Mayeso a kulolerana a glucose (PHTT)

Nthawi ya pakati ndi nthawi yayikulu kwambiri m'miyoyo yonse ya azimayi onse. Kupatula apo, posachedwa kuti akhale mayi.

Koma nthawi yomweyo m'thupi mumalephera pa mahomoni, komanso munjira za metabolic, zomwe zimakhudza thanzi. Zakudya zomanga thupi zimagwira mwapadera.

Kuti muwone zakuphwanya munthawi yake, muyenera kuyesa kuyeserera kwa shuga. Chifukwa mwa akazi, matenda ashuga ndiofala kuposa amuna. Ndipo ambiri amagwa nthawi yobereka kapena yobereka. Chifukwa chake, amayi apakati ndi gulu lapadera lachiwopsezo cha matenda ashuga.

Kuyesakukuthandizira kudziwa kuchuluka kwa shuga m'magazi, komanso momwe glucose amalowerera ndi thupi. Kuzindikira kwa matenda a gestational shuga kumangowonetsa zovuta za metabolism wa carbohydrate.

Pambuyo pobereka, chilichonse chimasinthidwa, koma nthawi ya kubereka, izi zimawopseza onse mkazi ndi mwana wosabadwa. Nthawi zambiri matendawo amayamba popanda zizindikiro, ndipo ndikofunikira kuzindikira zonse munthawi yake.

Zizindikiro zakusanthula

Mndandanda wathunthu wa anthu omwe akufunika kuyesedwa kuti adziwe momwe madzi a shuga aliri:

• anthu onenepa kwambiri
• zolakwika ndi mavuto ndi chiwindi, adrenal gland kapena kapamba,
• ngati mukukayika mtundu wachiwiri wa matenda ashuga kapena woyamba kudziletsa,
• woyembekezera.

Kwa amayi oyembekezera, kudutsa mayeso kumakhala kofunikira ngati pali zinthu ngati izi:

• mavuto onenepa kwambiri
• mkodzo kutsimikiza,
• ngati mimba si yoyamba, ndipo pakhala pali matenda a shuga.
• cholowa
• nthawi ya masabata 32,
• gulu lazaka zopitilira 35,
• chipatso chachikulu
• glucose owonjezera m'magazi.

Mayeso a kulolerana ndi glucose pa mimba - atenga nthawi yayitali bwanji?

Ndikulimbikitsidwa kuyesedwa kuchokera ku milungu 24 mpaka 28 molingana ndi pakati, posachedwa, bwinoko poyerekeza ndi thanzi la mayi ndi mwana.

Nthawi yakeyo komanso mfundo zomwe sizikhazikikidwe sizimakhudza zotsatira za kusanthula mwanjira iliyonse.

Ndondomeko iyenera kukonzedwa bwino. Ngati pali zovuta ndi chiwindi kapena kuchuluka kwa potaziyamu kumachepera, ndiye kuti zotsatira zake zitha kupotozedwa.

Ngati mukukayikira mayeso abodza kapena okangana, ndiye kuti pakatha milungu iwiri mutha kupitanso. Kuyesedwa kwa magazi kumaperekedwa m'magawo atatu, chomaliza ndikofunikira kutsimikizira zotsatira zachiwiri.

Amayi oyembekezera omwe adatsimikiziridwa kuti ali ndi matendawa amayenera kuunikanso miyezi 1.5 atabereka kuti akhazikitse kulumikizana ndi pakati. Kubadwa kwa mwana kumayambira kale, mkati mwa milungu 37 mpaka 38.

Pambuyo pa masabata 32, kuyesedwa kungayambitse zovuta za mayi ndi mwana, chifukwa chake, nthawi iyi ikafika, kumva kwa glucose sikuchitika.

Kodi amayi apakati sangayesere magazi ndi magazi?

Simungathe kusanthula nthawi yomwe muli ndi pakati ndi chizindikiro chimodzi kapena zingapo:

• toxosis yayikulu,
• zovuta za shuga
• zam'mimba dongosolo ndi mavuto,
• zotupa zosiyanasiyana
• matenda opatsirana,
• nthawi yantchito.

