Iyini i-Glucose Challenge Test? Inhloso, Amazinga/Inqubo & Nemiphumela

I-glucose challenge test iyithuluzi lokuhlola elihlola ukuthi umzimba wakho ukusingatha kanjani ushukela, ikakhulukazi ngesikhathi sokukhulelwa. Lolu vivinyo olulula lwegazi lusiza odokotela ukuthola i-gestational diabetes, isimo lapho amazinga kashukela egazini enyuka ngesikhathi sokukhulelwa.

Cabanga ngayo njengendlela yokuthi ithimba lakho lokunakekelwa kwezempilo libheke ngaphakathi futhi libone ukuthi umzimba wakho ukusingatha kahle kangakanani i-glucose. Lolu vivinyo luyajwayelekile, luphephile, futhi lunikeza ulwazi olubalulekile ngempilo yakho kanye nenhlalakahle yengane yakho.

Yini i-glucose challenge test?

I-glucose challenge test ilinganisa ukuthi ushukela wakho wegazi usabela kanjani ngemva kokuphuza isixazululo esinoshukela se-glucose. Uzoziphuzela isiphuzo esikhethekile esinoshukela, bese uthathwa igazi lakho ngemva nje kwehora elilodwa ukuze uhlole amazinga akho e-glucose.

Lolu vivinyo lubizwa nangokuthi i-glucose screening test noma i-one-hour glucose test. Lwenzelwe ukubamba izinkinga ezingaba khona kusenesikhathi, lapho zingelashwa kalula. Lolu vivinyo lubaluleke kakhulu ngesikhathi sokukhulelwa ngoba izinguquko ze-hormonal zingathinta indlela umzimba wakho oqhubula ngayo ushukela.

Abahlinzeki bezempilo abaningi batusa lolu vivinyo phakathi kwamasonto angama-24 nama-28 okukhulelwa. Nokho, uma unezici eziyingozi ze-gestational diabetes, udokotela wakho angase asikisele ukuthi uhlolwe ngaphambi kokukhulelwa kwakho.

Kungani kwenziwa i-glucose challenge test?

Inhloso eyinhloko ukuhlola i-gestational diabetes, isimo esithinta cishe ama-6-9% okukhulelwa. I-Gestational diabetes yenzeka lapho ama-hormone okukhulelwa enza kube nzima ngomzimba wakho ukusebenzisa i-insulin ngempumelelo, okuholela emazingeni kashukela egazini aphezulu.

Ukutholwa kusenesikhathi kubalulekile ngoba i-gestational diabetes engelashwa ingakuthinta wena nengane yakho. Kuwe, kwandisa ingozi yegazi eliphezulu, i-preeclampsia, nokuthuthukisa i-type 2 diabetes kamuva empilweni.

Emntwaneni wakho, ushukela ongagadiwe egazini ungaholela ekukhuleni ngokweqile, izinkinga zokuphefumula ngesikhathi sokuzalwa, kanye noshukela ophansi ngemva kokuzalwa. Izindaba ezinhle ukuthi ngokuphathwa kahle, abesifazane abaningi abanesifo sikashukela ngesikhathi sokukhulelwa banokukhulelwa okunempilo kanye nezingane ezinempilo.

Ngaphandle kokukhulelwa, lolu vivinyo lungasiza futhi ukuhlonza i-prediabetes noma uhlobo 2 lwesifo sikashukela kubantu abangakhulelwe. Udokotela wakho angase akutuse uma unezimpawu ezinjengokoma ngokweqile, ukuya ngaphezulu njalo, noma ukukhathala okungachazeki.

Yini inqubo yokuhlolwa kwe-glucose challenge?

Uvivinyo luqala ngokuphuza isixazululo se-glucose esiqukethe ngqo amagremu angu-50 kashukela. Lesi siphuzo sivame ukuba ne-orange noma i-lemon-flavored futhi sinambitheka kamnandi kakhulu, okufana nesiphuzo esithambile esinoshukela omningi.

Kuzodingeka uqede sonke isiphuzo ngemizuzu emihlanu. Ngemva kokuphuza, uzolinda ngqo ihora elilodwa ngaphambi kokuba igazi lakho lithathwe. Ngesikhathi sokulinda, kubalulekile ukuhlala emtholampilo noma eduze, njengoba isikhathi sibalulekile emiphumeleni enembile.

