Yini i-Glucose Tolerance Test? Inhloso, Amazinga/Inqubo & Nemiphumela

I-glucose tolerance test ilinganisa ukuthi umzimba wakho ukucubungula kahle kangakanani ushukela ngokuhamba kwesikhathi. Kuyisivivinyo segazi esilula esisiza odokotela ukuthi baqonde ukuthi umzimba wakho ungakwazi yini ukuphatha i-glucose kahle, okubalulekile ekuxilongweni izimo ezinjenge-diabetes ne-prediabetes.

Cabanga ngakho njengesivivinyo sokucindezela sesistimu yomzimba wakho yokusingatha ushukela. Ngesikhathi sokuhlolwa, uzoziphuzela isixazululo esiswidi, bese igazi lakho lihlolwa ngezikhathi ezithile ukuze kubonakale ukuthi amazinga akho e-glucose anyuka futhi awe kanjani. Lokhu kunikeza umhlinzeki wakho wezempilo isithombe esicacile sempilo yakho ye-metabolic.

Yini i-glucose tolerance test?

I-glucose tolerance test (GTT) iyisivivinyo sezokwelapha esilinganisa ikhono lomzimba wakho lokucubungula i-glucose, okuyiluphi uhlobo oluyinhloko lukashukela egazini lakho. Lolu vivinyo lubonisa ukuthi amazinga akho kashukela egazini ashintsha kanjani ngokuhamba kwesikhathi ngemva kokuthi udle inani elithile le-glucose.

Kunezinhlobo ezimbili eziyinhloko zokuhlolwa kwe-glucose tolerance. I-oral glucose tolerance test (OGTT) ivamile kakhulu, lapho uphuza khona isixazululo se-glucose futhi igazi lakho lihlolwa izikhathi eziningi. I-intravenous glucose tolerance test (IVGTT) ihlanganisa i-glucose ekhishwe ngqo emthanjeni wakho, kodwa lokhu akuvamile ukusetshenziswa namuhla.

Ngesikhathi se-OGTT ejwayelekile, ngokuvamile uzothathwa igazi ngaphambi kokuphuza isixazululo se-glucose (izinga lokuzila ukudla), bese futhi ngemuva kwehora elilodwa, amahora amabili, futhi ngezinye izikhathi amahora amathathu ngemva kwalokho. Le ndlela isiza odokotela ukuthi babone ngqo ukuthi umzimba wakho usabela kanjani ekudleni ushukela.

Kungani kwenziwa i-glucose tolerance test?

Odokotela ba-oda ukuhlolwa kwe-glucose tolerance ikakhulukazi ukuxilonga i-diabetes ne-prediabetes lapho ezinye izivivinyo zingaqinisekile. Lolu vivinyo lusiza kakhulu lapho amazinga akho kashukela egazini okuzila ukudla esemngceleni noma lapho unezimpawu ezisikisela izinkinga zikashukela egazini.

Abesifazane abakhulelwe bavame ukuthola ukuhlolwa kokubekezelelana kwe-glucose phakathi kwamasonto angama-24 nama-28 ukuze kuhlolwe isifo sikashukela sokukhulelwa. Lesi simo singase sivele ngesikhathi sokukhulelwa futhi sithinta indlela umzimba wakho oqhubula ngayo ushukela, okungase kuthinte wena nempilo yengane yakho.

Udokotela wakho angase futhi ancome lolu vivinyo uma unezici eziyingozi zesifo sikashukela. Lokhu kuhlanganisa ukukhuluphala ngokweqile, ukuba nomlando womndeni wesifo sikashukela, ukuba neminyaka engaphezu kwengama-45 ubudala, noma ukuba nomfutho wegazi ophezulu. Lolu vivinyo lungabamba izinkinga zisasekuqaleni, ngisho nangaphambi kokuba izimpawu ezisobala zivele.