Madeti ndi kuwunika kwa decryption

Matenda a shuga amawopa mankhwalawa, ngati moto!

Muyenera kungolemba ...

Tsiku loti lisanachitike phunziroli, ndikofunikira kuti muzikhala machitidwe abwinobwino, koma osadekha tsiku. Kutsatira malangizo onse kumatsimikizira zotsatira zolondola.

Kusanthula kwa shuga kumachitika ndi katundu m'njira zotsatirazi:

1. magazi ochokera m'mitsempha amaperekedwa koyambirira (magazi kuchokera ku capillaries alibe chidziwitso chofunikira) pamimba yopanda kanthu ndikuwunika kwadzidzidzi. Ndi mtengo wa glucose woposa 5.1 mmol / L, palibe kusanthula kwinanso komwe kumachitika. Chomwe chikuwululidwa chiwonetsero kapena matenda a shuga. Ndi ma glucose omwe ali pansi pa mtengo uwu, gawo lachiwiri limatsata,
2. konzani ufa wa glucose (75 g), ndikuthira mu makapu awiri a madzi ofunda. Muyenera kusakaniza mu chidebe chapadera, chomwe mungatenge nanu mukafufuza. Zingakhale bwino mutatenga ufa ndi ma thermos mosiyana ndi madzi ndikusakaniza zonse mphindi zingapo musanatenge. Onetsetsani kuti mumamwa muung'ono wochepa, koma osapitirira mphindi 5. Mutatenga malo abwino komanso modekha, dikirani ola limodzi,
3. pakapita nthawi, magazi amapatsidwanso kuchokera mu mtsempha. Zizindikiro pamwambapa 5.1 mmol / L zikuwonetsa kuchepa kwa kafukufuku wowonjezereka, ngati pansipa gawo lotsatira likuyembekezeredwa.
4. mukuyenera kukhala maola ena onse osakhazikika, kenako ndikupereka magazi a venous kuti mudziwe glycemia. Zosankha zonse zimayikidwa ndi othandizira ma labotale mu mitundu yapadera yosonyeza nthawi yolandirira kuwunika.

Zambiri zomwe zimapezeka zimawerengera momwe amapangira shuga. Mkazi wathanzi amakhala ndi kuchuluka kwa glucose pambuyo pa ola limodzi la chakudya. Choyimira ndichabwinobwino, ngati sichikwera kuposa 10 mmol / l.

Mu ora lotsatira, zikhulupiliro zimayenera kuchepa, ngati izi sizingachitike, ndiye izi zikuwonetsa kukhalapo kwa matenda ashuga a gestational. Mukazindikira matenda, musachite mantha.

Ndikofunikira kupatsanso kuyeserera pambuyo pakubereka. Nthawi zambiri, chilichonse chimakhala chabwinobwino, ndipo matendawa sawatsimikizira. Koma ngati mutatha kuchita masewera olimbitsa thupi, kuthamanga kwa shuga m'magazi kumakhalabe okwera, ndiye kuti ndi shuga wowoneka bwino, yemwe amafunika kuwunika.

Musamacheke ufa ndi madzi otentha, apo ayi ndiye kuti manyuchi omwe amakhala chifukwa cha mankhwalawo, amakhala ovuta kumwa.

Nthawi ndi zopatuka

Panthawi ya bere, kuwonjezeka kwa glucose ndi njira yachilengedwe, chifukwa mwana wosabadwa amafunikira kuti akule bwino. Komabe pali miyambo.

Chizindikiro:

• kumwa magazi pamimba yopanda kanthu - 5.1 mmol / l,
• patatha ola limodzi kuchokera pamatenga madzi - 10 mmol / l,
• pambuyo 2 maola kumwa kuchepetsedwa shuga shuga - 8.6 mmol / l,
• atatha maola atatu atamwa shuga - 7.8 mmol / l.

Zotsatira pamwambapa kapena zofanana ndi izi zimasonyeza kulolera kwa glucose.

