Kodi mayeso ololera wama glucose amachitika bwanji (malangizo, zolembedwa)

Zoposa theka la zakudya zomwe anthu ambiri amakhala ndi zomanga thupi, amazilowetsa m'matumbo am'mimba ndikutulutsidwa m'magazi ngati glucose. Kuyesedwa kwa glucose kumatipatsa chidziwitso kufikira kuchuluka kwake komanso momwe thupi lathu limafotokozera mwachangu izi, kuzigwiritsa ntchito ngati mphamvu pa ntchito ya minofu.

Mawu oti "kulolerana" pamenepa amatanthauza momwe maselo a thupi lathu amatha kugwiritsira ntchito shuga. Kuyeza koyenera panthawi yake kumatha kupewa matenda ashuga komanso matenda angapo omwe amayamba chifukwa cha matenda a metabolic. Phunziroli ndi losavuta, koma lothandiza komanso lili ndi zotsutsana pang'ono.

Amaloledwa kukhala ndi zaka zopitilira 14, ndipo nthawi yomwe ali ndi pakati nthawi zambiri imakakamizidwa ndipo imachitika kamodzi pakukonzekera kwa mwana.

Matenda a shuga ndi kupsinjika kudzakhala chinthu chakale

• Matenda a shuga -95%
• Kuthetsa kwa mitsempha thrombosis - 70%
• Kuthetsa kwa kugunda kwamtima kwamphamvu -90%
• Kuthana ndi kuthamanga kwa magazi - 92%
• Kuwonjezeka kwa mphamvu masana, kukonza kugona usiku -97%

Njira za kuyeserera kwa shuga

Ubwino wa mayeso a glucose kulolerana (GTT) umakhala pakupimitsa shuga wamagazi kambiri: koyamba ndikusowa kwa shuga - pamimba yopanda kanthu, ndiye - kanthawi kena 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 chikuwonetsera 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. Kulowetsa mtsempha kumagwiritsidwa ntchito ngati kuyesedwa kwa glucose pakamwa sikungachitike - ndi poyizoni ndi kusanza kwofananira, panthawi ya toxicosis pa nthawi ya pakati, komanso ndi matenda am'mimba ndi matumbo omwe amapotoza njira zam'madzi m'magazi.

Kodi GTT ndi yofunikira liti?

Cholinga chachikulu cha mayeserowa ndikupewa kusokonezeka kwa metabolic komanso kupewa kuyambika kwa matenda ashuga. Chifukwa chake, kuyesa kwa glucose kuyenera kuperekedwa kwa anthu onse omwe ali pachiwopsezo, komanso kwa odwala omwe ali ndi matenda, omwe chifukwa chake omwe angakhale owerengeka, koma owonjezera shuga:

• onenepa kwambiri, BMI;
• kulimbikira kwa matenda oopsa, momwe kuthinana kuli pamwamba pa 140/90 kwambiri masana;
• matenda olowa oyambitsidwa ndi matenda a metabolic, monga gout;
• anapezerapo vasoconstriction chifukwa cha kapangidwe kake ndi zolembera 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;
• kulolerana kwa shuga kumazindikira mphamvu ya matendawa;
• pafupipafupi zotupa mumkamwa ndi pakhungu.
• zotupa zamitsempha, zomwe sizimvetseka bwino;
• kutenga okodzetsa, estrogen, glucocorticoids wopitilira chaka chimodzi;
• matenda a shuga a mellitus kapena metabolic syndrome m'banjali lapafupi - makolo ndi abale ake;
• hyperglycemia, yodziwika nthawi imodzi pamavuto kapena kudwala kwambiri.

Pamene GTT ndi yoletsedwa

Chiyesocho chimayima 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 kudwala kwa hyperglycemic.

Zotsatira za kuyeserera kwa glucose:

1. Mu matenda opatsirana kapena otupa.
2. Mu trimester yomaliza ya mimba, makamaka pambuyo pa masabata 32.
3. Ana osakwana zaka 14.
4. Mu nthawi ya kuchuluka kwa matenda kapamba.
5. Pamaso pa endocrine matenda omwe amachititsa kuchuluka kwa shuga m'magazi: Matenda a Cushing, kuchuluka kwa chithokomiro, acromegaly, pheochromocytoma.
6. Mukumwa mankhwala omwe amatha kupotoza zotsatira za mayeso - 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, zizindikiro zomwe zimapezeka mu labotale zimatha kusiyanasiyana. Mutha kugwiritsa ntchito izi kuti mupeze shuga osala kudya komanso mutatha shuga wachilengedwe - chakudya choyenera. Ndikosavuta kuzigwiritsa ntchito kuzindikira zinthu zomwe zimakhala ndi shuga pamagazi ndikupanga zakudya zanu popewa matenda ashuga kapena chiphuphu chake.

