Uvavanyo lokunyamezelwa kweswekile-ongakhulelwanga

Uvavanyo lokunyamezelwa kweswekile luvavanyo lweelebhu ukujonga ukuba umzimba wakho uhambisa njani iswekile egazini iye kwizicubu ezinje ngemisipha namafutha. Uvavanyo luhlala lusetyenziselwa ukufumanisa isifo seswekile.

Uvavanyo lwesikrini seswekile ngexesha lokukhulelwa luyafana, kodwa lwenziwa ngokwahlukileyo.

Olona vavanyo luqhelekileyo lokunyamezelwa kweswekile luvavanyo lokunyamezelana ngomlomo (i-OGTT).

Phambi kokuba kuqale uvavanyo, kuya kuthathwa isampulu yegazi.

Uya kuthi emva koko ucelwe ukuba usele into engamanzi enesixa esithile seswekile (ngesiqhelo iigram ezingama-75). Igazi lakho liyakuthathwa kwakhona rhoqo emva kwemizuzu engama-30 ukuya kwengama-60 emva kokuba usele isisombululo.

Uvavanyo lungathabatha ukuya kwiiyure ezi-3.

Uvavanyo olufanayo luvavanyo lwe-intravenous (IV) lwe-glucose test (IGTT). Ayifane isetyenziswe, kwaye ayikaze isetyenziselwe ukuxilonga isifo seswekile. Kwinguqulelo enye ye-IGTT, iswekile ifakwe kwisitya sakho kwimizuzu emi-3. Amanqanaba egazi kwi-insulin alinganiswa ngaphambi kwenaliti, kwaye kwakhona kwi-1 kunye nemizuzu emi-3 emva kwenaliti. Ixesha lingahluka. Le IGTT ihlala isetyenziselwa iinjongo zophando kuphela.

Uvavanyo olufanayo lusetyenziswa ekuchongeni ukukhula kwehormone engaphezulu (i-acromegaly) xa zombini iswekile kunye nokukhula kwehomoni kulinganiswa emva kokuba isiselo esiswekile sisetyenziswa.

Qiniseka ukuba utya ngesiqhelo kwiintsuku ezininzi ngaphambi kovavanyo.

Sukutya okanye usele nantoni na kangangeeyure eziyi-8 phambi kovavanyo. Awunakutya ngexesha lovavanyo.

Buza umboneleli wakho wezempilo ukuba ngaba nawaphi na amayeza owathathayo anokuchaphazela iziphumo zovavanyo.

Ukusela isisombululo se-glucose kuyafana nokusela iswekile enencasa kakhulu.

Iziphumo ebezingalindelekanga ezimandundu ezivela kolu vavanyo aziqhelekanga. Ngokuvavanywa kwegazi, abanye abantu baziva benesicaphucaphu, ukubila, iintloko, okanye banokuziva bephefumla kancinci okanye bafe isiqaqa emva kokusela iswekile. Xelela umboneleli wakho wezempilo ukuba unembali yezi mpawu zinxulumene novavanyo lwegazi okanye iinkqubo zonyango.

Xa kufakwa inaliti ukutsala igazi, abanye abantu baziva iintlungu eziphakathi. Abanye baziva behlaba okanye behlaba kuphela. Emva koko, kunokubakho ukubetha okanye ukukrala kancinci. Oku kuya kuhamba kungekudala.

Iswekile sishukela esisetyenziswa ngumzimba ukufumana amandla. Abantu abanesifo seswekile esinganyangekiyo banamanqanaba aphezulu eswekile yegazi.

Rhoqo, iimvavanyo zokuqala ezisetyenziselwa ukufumanisa isifo seswekile kubantu abangakhulelwanga zezi:

• Ukuzila ukutya inqanaba leswekile yegazi: isifo seswekile sifunyaniswa ukuba siphezulu kune-126 mg / dL (7 mmol / L) kwiimvavanyo ezimbini ezahlukeneyo
• Uvavanyo lweHemoglobin A1c: isifo seswekile sifunyaniswa ukuba iziphumo zovavanyo zi-6.5% okanye ngaphezulu

Uvavanyo lokunyamezelwa kweglucose lukwasetyenziselwa ukufumanisa isifo seswekile. I-OGTT isetyenziselwa ukukrola okanye ukufumanisa isifo seswekile kubantu abanenqanaba lokuzila ukutya kwegazi ephezulu, kodwa ayiphezulu ngokwaneleyo (ngaphezulu kwe-125 mg / dL okanye i-7 mmol / L) ukuhlangabezana nesifo seswekile.

