Tsoka ilo, ziwerengero za anthu odwala matenda ashuga padziko lapansi zikukhumudwitsa. Anthu ochulukirachulukirachulukira akuyamba kuzindikira matendawa. Matenda a shuga amatchedwa mliri wa m'zaka za XXI.
Nthendayi imakhala yodziwika bwino chifukwa, mpaka pamlingo winawake, imachitika osadziwikika,. Ichi ndichifukwa chake kudziwika koyambirira kwa matenda ashuga ndikofunikira kwambiri.
Pazomwezi, kuyesedwa kwa glucose kuloleza (GTT) - kuyesedwa kwapadera kwa magazi komwe kumawonetsa kuchuluka kwa kulolera kwa glucose m'thupi. Pankhani yakuphwanya kulekerera, munthu amatha kulankhula za matenda osokoneza bongo, kapena prediabetes - mkhalidwe wokhala wowopsa kuposa matenda a shuga omwe.
Kuti mupange GTT, mutha kulandira chithandizo kuchokera kwa akatswiri (omwe alumikizidwa ndi zovuta zanu) kapena mutha kudzipenda nokha mu labotore. Koma pankhaniyi, pali funso lofunikira: kodi mungatani mayeso ololera wama glucose? Ndipo mtengo wake ndi chiyani?
Zizindikiro
Kuyesedwa kwa glucose kumakhazikitsidwa pakutsimikiza kwa magawo awiri a shuga m'magazi: kusala kudya komanso mutatha kuchita masewera olimbitsa thupi. Pansi pa katundu pamenepa amatanthauza njira imodzi ya shuga.
Kuti muchite izi, shuga wina amasungunuka mu kapu yamadzi (kwa anthu omwe ali ndi kulemera kwabwino - magalamu 75, kwa anthu onenepa - magalamu 100, kwa ana malinga ndi kuwerengera kwa magalamu 1.75 a shuga pa kilogalamu imodzi ya kulemera, koma osaposa magalamu 75) ndikuloledwa kumwa kwa wodwala.
M'madera ovuta kwambiri, pamene munthu sangathe kumwa yekha “madzi okoma” payekha, yankho limaperekedwa kudzera m'mitsempha. Mlingo wa glucose m'magazi patatha maola awiri akuchita masewera olimbitsa thupi ayenera kukhala wofanana ndi mulingo wamba.
Mwa anthu athanzi, cholembera cha glucose sichitha kupitirira mtengo wa 7.8 mmol / L, ndipo ngati mwadzidzidzi mtengo womwe wapezeka upitilira 11.1 mmol / L, pamenepo titha kulankhula za matenda ashuga. Makhalidwe apakatikati amawonetsa kulekerera kwa glucose ndipo amatha kuwonetsa "prediabetes."
M'mabotolo ena, mwachitsanzo, mu labotale ya Gemotest, glucose pambuyo pochita masewera olimbitsa thupi amayeza kawiri: pambuyo pa mphindi 60 komanso pambuyo pa mphindi 120. Izi zimachitika kuti tisaphonye chiwerengero, chomwe chimatha kuonetsa shuga.
Kuphatikiza pa kupititsa kusanthula, podziwunikira pawokha pali zambiri zomwe zingatsimikizire kutsimikiza kwa GTT:
- shuga wamagazi pakuwunika kokhazikika ndi apamwamba kuposa 5.7 mmol / l (koma osaposa 6.7 mmol / l);
- cholowa - milandu ya matenda ashuga abale;
- onenepa kwambiri (BMI yoposa 27);
- kagayidwe kachakudya matenda;
- matenda oopsa;
- atherosulinosis;
- kale kudziwika kuloleza shuga;
- zaka zopitilira 45.
Komanso, amayi oyembekezera nthawi zambiri amalandila ku GTT, chifukwa zilonda zobisika nthawi zambiri "zimatuluka" munthawi imeneyi. Kuphatikiza apo, panthawi yomwe ali ndi pakati, kukulitsa kwa zomwe zimatchedwa gestationalabetes mellitus - "shuga woyembekezera" ndizotheka.
Ndi kukula kwa mwana wosabadwayo, thupi limafunikira kutulutsa insulini yambiri, ndipo ngati izi sizingachitike, kuchuluka kwa glucose m'magazi kumakwera ndipo matenda a shuga amakula, omwe amakhala ndi chiopsezo kwa onse mwana ndi amayi (mpaka nthawi yobadwira).