Ukuthathwa kwegazi ngokwalo kuyashesha futhi kulula. Uchwepheshe wezempilo uzofaka inaliti encane emthanjeni engalweni yakho ukuze aqoqe isampula legazi. Yonke inqubo, kusukela ekuphuzeni isixazululo kuya ekuthathweni kwegazi lakho, ithatha cishe ihora elilodwa nemizuzu eyishumi nanhlanu.

Abanye besifazane bazizwa benesicanucanu ngemva kokuphuza isixazululo se-glucose, ikakhulukazi uma sebevele behlangabezana nesicanucanu esihlobene nokukhulelwa. Lo muzwa uvame ukudlula ngemizuzu engama-30 futhi ujwayelekile ngokuphelele.

Ungalungiselela kanjani ukuhlolwa kwakho kwe-glucose challenge?

Enye yezinto ezilula zalolu vivinyo ukuthi akudingeki ukuba uzile ukudla ngaphambi kwesikhathi. Ungadla futhi uphuze ngokujwayelekile ngaphambi kokuqokwa kwakho, okwenza ukuhlela kube lula kakhulu.

Nokho, kuhle ukugwema ukudla ukudla okukhulu noma ukusebenzisa ushukela ngokweqile ngaphambi nje kokuhlolwa. Isidlo sasekuseni noma sasemini esivamile silungile ngokuphelele, kodwa ukweqa leyo donut enoshukela omningi kungase kukusize uzizwe ukhululekile.

Hlela ukuhlala emtholampilo cishe ihora elilodwa nengxenye. Letha okuthile okuzokugcina umatasa ngesikhathi sokulinda, njengencwadi, umagazini, noma ifoni yakho. Abanye besifazane bakuthola kuwusizo ukuletha ukudla okulula ngemva kokuhlolwa, ikakhulukazi uma bezizwa bekhathazekile kancane.

Gqoka izingubo ezikhululekile ezinemikhono engahle ilulwe kalula ukuze kuthathwe igazi. Uma uthambekele ekuzizweni ubuthakathaka ngesikhathi sokuthathwa kwegazi, yazisa umhlinzeki wakho wezempilo ngaphambi kwesikhathi ukuze bakwazi ukuthatha izinyathelo ezengeziwe zokuphepha.

Ungayifunda kanjani imiphumela yakho yokuhlolwa kwe-glucose?

Imiphumela ejwayelekile ivame ukuwa ngaphansi kuka-140 mg/dL (7.8 mmol/L) ngemuva kwehora elilodwa ngemva kokuphuza isixazululo se-glucose. Uma umphumela wakho ukuleli banga, usidlulile ukuhlolwa futhi cishe awunaso isifo sikashukela sokukhulelwa.

Imiphumela ephakathi kuka-140-199 mg/dL (7.8-11.0 mmol/L) ithathwa njengephakeme futhi ngokuvamile idinga ukuhlolwa okulandelayo. Lokhu akusho ukuthi ngokuqinisekile unesifo sikashukela sokukhulelwa, kodwa kubonisa isidingo sokuhlolwa okuningi kwe-glucose okuthatha amahora amathathu.

Imiphumela engu-200 mg/dL (11.1 mmol/L) noma ngaphezulu ithathwa njengephakeme kakhulu. Kulezi zimo, udokotela wakho cishe uzoqaphela isifo sikashukela sokukhulelwa ngaphandle kokudinga ukuhlolwa okwengeziwe, nakuba bengase batusa ukuhlolwa kwamahora amathathu ukuze kuqinisekiswe.

Kubalulekile ukukhumbula ukuthi lokhu kuwukuhlolwa kokuhlola, hhayi ukuhlolwa kokuxilonga. Umphumela ongajwayelekile akusho ngokuzenzakalelayo ukuthi unesifo sikashukela sokukhulelwa, kodwa kusho ukuthi udinga ukuhlolwa okwengeziwe ukuze uqiniseke.

Ungayilungisa kanjani izinga lakho lokuhlolwa kwe-glucose?

