Ndiani Anozvida uye Zvaunotarisira?
Mixed Meal Tolerance Test (MMTT) inoda munhu kuti anwe "zvokudya zvakakanganiswa," zvakadai sokusimudzira kana kuvimbisa, izvo zvine, mapuroteni, mahydrohydrates, uye mafuta. Chinangwa chekuedza ndechokuyera kuti insulini yako yakawanda sei pancreas inogona kuita mukupindura zvokudya. Kana muviri wevanhu uchishanda zvakakodzera, chinwa chinoita kuti shuga yeropa iwedzere, uye nemhaka yekuti pancreas inongotora insulin yakawandisa kuisa mushuga weropa.
Zvisinei, mamwe mamiriro ezvinhu anogona kuita kuti pancreas ishande zvisina kukodzera-inogona kubereka insulin yakawandisa kana yakawandisa. Kuti uchinzwisise iyi nzira iri nani munguva yeMTTT, ropa rinotorwa kubva kuA IV kuti rienzanise beta chekuchengetedza. Beta masero ndiwo masero anobudisa insulini, saka kuenzanisa kuchengetwa kwavo kunokosha pakunzwisisa insulin basa. Nepo MMTT inowanzoshandiswa kune vanhu vane chirwere cheshuga chechirwere cheshuga, inogona kushandiswa kune zvikonzero zvakare. Uye kunyange zvazvo MMTT yave ichitaura semutambo wegoridhe webheja yakachengetedza kuongororwa, inowanzoshandiswa mumagariro ekurapa zvikuru kunyanya nekuda kwekukanganisa kwayo-inogona kuva nguva inopedza uye inoparadza. Pane kudaro, iyo MMTT inoshandiswa kakawanda sechinhu chekuyera mune zvitsva zvitsvaga, zvakadai sechirwere chekutsvaga miedzo.
Ndeipi Mumwe Munhu Aizokumbirwa Kutora Mixed Yeal Meal Tolerance Test?
Chikonzero chikuru nei chiremba achida kuti murwere atore MMTT nderokuona kuti inoshanda sei pancreas iri kubudisa insulini.
Semuenzaniso, zviyero zvekuedza zvinoratidza kana pancreas iri pasi-ichibudisa insulini, inopedza-kubudisa insulini, kana kuti isiri kubudisa insulini zvachose. Pasi apa uchawana mamwe mamiriro ekuti kana MMTT ingashandiswa sei:
- Kana iwe uine mwana muduku zvikuru uyo akaonekwa kuti ane chirwere cheshuga chechirwere chechi1 uye vanachiremba vake vari kuedza kuziva kuti insulini yakawanda sei ichiri kugadzira.
- Kana iwe uri munhu ane shuga shoma shoma, maawa maviri kana matatu mushure mekudya, chirwere chezvehutano chinonzi reactive chinonzi hypoglycemia , uye iwe hauna chirwere cheshuga, chiremba wako anogona kuverenga kupindura kwako glucose pakudya uye kusimbisa kana muviri unosunungura insulin yakawanda mukupindura zvokudya.
- Kana iwe uri munhu ane chirwere chepamusoro chekuvhiya uye wakanga uine zvikamu zvepasita kudya hypoglycemia.
- Kana iwe uri munhu ane chikonzero chokufungidzirwa kuti insulinoma ine zviitiko zvekare zve hypoglycemia.
- Kana iwe uri munhu ari kutora chirwere chekuchipatara, MMTT inogona kupa zvakanyanya kufanana nehutano hwekusimudzira insulin sezvo mabheji e beta epancreas anoteerera kune mamwe amino acids uye mafuta acids kunze kweglucose. Somuenzaniso: miedzo yekutsvakurudza inogona kushandisa miedzo yeMMTT mukugadzirwa kwezvinodhaka, kuongorora kubudirira kwemamwe marudzi emishonga, zvakadai se insulin mapumpu, glucagon-like peptide (GLP-1) agonist, uye goncose rinoramba riripo.
Chii Chaunogona Kutarisira Musati Waedzwa?
Zvakakosha kuti iwe wakatsanya kwemaawa masere asati apera. Iwe haufaniri kunwa kana kudya chero chinhu, kunze kwemvura, maawa masere isati yatanga kuedzwa. Kana iwe wakagadzira chimwe chinhu chakaipa, kunyange chimwe chinhu chisina basa, zvakadai se, candy kana sugary gum, unofanira kutorazve chiyero.
Bhuku rako rezvechiremba rinogona kukuudza kuti udzikise kushanda kwakasimba, doro, caffeine, uye fodya kushandisa zuva risati rasvika nokuti izvi zvinogona kuita kuti insulin ishushikane.
Ronga kupfeka zvipfeko zvakanaka. Kana mwana wako ari iye aine muedzo, iwe unogona kunge achiita kuti auye nechigadziko chakanaka kana mhuka yakanyungudzwa senzira yekunyaradza.
Chii Chinofanira Kutarisira Munguva YeTeedzo?