Zomwe Zimakhudza Kudalirika kwa GTT

Mukadutsa mayeso, muyeso woyamba wa glucose umachitika pamimba yopanda kanthu. Zotsatira izi zimawerengedwa momwe mulingo womwe miyezo yotsala ikuyerekezedwa. 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.

Kusavomerezeka kwa zomwe zapezeka zimatha kubweretsa:

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

Njira Yoyeserera

Ngakhale kuti mayeso ololera wama 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 sikuyeneranso - kusintha kwa mtima kumatha kukhudza kutulutsa kwa glucose. Kusankha kwabwino kwambiri ndi buku lazidziwitso.

Njira zodziwira kulolerana ndi shuga:

1. Wopereka magazi oyamba amachitika m'mawa, pamimba yopanda kanthu. Nthawi kuchokera pachakudya chomaliza imayendetsedwa mwamphamvu. Sipayenera kukhala ochepera maola 8, kuti mafuta ogwiritsiridwa ntchito azitha kugwiritsidwa ntchito, ndipo osaposa 14, kuti thupi lisayambe kufa ndi njala ndikupeza shuga m'magulu osagwirizana.
2. Katundu wa glucose ndi kapu yamadzi okoma omwe amafunikira kuledzera mkati mwa mphindi 5. Kuchuluka kwa shuga mkati mwake kumatsimikiziridwa mosasamala payekhapayekha. Mwachilengedwe, 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. Ndi kulemera kwama kilogalamu oposa 43, muyezo wanthawi zonse wamkulu umaloledwa. Kwa anthu onenepa kwambiri, katunduyo amawonjezeka mpaka kufika pa 100. Mothandizidwa ndi mafinya, gawo la glucose limachepetsedwa kwambiri, zomwe zimapangitsa kukumbukira kuchepa kwake pakugaya.
3. Bwerezani kangapo magazi kanthawi 4 - theka lililonse mukatha kuchita masewera olimbitsa thupi. Mphamvu zakuchepetsa shuga zitha kuweruzidwa paz 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.

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 kapena kupangitsa kuti zikhale zosatheka kuchita.

Ntchito ya othandizira ogwira ntchito pano popewa kuwonongeka kwa magazi - oxidation, glycolysis ndi coagulation. Pofuna kupewa kukoka 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 amayikidwa mu centrifuge, amagawa magaziwo 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 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 yokhazikika komanso yoyeserera magazi imakupatsani mwayi wopeza deta yodalirika pazomwe zimapangidwa, 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 ndi chidziwitso kwa adokotala. Kuti mutsimikizire zotsatira, kuyesedwa mobwerezabwereza kwa glucose kumachitika, zopereka zamagazi kuzisonyezo zina, kuyesa kwa ziwalo zowonjezera kumayikidwa. Pambuyo panjira 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, musabwezeretsenso kamvekedwe ka minofu. 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, kumapangitsa chidwi 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. Imeneyi ndi mtundu wina wa matenda osokoneza bongo, omwe amapezeka pakukonzekera kwa thupi kwa mwana, ndipo amangochitika akangobadwa.

Matenda a matenda a shuga

Ngati glucose othamanga amakhala apamwamba kuposa 7, ndipo pambuyo ponyamula - 11 mmol / l, zikutanthauza kuti shuga idadwalika panthawi yapakati. Ziwerengero zapamwamba zotere sizingabwerenso ngati zabadwa 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 glucose kapena glycated hemoglobin amatsimikiza. Malinga ndi zotsatira za kafukufukuyu, azimayi oyembekezera omwe ali ndi matenda osokoneza bongo amakhala okhaokha (glucose pamwamba 7, glycated hemoglobin woposa 6.5%). Awo mimba ikuchitika mwapadera. 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 lowunikira.

Chiyeso chololera cha glucose chimachitika panthawi yokhala ndi pakati mosamala kwambiri, popeza shuga yayikulu itatha kuchita masewera olimbitsa thupi ingawononge 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 amachotsedwa, kuwunika kumachitika ndi masabata 28 okha, osawerengeka - mpaka 32.

Mwachidule, mafotokozedwe achidule osanthula

Khalani athanzi ndipo samalani ndi shuga.

Zikhala zothandiza: Malamulo oyambira kuperekera magazi kwa shuga, kuti apeze zotsatira zolondola kwambiri - //diabetiya.ru/analizy/analiz-krovi-na-sahar.html