Kwa mayi woyembekezera, izi zimawonetsa matenda ashuga. Ngati mutatha kuyamwa mu kuchuluka kwa magazi chizindikiritso choposa 7.0 mmol / l mwapezeka, ndiye kuti mukukayikira kale mtundu wachiwiri wa matenda ashuga ndipo palibe chifukwa chochitira izi posanthula.

Ngati chitukuko cha matenda ashuga mwa mayi wapakati chikuyembekezeredwa, ndiye kuti kuyesedwa kwachiwiri kumayesedwa masabata awiri pambuyo pa zotsatira zoyambirira zomwe zapezeka kuti sizimayikira kukayikira kapena kutsimikizira matendawa.

Ngati matendawa atsimikiziridwa, ndiye kuti mwana akabadwa (pambuyo pafupifupi miyezi 1.5), muyenera kuyesanso mayeso kuti mumve zama glucose. Izi ndizowona ngati zikugwirizana ndi pakati kapena ayi.

Momwe mungayesere shuga poyesa kutenga pakati:

Kuyesako sikumavulaza mwana kapena mayi, kupatula pazochitika zomwe zalembedwa mu contraindication. Ngati matenda a shuga sanapezekabe, kuwonjezeka kwa glucose sikungavulazenso. Kulephera kudutsa mayeso ololera wa glucose kumatha kukhala ndi zotsatirapo zoopsa.

Kupereka kusanthula uku ndikofunika kupewa kapena kuzindikira matenda a metabolic komanso kukula kwa matenda ashuga. Ngati zotsatira zoyesa sizikuyembekezeka kwathunthu, simuyenera kuchita mantha.

Panthawi imeneyi, muyenera kutsatira malangizo omveka bwino ndi dokotala. Ndikofunika kukumbukira kuti kudzichiritsa nokha munthawi yovunda kumatha kuvulaza mwana komanso mayi.

Chifukwa chiyani kuyesedwa kwa glucose ndikofunikira?

Chiyeso chololera pakamwa cha glucose (PGTT), kapena mayeso ololera wama glucose, chimakupatsani mwayi wofufuza zovuta za kagayidwe kazakudya, ndiko kuti, muwone momwe thupi limayang'anira shuga. Pogwiritsa ntchito mayesowa, kupezeka kwa matenda ashuga kapena gestationalabetes mellitus (GDM kapena matenda ashuga) kumatsimikizika.

Matenda a shuga ochitika m'mimba amatha kupezeka mwa azimayi omwe alibe pachiwopsezo, popeza kuti kukhala ndi pakati kumatha kukhala chofunikira kwambiri pakulimbitsa thupi.

Matenda a shuga a Gestational nthawi zambiri samakhala ndi zizindikiro zowoneka, choncho ndikofunikira kuyesa mayeso nthawi kuti musaphonye matendawa, chifukwa popanda chithandizo, GDM imatha kukhala ndi zotsatirapo zoopsa kwa mayi ndi mwana.

PGTT yokhala ndi 75 g ya glucose imalimbikitsidwa kwa amayi onse oyembekezera pakati pa milungu 24 ndi 28 milungu yokhala ndi pakati (nthawi yoyenera imawerengedwa kuti ndi milungu 24-26).

Kodi vuto la carbohydrate metabolism limapezeka bwanji pakubala?

Gawo 1. Paulendo woyamba wa mayi woyembekezera kupita kwa dokotala mpaka milungu 24, kuchuluka kwa shuga kumayesedwa venous kusala kwamadzi:

Zotsatira za venous plasma glucose malo opeza matenda a shuga:

Malo osokoneza bongo a plasma glucose opezeka matenda
Matenda a matenda a shuga (GDM):

Malinga ndi zotsatira za PHTT yokhala ndi glucose 75, ndikwanira kukhazikitsa matenda omwe apezeka ndi matenda ashuga kwambiri kotero kuti gawo limodzi mwa magawo atatu a glucose ndi ofanana kapena apamwamba kuposa pakhomo. Ndiko kuti, ngati kusala kwa glucose ≥ 5.1 mmol / L, kutsitsa kwa shuga sikumachitika, ngati pamfundo yachiwiri (pambuyo pa ola limodzi) shuga ≥ 10,0 mmol / L, ndiye kuti kuyesedwa kumayimitsidwa ndikuzindikira kwa GDM.