Uma imiphumela yakho yokuhlolwa kwe-glucose iphakeme, ukugxila kushintshela ekuphatheni amazinga akho kashukela egazini kunokuthi

Ukuguqulwa kokudla kwakha isisekelo sokuphatha. Lokhu kusho ukudla ukudla okuvamile, okulinganiselayo okuhlanganisa amaprotheni anciphile, ama-carbohydrate ayinkimbinkimbi, nemifino eminingi. Ukusebenza nodokotela wezokudla obhalisiwe kungakusiza ukuthi udale uhlelo lokudla olugcina ushukela wakho wegazi uzinzile ngenkathi unikeza ukudla okunempilo okufanele wena nomntwana wakho.

Ukuzivocavoca njalo, okulinganiselwe kungasiza kakhulu umzimba wakho ukuthi usebenzise i-insulin ngempumelelo. Ngisho nokuhamba imizuzu engama-20-30 ngemva kokudla kungenza umehluko omkhulu emazingeni akho kashukela wegazi. Ukubhukuda, i-yoga yangaphambi kokuzalwa, nokuhamba ngebhayisikili okunganyakazi ezinye izinketho ezinhle ngesikhathi sokukhulelwa.

Ukuqapha ushukela wegazi kuba yingxenye ebalulekile yomsebenzi wakho wansuku zonke. Cishe uzohlola amazinga akho izikhathi ezine ngosuku: into yokuqala ekuseni kanye nehora elilodwa noma amabili ngemva kokudla ngakunye. Lokhu kukusiza wena nethimba lakho lezempilo ukuthi niqonde ukuthi ukudla nemisebenzi ehlukene kuyawuthinta kanjani ushukela wakho wegazi.

Kwezinye izimo, izinguquko zokuphila zodwa azanele ukugcina amazinga kashukela wegazi enempilo. Uma ukuguqulwa kokudla nokuzivocavoca kungalethi amazinga akho ebangeni eliqondiwe, udokotela wakho angase ancome imijovo ye-insulin. I-insulin yesimanje iphephile ngesikhathi sokukhulelwa futhi ayiweli ngaphesheya kwe-placenta ukuthinta umntwana wakho.

Liyini izinga elingcono kakhulu lokuhlolwa kwe-glucose?

Umphumela olungile yilapho izinga likashukela wegazi lingaphansi kuka-140 mg/dL (7.8 mmol/L) ngemva kwehora elilodwa ngemva kokuphuza isixazululo se-glucose. Lokhu kubonisa ukuthi umzimba wakho usebenza ushukela ngokujwayelekile nangempumelelo.

Nokho,

Kwabesifazane abakhulelwe, amazinga kashukela egazini aqondiwe ahlukile kancane kunalabo abangakhulelwe. Umhlinzeki wakho wezempilo uzosebenzisa amabanga aqondene nokukhulelwa ukuze ahumushe imiphumela yakho futhi anqume ukuthi ngabe kudingeka yini ezinye izivivinyo noma ukwelashwa.

Khumbula ukuthi umphumela owodwa wokuhlolwa awuchazi impilo yakho yonke. Uma unomphumela ongajwayelekile, kumane kuyisignali yokuthi udinga ukuqashwa okwengeziwe futhi mhlawumbe ukulungiswa kwendlela yokuphila ukuze uqhubeke wena nomntwana wakho niphile kahle.

Yiziphi izici eziyingozi zokuhlolwa kwe-glucose challenge test ephezulu?

Izici eziningana zingakhuphula amathuba akho okuba namazinga kashukela egazini aphakeme ngesikhathi sokukhulelwa. Ukuqonda lezi zici eziyingozi kukusiza wena nethimba lakho lezempilo ukuthi niqaphele futhi nithathe izinyathelo zokuvimbela uma kungenzeka.

Nazi izici eziyingozi ezivamile okufanele uziqaphele:

• Umlando wangaphambilini wesifo sikashukela sokukhulelwa ekukhulelweni kwangaphambili
• Umlando womndeni wesifo sikashukela sohlobo 2, ikakhulukazi kubazali noma kubafowabo nodadewabo
• Ukukhuluphala ngokweqile noma ukukhuluphala ngaphambi kokukhulelwa
• Iminyaka engaphezu kwengama-25, enobungozi obanda ngeminyaka
• Izizinda ezithile zobuhlanga, okuhlanganisa i-Hispanic, i-African American, i-Native American, noma inzalo yase-Asia
• Ukuzalwa kwangaphambilini komntwana osinda ngamakhilogremu angaphezu kwangu-9
• I-Polycystic ovary syndrome (PCOS)
• Ukulahlekelwa ukukhulelwa okungachazwanga ngaphambilini noma ukuzalwa kufile
• Umfutho wegazi ophezulu noma isifo senhliziyo
• I-Prediabetes noma ukumelana ne-insulin ngaphambi kokukhulelwa

