita bvunzo, izvo zvinoreva kuti hapana chikafu, zvinwiwa (kunze kwemvura), kana chero chinhu chine macalorie panguva ino.
Kudya kwako mumazuva anotungamira kubvunzo kunogona kukanganisa mhedzisiro yako. Kwemazuva matatu usati waita bvunzo yako, idya zvakajairika uye usaedze kudzikamisa makabhohaidhireti kana kuchinja maitiro ako ekudya. Muviri wako unofanirwa kunge uri mumamiriro awo akajairika kuti bvunzo ive inoreva.
Heano matanho makuru ekugadzirira ekutevera:
Zivisa mupi wako wehutano nezvemishonga ipi neipi yauri kutora, sezvo imwe inogona kukanganisa mazinga eshuga yeropa. Vachakupa zano rekuti uenderere mberi kana kumisa zvishoma mishonga ipi neipi usati waita bvunzo.
Kunzwisisa mhedzisiro yako yebvunzo yekushivirira glucose kunosanganisira kutarisa mazinga eshuga yeropa panguva dzakasiyana. Mhedzisiro yakajairika inoratidza kuti shuga yako yeropa inokwira mushure mekunwa mhinduro ye glucose asi inodzoka kumazinga ane hutano mukati memaawa maviri.
Kuti uwane bvunzo yakajairika yekushivirira glucose, heano akajairika mazinga emhedzisiro:
Prediabetes inowanikwa kana mhedzisiro yako yemaawa maviri iri pakati pe 140 ne 199 mg/dL. Izvi zvinoreva kuti muviri wako uri kutambura zvishoma kugadzirisa glucose, asi hauna chirwere cheshuga. Ichi chiratidzo chenyevero chinokupa nguva yekuchinja mararamiro ako.
Chirwere cheshuga chinowanikwa kana mhedzisiro yako yemaawa maviri iri 200 mg/dL kana kupfuura, kana kana chikamu chako chekutsanya chiri 126 mg/dL kana kupfuura. Nhamba idzi dzinoratidza kuti muviri wako haugadzirise glucose zvakanaka, uye uchada kutarisirwa kwekurapa nguva dzose.
Kune vakadzi vane pamuviri, miganho yakasiyana zvishoma. Gestational diabetes inowanikwa kana chero chimwe chezvikamu izvi chikapfuurwa: chikamu chekutsanya che 92 mg/dL, chikamu cheawa rimwe che 180 mg/dL, kana chikamu chemaawa maviri che 153 mg/dL.
Kana mhedzisiro yako ye glucose tolerance test isina kujairika, nhau dzakanaka ndedzekuti unogona kazhinji kuvagadzirisa kuburikidza nekuchinja mararamiro uye, kana zvichidikanwa, kurapwa kwekurapa. Nzira yacho inoenderana nekuti une prediabetes kana chirwere cheshuga.
Kune prediabetes, shanduko dzemararamiro dzinogona kazhinji kudzivirira kana kunonotsa kukura kwechirwere cheshuga che 2. Kurasikirwa nehuremu hwe 5 kusvika ku 7 muzana chete yehuremu hwemuviri wako kunogona kuita mutsauko wakakura. Izvi zvinogona kureva kurasikirwa nemapaundi gumi kusvika gumi nemashanu kana uremu hwako huri mapaundi mazana maviri.
Heano nzira dzinoshanda zvikuru dzekuvandudza glucose yako tolerance:
Kana uine chirwere cheshuga, ungangoda mushonga pamwe chete nekuchinja mararamiro. Chiremba wako anogona kunyora metformin kana mamwe mishonga yechirwere cheshuga kuti ibatsire muviri wako kushandisa glucose zvakanyanya. Kuongorora nguva dzose uye kugadzwa kwekuenderera mberi kuchave kwakakosha.
Kushanda nemunyori wezvekudya akanyoreswa kunogona kubatsira zvikuru kune ese ari maviri prediabetes uye chirwere cheshuga. Vanogona kugadzira chirongwa chekudya chakagadzirirwa iwe pachako chinobatsira kugadzirisa shuga yeropa yako uchiri kunakidza uye kuenderera mberi.