Ngezinye izikhathi, lolu vivinyo lusiza ukuqapha ukuthi imithi yesifo sikashukela isebenza kahle kangakanani. Uma usuvele utholwe unesifo sikashukela noma i-prediabetes, umhlinzeki wakho wezempilo angase asebenzise izivivinyo zokubekezelelana kwe-glucose ngezikhathi ezithile ukuze alandelele inqubekela phambili yakho futhi alungise uhlelo lwakho lokwelashwa.

Yini inqubo yokuhlolwa kokubekezelelana kwe-glucose?

Inqubo yokuhlolwa kokubekezelelana kwe-glucose iqondile kodwa idinga isikhathi nokulungiselela okuthile. Uzoqala ngokuthatha igazi elincane engalweni yakho ukuze ulinganise izinga lakho le-glucose elizila ukudla, elisebenza njengomugqa wakho oyisisekelo.

Okulandelayo, uzoziphuzela isixazululo se-glucose esinambitheka kamnandi kakhulu, okufana nesiphuzo esithambile esinoshukela omningi. Isixazululo esijwayelekile siqukethe amagremu angama-75 e-glucose kubantu abadala, nakuba abesifazane abakhulelwe bangase bathole inani elihlukile. Uzodinga ukuqeda sonke isiphuzo ngemizuzu emihlanu.

Ngemva kokuphuza isixazululo, uzolinda endaweni yokuhlola ngenkathi umzimba wakho uqhubula i-glucose. Nakhu okwenzekayo ngesikhathi sokulinda:

• Uzochithwa igazi futhi ngemva kwehora elilodwa ngemva kokuphuza isixazululo
• Enye isampula yegazi izothathwa ngemuva kwamahora amabili
• Ezinye izivivinyo zingase zidinge ukuthathwa kwegazi okwesithathu emahoreni amathathu
• Uzodinga ukuhlala esikhungweni sokuhlola ngesikhathi sonke senqubo
• Awukwazi ukudla, ukuphuza, noma ukubhema ngesikhathi sokuhlolwa

Ukudonswa kwegazi ngakunye kuthatha imizuzu embalwa nje, futhi lonke uhlolojikelele luvame ukuthatha amahora amathathu. Abantu abaningi bathola ukuthi isikhathi sokulinda yisona esiyinselele enkulu, ngakho-ke cabangela ukuletha incwadi noma okuthile okuthule ukuze ukugcine umatasa.

Ungalungiselela kanjani ukuhlolwa kwakho kokubekezelelana kwe-glucose?

Ukulungiselela okufanele kubalulekile ukuze uthole imiphumela enembile yokuhlolwa kokubekezelelana kwe-glucose. Kuzodingeka ukuthi uzile ukudla okungenani amahora angu-8 kuya kwangu-12 ngaphambi kokuhlolwa, okusho ukuthi akukho ukudla, iziphuzo (ngaphandle kwamanzi), noma yini enama-calories ngalesi sikhathi.

Ukudla kwakho ezinsukwini eziholela ekuhlolweni kungathinta imiphumela yakho. Ezinsukwini ezintathu ngaphambi kokuhlolwa kwakho, yidla ngokujwayelekile futhi ungazami ukukhawulela ama-carbohydrate noma ushintshe imikhuba yakho yokudla. Umzimba wakho udinga ukuba sesimweni sawo esijwayelekile ukuze ukuhlolwa kube nenjongo.

Nawa amasu okuzilungiselela okubalulekile okufanele uwalandele:

• Qhubeka nokuthatha imithi yakho ejwayelekile ngaphandle uma udokotela wakho ekutshela ngqo ukuthi uyeke
• Gwema ukuzivocavoca okukhulu noma ukucindezeleka ngokomzimba ngosuku lokuhlolwa
• Thola ubuthongo obuhle ebusuku ngaphambi kosuku lokuhlolwa
• Letha uhlu lwazo zonke izidakamizwa nezithasiselo ozithathayo
• Gqoka izingubo ezikhululekile ezinemikhono evulekile ukuze kube lula ukudonswa kwegazi
• Hlela ukuhlala endaweni yokuhlolwa isikhathi sonke sokuhlolwa

Yazisa umhlinzeki wakho wezempilo nganoma yimiphi imithi oyithathayo, njengoba eminye ingathinta amazinga kashukela egazini. Bazokweluleka ukuthi uqhubeke noma uyeke okwesikhashana noma yimiphi imithi ngaphambi kokuhlolwa.

