Mayeso a kulolerana ndi mpweya

Mukamayesa mayeso okhudzana ndi shuga, zinthu zotsatirazi ziyenera kuonedwa:

kuyesedwa kwa masiku osachepera atatu mayeso amayenera kutsatira zakudya zabwino (zopatsa mphamvu> 125-150 g patsiku) ndikutsatira zolimbitsa thupi,

Phunziroli limachitika m'mawa m'mimba yopanda kanthu pambuyo pa kusala kudya kwa maola 10-14 (panthawiyi simuyenera kusuta ndi kumwa mowa),

Nthawi yoyesedwa, wodwalayo ayenera kugona kapena kukhala chete, osasuta, osazizira, komanso osagwira ntchito zolimbitsa thupi,

kuyesedwa sikulimbikitsidwa pambuyo komanso pamavuto, matenda ofooketsa, atagwira ntchito ndi kubereka, ndi njira yotupa, matenda a chiwindi, chiwindi, nthawi ya msambo, ndi matenda am'mimba omwe amachititsa kuti shuga ayambe,

musanayesedwe, ndikofunikira kupatula njira zachipatala ndikumamwa mankhwala (adrenaline, glucocorticoids, njira zakulera, caffeine, okodzetsa a mfululizo wa thiazide, mankhwala a psychotropic ndi antidepressants),

Zotsatira zoyipa zimawonedwa ndi hypokalemia, kukanika kwa chiwindi, endocrinopathies.

Sinthani ya Methodology |Ndani amafunika kuyesedwa kwa shuga?

Chiyeso chololera cha glucose cholimbana ndi shuga chikuyenera kuchitika mwachizolowezi komanso m'magazi a glucose. Izi ndizofunikira posiyanitsa matenda a shuga komanso kudziwa kuchuluka kwa shuga. Matendawa amatchedwanso prediabetes.

Kuphatikiza apo, kuyesedwa kwa glucose kumatha kulembedwa kwa iwo omwe nthawi ina anali ndi hyperglycemia panthawi yamavuto, mwachitsanzo, kugunda kwa mtima, sitiroko, chibayo. GTT idzachitika pokhapokha ngati wodwalayo atadwala.

Ponena za miyambo, chizindikiritso chabwino pamimba yopanda kanthu chidzachokera pa 3.3 mpaka 5.5 mamililita pa lita imodzi yamwazi wa munthu, kuphatikiza. Ngati zotsatira za mayeserowo ndi zapamwamba kuposa mamililita 5.6, pamenepa tikambirana za kusala kudya kwamphamvu kwa glycemia, ndipo chifukwa cha 6.1, matenda a shuga amakula.

Kodi kulabadira mwapadera?

Ndikofunika kudziwa kuti zomwe zimachitika pogwiritsa ntchito glucometer sizikhala zowonetsera. Amatha kupereka zotsatira zoyenera, ndipo amalimbikitsidwa pokhapokha ngati amathandizidwa ndi matenda ashuga kuti azitha kuthana ndi shuga m'magazi a wodwala.

Tisaiwale kuti zitsanzo zamagazi zimachitika kuchokera m'mitsempha ndi chala nthawi yomweyo, komanso pamimba yopanda kanthu. Mukatha kudya, shuga amakwiriridwa bwino kwambiri, zomwe zimapangitsa kutsika kwake mpaka milili 2.

Kuyesaku ndi kuyesa kwakukulu chifukwa chake kumalimbikitsidwa kuti musamapange popanda chofunikira.

Kwa iye kuyesedwa kumayesedwa

Mfundo zazikuluzikulu zokhudzana ndi mayeso a glucose ololerana ndi izi:

woopsa ambiri
zotupa mu thupi,
zosokoneza njira kudya pambuyo opaleshoni pamimba,
zilonda zam'mimba ndi matenda a Crohn,
m'mimba lakuthwa
kuchuluka kwa kukokana kwa hemorrhagic, matenda a mtima ndi matenda a mtima,
Matenda a chiwindi,
osakwanira michere ndi potaziyamu,
kugwiritsidwa ntchito kwa ma steroid ndi glucocorticosteroids,
piritsi zoletsa
Matenda a Cushing
hyperthyroidism
Kulandila kwa obetchera beta,
acromegaly
pheochromocytoma,
kutenga phenytoin,
thiazide okodzetsa
kugwiritsa ntchito acetazolamide.

Momwe mungakonzekerere thupi kuti lizitha kuyesa mayeso a glucose?

Kuti zotsatira za kuyesedwa kwa glucose zikhale zolondola, ndikofunikira pasadakhale, monga masiku angapo zisanachitike, kudya zakudya zomwe zodziwika bwino zokha kapena zopatsa mphamvu.

Tikuyankhula za chakudya momwe zinthu zawo zimachokera ku magalamu 150 kapena kuposerapo. Ngati mumatsatira zakudya zamafuta ochepa musanayesedwe, izi zingakhale zovuta kwambiri, chifukwa zotsatira zake zimakhala chizindikiro chotsika kwambiri cha shuga la wodwala.