Mazinga akanakisa eglucose tolerance test ndiyo anowira mukati meyakajairika, zvichiratidza kuti muviri wako unogadzirisa glucose zvakanaka. Mhedzisiro yakanaka inoratidza shuga yeropa yako ichikwira zvine mwero mushure mekunwa glucose uye kudzokera kumazinga ekutanga mukati memaawa maviri.
Yako yakanakisa yekutsanya glucose level inofanirwa kunge iri pakati pe70 ne99 mg/dL. Iyi renji inoratidza kuti muviri wako unochengetedza mazinga e shuga yeropa akagadzikana kana usina kudya kwemaawa akati wandei. Mazinga ari murenji iyi anoratidza hutano hwakanaka hwemetabolic uye basa rakakodzera re insulin.
Mushure mekunwa mhinduro yeglucose, shuga yeropa yako inofanirwa kusvika pakakwirira kwenguva inenge awa imwe uye wobva waderera zvishoma nezvishoma. Iyo maawa maviri level inofanirwa kunge iri pasi pe140 mg/dL, nevakawanda vanopa hutano vachisarudza kuona mazinga ari pasi pe120 mg/dL yehutano hwakanaka.
Asi, zvakanaka zvingasiyana zvishoma zvichienderana nemamiriro ako. Zera, pamuviri, uye mamwe mamiriro ezvinhu ekurapa zvinogona kukanganisa zvinangwa chiremba wako anokufungira kuti zvakanaka kwauri. Chiremba wako achadudzira mhedzisiro yako maererano nemufananidzo wako wehutano hwese.
Zvimwe zvinhu zvinogona kuwedzera njodzi yako yekuva nemhedzisiro isina kujairika ye glucose tolerance test. Kunzwisisa izvi zvinhu zvinogona kukubatsira iwe nachiremba wako kuti muone kana kuyedzwa kwakakodzera uye zvekutarisira.
Zera ndechimwe chezvinhu zvakanyanya njodzi, njodzi yechirwere cheshuga ichiwedzera zvakanyanya mushure memakore 45. Paunokura, kugona kwemuviri wako kugadzirisa glucose kunogona kudzikira zvakasikwa, zvichiita kuti mhedzisiro isina kujairika iwedzere.
Heano zvinhu zvakakosha zvinogona kukanganisa glucose tolerance yako:
Mamwe mapoka emadzinza zvakare ane njodzi yakakwira, kusanganisira maAfrican America, maHispanic America, maNative America, maAsian America, uye maPacific Islanders. Njodzi iyi yakawedzera inoita seinobatana nezvinhu zvemajini zvakabatanidzwa nemararamiro uye zvakatipoteredza.
Mishonga mimwe inogona kukanganisa glucose tolerance, kusanganisira corticosteroids, mamwe mishonga yekudzikisa BP, uye mamwe mishonga yepfungwa. Kana uri kutora chero izvi, taura nachiremba wako kuti zvingakanganisa sei mhedzisiro yako yekuyedzwa.
Mhedzisiro yakaderera yebvunzo yekushivirira glucose inowanzoita zviri nani, sezvo ichiratidza kuti muviri wako uri kugadzirisa glucose zvakanaka. Zvisinei, chinangwa hachisi chekuva nenhamba dzakaderera sezvinobvira, asi pane kuva nemhedzisiro inowira mukati meyakajairika, hutano hwakanaka.
Kushivirira glucose kwakajairika kunoratidza kuti pancreas yako inogadzira insulin yakakwana uye masero ako anopindura zvakanaka. Izvi zvinoreva kuti muviri wako unogona kufambisa glucose kubva mumutsipa wako weropa uchienda kumasero ako uko inodiwa nesimba.
Mhedzisiro yepamusoro yebvunzo yekushivirira glucose inoratidza kuti muviri wako uri kutambura kugadzirisa glucose zvakanaka. Izvi zvinogona kureva kuti pancreas yako haina kugadzira insulin yakakwana, masero ako haapinduri insulin zvakanaka, kana zvese zviri zviviri. Mhedzisiro iyi yakakwira inowedzera njodzi yako yekuvandudza chirwere cheshuga uye matambudziko ayo.
Mhedzisiro yakaderera kwazvo yeglucose panguva yebvunzo haina kujairika asi dzimwe nguva inogona kuitika. Kana shuga yako yeropa ikaderera zvakanyanya panguva yebvunzo, zvinogona kuratidza reactive hypoglycemia, uko shuga yako yeropa inodonha zvakanyanya mushure mekudya. Mamiriro aya anoda manejimendi akasiyana nechirwere cheshuga.