Ungayifunda kanjani ukuhlolwa kwakho kokubekezelelana kwe-glucose?

Ukuqonda imiphumela yakho yokuhlolwa kokubekezelelana kwe-glucose kuhilela ukubheka amazinga kashukela egazini lakho ngamaphuzu ahlukene esikhathi. Imiphumela ejwayelekile ikhombisa ukuthi ushukela wakho wegazi uyenyuka ngemva kokuphuza isixazululo se-glucose kodwa ubuyela emazingeni anempilo kungakapheli amahora amabili.

Ukuze uthole ukuhlolwa okujwayelekile kokubekezelelana kwe-glucose ngomlomo, nazi izinhlobo ezijwayelekile zemiphumela:

• Ukuzila ukudla (ngaphambi kokuphuza i-glucose): Okujwayelekile kungaphansi kuka-100 mg/dL
• Ihora elilodwa ngemuva kwe-glucose: Okujwayelekile kungaphansi kuka-180 mg/dL
• Amahore amabili ngemuva kwe-glucose: Okujwayelekile kungaphansi kuka-140 mg/dL
• Amahore amathathu ngemuva kwe-glucose: Okujwayelekile kungaphansi kuka-140 mg/dL

I-Prediabetes itholakala lapho umphumela wakho wamahora amabili uwa phakathi kuka-140 no-199 mg/dL. Lokhu kusho ukuthi umzimba wakho unobunzima obuthile bokucubungula i-glucose, kodwa awukabi nawo umdlavuza. Kuyisixwayiso esikunika isikhathi sokwenza izinguquko zokuphila.

Umdlavuza utholakala lapho umphumela wakho wamahora amabili ungu-200 mg/dL noma ngaphezulu, noma uma izinga lakho lokuzila ukudla lingu-126 mg/dL noma ngaphezulu. Lezi zinombolo zibonisa ukuthi umzimba wakho awucubunguli i-glucose ngempumelelo, futhi uzodinga ukunakekelwa kwezokwelapha okuqhubekayo.

Kwabesifazane abakhulelwe, imingcele ihluke kancane. I-Gestational diabetes itholakala uma ngabe noma iyiphi yalezi zindinganiso idluliwe: izinga lokuzila ukudla lika-92 mg/dL, izinga lehora elilodwa lika-180 mg/dL, noma izinga lamahora amabili lika-153 mg/dL.

Ungawashintsha kanjani amazinga akho okuhlolwa kokubekezelelana kwe-glucose?

Uma imiphumela yakho yokuhlolwa kokubekezelelana kwe-glucose ingajwayelekile, izindaba ezinhle ukuthi ngokuvamile ungazithuthukisa ngezinguquko zokuphila futhi, uma kunesidingo, ukwelashwa kwezokwelapha. Indlela incike ekutheni ngabe unayo i-prediabetes noma umdlavuza.

Nge-prediabetes, izinguquko zokuphila zivame ukuvimbela noma ukubambezela ukuthuthukiswa komdlavuza wohlobo 2. Ukulahlekelwa isisindo esingu-5 kuya ku-7 ekhulwini lesisindo somzimba wakho kungenza umehluko omkhulu. Lokhu kungasho ukulahlekelwa ngamakhilogremu ayi-10 kuya kwangu-15 uma unesisindo esingamakhilogremu angu-200.