Ukuba nesici esisodwa noma ngaphezulu esiyingozi akuqinisekisi ukuthi uzothuthukisa isifo sikashukela sokukhulelwa, kodwa kusho ukuthi umhlinzeki wakho wezempilo uzokuqapha eduze. Ukunakekelwa kwangaphambi kokuzalwa kwasekuqaleni nokujwayelekile kusiza ukubamba noma yiziphi izinkinga ngaphambi kokuba zibe yizinkinga ezingathi sína.

Kungcono yini ukuba nomphumela wokuhlolwa kwe-glucose challenge test ophakeme noma ophansi?

Akukuhle ukuba nemiphumela ephezulu kakhulu noma ephansi kakhulu. Umgomo ukuba ushukela wakho wegazi ube ngaphakathi kwebanga elijwayelekile, okukhombisa ukuthi umzimba wakho usebenza kahle nge-glucose.

Umphumela ojwayelekile ongezansi kuka-140 mg/dL yilokho ofuna ukukubona. Lokhu kukhombisa ukuthi umzimba wakho uyayisebenzisa ngempumelelo inselelo ye-glucose futhi ugcina amazinga kashukela egazini azinzile. Kuyaduduza kuwe nakwethimba lakho lezempilo.

Imiphumela ephezulu engaphezu kuka-140 mg/dL ikhombisa ukuthi umzimba wakho ungase ube nenkinga yokuphatha umthwalo we-glucose, okungenzeka ukuthi ukhombisa isifo sikashukela sokukhulelwa. Nakuba lokhu kudinga ukunakwa nokuphathwa, kubalulekile ukwazi ukuthi ngokunakekelwa okufanele, abesifazane abaningi abanesifo sikashukela sokukhulelwa baba nokukhulelwa okunempilo.

Imiphumela ephansi kakhulu, nakuba ingavamile, ngezinye izikhathi ingase ikhombise ezinye izinkinga ezinjenge-hypoglycemia noma izimo ezithile ze-metabolic. Umhlinzeki wakho wezempilo uzohlola noma yimiphi imiphumela engavamile ngokuya ngempilo yakho yonke nezimpawu.

Yiziphi izinkinga ezingaba khona zokuhlolwa okukhulu kwe-glucose challenge?

Imiphumela yokuhlolwa okukhulu kwe-glucose challenge ekhombisa isifo sikashukela sokukhulelwa ingaholela ezinkingeni eziningana uma ingelashwa. Nokho, ngokuphathwa okufanele, iningi lalezi zinkinga lingavinjelwa noma lincishiswe kakhulu.

Kuwe njengomama, izinkinga ezingaba khona zihlanganisa:

• Umfutho wegazi ophezulu kanye ne-preeclampsia
• Ingozi eyengeziwe yokubeletha ngokusika
• Amathuba aphezulu okuthuthukisa uhlobo 2 lwesifo sikashukela ngokuhamba kwesikhathi
• I-Polyhydramnios (amanzi amaningi kakhulu e-amniotic)
• Ukubeletha ngaphambi kwesikhathi
• Ukuphindaphinda kwesifo sikashukela sokukhulelwa ekukhulelweni okuzayo

Ezinganeni zakho, isifo sikashukela sokukhulelwa esingalawulwa singabangela:

• I-Macrosomia (isisindo esiningi sokuzalwa, ngokuvamile esingaphezu kwamaphawundi angu-9)
• Ukulimala ekuzalweni ngenxa yosayizi omkhulu ngesikhathi sokubeletha
• Ubunzima bokuphefumula ekuzalweni
• Ushukela ophansi wegazi (i-hypoglycemia) ngemva kokubeletha
• Ingozi eyengeziwe yokukhuluphala kanye nesifo sikashukela sohlobo 2 kamuva empilweni
• I-Jaundice (ukuphuzi kwesikhumba namehlo)

Izindaba ezikhuthazayo ukuthi ngokugadwa okufanele nokwelashwa, lezi zinkinga zivame ukuvikeleka. Abesifazane abaningi abanesifo sikashukela sokukhulelwa esilawulwa kahle baqhubeka nokuba nokukhulelwa okunempilo kanye nezingane ezinempilo.