Ngati, pakati pathupi, kusala kudya kwa glucose ≥ 7.0 mmol / L (126 mg / dl), kapena shuga wamagazi ≥ 11.1 mmol / L (200 mg / dl), mosasamala kanthu za kudya ndi nthawi ya tsiku, ndiye kukhalapo kwa kuwonetsa (kudziwika koyamba) matenda a shuga.

Nthawi zambiri m'makirinawa amayendera zomwe zimadziwika kuti "mayeso ndi chakudya cham'mawa": amapempha mayi woyembekezera kuti apereke magazi (nthawi zambiri kuchokera pachala), kenako amawatumiza kuti akadye kena kake kokoma ndipo amapempha kuti abwererenso patapita nthawi kudzapereka magazi. Ndi njira iyi, palibe mfundo zovomerezeka zomwe zingachitike, chifukwa aliyense ali ndi nthawi yopumula mosiyana, ndipo ndizosatheka kupatula kukhalapo kwa matenda osokoneza bongo chifukwa cha zotsatira zomwe zapezeka.

Kodi mayeso ololera a glucose ndi owopsa?

Njira yatsopano ya shuga ga 75 g titha kufananizidwa ndi chakudya cham'mawa chopangidwa ndi donut ndi jamu. Ndiye kuti, PGTT ndi mayeso otetezeka kuti mupeze vuto la carbohydrate metabolism pa nthawi yapakati. Chifukwa chake, kuyesaku sikungayambitse matenda ashuga.

Kulephera kuyesa, m'malo mwake, kumatha kukhala ndi zotsatirapo zoopsa kwa onse mayi ndi mwana, chifukwa matenda ashuga (shuga ya amayi apakati) sangawonekere ndipo njira zoyenera sizitengedwa kuti matenda a shuga achulukane.

Ma Synonyms: mayeso ololera a glucose, mayeso a kulolera glucose, OGTT, mayeso ndi magalamu 75 a shuga, mayeso a kulolera glucose, GTT, mayeso a glucose ofunikira, OGTT.

Ndani akuwonetsedwa kwa GTT

Zomwe zikuwonetsa kuyesedwa kwa mayeso a glucose ololera ndizokwanira.

Zowonetsa zambiri za GTG:

• kukayikira mtundu wa matenda ashuga II,
• kukonza ndi kuchiza matenda a shuga,
• kunenepa
• zovuta zamatenda a metabolic, ophatikizidwa pansi pa dzina "metabolic syndrome".

Zizindikiro za GTT panthawi yapakati:

• kunenepa kwambiri
• matenda a shuga kwa amayi apakati omwe anali ndi pakati,
• milandu yobereka mwana yolemera kuposa makilogalamu anayi kapena ana obadwa nawo,
• mbiri yatsopano ya imfa yatsopano
• mbiri yakubadwa koyambirira kwa ana,
• Matenda a shuga m'mabanja apakati a mayi wapakati, komanso mwa abambo a mwana.
• mobwerezabwereza matenda a kwamikodzo matenda,
• kutenga mochedwa (woyembekezera zaka zopitilira 30),
• Kuzindikira shuga pakuwunika mkodzo panthawi yapakati,
• azimayi ndi amtundu kapena mayiko omwe nthumwi zawo zimakonda kuyambitsa matenda ashuga (ku Russia ndi oimira gulu la Karelian-Finnish ndi mafuko aku Far North).

Contraindication kumlomo kuyamwa mayeso a glucose

GTT sangathe kuchitidwa zotsatirazi:

• ARI, matenda opatsirana pachimake am'mimba, matenda am'mimba komanso matenda ena opatsirana komanso otupa.
• pachimake kapena chodwala (mu gawo la kufalikira) matenda a kapamba,
• post-gastrectomy syndrome (kutaya matenda),
• Mulingo uliwonse wophatikizidwa ndi kuwonongeka kwa chakudya m'magawo osiyanasiyana am'mimba,
• mikhalidwe yofunikira yoletsa mwamphamvu zolimbitsa thupi,
• toxosis woyambirira (mseru, kusanza).