Kuphatikiza apo, pafupifupi masiku atatu asanakwane kafukufukuyu, kugwiritsa ntchito mankhwalawa sikunalimbikitsidwe: kulera kwapakamwa, thiazide diuretics, ndi glucocorticosteroids. Osachepera maola 15 GTT isanachitike, simuyenera kumwa zakumwa zoledzeretsa ndikudya chakudya.

Kodi amayesedwa bwanji?

Kuyesedwa kwa shuga kwa shuga kumachitika m'mawa m'mimba yopanda kanthu. Komanso, musasute ndudu musanayesedwe komanso kumapeto kwake.

Choyamba, magazi amatengedwa kuchokera m'mitsempha ya ulnar pamimba yopanda kanthu. Pambuyo pake, wodwalayo ayenera kumwa magalamu 75 a shuga, omwe kale amasungunuka m'mililita 300 yamadzi oyera opanda mpweya. Madzi onse amayenera kudyedwa mu mphindi 5.

Ngati tikulankhula za maphunziro a ubwana, ndiye kuti shuga amathandizidwa pamagululi 1.75 pa kilogalamu ya kulemera kwa mwana, ndipo muyenera kudziwa chiyani. Ngati kulemera kwake kukuposa makilogalamu 43, ndiye kuti muyezo wa munthu wamkulu ndi wofunikira.

Magazi a glucose adzafunika kuyezedwa theka lililonse la ola kuti asadutse misempha ya magazi. Nthawi iliyonse, msinkhu wake suyenera kupitirira mamililita 10.

Ndikofunika kudziwa kuti panthawi yoyesedwa kwa glucose, zolimbitsa thupi zilizonse zimawonetsedwa, osati kungonama kapena kukhala pamalo amodzi.

Chifukwa chiyani mutha kupeza zotsatira zolakwika?

Zinthu zotsatirazi zingadzetse zotsatirapo zabodza:

kulowetsa shuga m'magazi,
kudziletsa kwathunthu kwa chakudya pang'ono tsiku loyeserera,
kuchita zolimbitsa thupi kwambiri.

Zotsatira zabodza zitha kupezeka ngati:

kusala kudya kwanthawi yayitali kwa wophunzirayo,
chifukwa cha pastel mode.

Kodi zotsatira za kuyesa kwa shuga zimawunikidwa bwanji?

Malinga ndi 1999 World Health Organisation, zotsatira zomwe kuyesedwa kwa glucose kochitidwa pamaziko a ziwonetsero zamagazi athunthu ndi:

18 mg / dl = 1 mamilimita pa 1 lita imodzi ya magazi,

100 mg / dl = 1 g / l = 5.6 mmol,

dl = decilita = 0,1 l.

Pamimba yopanda kanthu:

malinga ndi momwe zinthu zidzakambidwire: zosakwana 5.6 mmol / l (zosakwana 100 mg / dl),
glycemia wosokoneza: kuyambira pa chizindikiro cha mamiliyoni 5.6 mpaka 6.0 (kuchokera 100 mpaka ochepera 110 mg / dL),
Kwa odwala matenda ashuga: chizolowezi ndichoposa 6.1 mmol / l (kuposa 110 mg / dl).

Maola awiri atatha kudya shuga:

monga: osakwana 7.8 mmol (osakwana 140 mg / dl),
kulolerana kwapakati: kuchokera pa mulingo wa 7.8 mpaka 10,9 mmol (kuyambira 140 mpaka 199 mg / dl),
shuga mellitus: oposa mamilimita 11 (okulirapo kapena ofanana ndi 200 mg / dl).

Posankha kuchuluka kwa shuga kuchokera m'mwazi wotengedwa kuchokera m'mitsempha yaakuberekera pamimba yopanda kanthu, zizindikirozo zidzakhala zofanana, ndipo patatha maola awiri manambala awa adzakhala 6.7-9.9 mmol pa lita.

Mayeso okonzekera kubereka

Chiyeso chololeza shuga chofotokozedwacho chisokonezedwa molakwika ndi omwe amachitidwa mwa amayi apakati munthawi yama sabata 24 mpaka 28. Amasankhidwa ndi dokotala wazachipatala kuti azindikire zoopsa zomwe zimayambitsa matenda ashuga omwe ali nawo amayi apakati. Kuphatikiza apo, kuzindikira koteroko kungalimbikitsidwe ndi endocrinologist.

Muzochita zachipatala, pali njira zingapo zoyesera: ola limodzi, maola awiri ndi amodzi omwe amapangidwira maola atatu. Ngati tizingolankhula za zizindikiro zomwe ziyenera kukhazikitsidwa pakumwa magazi pamimba yopanda kanthu, ndiye kuti izi zidzakhala zochepera kuposa 5.0.

Ngati mayi yemwe ali ndi matendawa ali ndi matenda a shuga, ndiye kuti muzochita zakezo mulankhula za iye:

itatha ola limodzi - zochulukirapo kapena zofanana ndi mamilimita 10.5,
pambuyo 2 maola - oposa 9.2 mmol / l,
itatha maola atatu - ochulukirapo kapena wofanana ndi 8.