Ziyini izinkinga ezingaba khona zokuhlolwa kwe-glucose challenge?

Imiphumela yokuhlolwa kwe-glucose challenge ephansi ayivamile futhi ngokuvamile ayikhathazi kangako kunemiphumela ephezulu. Kodwa-ke, amazinga kashukela egazi aphansi kakhulu ngezinye izikhathi angabonisa izinkinga zempilo ezingaphansi ezidinga ukunakwa.

Izimbangela ezingaba khona zemiphumela ephansi ngokungavamile zihlanganisa:

• I-Hypoglycemia esebenzayo, lapho ushukela wegazi wehla kakhulu ngemva kokudla
• Imithi ethile ethinta ushukela wegazi
• Izifo ze-hormonal ezithinta ukusebenza komzimba
• Izinkinga zesibindi noma izinso
• Ukugula kwasekuseni okukhulu okuthinta ukudla okunomsoco
• Amathumba akhiqiza i-insulin (avamile kakhulu)

Izimpawu zikashukela ophansi wegazi ngesikhathi noma ngemva kokuhlolwa zingahlanganisa isiyezi, ukuthuthumela, ukujuluka, ukudideka, noma ukuzwa sengathi uyaphela amandla. Uma uhlangabezana nalezi zimpawu, yazisa umhlinzeki wakho wezempilo ngokushesha.

Ezimweni eziningi zemiphumela ephansi ayibonisi izinkinga ezinkulu futhi ingase nje ibonise umehluko ngamunye ekusebenzeni komzimba. Umhlinzeki wakho wezempilo uzohlola imiphumela yakho kanye nezimpawu zakho nomlando wakho wezokwelapha ukuze anqume ukuthi ngabe kudingeka yini ukulandela.

Kufanele ngibone nini udokotela ukuze ngihlolwe i-glucose challenge?

Kufanele uthinte umhlinzeki wakho wezempilo ngokushesha uma uhlangabezana nezimpawu ezinzima ngesikhathi noma ngemuva kokuhlolwa. Lokhu kufaka phakathi isicanucanu esiqhubekayo nokuhlanza, isiyezi esikhulu, ukuquleka, noma yiziphi izimpawu ezikukhathazayo.

Uma imiphumela yakho yokuhlolwa ingajwayelekile, udokotela wakho ngokuvamile uzokuthinta phakathi nezinsuku ezimbalwa ukuze axoxe ngezinyathelo ezilandelayo. Ungalindi ukuthi bakushayele ucingo uma ukhathazekile ngemiphumela yakho - kulungile ngokuphelele ukushayela ucingo futhi ubuze ngemiphumela yakho nokuthi isho ukuthini.

Hlela i-aphoyintimenti yokulandela uma utholakala ukuthi unesifo sikashukela sokukhulelwa. Lokhu akuyona into okufanele uyilawule wedwa - uzodinga ukuqapha njalo futhi mhlawumbe ulungise uhlelo lwakho lokwelashwa ngesikhathi sokukhulelwa kwakho.

Funana nosizo lwezokwelapha ngokushesha uma uba nezimpawu zikashukela ophezulu kakhulu, njengokoma ngokweqile, ukuchama njalo, umbono ongacacile, noma ukukhathala okuqhubekayo. Lezi zimpawu, ikakhulukazi uma zinzima noma ziba zimbi, zidinga ukuhlolwa kwezokwelapha okusheshayo.

Khumbula ukuthi isifo sikashukela sokukhulelwa yisimo esilawulekayo ngokunakekelwa kwezokwelapha okufanele. Ithimba lakho lezempilo likhona ukukusekela ngale nqubo futhi liqinisekise imiphumela engcono kakhulu kuwe nomntwana wakho.

Imibuzo evame ukubuzwa mayelana nokuhlolwa kwe-glucose challenge

Q.1 Ingabe ukuhlolwa kwe-glucose challenge kunembile ngesifo sikashukela sokukhulelwa?