Kuyesererana kwa glucose pakakhala pakati

Matenda a shuga a Gestational ndi mawonekedwe omwe amawonekera ndi kuchuluka kwa shuga m'magazi, omwe amapezeka koyambirira panthawi yomwe ali ndi pakati, koma osakwanira momwe amapangira matenda ashuga oyamba.

GDM ndimavuto ambiri obeleka ndipo imachitika kawirikawiri 1-15% ya milandu yonse yomwe imachitika pathupi.

GDM, popanda kuwopseza mwachindunji amayi, imanyamula zowopsa zingapo kwa mwana wosabadwayo:

• chiopsezo chowonjezereka chokhala ndi mwana wamkulu, yemwe ali ndi zovulaza kwa akhanda ndi kubadwa kwa mayiyo.
• chiopsezo chowonjezereka cha matenda amkati,
• kuwonjezeka kwa mwayi woti munthu abadwe asanabadwe,
• hypoglycemia wa wakhanda,
• zotheka za matenda a kupuma matenda a wakhanda,
• chiopsezo cha kubadwa mwatsopano.

Dziwani kuti kuwunika kwa "GDM" kwakhazikitsidwa ndi obstetrician-gynecologist. Kufunsira kwa endocrinologist pankhaniyi sikufunika.

Mimba mayeso yoyesa nthawi

Kuzindikira kagayidwe ka glucose kumachitika m'magawo awiri. Gawo loyamba (kuwunika) kumachitika kwa amayi onse oyembekezera. Gawo lachiwiri (ПГТТ) ndilosankha ndipo limachitika pokhapokha pazolowera malire mu gawo loyamba.

Gawo loyamba ndikudziwa kuchuluka kwa glycemia m'madzi am'magazi pamimba yopanda kanthu. Kupereka kwa magazi kwa shuga kumachitika pakuyitanidwa koyamba kwa mkazi kupita ku chipatala cha antenatal pokhudzana ndi kuyambika kwa pakati mpaka milungu 24.

Mlanduwo pamene kuchuluka kwa shuga m'magazi a venous ndi ochepera 5.1 mmol / l (92 mg / dl), gawo lachiwiri silofunikira. Kuwongolera mimbayo kumachitika molingana ndi dongosolo loyenera.

Ngati magazi a glucose ndi ofanana kapena opitilira 7.0 mmol / L (126 mg / dl), kupezeka kwa matendawa ndi "matenda omwe angopezekanso kumene mwa amayi apakati". Kenako wodwalayo amasamutsidwa moyang'aniridwa ndi endocrinologist. Gawo lachiwiri silifunikanso.

Zikakhala kuti magazi a venous glucose ofunika ndi ofanana kapena opitilira 5.1 mmol / l, koma osafikira 7.0 mmol / l, matendawa ndi "GDM", ndipo mayiyo amatumizidwa kuti akachite gawo lachiwiri la kafukufukuyu.

Gawo lachiwiri la phunziroli ndi kuyesa mayeso okhudzana ndi shuga wa m'magazi ndi 75 g ya glucose. Kutalika kwa gawo ili ndikuchokera kwa milungu 24 mpaka 32 ya bere. Kuchita GTT pambuyo pake kungasokoneze mkhalidwe wa mwana wosabadwayo.

Kukonzekera kwa GTT panthawi yapakati

Kuyesedwa kwa glucose pakamwa nthawi yapakati kumafunika kukonzekera. Kupanda kutero, zotsatira za phunziroli zitha kukhala zolondola.

Pakupita maola makumi asanu ndi awiri chisanachitike OGTT, mayi ayenera kudya zakudya zosachepera 150 g zama calorule wosavuta patsiku. Chakudya chamadzulo patsiku la phunziroli chiyenera kuphatikizapo shuga 40-50 g (malinga ndi shuga). Chakudya chomaliza chimatha maola 12-14 musanayesedwe mayeso a glucose. Tikulimbikitsidwanso masiku atatu GTT isanachitike komanso kuti nthawi yonse yowerengera iyime kusuta.

Magazi a m'magazi amaperekedwa m'mawa m'mimba yopanda kanthu.