Tiyenera kukumbukira kuti zosankha zamagulu a shuga abwinobwino mwa azimayi oyembekezera zimasiyana ndi zizindikiro "zopanda amayi".
Komabe, pakuyesa kwa glucose, pali zotsutsana:
- shuga tsankho;
- ARVI;
- kuchuluka kwa matenda am'mimba;
- nthawi yothandizira;
- kuchuluka kwa glucose pamisempha ya magazi kuchokera chala kumakhala kuposa 6,7 mmol / l - mu nkhani iyi, kukomoka kwa hyperglycemic ndikotheka.
Kuti zotsatira za kuyesa kwa glucose zikhale zolondola, ndikofunikira kukonzekera kukapereka kwake:
- m'masiku atatu muyenera kutsatira zakudya zomwe mumakonda komanso kuchita masewera olimbitsa thupi, simungathe kupita pazakudya kapena kuti muchepetse shuga;
- phunziroli limachitika m'mawa pamimba yopanda kanthu, pambuyo pa maola 12-16 akusala kudya;
- tsiku limodzi mayeso asanakwane, simungathe kusuta ndi kumwa mowa.
Kodi ungayesere pati kulolera shuga?
Chiyeso chololera glucose sichachilendo kapena chosowa, ndipo chitha kuchitidwa ku chipatala cha boma motsogozedwa ndi adotolo, kapena mu labotale yoyeserera nokha chindapusa, chomwe nthawi zambiri chimakhala ndi madipatimenti mumzinda uliwonse.
Chipatala cha Boma
Monga lamulo, ntchito za boma zolipiridwa siziperekedwa muma polyclinics aboma la boma.
Kusanthula kulikonse, kuphatikiza kuyesedwa kwa glucose, kumatha kuyesedwa mwa iwo atangolandira chithandizo choyambirira kuchokera kwa dokotala: psychapist, endocrinologist kapena gynecologist.
Zotsatira za kusanthula zikupezeka m'masiku ochepa.
Kampani ya zamankhwala Invitro
Invitro Laborator imapereka njira zingapo zoyeserera kuyeserera kwa shuga:
- pa mimba (GTB-S) - dzinalo limadzilankhulira lokha: mayesowa amachitika kwa amayi apakati. Invitro akuwonetsa kuwunikiridwa kwapakati pa masabata 24-28. Kuti mupeze kusanthula kwa Winitro, muyenera kukhala ndi chilolezo kuchokera kwa dokotala ndi siginecha yake;
- ndi kutsimikiza kwa shuga ndi C-peptide mu venous magazi pamimba yopanda kanthu komanso mutatha kuchita masewera olimbitsa thupi patatha maola 2 (GTGS) - kuwunikaku kumawunikiranso kuchuluka kwa omwe amadziwika kuti C-peptide, omwe amalola kupatulira shuga ndi omwe amadalira insulin, komanso kuwunikira moyenera odwala omwe akukhala ndi insulin chithandizo;
- ndi shuga wamagazi pamimba yopanda kanthu komanso mutatha kuchita masewera olimbitsa thupi pambuyo maola 2 (GTT).
Tsiku lomaliza la kusanthula kwina ndi tsiku limodzi (osawerengera tsiku lomwe zinthu zakale zidatengedwa).
Ntchito ya Helix Lab
M'malo ochitira Helix, mutha kusankha mitundu isanu ya GTT:
- muyezo [06-258] - mtundu wanthawi zonse wa GTT ndi muyezo wowonjezera shuga mawola awiri pambuyo pochita masewera olimbitsa thupi. Osati za ana ndi amayi apakati;
- ext [06-071] - miyeso yoyendetsera imachitika mphindi 30 zilizonse kwa maola 2 (kwenikweni, zochulukirapo kanayi);
- pa mimba [06-259] - miyeso yoyendetsera imachitika pamimba yopanda kanthu, komanso ola limodzi ndi maola awiri mutatha kuchita masewera olimbitsa thupi;
- ndi insulini yamagazi [06-266] - maola awiri mutatha kuchita masewera olimbitsa thupi, kuthana ndi magazi kumachitika kuti muwone kuchuluka kwa shuga ndi insulin;
- ndi C-peptide m'magazi [06-260] - Kuphatikiza pa kuchuluka kwa shuga, mulingo wa C-peptide umatsimikizika.