Nawa amasu asebenzayo okuthuthukisa ukubekezelelana kwakho kwe-glucose:

• Khulisa umsebenzi womzimba okungenani imizuzu eyi-150 yokuzivivinya okulingene ngesonto
• Khetha okusanhlamvu okuphelele, amaprotheni anciphile, nemifino eminingi ekudleni kwakho
• Nciphisa ushukela ocolisisiwe nokudla okucutshungulwe
• Gcina isisindo esinempilo ngokulawula izingxenye
• Thola ukulala okwanele, uhlose amahora ayi-7 kuya kwayi-9 ebusuku
• Lawula ukucindezeleka ngezindlela zokuphumula noma ukwelulekwa

Uma unesifo sikashukela, cishe uzodinga imithi kanye nezinguquko zokuphila. Udokotela wakho angase akubhalele i-metformin noma eminye imithi yesifo sikashukela ukusiza umzimba wakho ukuthi usebenzise i-glucose ngempumelelo. Ukuqapha njalo nokuqokwa okulandelayo kuzobaluleka.

Ukusebenza nodokotela wezokudla obhalisiwe kungasiza kakhulu kokubili i-prediabetes nesifo sikashukela. Bangakha uhlelo lokudla olwenzelwe wena olusiza ukuzinzisa ushukela wakho wegazi ngenkathi lusajabulisa futhi luqhubeka.

Liyini izinga elingcono kakhulu lokuhlolwa kokubekezelela i-glucose?

Amazinga angcono kakhulu okuhlolwa kokubekezelela i-glucose yilawa awehla ngaphakathi kwebanga elijwayelekile, okukhombisa ukuthi umzimba wakho ucubungula i-glucose ngempumelelo. Imiphumela efanelekile ikhombisa ushukela wakho wegazi ukhuphuka ngokulingene ngemva kokuphuza i-glucose bese ubuyela emazingeni ayisisekelo kungakapheli amahora amabili.

Izinga lakho elihle le-glucose elingenalutho kufanele libe phakathi kuka-70 no-99 mg/dL. Leli banga libonisa ukuthi umzimba wakho ugcina amazinga kashukela egazi azinzile lapho ungadlanga amahora amaningi. Amazinga kulolu hluphu asikisela impilo enhle ye-metabolic kanye nomsebenzi ofanele we-insulin.

Ngemva kokuphuza isixazululo se-glucose, ushukela wakho wegazi kufanele ufinyelele cishe ihora elilodwa bese wehla kancane kancane. Izinga lamahora amabili kufanele libe ngaphansi kuka-140 mg/dL, ngabanakekeli bezempilo abaningi bekhetha ukubona amazinga angaphansi kuka-120 mg/dL ukuze uthole impilo enhle.

Noma kunjalo, okungcono kakhulu kungahluka kancane ngokuya ngezimo zakho. Ubudala, ukukhulelwa, kanye nezimo ezithile zezokwelapha kungase kuthinte ukuthi yini udokotela wakho ayibheka njengokufanele wena. Umhlinzeki wakho wezempilo uzochaza imiphumela yakho ngokuya ngesimo sakho sempilo esiphelele.

Ziyini izici eziyingozi zokuhlolwa kokubekezelelana kwe-glucose okungavamile?

Izici eziningi zingakhuphula ingozi yakho yokuba nemiphumela yokuhlolwa kokubekezelelana kwe-glucose okungavamile. Ukuqonda lezi zici eziyingozi kungakusiza kanye nodokotela wakho ukuthi banqume ukuthi ukuhlolwa kufanelekile yini nokuthi yini ongayilindela.

Ubudala buyinye yezici eziyingozi ezinkulu, nengozi yesifo sikashukela ikhuphuka kakhulu ngemva kweminyaka engama-45. Njengoba ukhula, ikhono lomzimba wakho lokucubungula i-glucose lingase lehle ngokwemvelo, okwenza imiphumela engavamile ibe maningi.