Ukuhlolwa kwe-glucose challenge kuyithuluzi lokuhlola elinokwethenjelwa elihlonza ngendlela efanele cishe u-80% wabesifazane abanesifo sikashukela sokukhulelwa. Yenzelwe ukubamba amacala amaningi ngenkathi igwema ukuhlolwa okulandelayo okungadingekile kwabesifazane abangenaso lesi simo.

Nokho, kubalulekile ukuqonda ukuthi lokhu kuyisivivinyo sokuhlola, hhayi ukuhlolwa kokuxilonga. Uma umphumela wakho ungajwayelekile, uzodinga ukuhlolwa okwengeziwe ukuze uqinisekise ukuthi ngempela unesifo sikashukela sokukhulelwa. Ukuhlolwa kokubekezelelana kwe-glucose kwamahora amathathu kuyindinganiso yegolide yokuxilonga.

Q.2 Ingabe ukuhlolwa kwe-glucose challenge ephezulu ngaso sonke isikhathi kusho isifo sikashukela sokukhulelwa?

Cha, umphumela wokuhlolwa kwe-glucose challenge ophezulu akusho ngokuzenzakalelayo ukuthi unesifo sikashukela sokukhulelwa. Cishe ama-15-20% wabesifazane abakhulelwe bazoba nokuhlolwa okungajwayelekile, kodwa cishe ama-3-5% kuphela abanesifo sikashukela sokukhulelwa.

Izinto eziningi zingabangela umphumela ophakanyiswe okwesikhashana, okuhlanganisa ukucindezeleka, ukugula, imithi ethile, noma ngisho nokuthi udle ini ngaphambi kokuhlolwa. Yingakho ukuhlolwa okwengeziwe kuvame ukudingeka ukuqinisekisa ukuxilongwa.

Q.3 Ngingakwazi yini ukuphinda ngithathe ukuhlolwa kwe-glucose challenge uma ngihluleka?

Ngokuvamile, ngeke uphinde uthathe ukuhlolwa okufanayo kwe-glucose challenge. Esikhundleni salokho, umhlinzeki wakho wezempilo uzoncoma ukuhlolwa okubanzi kakhulu kwe-glucose tolerance kwamahora amathathu ukuze uthole ukuxilongwa okuqinisekile.

Ukwenziwa kwalesi sivivinyo samahora amathathu kuhilela ukuzila ukudla ebusuku, bese uphuza isixazululo se-glucose futhi udonswe igazi izikhathi eziningi emahoreni amathathu. Lolu vivinyo lunikeza isithombe esiphelele sendlela umzimba wakho obhekana ngayo ne-glucose futhi lunikeza impendulo eqinisekile mayelana nesifo sikashukela sokukhulelwa.

Q.4 Kwenzekani uma ngingakwazi ukugcina isiphuzo se-glucose phansi?

Uma uhlanza kungakapheli ihora ngemva kokuphuza isixazululo se-glucose, kuzodingeka ukuthi uhlele kabusha futhi uphinde ukuhlolwa. Isikhathi sibalulekile ukuze uthole imiphumela enembile, ngakho-ke uma ungenakukwazi ukugcina isiphuzo phansi, ukuhlolwa ngeke kusebenze.

Yazisa umhlinzeki wakho wezempilo uma uhlangabezana nokugula kwasekuseni okukhulu. Bangase bakwazi ukuhlela ukuhlolwa kwakho ngesikhathi sosuku lapho ngokuvamile uzizwa ungcono, noma bangase bancomise imithi elwa nesicanucanu ngaphambi kokuhlolwa.

Q.5 Zikhona ezinye izindlela zokuhlolwa kwe-glucose challenge?

Yebo, zikhona ezinye izindlela, nakuba zingasetshenziswa kakhulu. Abanye abahlinzeki bezempilo bangase basebenzise ukuhlolwa kwe-hemoglobin A1C, okulinganisa ushukela wegazi omaphakathi ezinyangeni ezi-2-3 ezedlule, noma ukuhlolwa kwe-glucose okuzilayo.

Enye indlela ukubheka ushukela wakho wegazi ekhaya isonto lonke, uhlole amazinga lapho uvuka futhi ngemva kokudla. Kodwa-ke, ukuhlolwa kwe-glucose challenge kuhlala kuyindlela yokuhlola ejwayelekile ngoba ithembekile, yenziwe ngokujwayelekile, futhi itholakala kabanzi.