Mayi woyembekezera nthawi yonse yomwe akuphunzira, kuphatikiza gawo lokonzekera (maola makumi asanu ndi awiri asanatenge magazi), ayenera kumachita zolimbitsa thupi, kupewa kutopa kwambiri kapena kugona nthawi yayitali. Mukamayesa magazi kwa shuga panthawi yomwe muli ndi pakati, mutha kumwa madzi osapanda malire.

Magawo a mayeso am'magazi a pakamwa

Kuwona kuchuluka kwa glycemia panthawi yoyeserera shuga kumachitika pogwiritsa ntchito michere yapadera ya biochemical. Choyamba, magazi amasonkhanitsidwa mu chubu choyesera, chomwe chimayikidwa mu centrifuge kuti ipatule gawo lamadzi ndi maselo amwazi.Pambuyo pake, gawo lamadzimadzi (plasma) limasamutsidwira ku chubu lina, komwe limayang'aniridwa ndi shuga. Njira yoyesera iyi imatchedwa vitro (in vitro).

Kugwiritsira ntchito kusanthula kosunthika (glucometer) pazolinga izi, ndiye kuti, pakutsimikiza kwa vivo shuga wamagazi, ndikosavomerezeka!

Kukwaniritsidwa kwa PGT kumaphatikizapo magawo anayi:

1. Maselo a magazi a venous pamimba yopanda kanthu. Kutsimikiza kwa shuga m'magazi kuyenera kuchitika mu mphindi zochepa zotsatira. Ngati phindu la glycemia mulingo woyenera wofanana ndi matenda a shuga kapena matenda a shuga, kafukufukuyu amathetsa. Ngati kuchuluka kwa magazi a venous kuli kwabwinobwino kapena kwamalire, kumapitilira gawo lachiwiri.
2. Mayi woyembekezera amamwa 75 ga shuga wouma wosungunuka mu 200 ml yamadzi pamtunda wa 36-40 ° C. Madzi sayenera kukhala ndi mineralized kapena carbonated. Madzi osungunuka amalimbikitsidwa. Wodwala sayenera kumwa gawo lonse lamadzi osati pachitsime chimodzi, koma pang'ono pomwe pang'ono kwa mphindi zingapo. Sikoyenera kudziwa mulingo wa glycemia pambuyo gawo lachiwiri.
3. Patatha mphindi 60 mkazi atamwa njira ya shuga, magazi amatengedwa kuchokera m'mitsempha, osapindulitsa ndipo shuga ya plasma imakhazikika. Ngati mfundo zomwe zapezeka zikugwirizana ndi matenda ashuga, kupitiliza GTT sikofunikira.
4. Pambuyo mphindi zina 60, magazi amatengedwanso kuchokera mu mtsempha, amakonzedwa molingana ndi chiwembu chokhazikika, ndipo mulingo wa glycemia umatsimikizika.

Nditapeza zonse mu magawo onse a GTT, pamakhala mawu omaliza okhudza kagayidwe kazakudwala.

Zachilendo komanso zopatuka

Mwachidziwitso, zotsatira zomwe zimapezeka pa PGTT zimadziwika popindika shuga - graph yomwe zizindikiro za glycemia imalembedwa pamtunda wowongoka (nthawi zambiri m'milimita / l), ndipo pamlingo wopingasa - nthawi: 0 - pamimba yopanda kanthu, pambuyo pa ola limodzi ndi pambuyo maola 2.

Kuwerengetsa curve yotseka, yopangidwa molingana ndi GTT pa nthawi ya pakati, sikovuta. Kuzindikira kwa "GDM" kumapangidwa ngati kuchuluka kwa shuga m'magazi malinga ndi PSTT ndi:

• pamimba yopanda kanthu ≥5.1 mmol / l,
• Ola limodzi mutatha kutenga 75 ga shuga ≥10.0 mmol / l,
• Patatha maola awiri mutamwa njira ya shuga ose8.5 mmol / L.