Pa nthawi yoyembekezera, ndikofunikira kwambiri kuyang'anira kuchuluka kwa shuga m'magazi, chifukwa m'malo mwake mwana ali m'mimba amakhala ndi katundu wambiri, makamaka, kapamba wake. Komanso, aliyense ali ndi chidwi ndi funsoli,.

Kuzindikira kwa thupi ndi njira yapadera yothandizira labotale yodziwitsa matenda a shuga (DM) ndi momwe aliri. Pali mitundu iwiri:

glucose intravenous test
kuphunzira pakamwa glucose.

Kusanthula kumawonetsa momwe thupi la munthu limasungunulira shuga m'magazi. Mitengo, njira komanso kuthekera kwa mayeso okhudzana ndi glucose tidzakambirana pansipa. Mudziwa kuti kafukufukuyu ndi chiyani ndipo ndi zovuta zake.

Glucose ndi monosaccharide wogwiritsidwa ntchito ndi thupi kukhalabe ndi mphamvu. Ngati munthu ali ndi matenda ashuga, omwe sanalandirepo, pali zinthu zambiri m'magazi. Kuyesedwa kumafunikira kuti mudzindikire matendawa munthawi yake komanso chiyambi chamankhwala mosachedwa. Momwe mungapangitsire kafukufuku wololera - tifotokoza pansipa.

Ngati kuwunika kukuwonetsa kukwera kwambiri, munthuyo ali ndi matenda ashuga a 2. Amayi oyembekezera sayenera kuchita mantha, chifukwa ndi "mawonekedwe osangalatsa", kuchuluka kwa shuga m'magazi kumakwera.

Kuchita mayeso ololera wa glucose ndi njira yosavuta yomwe iyenera kuchitidwa nthawi zonse ngati prophylaxis.

Kukonzekera mayeso

Kukonzekera mokwanira kusanachitike. Asanayesedwe mayeso a glucose oyamba, madokotala amalimbikitsa kuti muzitsatira zakudya: pezani mafuta, zakudya zonunkhira komanso zakudya zopatsa mphamvu zamagulu ambiri m'zakudya. Idyani nthawi 4-5 patsiku (kadzutsa, nkhomaliro, chakudya chamadzulo ndi ziwiri zosadya) osadya kwambiri komanso kufa ndi chakudya - kuchuluka kwa thupi ndi zinthu zofunikira pamoyo wathanzi kumayenera kukhala kwathunthu.

Momwe mungatengere mayeso a kulolera kwa glucose? Padera pamimba yopanda kanthu: osafunikira kudya kwa maola 8. Koma osati mopitirira: kusala kudya sikuvomerezedwa kuposa maola 14.

Tsiku lisanafike mayeso a kulolera kwa glucose, siyani mowa ndi ndudu.

Musanayambe kukonzekera phunzirolo, funsani dokotala wanu za kumwa mankhwala. Chiyesocho sichikhala cholondola mukamamwa mapiritsi omwe amakhudza shuga. Izi zikuphatikizapo mankhwala omwe ali ndi:

khofi
adrenaline
glucocorticoid zinthu
diuretics of the thiazide mfululizo, etc.

Kodi mayeso ololera a glucose amachitika bwanji?

Momwe mungasinthire za kulolera kwa glucose - afotokozereni dokotala yemwe azichita njirayi. Tilankhula mwachidule za zomwe mayesowo adayesa. Choyamba, lingalirani za njira yamlomo.

Njira yamagazi imatengedwa kuti ikasinthidwe. Wodwalayo amamwa madzi okhala ndi kuchuluka kwa shuga (75 magalamu). Kenako dotolo amatenga magazi kuti akawunikidwe theka lililonse la ola kapena ola. Ndondomeko amatenga pafupifupi 3 maola.

Njira yachiwiri siigwiritsidwa ntchito kawirikawiri. Amadziwika kuti ndi mayeso a shuga a magazi. Mbali yake ndi yoletsa kugwiritsidwa ntchito pakuzindikira matenda ashuga. Kuyesedwa kwa magazi ndi njirayi kumachitika motere: chinthucho chimalowetsedwa m'mitsempha ya wodwalayo kwa mphindi zitatu, mutatha kudziwa kuchuluka kwa insulin.

Atapanga jakisoni, adotolo amawerengera mphindi 1 ndi 3 jekeseni. Nthawi yoyezera imadalira momwe madokotala akuwonera komanso momwe akuchitirayo.

Zochitika poyesa

Mukamayesa mayeso okhudzana ndi glucose, mavuto satha. Musachite mantha: Umu ndiye chizolowezi. Phunziroli limadziwika ndi:

kutuluka thukuta kwambiri
kupuma movutikira
pang'ono nseru
kukomoka kapena kukomoka.