Nazi izici eziyingozi ezingathinta ukubekezelelana kwakho kwe-glucose:

• Ukukhuluphala ngokweqile noma ukukhuluphala, ikakhulukazi ngamafutha amaningi esiswini
• Umlando womndeni wesifo sikashukela kubazali noma kubafowabo nodadewabo
• Ukuphila impilo engasebenzi ngomzimba enomsebenzi omncane womzimba
• Ukuba nomfutho wegazi ophezulu (140/90 mmHg noma ngaphezulu)
• Ukuba namazinga e-cholesterol angavamile, ikakhulukazi i-HDL ephansi noma ama-triglycerides aphezulu
• Ukuba ne-polycystic ovary syndrome (PCOS)
• Umlando wesifo sikashukela sokukhulelwa noma ukuzala umntwana osinda ngaphezu kwamaphawundi angu-9

Amaqembu athile obuhlanga nawo anezingozi eziphezulu, okuhlanganisa ama-African American, ama-Hispanic American, ama-Native American, ama-Asian American, kanye nama-Pacific Islanders. Le ngozi eyengeziwe ibonakala ihlobene nezici zofuzo ezihlanganiswe nendlela yokuphila kanye nethonya lemvelo.

Eminye imithi nayo ingathinta ukubekezelelana kwe-glucose, okuhlanganisa ama-corticosteroids, imithi ethile yomfutho wegazi, kanye nemithi ethile yezifo zengqondo. Uma usebenzisa noma iyiphi yalezi, xoxa nodokotela wakho ukuthi zingawathinta kanjani imiphumela yakho yokuhlolwa.

Kungcono yini ukuba nemiphumela ephezulu noma ephansi yokuhlolwa kokubekezelelana kwe-glucose?

Imiphumela ephansi yokuhlolwa kokubekezelelana kwe-glucose ngokuvamile ingcono, njengoba ikhomba ukuthi umzimba wakho usebenza i-glucose ngempumelelo. Kodwa-ke, umgomo awukona ukuba nezinombolo eziphansi kakhulu, kodwa kunalokho ukuba nemiphumela ewa ngaphakathi kwebanga elijwayelekile, elinempilo.

Ukubekezelelana okuvamile kwe-glucose kubonisa ukuthi i-pancreas yakho ikhiqiza i-insulin eyanele futhi amaseli akho ayiphendula kahle. Lokhu kusho ukuthi umzimba wakho ungahambisa ngempumelelo i-glucose evela egazini lakho iye emangqamuzaneni akho lapho idingeka khona ukuze uthole amandla.

Imiphumela ephezulu yokuhlolwa kokubekezelelana kwe-glucose ikhomba ukuthi umzimba wakho ulwela ukucubungula i-glucose ngempumelelo. Lokhu kungasho ukuthi i-pancreas yakho ayikhiqizi i-insulin eyanele, amaseli akho awasabeli kahle ku-insulin, noma kokubili. Le miphumela ephakeme yandisa ingozi yakho yokuthuthukisa isifo sikashukela kanye nezinkinga zaso.

Imiphumela ephansi kakhulu ye-glucose ngesikhathi sokuhlolwa ayivamile kodwa ngezinye izikhathi ingenzeka. Uma ushukela wakho wegazi wehla kakhulu ngesikhathi sokuhlolwa, kungase kusikisela i-hypoglycemia esebenzayo, lapho ushukela wakho wegazi wehla kakhulu ngemva kokudla. Lesi simo sidinga ukuphathwa okuhlukile kunesifo sikashukela.

Ziyini izinkinga ezingase zibe khona zemiphumela ephansi yokuhlolwa kokubekezelelana kwe-glucose?

Imiphumela ephansi yokuhlolwa kokubekezelelana kwe-glucose ngokuvamile ayihlobene nezinkinga ezingathi sína, njengoba ngokuvamile ikhomba i-glucose metabolism enhle. Kodwa-ke, imiphumela ephansi ngokungavamile ingase isikisela i-hypoglycemia esebenzayo, engabangela iqoqo layo lezimpawu.