Nthawi zambiri, malinga ndi momwe amapangira shuga, pali kuwonjezeka kwa glycemia 1 ora pambuyo pakukonzekera kwa kamwa kwa glucose osaposa 9.9 mmol / L. Kupitilira apo, kuchepa kwa graph ya phukusi kumadziwika, ndipo pakakhala "maola 2", kuchuluka kwa shuga kwa magazi sikuyenera kupitirira 8.4 mmol / L.

Ndikofunika kudziwa kuti pakati pathupi simumapezeka matenda obwereketsa a carbohydrate kapena matenda obwera chifukwa cha matenda ashuga.

Zoyenera kuchita ngati matenda ashuga apezeka?

GDM ndi matenda omwe nthawi zambiri amangochitika okha akangobadwa mwa mwana. Komabe, kuti muchepetse chiwopsezo kwa mwana wosabadwayo, malingaliro ena ayenera kutsatiridwa.

Wodwala amayenera kudya zakudya zoletsedwa kwathunthu kugwiritsa ntchito shuga wosavuta komanso zoletsa zamadzimadzi zanyama. Chiwerengero chonse cha zopatsa mphamvu chiyenera kugawidwa chimodzimodzi pakati pa phwando la 5-6 patsiku.

Zochita zolimbitsa thupi ziyenera kuphatikizapo kuyenda dosed, kusambira mu dziwe, aqua aerobics, masewera olimbitsa thupi ndi yoga kwa amayi apakati.

Pakatha sabata limodzi kuchokera pamene matenda a shuga wokhazikitsidwa atakhazikitsidwa, mzimayi ayenera kuyesa pawokha kuchuluka kwa shuga pamimba yopanda kanthu, asanadye, ola limodzi atatha kudya, 3 koloko. Ngati glycemic indices pamimba yopanda kanthu kawiri mu sabata yowonera imafikira kapena kupitirira 5.1 mmol / L, ndipo mutatha kudya - 7.0 mmol / L, ndipo ngati zizindikiro za matenda a shuga zimapezeka, insulin imayikidwa molingana ndi chiwembucho, anatsimikiza payekha ndi endocrinologist.

Munthawi yonse ya kumwa mankhwala a insulin, mzimayi ayenera kuyima pawokha magazi a capillary pogwiritsa ntchito glucometer osachepera 8 pa tsiku.

Mankhwala a Oral hypoglycemic amakhala pachiwopsezo cha mwana wosabadwayo, kotero kugwiritsa ntchito kwawo panthawi yoletsedwa nkoletsedwa.

Mwana akangobadwa kumene, chithandizo cha insulin chimatha. Pakupita masiku atatu mwana atabadwa, ndikofunikira kuti azimayi onse omwe ali ndi matenda ashuga azindikire zofunikira za glycemia mu plasma yamagazi. Miyezi 1.5-3 pambuyo pobadwa, bwerezani GTT ndi shuga kuti mupeze mtundu wa metabolism ya carbohydrate.

Malangizo apadera

Mukazindikira mtundu wa kagayidwe ka shuga pa nthawi ya pakati, ziyenera kukumbukiridwa kuti kumwa mankhwalawa kungakulitse kapena kuchepetsa magazi kwakanthawi. Mankhwalawa amaphatikizapo ma blockers ndi othandizira a β-adrenergic receptors, mahomoni a glucocorticoid, adaptogens. Ndikofunikanso kukumbukira kuti zakumwa zoledzeretsa kwakanthawi zimatha kuchulukitsa glycemia, pambuyo pake zinthu za ethanol metabolism zimayambitsa hypoglycemia.

Ndemanga za GTT

Madokotala omwe akukumana ndi mayeso a glucose ololera panthawi yomwe ali ndi pakati pa zochita zawo, amawona kutsimikiza, kukhudzika, chitetezo cha njirayi, malinga ndi nthawi, poganizira zomwe zikuwonetsa ndi zotsutsana, kukonzekera koyenera mayeso, komanso zotsatira zachangu zimapezeka.

Amayi oyembekezera omwe adayesedwa ndi OGTT adazindikira kusapezeka kwa vuto lililonse pamayeso, komanso kusapezeka kwa njira yofufuzira iyi pazokhudza thanzi la mwana wosabadwayo.