Monga momwe masewera akusonyezera, kuyeserera kwa glucose kumayambitsa mavuto ambiri kawirikawiri. Musanayesere kuyeserera, pewani modekha ndikuphunzitsani zokhazokha. Mchitidwe wamanjenje umakhala wokhazikika, ndipo njirayi imatha popanda zovuta.

Kodi kulekerera kwa glucose ndi chiyani

Musanayambe phunziroli, werengani momwe mungawerengere kuti mumvetsetse zotsatira zake. Gawoli ndi milligrams (mg) kapena ma deciliters (dl).

Norm pa 75 gr. zinthu:

60-100 mg - zotsatira zoyambirira,
200 mg pambuyo pa ola limodzi,
mpaka 140 mg mu maola angapo.

Kumbukirani kuti zigawo zothandiza kudziwa kuchuluka kwa shuga m'magazi ndi zodalira zasayansi - fufuzani ndi dokotala.

Chiyesocho nthawi zina chimawonetsedwa kukhala chosalimbikitsa. Musakhumudwe ngati zizindikiro sizikugwirizana ndi zomwe zikuchitika. Ndikofunikira kudziwa chomwe chikuyambitsa ndikuthetsa vutoli.

Ngati shuga wamagazi aposa 200 mg (dm) - wodwalayo ali ndi matenda a shuga.

Kuzindikira kumapangidwa ndi adokotala okha: kuthamanga kwa shuga ndizotheka ndi matenda ena (Cushing's syndrome, etc.).

Kufunika kosanthula ndikovuta kuzidalira. Kukhala bwino kwamunthu kumadalira kuchuluka kwa glucose, chizindikirochi chikuyenera kuwongoleredwa. Ngati mukufuna kusangalala ndi moyo komanso kukhala wokangalika, musanyalanyaze shuga.

Dokotala wothandizira, dokotala wabanja, endocrinologist, ndipo ngakhale dokotala wamankhwala amatha kupatsa mayeso okhudzana ndi glucose - zonsezi zimatengera ndi katswiri uti yemwe amakayikira kuti wodwalayo wayamba kudwala matenda a shuga.

Pamene GTT ndi yoletsedwa

Kuyesaku kumayima ngati, pamimba yopanda kanthu, kuchuluka kwa shuga mkati mwake (GLU) kupitirira gawo la 11.1 mmol / L. Kuchulukitsa kwa maswiti pamkhalidwe uwu ndiwowopsa, kumayambitsa kusokonezeka kwa khungu ndipo kungayambitse.

Zotsatira za kuyeserera kwa glucose:

Mu matenda opatsirana kapena otupa.
Munthawi yomaliza ya mimba, makamaka pakatha milungu 32.
Ana osakwana zaka 14.
Mu nthawi ya kuchuluka kwa matenda kapamba.
Pamaso pa endocrine matenda omwe amachititsa kuchuluka kwa shuga m'magazi: Matenda a Cushing, kuchuluka kwa chithokomiro, acromegaly, pheochromocytoma.
Mukumwa mankhwala omwe amatha kupotoza zotsatira zoyeserera - mahomoni a steroid, ma COC, okodzetsa kuchokera ku gulu la hydrochlorothiazide, diacarb, ena antiepileptic mankhwala.

M'masitolo ogulitsa mankhwala ndi zida zamankhwala mungagule njira yothetsera shuga, ndi ma glucometer okwera mtengo, komanso mawunikidwe apadera azomwe amatha kudziwa kuchuluka kwa magazi a 5-6. Ngakhale izi, kuyesa kwa kulolera kwa glucose kunyumba, popanda kuyang'aniridwa ndi achipatala, nkoletsedwa. Choyamba, kudziyimira pawokha kumatha kuyipa kwambiri mpaka ambulansi .

Kachiwiri, kulondola kwa zida zonse zosunthika sikokwanira pakuwunikira, chifukwa chake, zidziwitso zomwe zimapezeka mu labotale zimatha kusiyanasiyana. Mutha kugwiritsa ntchito izi kuti mupeze shuga pamimba yopanda kanthu komanso mutatha kuthira shuga wachilengedwe - chakudya choyenera. Ndikosavuta kuzigwiritsa ntchito kuzindikira zinthu zomwe zimakhala ndi shuga pamagazi ndikupanga zakudya zanu popewa matenda ashuga kapena chiphuphu chake.

Ndiosafunikanso kuyesa mayeso okhudzana ndi shuga komanso mkatikati mwa glucose nthawi zambiri, chifukwa ndiovuta kwambiri kapamba ndipo ngati amachitidwa pafupipafupi, angayambitse kufooka.

Zomwe Zimakhudza Kudalirika kwa GTT

Mukadutsa mayeso, muyeso woyamba wa glucose umachitika pamimba yopanda kanthu. Zotsatira izi zimawerengedwa momwe mulingo womwe miyezo yotsala ikuyerekeza. Zizindikiro zachiwiri ndi zotsatirazi zimatengera kukhazikitsidwa koyenera kwa glucose komanso kulondola kwa zida zomwe zikugwiritsidwa ntchito. Sitingathe kuwalimbikitsa. Koma kudalirika kwa muyeso woyamba odwala nawonso ali ndi udindo wonse . Zifukwa zingapo zimatha kupotoza zotsatira, chifukwa chake kukonzekera GTT kuyenera kuperekedwa mwachidwi.