I-hypoglycemia esebenzayo yenzeka lapho ushukela wakho wegazi wehla kakhulu kungakapheli amahora ambalwa ngemva kokudla. Lokhu kungenzeka uma umzimba wakho ukhiqiza i-insulin eningi kakhulu ngokusabela ku-glucose, okubangela ukuthi ushukela wakho wegazi wehle ngaphansi kwamazinga avamile.

Nazi izimpawu ezingase zibe khona kanye nezinkinga ze-hypoglycemia esebenzayo:

• Ukuthuthumela, ukukhathala, noma ukukhathazeka
• Ukujuluka nokubanda
• Ukushaya kwenhliziyo okusheshayo noma ukushaya kwenhliziyo okungajwayelekile
• Indlala nesicanucanu
• Isiyezi noma ukungaqiniseki
• Ubunzima bokugxilisa ingqondo noma ukudideka
• Ukucasuka noma izinguquko zemizwa

Lezi zimpawu zivame ukunyama ngokushesha uma usudle okuthile okuqukethe ama-carbohydrate. Nokho, izigameko ezivamile zingaphazamisa imisebenzi yansuku zonke futhi zingase zibonise isimo esingaphansi esidinga ukunakekelwa kwezokwelapha.

Ezimweni ezingavamile, amazinga e-glucose aphansi kakhulu ngesikhathi sokuhlolwa angase asikisela ezinye izimo zezokwelapha, njenge-insulinomas (izimila ezikhiqiza i-insulin) noma izifo ezithile ze-hormonal. Lezi zimo zidinga ukuhlolwa kwezokwelapha okukhethekile nokwelashwa.

Ziyini izinkinga ezingase zibe khona zemiphumela ephezulu yokuhlolwa kokubekezelelana kwe-glucose?

Imiphumela ephezulu yokuhlolwa kokubekezelelana kwe-glucose ikhomba i-prediabetes noma isifo sikashukela, kokubili okungaholela ezinkingeni ezingathi sína zesikhathi eside uma zingalawulwa kahle. Lapho amazinga akho e-glucose ephezulu, kuba mkhulu amathuba okuthi uthole lezi zinkinga ngokuhamba kwesikhathi.

Izinkinga zesifo sikashukela zithuthuka kancane kancane futhi zingathinta izinhlelo eziningi zezitho emzimbeni wakho. Izindaba ezinhle ukuthi ukugcina ukulawulwa okuhle kukashukela wegazi kungavimbela noma kulibazise iningi lalezi zinkinga, yingakho ukutholwa kwasekuqaleni ngokuhlolwa kokubekezelelana kwe-glucose kubaluleke kangako.

Nazi izinkinga ezingase zibe khona zesikhathi eside ze-glucose ephezulu yegazi engalawulwa:

• Isifo senhliziyo nesitroko ngenxa yemithambo yegazi elimele
• Isifo sezinso esingathuthuka siye ekwehlulekeni kwezinso
• Izinkinga zamehlo, okuhlanganisa i-diabetic retinopathy engabangela ubumpumputhe
• Umonakalo wemizwa (i-neuropathy) obangela ubuhlungu, ukuluma, noma ukuba ndikindiki
• Ukuphola kwamanxeba okungahambi kahle nokwanda kwengozi yokutheleleka
• Izinkinga zamazinyo nesifo sezinsini
• Izimo zesikhumba nokuphola okuhamba kancane

Ingozi yalezi zinkinga iyanda kokubili ngezinga lokukhuphuka kukashukela wegazi kanye nobude besikhathi sokulawulwa kukashukela okungahambi kahle. Yingakho kubalulekile ukuthatha imiphumela yokuhlolwa kokubekezelelana kukashukela okungajwayelekile ngokungathí sina futhi usebenze nomhlinzeki wakho wezempilo ukuthuthukisa uhlelo olusebenzayo lokuphatha.

