Kuyeserera kwa shuga m'magazi

Kuyesedwa kwa glucose kumakhala ndi kudziwa kuchuluka kwa shuga m'magazi am'magazi komanso insulin pamimba yopanda kanthu komanso maola 2 mutatha mafuta kuti mupeze matenda osiyanasiyana a metabolism metabolism (kukana kwa insulin, kulolerana kwa glucose, shuga mellitus, glycemia).

Ma SynonymsChingerezi

Kuyeserera kwa glucose, GTT, Mayeso a glucose ofunikira.

Electrochemiluminescent immunoassay - insulin, enzymatic UV (hexokinase) - shuga.

Mmol / l (millimol pa lita) - shuga, μU / ml (microunit pa millilita) - insulin.

Kodi ndi zotsalira ziti zomwe zingagwiritsidwe ntchito kafukufuku?

Momwe mungakonzekerere phunzirolo?

• Osamadya kwa maola 12 phunzirolo lisanachitike, mutha kumwa madzi oyera.
• Osapatula kwathunthu (mogwirizana ndi adokotala) kuperekera mankhwala mkati mwa maola 24 maphunziro asanachitike.
• Osasuta kwa maola atatu musanayambe kuphunzira.

Phunziro Mwachidule

Kuyesedwa kwa glucose ndi muyeso wofulumira wama glucose ndi 2 hours mutayamwa pakamwa njira yothetsera shuga (nthawi zambiri 75 g shuga). Kulandila yankho la glucose kumawonjezera kuchuluka kwa shuga m'magazi paola loyamba, ndiye kuti insulini imapangidwa mu kapamba ndipo mkati mwa ola lachiwiri mulingo wa glucose m'magazi umasinthika.

Kuyesedwa kwa glucose komwe kumagwiritsidwa ntchito pozindikira matenda ashuga (kuphatikizapo gestational), ndi mayeso omvera kuposa kutsimikiza kwa glucose. Muzochita zamankhwala, kuyesedwa kwa glucose kumagwiritsidwa ntchito kuti mupeze shuga ndi matenda ashuga mwa anthu omwe ali ndi malire amitsempha yamagazi. Kuphatikiza apo, kuyesedwa uku ndikulimbikitsidwa kuti muzindikire msanga shuga mwa anthu omwe ali ndi chiwopsezo chochuluka (kunenepa kwambiri, ndi kukhalapo kwa matenda ashuga abale, omwe ali ndi milandu ya hyperglycemia, yokhala ndi matenda a metabolic, etc.). Kuyesedwa kwa glucose kumayesedwa chifukwa cha kuthamanga kwama glucose (oposa 11.1 mmol / L), komanso kwa matenda owopsa, ana osaposa zaka 14, mu trimester yomaliza yam'mimba, mukamamwa magulu ena a mankhwala (mwachitsanzo, mahomoni a steroid).

Kuonjezera kufunikira kwamankhwala, limodzi ndi muyeso wa kuchuluka kwa glucose pama mayeso a kulolera shuga, kutsimikiza kwa mulingo wa insulin m'magazi kumagwiritsidwa ntchito. Insulin ndi mahomoni opangidwa ndi maselo a beta a kapamba. Ntchito yake yayikulu ndikuchepetsa kuchuluka kwa shuga m'magazi. Kudziwa miyezo ya insulini musanayambe komanso mutatha kugwiritsa ntchito yankho la glucose, poyeserera kulekerera kwa shuga, mutha kuwunika kukula kwa mayankho a kapamba. Ngati kupatuka kwazotsatira zamagulu a shuga ndi insulin zikupezeka, kupezeka kwa matenda kumathandizira kwambiri, komwe kumayendera limodzi ndi kudziwikiratu koyenera.

Ndikofunikira kudziwa kuti kusankha ndi kutanthauzira kwa zotsatira za mayeso a glucose ololera ndi muyeso wa kuchuluka kwa insulin kwamwazi kumachitika kokha ndi madokotala omwe amapezekapo.

Kodi kafukufukuyu amagwiritsa ntchito chiyani?

• Pa matenda a carbohydrate kagayidwe kachakudya.

Kodi phunziroli lidzakonzedwa liti?

• Ndi zizindikiro za hypoglycemia kupatula mitundu yosiyanasiyana ya matenda ashuga,
• pakuwona kuchuluka kwa glucose / insulin, komanso kuwunika katemera wa insulin komanso ntchito ya β-cell,
• Pozindikira insulin kukana odwala ochepa ochepa matenda oopsa, hyperuricemia, okwera magazi triglycerides, mtundu 2 shuga mellitus,
• ngati mukukayikira insulin
• Mukamayang'ana odwala omwe ali ndi kunenepa kwambiri, matenda a shuga, metabolic syndrome, polycystic ovary syndrome, hepatitis yayikulu, osakhala chidakwa cha chiwindi,
• poyesa kuopsa kokhala ndi matenda a shuga ndi mtima.

Zotsatira zake zikutanthauza chiyani?

Glucose

Pamimba yopanda kanthu: 4.1 - 6.1 mmol / l,

pambuyo pa mphindi 120 mutatsitsa: 4.1 - 7.8 mmol / L.

Njira zoyenera kudziwa za matenda ashuga komanso matenda ena a glycemic *