Kusanthula kumatenga tsiku limodzi.
Gemotest Medical Laboratory
Mu Hemotest labotale yachipatala, mutha kusankha imodzi mwanjira zotsatirazi:
- mayeso wamba (0-120) (code 1.16.) - GTT ndi muyeso wa glucose maola awiri mutatha kuchita masewera olimbitsa thupi;
- kuyeserera kwa glucose (0-60-120) (code 1.16.1.) - miyeso yolamulira magazi amachitika kawiri: ola limodzi mutatha kuchita masewera olimbitsa thupi komanso maola awiri mutatha kuchita masewera olimbitsa thupi;
- ndi kutsimikiza kwa shuga ndi insulin (code 1.107.) - kuwonjezera pa kuchuluka kwa shuga, patatha maola awiri mutatsitsa, phindu la insulini limatsimikizidwanso: izi ndizofunikira kuyesa kupweteka kwa hyperinsulinemia. Kusanthula kumachitika mosamalitsa monga adanenera dokotala;
- ndi kutsimikiza kwa shuga, C-peptide, insulin (code 1.108.) - limatsimikiza za shuga, insulin ndi C-peptide kupatula mphamvu ya mankhwala ndikusiyanitsa mtundu 1 ndi matenda ashuga 2. Kwotsika mtengo kwambiri kuposa zonse zomwe GTT imasanthula;
- ndi kutsimikiza kwa shuga ndi C-peptide (code 1.63.) - shuga ndi C-peptide milingo ndizotsimikiza.
Kusanthula nthawi yopanga ndi tsiku limodzi. Zotsatira zitha kusungidwa nokha mu labotale kapena kupezeka ndi maimelo kapena mu akaunti yanu patsamba la Gemotest.
Mtengo woyeserera wa glucose
Mtengo wa mayeso ololera wa glucose umasiyanasiyana kutengera mzinda wokhalamo ndi ma labotale (kapena chipatala chawekha) momwe mayesowo amatengedwera. Mwachitsanzo, talingalirani za mtengo wa GTT mu labotore yotchuka ku Moscow.
Mtengo pachipatala cha boma
Ku chipatala cha boma, kuwunikako ndi kwaulere, koma pokhapokha ngati dokotala akuwuzani. Ndalama, simungathe kuwunikira kuchipatala.
Kodi mawunikidwe azachipatala azinsinsi ndi angati?
Mtengo wa zoyesa ku Invitro umachokera ku ruble 765 (GTT) mpaka ma ruble 1650 (GTT ndi tanthauzo la C-peptide).Mtengo wa mayeso ku labotale ya Helix ku Moscow ndiwotsika kwambiri: mtengo wa GTT wamba (wotsika mtengo) ndi ma ruble 420, mtengo wa GTT wokwera mtengo kwambiri - pakutsimikiza kwa mulingo wa C-peptide - ndi 1600 rubles.
Mtengo wa mayeso mu Hemotest umachokera ku ma ruble 760 (GTT omwe ali ndi muyeso umodzi wa glucose) mpaka 2430 rubles (GTT ndi kutsimikiza kwa insulin ndi C-peptide).
Kuphatikiza apo, ndikofunikira kupeza phindu la shuga m'magazi musanachite masewera olimbitsa thupi, pamimba yopanda kanthu. Ngati pali mwayi wogwiritsa ntchito glucometer yanu, apo ayi m'malo ena mabotolo muyenera kuyesanso - kudziwa kuchuluka kwa shuga, komwe kumakhala pafupifupi ma ruble 250.
Makanema okhudzana nawo
Zokhudza mayeso a glucose mu video:
Monga mukuwonera, kuyesa mayeso a glucose sikovuta: sizifunikira ndalama zambiri kapena zovuta pakupeza labotale.
Ngati muli ndi nthawi ndipo mukufuna kusunga ndalama, mutha kupita ku polyclinic ya boma, ngati mukufuna kupeza zotsatira mwachangu, ndipo pali mwayi woti mukulipire - kulandiridwa kumalo osungira anthu wamba.