Noma ngabe une-prediabetes, unengozi eyengeziwe yesifo senhliziyo nesifo sohlangothi. Kodwa-ke, izinguquko zokuphila kulesi sigaba zivame ukuvimbela ukuqhubeka ku-type 2 diabetes futhi zinciphise ingozi yakho yezinkinga.

Kufanele ngibone nini udokotela ngemiphumela yokuhlolwa kokubekezelelana kukashukela?

Kufanele ubone udokotela ukuze uxoxe ngemiphumela yakho yokuhlolwa kokubekezelelana kukashukela kungakhathalekile umphumela. Umhlinzeki wakho wezempilo udinga ukuhumusha imiphumela ngokuya ngempilo yakho yonke, izimpawu, nezici eziyingozi.

Uma imiphumela yakho ijwayelekile, ungase ungadingi ukuhlolwa okulandelayo ngokushesha, kodwa udokotela wakho angase ancome ukuhlolwa okuphindwayo eminyakeni eyodwa kuya kwemithathu kuye ngezici zakho eziyingozi. Ukuqapha njalo kubalulekile ngoba ukubekezelelana kukashukela kungashintsha ngokuhamba kwesikhathi.

Kufanele uhlele i-aphoyintimenti ngokushesha uma imiphumela yakho ikhombisa i-prediabetes noma isifo sikashukela. Nakhu lapho okufanele ufune khona ukunakekelwa kwezokwelapha:

• Noma iyiphi imiphumela yokuhlolwa kokubekezelelana kukashukela engajwayelekile idinga ukuhunyushwa kochwepheshe
• Uma uhlangabezana nezimpawu ezinjengokoma ngokweqile, ukuchama njalo, noma ukuncipha kwesisindo okungachazeki
• Uma uneziqephu eziphindaphindayo zezimpawu zikashukela ophansi wegazi
• Uma ukhulelwe futhi unemiphumela engajwayelekile
• Uma unemibuzo ngemiphumela yakho noma ukuthi isho ukuthini ngempilo yakho

Ungalibazisi ukufuna ukunakekelwa kwezokwelapha uma unezimpawu ezihlobene nesifo sikashukela, noma ngabe imiphumela yakho yokuhlolwa ayikafiki okwamanje. Izimpawu ezinjengokoma okukhulu, ukuchama njalo, umbono ongacacile, noma amanxeba aphola kancane adinga ukunakekelwa kwezokwelapha ngokushesha.

Udktela wakho uzokusiza ukuthi uqonde ukuthi imiphumela yakho isho ukuthini futhi akhe uhlelo lokuphatha impilo yakho ngokuqhubekayo. Lokhu kungabandakanya ukwelulekwa ngendlela yokuphila, imithi, noma ukudluliselwa kochwepheshe abanjengochwepheshe bezindlala noma othisha besifo sikashukela.

Imibuzo evame ukubuzwa mayelana nokuhlolwa kokubekezelelana kwe-glucose

Q.1 Ingabe ukuhlolwa kokubekezelelana kwe-glucose kulungile ekuxilongeni isifo sikashukela?

Yebo, ukuhlolwa kokubekezelelana kwe-glucose kuyithuluzi elihle kakhulu lokuxilonga isifo sikashukela kanye ne-prediabetes. Kuthathwa njengenye yezivivinyo ezijwayelekile zegolide ngoba ikhombisa ukuthi umzimba wakho uwucubungula kanjani ngempela i-glucose ngokuhamba kwesikhathi, kunokuba nje unikeze isithombe esifana nokuhlolwa kwe-glucose yegazi elizilayo.