Mhedzisiro yakaderera yebvunzo yekushivirira glucose kazhinji haina hukama nematambudziko akakomba, sezvo anowanzo kuratidza metabolism yakanaka yeglucose. Zvisinei, mhedzisiro yakaderera zvisingawanzoitiki inogona kuratidza reactive hypoglycemia, iyo inogona kukonzera yayo seti yezviratidzo.
Reactive hypoglycemia inoitika kana shuga yako yeropa ikadonha zvakanyanya mukati memaawa mashoma mushure mekudya. Izvi zvinogona kuitika kana muviri wako ukagadzira insulin yakawandisa mukupindura glucose, zvichikonzera kuti shuga yako yeropa idonhe pasi pemazinga akajairika.
Heano zviratidzo zvinogona kuitika uye matambudziko e reactive hypoglycemia:
Zviratidzo izvi zvinowanzoenda nekukurumidza kana wangodya chimwe chinhu chine makabhohaidhireti. Zvisinei, zviitiko zvinowanzoitika zvinogona kukanganisa mabasa ezuva nezuva uye zvinogona kuratidza mamiriro ari pasi ayo anoda kutariswa nachiremba.
Muzviitiko zvisingawanzoitiki, mazinga eglucose akaderera zvakanyanya panguva yekuedzwa anogona kuratidza mamwe mamiriro ezvinhu ekurapa, senge insulinomas (tumors inogadzira insulin) kana matambudziko emahormone. Mamiriro aya anoda kuongororwa nekutariswa kwekurapa kwakakosha.
Mhedzisiro yepamusoro yeglucose tolerance test inoratidza prediabetes kana chirwere cheshuga, izvo zvese zvinogona kukonzera matambudziko akakomba enguva refu kana zvikasadzorwa zvakanaka. Kana mazinga ako eglucose akakwira, ndipo panowedzera njodzi yako yekuvandudza matambudziko aya nekufamba kwenguva.
Matambudziko echirwere cheshuga anokura zvishoma nezvishoma uye anogona kukanganisa akawanda masisitimu emuviri wako. Mashoko akanaka ndewekuti kuchengetedza kutonga kwakanaka kweshuga yeropa kunogona kudzivirira kana kunonotsa matambudziko mazhinji aya, ndosaka kuongororwa kwekutanga kuburikidza neglucose tolerance testing kwakakosha.
Heano matambudziko anogona kuitika enguva refu eglucose yeropa yakakwira isingadzorwi:
Njodzi yekuwanda kwezvirwere izvi inowedzera nekukwira kweshuga yeropa uye nguva yekusadzora shuga zvakanaka. Ichi ndicho chikonzero nei zvakakosha kutora mhedzisiro yezviedzo zvisina kujairika zveglucose tolerance zvakakomba uye kushanda pamwe chete nemupi wako wehutano kuti ugadzire chirongwa chinobudirira chekutungamira.
Kunyange neprediabetes, une njodzi yakawedzerwa yezvirwere zvemtima uye sitiroko. Zvisinei, shanduko dzemaitiro panguva ino dzinogona kudzivirira kufambira mberi kuita chirwere cheshuga chekare 2 uye kuderedza njodzi yako yezvinetso.
Unofanira kuona chiremba kuti ukurukure mhedzisiro yezviedzo zvako zveglucose tolerance zvisinei nemhedzisiro yacho. Mupi wako wehutano anoda kududzira mhedzisiro yacho maererano nehutano hwako hwese, zviratidzo, uye njodzi.
Kana mhedzisiro yako yakajairika, unogona kusada kutevera bvunzo nekukurumidza, asi chiremba wako angakurudzira kudzokorora bvunzo mumakore rimwe kusvika matatu zvichienderana nengozi yako. Kuongorora nguva dzose kwakakosha nekuti glucose tolerance inogona kuchinja nekufamba kwenguva.