Kukusavomerezeka kwa zomwe zapezedwa kungayambitse:

Mowa patsiku lamaphunziro.
Kutsegula m'mimba, kutentha kwambiri, kapena kumwa madzi osakwanira zomwe zapangitsa kuti madzi atheretu.
Kugwira ntchito molimbika kapena kuchita masewera olimbitsa thupi kwa masiku atatu mayeso asanakwane.
Kusintha kwakukulu m'zakudya, makamaka zomwe zimakhudzana ndi kuletsedwa kwa chakudya cham'mimba, njala.
Kusuta usiku komanso m'mawa pamaso pa GTT.
Zinthu zovuta.
Kuzizira, kuphatikiza mapapo.
Njira zobwezeretsanso thupi m'thupi latha.
Kupumula kwa kugona kapena kuchepa kwambiri kwa zolimbitsa thupi.

Mukalandira chiphaso choti aunikize dokotala, ndikofunikira kudziwitsa onse omwe amamwa, kuphatikizapo kulera. Adzasankha omwe ati aletsedwe masiku atatu GTT isanachitike. Nthawi zambiri mankhwalawa amachepetsa shuga, njira zakulera komanso mankhwala ena a mahomoni.

Njira Yoyeserera

Ngakhale kuti mayeso ololera wa glucose ndi ophweka kwambiri, a labotale ayenera kukhala ndi pafupifupi maola awiri, pomwe kusintha kwa shuga kudzawunikiridwa. Kupita kokayenda nthawi ino sikugwira ntchito, chifukwa kuyang'anira antchito ndikofunikira. Odwala nthawi zambiri amafunsidwa kuti ayembekezere pabenchi muholo yolembera. Kusewera masewera osangalatsa pafoni sikulinso koyenera - kusintha kwa malingaliro kumatha kukhudza kutulutsa kwa glucose. Kusankha kwabwino kwambiri ndi buku la maphunziro.

Njira zodziwira kulolerana ndi shuga:

Wopereka magazi oyamba amachitika m'mawa, pamimba yopanda kanthu. Nthawi yomwe idadutsa kuchokera kumapeto komaliza imakhala yoyendetsedwa bwino. Sipayenera kukhala ochepera maola 8, kuti mafuta ogwiritsidwira ntchito azitha kugwiritsidwa ntchito, ndipo osaposa 14, kuti thupi lisayambe kufa ndi njala ndikupeza shuga m'magulu osagwirizana.
Katundu wa glucose ndi kapu yamadzi okoma omwe amafunikira kuledzera mkati mwa mphindi 5. Kuchuluka kwa shuga mkati mwake kumatsimikiziridwa mosasamala payekhapayekha. Nthawi zambiri, 85 g ya glucose monohydrate imasungunuka m'madzi, yomwe imagwirizana ndi 75 magalamu oyera. Kwa anthu azaka zapakati pa 14-18, katundu wofunikira amawerengedwa malinga ndi kulemera kwawo - 1.75 g ya glucose yoyera pa kilogalamu imodzi ya kulemera. Ndilemera kupitirira 43 makilogalamu, mwachizolowezi wamkulu mankhwala amaloledwa. Kwa anthu onenepa kwambiri, katunduyo amawonjezeka mpaka kufika pa 100. Mothandizidwa ndi mafinya, gawo la glucose limachepetsedwa kwambiri, zomwe zimapangitsa kukumbukira kuchepa kwake pakugaya.
Bwerezani kangapo magazi kanthawi 4 - theka lililonse mukatha kuchita masewera olimbitsa thupi. Ndi mphamvu yochepetsera shuga, ndizotheka kuwerengera kuphwanya kwake kagayidwe. Ma labotor ena amatenga magazi kawiri - pamimba yopanda kanthu komanso pambuyo pa maola awiri. Zotsatira zakuwunika kotereku zitha kukhala zosadalirika. Ngati shuga wambiri m'magazi amapezeka nthawi yoyamba ija, imakhalabe yosalembetsedwa.

Chidziwitso chosangalatsa - mu madzi otsekemera onjezerani citric acid kapena ingopatsani kagawo ka mandimu. Kodi ndimu ndi chifukwa chiyani zimakhudza kuyeserera kwa glucose? Zilibe phindu lililonse pamlingo wa shuga, koma zimakupatsani mwayi wambiri kuti muchepetse nseru pambuyo pa kudya kamodzi kwa chakudya chochuluka.