Ukunyamezelwa kweswekile engaqhelekanga (iswekile yegazi iya phezulu kakhulu ngexesha lomceli mngeni we-glucose) luphawu lwangaphambili lweswekile kuneswekile yokuzila engaqhelekanga.

Amaxabiso egazi aqhelekileyo kwi-75 gram OGTT esetyenziselwa ukukhangela uhlobo lweswekile yesi-2 kwabo bangakhulelwanga:

Ukuzila ukutya - 60 ukuya kwi-100 mg / dL (3.3 ukuya kwi-5.5 mmol / L)

Iyure e-1-Ngaphantsi kwama-200 mg / dL (11.1 mmol / L)

Iiyure ezi-2- Eli xabiso lisetyenziselwa ukuxilonga isifo seswekile.

• Ngaphantsi kwe-140 mg / dL (7.8 mmol / L).
• Phakathi kwe-141mg / dL kunye ne-200 mg / dL (7.8 ukuya kwi-11.1 mmol / L) ithathwa njengokunyamezelwa kweswekile.
• Ngaphezulu kwe-200 mg / dl (11.1mmol / L) kukuchonga isifo seswekile.

Imizekelo engentla yimilinganiselo eqhelekileyo yeziphumo zolu vavanyo. Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Ezinye iilebhu zisebenzisa imilinganiselo eyahlukeneyo okanye ukuvavanya iisampulu ezahlukeneyo. Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Inqanaba leswekile elingaphezulu kwesiqhelo kunokuthetha ukuba unesifo seswekile okanye isifo seswekile.

• Ixabiso leeyure ezi-2 eliphakathi kwe-140 kunye ne-200 mg / dL (7.8 kunye ne-11.1 mmol / L) ibizwa ngokuba kukunganyamezelani kweswekile. Umboneleli wakho unokubiza le pre-diabetes. Kuthetha ukuba usemngciphekweni wokukhula kweswekile ekuhambeni kwexesha.
• Naliphi na inqanaba leswekile ye-200 mg / dL (11.1 mmol / L) okanye ngaphezulu isetyenziselwa ukufumanisa isifo seswekile.

Uxinzelelo olukhulu emzimbeni, njengokwenzakala, ukubetha, isifo sentliziyo, okanye utyando, kunokunyusa inqanaba leglucose yakho. Ukuzivocavoca ngamandla kunokunciphisa i-glucose yegazi.

Amanye amayeza anokunyusa okanye anciphise inqanaba leswekile yegazi. Phambi kokuba wenze uvavanyo, xelela umboneleli wakho ngawo nawaphi na amayeza owasebenzisayo.

Unokuba nazo ezinye zeempawu ezidweliswe apha ngasentla phantsi kwesihloko esithi "Uvavanyo luza kuva njani."

Akukho mngcipheko ubandakanyekileyo ekuthatheni igazi lakho. Imithambo kunye nemithambo iyahluka ngobukhulu ukusuka komnye umntu ukuya komnye nakwelinye icala lomzimba liye kwelinye. Ukuthatha igazi kwabanye abantu kunokuba nzima ngakumbi kunabanye.

Eminye imingcipheko enxulumene nokutsalwa kwegazi incinci, kodwa inokubandakanya:

• Ukopha kakhulu
• Ukugqobhoza okuninzi ukufumana imithambo
  
• Ukufa isiqaqa okanye ukuziva ungenantloko
• I-Hematoma (igazi elakhiweyo phantsi kolusu)
• Usulelo (umngcipheko omncinci nangaliphi na ixesha ulusu lwaphukile)

Uvavanyo lokunyamezelana ngeswekile yomlomo- ongakhulelwanga; I-OGTT - ayikhulelwanga; Iswekile - uvavanyo lokunyamezelana ngeswekile; Uvavanyo lonyamezelo lweswekile

• Ukuzila ukutya kovavanyo lweglasma
• Uvavanyo lokunyamezelana ngeswekile yomlomo

Umbutho weSwekile yaseMelika. 2. Ukwahlulahlula kunye nokuchonga isifo seswekile: imigangatho yokhathalelo lonyango kwisifo seswekile-2020. Unonophelo lweSwekile. 2020; 43 (iSuppl 1): S14-S31. IINKCUKACHA: 31862745 pubmed.ncbi.nlm.nih.gov/31862745/.

UNadkarni P, Weinstock RS. IiCarbohydrate. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; I-2017: isahluko 16.

Iingxowa DB. Iswekile yemellitus. Ku: Rifai N, ed. I-Tietz yeNcwadi yeKlinikhi yeKhemistry kunye neDiagnostics yeMolekyuli. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2018: isahluko 57.