Unofanira kuronga kugadzwa nekukurumidza kana mhedzisiro yako ichiratidza prediabetes kana chirwere cheshuga. Hezvino zvekutsvaga kutarisirwa kwekurapa:
Usanonoke kutsvaga kutarisirwa kwekurapa kana uine zviratidzo zvine chekuita nechirwere cheshuga, kunyangwe mhedzisiro yako yebvunzo isati yadzoka. Zviratidzo zvakaita sekuoma muromo zvakanyanya, kuwanzisa kuita weti, kuona kwakajeka, kana maronda anopora zvishoma anoda kutarisirwa kwekurapa nekukurumidza.
Chiremba wako achakubatsira kunzwisisa zvinoreva mhedzisiro yako uye kugadzira chirongwa chekuchengeta hutano hwako mberi. Izvi zvinogona kusanganisira zano remafambiro ehupenyu, mishonga, kana kutumirwa kune nyanzvi dzakadai se endocrinologists kana vadzidzisi vedhizinesi.
Hongu, glucose tolerance test chishandiso chikuru chekuongorora chirwere cheshuga uye prediabetes. Inoonekwa seimwe yezviedzo zvegoridhe nekuti inoratidza kuti muviri wako unogadzirisa sei glucose nekufamba kwenguva, pane kungopa mufananidzo wakaita sekuongororwa kweropa re glucose.
Muedzo uyu unonyanya kubatsira kana zvimwe zviedzo zvichipa mhedzisiro iri pamuganho kana kana uine zviratidzo zvinoratidza matambudziko eshuga yeropa asi mazinga akajairika e glucose. Inogona kubata chirwere cheshuga chinogona kupotswa nezviedzo zviri nyore, kunyanya mumatanho ekutanga.
Mhedzisiro yepamusoro ye glucose tolerance test haikonzeri chirwere cheshuga, asi inoratidza kuti chirwere cheshuga kana prediabetes chatovepo. Mhedzisiro yezviedzo ndiyo kuyerwa kwekuti muviri wako uri kugadzirisa sei glucose, kwete chikonzero chechirwere.
Funga nezvazvo sema thermometer panguva yefivha - kuverenga kwetembiricha yepamusoro hakukonzeri kurwara, asi kunoratidza kuti chimwe chinhu hachina kumira zvakanaka chinoda kutariswa. Saizvozvowo, mhedzisiro isina kujairika ye glucose tolerance test inoratidza kuti sisitimu yekugadzirisa glucose yemuviri wako inoda kutarisirwa kwekurapa.
Hongu, unogona kudzokera kumaitiro ako ekudya akajairika nekukasira mushure mekupedza glucose tolerance test. Muchokwadi, vanhu vazhinji vanonzwa nzara zvakanyanya mushure mekuvharirwa uye kupfuura nemuedzo, saka kuva nekudya kwakaringana ipfungwa yakanaka.
Vamwe vanhu vanonzwa vaneta zvishoma kana kuva nemarwadzo madiki mushure mebvunzo, kunyanya kubva mukunwa kweglucose kunotapira. Kudya chikafu chakajairika chine mapuroteni uye makabhohaidhireti akaomarara kunogona kukubatsira kuti unzwe zviri nani uye kugadzirisa shuga yeropa rako zvakasikwa.
Kuwanda kwebvunzo yeglucose tolerance kunoenderana nemigumisiro yako uye njodzi. Kana migumisiro yako yakajairika uye usina njodzi, chiremba wako angakurudzira kudzokorora bvunzo yega yega makore matatu mushure memakore 45.
Kana uine prediabetes, iwe unowanzo kuda bvunzo yegore negore kuti uongorore mamiriro ako. Vanhu vane chirwere cheshuga havadi kazhinji bvunzo dzinodzokororwa dze glucose tolerance, sezvo dzimwe nzira dzekutarisa dzakadai sehemoglobin A1C dziri dzakanyanya kushanda pakutarisira kwakawanda.
Hongu, kushushikana kwemuviri kana kwemanzwiro kunogona kukanganisa migumisiro yebvunzo yako yeglucose tolerance nekukwidza mazinga eshuga yeropa rako. Mahomoni ekushushikana akadai se cortisol anogona kukanganisa basa re insulin uye glucose metabolism.
Kana iwe uchinzwa kunyanya kushushikana pazuva rebvunzo yako, zivisa mupi wako wehutano. Vanogona kukurudzira kuronga zvakare kana kushushikana kwacho kwakanyanya, kana kuti vachadudzira migumisiro yako vachiziva kuti kushushikana kungave kwakaita basa mukuverenga kwakakwira.
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