Laboratory mayeso a glucose

Pakadali pano, pafupifupi palibe magazi omwe amatengedwa kuchokera pachala. M'mabotolo amakono, muyezo wogwira ntchito ndi magazi a venous. Mukamasanthula, zotsatira zake zimakhala zolondola, chifukwa siziphatikizidwa ndi madzi am'mimba ndi zamitsempha, ngati magazi a capillary kuchokera pachala. Masiku ano, mpanda kuchokera pamitsempha sutayika ngakhale pakuwonongeka kwa ndondomekoyi - singano zowongolera ndi laser zimapangitsa kupweteka kukhala kosapweteka.

Mukatenga magazi kuti muyeze mayeso a shuga, amaikidwa m'matumba apadera omwe amathandizidwa ndi mankhwala osungira. Njira yabwino ndikugwiritsa ntchito njira za vacuum, momwe magazi amayenda mofananamo chifukwa cha kusiyana kwa mapanikizidwe. Izi zimapewa kuwonongedwa kwa maselo ofiira am'magazi komanso mapangidwe ena, omwe amatha kupotoza zotsatira zoyesedwa kapenanso kupangitsa kuti kusatheka kuchitike.

Ntchito ya othandizira ma labour pakadali pano ndi kupewa kuwonongeka kwa magazi - makutidwe ndi okosijeni, glycolysis ndi kuphwanya. Pofuna kupewa kukhathamiritsa kwa glucose, sodium fluoride ili mumachubu. Ma ions a fluoride mmenemo amateteza kuwonongeka kwa molekyu ya glucose. Zosintha mu hemoglobin ya glycated zimapetsedwa pogwiritsa ntchito machubu ozizira kenako ndikuyika zitsanzozo kuzizira. Monga anticoagulants, EDTU kapena sodium citrate imagwiritsidwa ntchito.

Kenako chubu choyesera chimayikidwa mu centrifuge, imagawa magazi kukhala madzi a m'magazi ndi zinthu zina. Plasma imasinthidwa kukhala chubu yatsopano, ndipo kutsimikiza kwa glucose kudzachitika mmenemo. Njira zambiri zakonzedwera cholinga ichi, koma ziwiri mwa izo tsopano zikugwiritsidwa ntchito m'mabotolo: glucose oxidase ndi hexokinase. Njira zonsezi ndi za enzymatic; zochita zawo zimatengera kapangidwe kazinthu kamphamvu kamene kamapanga michere. Zinthu zomwe zimapezeka chifukwa cha izi zimawunikidwa pogwiritsa ntchito biochemical Photometer kapena pa automatic analysis. Njira yoyeserera komanso yokhazikika yoyeserera magazi imakuthandizani kuti mupeze deta yodalirika pazomwe zimapangidwira, yerekezerani zotsatira kuchokera m'malo osiyanasiyana, ndikugwiritsa ntchito miyezo yodziwika mumagulu a shuga.

GTT yachilendo

Glucose miyeso yoyambirira yoyeserera magazi ndi GTT

Glucose muyezo wachiwiri komanso wotsatira wa magazi ndi GTT

Zomwe zapezedwa sizomwe zikuwonetsa kuti mwatsimikiza, awa amangodziwa za adokotala. Kuti mutsimikizire zotsatira, kuyesedwa mobwerezabwereza kwa glucose kumachitika, zopereka zamagazi kuzisonyezo zina, kuyesa kwa ziwalo zowonjezera kumayikidwa. Pambuyo pazochita zonsezi titha kulankhula za metabolic syndrome, matenda a shuga komanso makamaka matenda a shuga.

Ndi chitsimikiziro chodziwikiratu, mudzayang'ananso moyo wanu wonse: mubwezereni zoziziritsa kukhazikika, chakudya chamagulu, kubwezeretsa kamvekedwe ka minofu mwa kuchita zolimbitsa thupi mokhazikika. Kuphatikiza apo, odwala amapatsidwa mankhwala ochepetsa shuga, ndipo ovuta kwambiri, jakisoni wa insulin. Kuchuluka kwa glucose m'magazi kumapangitsa kuti munthu azikhala wotopa nthawi zonse komanso amasowa chidwi, kumapangitsa thupi kukhala mkatikati, kumalimbitsa chilakolako chofuna kudya kwambiri. Thupi limawoneka kuti limakana kuchira. Ndipo mukagonjera ndikulola matenda kuyamba - pali chiwopsezo chachikulu pambuyo pazaka zisanu kuti musinthe mosasintha m'maso, impso, mapazi, ngakhale kulumala.

Ngati muli m'gulu lowopsa, matenda ashuga ayenera kuyambisidwa mayeso ololera a glucose asanamve. Potere, mwayi wokhala ndi moyo wautali komanso wathanzi wopanda matenda a shuga umachulukitsidwa.

Kuyesererana kwa glucose pakakhala pakati

Wina akanena kuti amayi apakati safunika kupita kuchipatala, izi ndizolakwika!

Mimba - nthawi yokonzanso kwamakadinala a thupi kwa zakudya zabwino za mwana wosabadwa ndikuwapatsa mpweya. Pali kusintha kwa kagayidwe ka glucose. Mu theka loyamba la nthawi, GTT panthawi yapakati imapereka mitengo yotsika kuposa masiku onse. Kenako limapangidwa makina apadera - gawo lina la minofu limatha kuzindikira insulini, mumakhala shuga wambiri m'magazi, ndipo mwana amalandila mphamvu zochuluka kudzera m'magazi kuti akula.