Ukuhlolwa kuwusizo ikakhulukazi lapho ezinye izivivinyo zinikeza imiphumela esezingeni eliphansi noma uma unezimpawu ezisikisela izinkinga zikashukela wegazi kodwa amazinga e-glucose azilayo ajwayelekile. Kungabamba isifo sikashukela esingase sidlule ezivivinyweni ezilula, ikakhulukazi ezigabeni zokuqala.

Q.2 Ingabe umphumela wokuhlolwa kokubekezelelana kwe-glucose ophezulu ubangela isifo sikashukela?

Imiphumela ephezulu yokuhlolwa kokubekezelelana kwe-glucose ayibangeli isifo sikashukela, kodwa kunalokho iveza ukuthi isifo sikashukela noma i-prediabetes isivele ikhona. Imiphumela yokuhlolwa iyisilinganiso sokuthi umzimba wakho uyiqhubula kahle kangakanani i-glucose njengamanje, hhayi imbangela yesimo.

Cabanga ngakho njengokufunda kwe-thermometer ngesikhathi somkhuhlane - ukufunda okushisa kakhulu akubangeli ukugula, kodwa kubonisa ukuthi kukhona okungalungile okudinga ukunakwa. Ngokufanayo, imiphumela engavamile yokuhlolwa kokubekezelelana kwe-glucose ikhombisa ukuthi uhlelo lomzimba lokucubungula i-glucose ludinga ukunakekelwa kwezokwelapha.

Q.3 Ngingadla ngokujwayelekile ngemva kokuhlolwa kokubekezelelana kwe-glucose?

Yebo, ungaqhubeka nemikhuba yakho yokudla evamile ngokushesha ngemva kokuqeda ukuhlolwa kokubekezelelana kwe-glucose. Eqinisweni, abantu abaningi bazizwa belambile ngemva kokuzila ukudla nokuhamba ngesivivinyo, ngakho-ke ukuba nokudla okulinganiselwe kuwumqondo omuhle.

Abanye abantu bazizwa bekhathele kancane noma benesicanucanu esincane ngemva kokuhlolwa, ikakhulukazi ngemva kwesiphuzo esinoswidi se-glucose. Ukudla ukudla okuvamile okunama-protein nama-carbohydrate ayinkimbinkimbi kungakusiza ukuba uzizwe ungcono futhi uzinzise ushukela wakho wegazi ngokwemvelo.

Q.4 Ngivame kangakanani ukuthi ngiphinde ngihlolwe i-glucose tolerance test?

Ukuvama kokuhlolwa kwe-glucose tolerance test kuncike emiphumeleni yakho nasezintweni eziyingozi. Uma imiphumela yakho ijwayelekile futhi ungenazo izinto eziyingozi, udokotela wakho angase ancome ukuthi uphinde uhlolwe njalo eminyakeni emithathu ngemva kweminyaka engama-45.

Uma une-prediabetes, ngokuvamile uzodinga ukuhlolwa minyaka yonke ukuze uqaphele isimo sakho. Abantu abanesifo sikashukela ngokuvamile abadingi ukuphindwa kwe-glucose tolerance test, njengoba ezinye izindlela zokuqapha njenge-hemoglobin A1C zisebenziseka kakhulu ekunakekelweni okuqhubekayo.

Q.5 Ingabe ukucindezeleka kungayithinta imiphumela yami ye-glucose tolerance test?

Yebo, ukucindezeleka ngokomzimba noma ngokomzwelo kungayithinta imiphumela yakho ye-glucose tolerance test ngokunyusa amazinga kashukela wakho wegazi. Ama-hormone okucindezeleka njenge-cortisol angaphazamisa ukusebenza kwe-insulin kanye ne-glucose metabolism.

Uma uzizwa ucindezelekile ngosuku lokuhlolwa kwakho, yazisa umhlinzeki wakho wezempilo. Bangase bancomela ukuthi uhlehlise ukuhlolwa uma ukucindezeleka kunzima, noma bazohumusha imiphumela yakho bazi ukuthi ukucindezeleka kungase kube nendima ekufundeni okukhulu.