Njira izi zikalephera, amalankhula za matenda ashuga. Umenewu ndi mtundu wina wa shuga womwe umachitika pang'onopang'ono pakubala kwa mwana, ndipo umadutsa kumene mwana akangobadwa.

Zimayika pachiwopsezo kwa mwana wosabadwayo chifukwa cha kuthamanga kwa magazi kudzera m'matumbo a placenta, chiopsezo chotenga matenda, komanso zimabweretsa mwana kwambiri, zomwe zimapangitsa kuti mwana abadwe.

Njira yodziwitsa matenda ashuga

Ngati glucose othamanga ndi apamwamba kuposa 7, ndipo mutatsitsa ndi 11 mmol / l, zikutanthauza kuti matenda ashuga adatsimikizika panthawi yapakati. Ziwerengero zapamwamba zotere sizingathenso kubwerera ku nthawi yobadwa mwana.

Tiona kuti ndi nthawi yayitali bwanji yomwe GTT ikuyenera kuchitika pofuna kutsata zovuta za metabolic munthawi. Nthawi yoyamba kuyesedwa kwa shuga imayikidwa mutangolankhula ndi dokotala. Magazi a shuga kapena hemoglobin wa glycated amatsimikiza. Malinga ndi zotsatira za kafukufukuyu, azimayi oyembekezera omwe ali ndi matenda osokoneza bongo amakhala okhaokha (glucose pamwamba 7, glycated hemoglobin woposa 6.5%). Mimba zawo zimachitika mwatsatanetsatane. Akalandira zotsatira zoyipa zam'malire, azimayi oyembekezera ali pachiwopsezo cha matenda ashuga. Kuyesedwa koyambirira kwa glucose kumachitika kwa azimayi omwe ali mgululi, komanso kwa iwo omwe amaphatikiza zingapo zomwe zingayambitse matenda ashuga.

Kuyesedwa kwa pakati pa masabata 24-28 ndikofunikira kwa aliyense, ndi gawo la kufufuza.

Chiyeso chololera cha glucose chimachitika panthawi yokhala ndi pakati mosamala kwambiri, popeza shuga yayikulu itatha kuchita masewera olimbitsa thupi ikhoza kuwononga mwana wosabadwayo. Kuyesedwa koyambirira kumachitika kuti mupeze kuchuluka kwa shuga, ndipo kokha ndi mawonekedwe ake abwinobwino komwe GTT imaloledwa. Glucose sagwiritsidwa ntchito osapitirira 75 g, pomwe matenda oyeserera ang'onoang'ono omwe mayeso adathetsedwa, kuwunikira kumachitika ndi mpaka milungu 28, mwapadera - mpaka 32.

Mayeso a kulolerana ndi mpweya - mbali zingapo komanso zovuta, koma njira yophunzitsira yabwino. Nthawi zambiri, amatchulidwa kwa anthu omwe ali pachiwopsezo cha matenda a shuga kapena (matenda omwe apezeka ndi abale ake, kunenepa kwambiri, pakati).

Ubwino wa kuyesedwa kwa glucose ndikuti kuchuluka kwa mafuta m'magazi kumatsimikiziridwa pamimba yopanda kanthu ndikatha kumwa yankho la shuga.

Chifukwa chake, ndizotheka kuzindikira osati kuchuluka koyamba kwa shuga m'magazi, komanso kufunafuna momwe thupi limafunikira.

Mitundu ya mayeso

Kuphatikiza pa kuyesedwa kwa glucose koyenera, ndi zotsatira zoyipa, dokotala atha kukupatsani prednisone glucose kulolerana mayeso , womwe ndi mtundu wa maphunziro a kulekerera glucose pogwiritsa ntchito corticosteroids.

Palinso kusiyana pakukhudzana kwa njira yothetsera shuga. Mwachitsanzo, kwa akuluakulu, muzu wama 75 g wa glucose umagwiritsidwa ntchito, ndipo kwa ana - pamlingo wa 1.75 g pa kg iliyonse ya thupi.

Zizindikiro za

Kuti muchite ntchito, thupi lathu limafunikira mphamvu, gawo lalikulu lomwe ndi glucose. Nthawi zambiri, kuchuluka kwake m'magazi kumatha kuyambira 3.5 mmol / L mpaka 5.5 mmol / L.

Muzochitika pamene kuchuluka kwa shuga malinga ndi zotsatira za kuyesedwa kwa magazi kumakwera pamwamba pamlingo wapamwamba, amalankhula za boma la prediabetes, ndipo pambuyo pakuwonjezeka kofunikira muyezo wake (wopitilira 6.1 mmol / l), wodwalayo amakhala pachiwopsezo ndipo maphunziro apadera amalembedwa.

Pali zifukwa zingapo zomwe zimakhudza kuchuluka kwa shuga m'magazi:

Chakudya chopanda tanthauzo chomwe chimakhala ndi shuga wambiri woyenga bwino,
Kupsinjika
Mowa
Kulephera kuchita zolimbitsa thupi,
Matenda a Endocrine
Makamaka
Mimba
Kunenepa kwambiri

Malinga ndi izi, gulu lowopsa limatsimikiza.

Malingaliro ndi kutanthauzira

Mukamachita mayeso ololera a glucose chizolowezi ndicho ngati kuchuluka kwa shuga mu gawo loyamba la magazi kumakhala mkati mwa 5.5 mmol / L, ndipo chachiwiri - osakwana 7.8 mmol / L.

Ngati mu gawo loyambirira kuchuluka kwa glucose ndi 5.5 mmol / L -6.7 mmol / L, ndipo patatha maola awiri - mpaka 11.1 mmol / L, ndiye kuti tikulankhula zakusokonekera kwa kulolerana kwa shuga (prediabetes).

Kuzindikira matenda a shuga khalani ngati kusala kumatsimikiziridwa mu gawo la magazi zopitilira 6.7 mmol / l shuga, ndipo patatha maola awiri - oposa 11.1 mmol / L, kapena ngati, poyesa koyamba, kuchuluka kwa shuga kwa magazi ndi oposa 7 mmol / L.

Kodi mungatani ngati zotsatira zoyesazi sizabwino

Ngati matenda a metabolism a carbohydrate atapezeka panthawi yoyezetsa shuga, endocrinologist angadziwitse chosankha kapena njira zapamwamba ndi corticosteroids. Komabe, njirayi ndi yolondola kwambiri, ndipo zotsatira zake zingakhale pokhapokha ngati malangizo a dokotala sanatsatidwe.

Wopanda zotsatira zoyipa, wodwalayo amatumizidwa kukakumana ndi endocrinologist, yemwe akupereka chithandizo chokwanira kapena kukonza kwa prediabetesic state.

Njira za kuyeserera kwa shuga

Ubwino wa mayeso a glucose kulolerana (GTT) umakhala pakupimitsa shuga wamagazi koyamba: koyamba ndikusowa kwa shuga - pamimba yopanda kanthu, ndiye - patapita kanthawi shuga atalowa m'magazi. Chifukwa chake, munthu amatha kuwona ngati maselo amthupi amachizindikira komanso kuchuluka kwa nthawi yomwe amafunikira. Ngati miyeso imakhala pafupipafupi, ndizothekanso kumanga chopondera (shuga), chomwe chikuwonetsa kuphwanya konse komwe kungachitike.

Nthawi zambiri, kwa GTT, shuga amatengedwa pakamwa, ndiye kuti, amamwa yankho lake. Njirayi ndiyachilengedwe kwambiri ndipo imawonetsera kutembenuka kwa shuga m'thupi la wodwala pambuyo, mwachitsanzo, mchere wambiri. Glucose imathanso kubayidwa mwachindunji mu mtsempha mwa jakisoni. Mothandizidwa ndi mtsempha wamagazi amagwiritsidwa ntchito ngati pakuchitika mayeso a glucose osaloledwa - vuto la poizoni ndi kusanza, panthawi ya poizoni nthawi yapakati, komanso matenda am'mimba ndi matumbo omwe amapotoza njira zamkamwa kulowa m'magazi.

Kodi GTT ndiyofunikira liti?

Cholinga chachikulu cha mayeserowa ndikupewa kusokonezeka kwa metabolic komanso kupewa kuyambika kwa matenda ashuga. Chifukwa chake, ndikofunikira kutenga kuyesa kwa glucose kwa anthu onse omwe ali pachiwopsezo, komanso kwa odwala omwe ali ndi matenda, omwe amayamba omwe amakhala nthawi yayitali, koma shuga amawonjezeka pang'ono:

onenepa kwambiri, BMI,
kuthamanga kwa matenda oopsa, momwe kuthinana kuli pamwamba pa 140/90 kwambiri masana,
matenda ophatikizika omwe amayamba chifukwa cha matenda a metabolic, monga gout,
Dziwani kuti vasoconstriction chifukwa cha kapangidwe kake ndi zolembedwa pamakoma awo amkati,
amaganiza metabolic syndrome,
matenda a chiwindi
mwa azimayi - ovomerezeka ya polycystic, atatha padera, kusokonezedwa, kubadwa kwa mwana wamkulu kwambiri, matenda a shuga a m'mimba,
kulolerana kwa shuga kuti mudziwe zamphamvu za matendawa,
pafupipafupi zotupa mumkamwa ndi pakhungu.
kuwonongeka kwa mitsempha, chomwe sichidziwika,
kutenga okodzetsa, estrogen, glucocorticoids wopitilira chaka chimodzi,
shuga mellitus kapena metabolic syndrome wotsatira abale - makolo ndi abale,
hyperglycemia, yodziwika nthawi imodzi pamavuto kapena kudwala kwambiri.