Iwe unofanirwa kuvapo nokuda kwekuedzwa kwemaawa akawanda, sezvo kuedza chaiyo kunotora nguva shoma maawa maviri uye kune kumwe kugadzirira kwakabatanidzwawo. Pane hutsvakurudzo huri kuitwa, zvisinei, pamusoro pekubudirira kwekudzikisa kuedza kusvika pamaminitsi 90, uye kuita imwechete yeropa samuenzaniso.
Kana uine mibvunzo ine chokuita nehurefu hwekugara, bvunza boka rako rezvehutano usati wasvika musi wekuedzwa. Hezvino izvo zvaunogona kutarisira kuedza kwako:
- Paunosvika, iwe uchanyoresa uye uine urefu hwako uye uremu hunotarwa.
- Zvadaro, iwe uchaiswa muimba yevarwere uko iwe uchawana chirwere chinonzi intravenous (IV). II inoshandiswa kutora ropa samples. Kuva nehutachiona hwechina kunogona kunge kusinganzwisisiki, kunyanya kumwana muduku saka zvakakosha kuzvigadzirira.
- Kana imwe yega yave yaiswa, iwe uchanwa chinwiwa chekudya chemvura, chakadai seBoost. Ichi chinwa chinonaka zvakafanana nemukaka kuzununguka uye chinouya mumhando dzakasiyana-siyana.
- Ropa rinotorwa kubva kuna IV maminitsi makumi matatu neminopfuura kwemaawa maviri.
- Paunenge wakamirira, unogona kutarisa terevhizheni, svinudza meso ako, uverenge kana kuita chero chii chinokuita kuti ufare.
Chii Chaunogona Kutarisira Pashure Pokuedzwa?
Mushure mokunge mazadza muedzo, zvabuda zvinotumirwa kubhi. Kazhinji migumisiro inotora mavhiki mashomanana kuti aite-iwe uchanzwa kubva kuchiremba wako paanosvika. Iwe haufaniri kunzwa uine mimwe migumisiro, kunze kwekunetseka kwakanyanyisa paIndaneti.
Iyo Mixed Meal Kuedza Kuedzwa Yakasiyana Nechipfuva Chemuviri Gorosi Kutambudzika
Iwe unganetseka-ndiyo MMTT yakafanana neOal Glucose Tolerance Test (OGTT) ? Kana wakambove neOGTT munguva yakapfuura, iwe uchaziva kuti izvi zvidzidzo zvakafanana asi kwete zvakafanana.
IOGTT chiratidzo chakanaka chekushushikana kweglucose uye inoshandiswa pamwe chete nedzimwe mimwe miedzo, yakadai sekutsanya ropa reluga (FBG) uye Hemoglobin A1c kuti uongorore prediabetes, chirwere cheshuga, uye kuvhara kwechirwere cheshuga.
Saizvozvowo kune MMTT, unofanira kutora muedzo uyu paunotsanya kwemaawa masere. Zvisinei, kunze kwekunwa kudya kwakasanganiswa, panguva yeOGTT munhu anokumbirwa kuisa glucose mutoro chete, yakaenzana ne 75 gramu yeglucose (shuga) yakanyorova mumvura.
Migumisiro yeOGTT inogona kubatsira vanachiremba vanoona, vasina kukwana glucose (IFG) uye kusagadzikana kweglucose kusagadzikana (IGT). IFG uye IGT haigoni kuonekwa kuti inoshandisa MMTT kubva kune iyo yekupedzisira inopa kusagadzikana kwemazwi glucose yomuromo.
The Mixed Meal Test Isingashandisi Kuongorora Chirwere Cheshuga 1 Chirwere cheshuga
Iyo MMTT inogona kubatsira pakuona matanho ekutanga ekusawirirana kweglucose, asi haisashandisi kuongorora chirwere cheshuga chechirwere chetachiona. Pane kudaro, mune varwere vane zviratidzo, American Diabetes Association inorayira kuti ropa rinokonzerwa neropa rinofanira kushandiswa kufungidzira kutanga kwechirwere chechirwere cheshuga. Pamwe pamwe, c-peptide test kana autoantibodies test (zvose zviri kuongororwa ropa) zvinogona kusimbisa kuongororwa kwechirwere cheshuga.
Kuongorora Chirwere Cheshuga 1 Chingaita Kuti Dambudziko reShuga risvike
Chirwere chechirwere cheshuga chinowanzoongororwa mushure mekunge chirwere chacho chafambira mberi mune zvikamu zvekare. Nekufambira mberi mune zvemishonga, isu iye zvino tava nekwanisi kutarisa rudzi rwechirwere cheshuga mumamiriro ezvinhu ekutsvakurudza, muchikwata chekutanga-nhengo dzemhuri, kana kuti chirwere chechirwere cheshuga. Kuongorora kunosanganisira kuongororwa kwepanzana re autoantibodies. Mu chirwere cheshuga, izvi ndezvokuti autoantibodies, izvo zvinoratidza kushandiswa kwemitumbi yekurwisa kwemasero e-beta anobudisa beta mumapancreas, nokudaro nekupedzisira zvichiita kuti masero e beta afe. IAmerican Diabetes Association inotaura zvinotevera:
[Izvo] ikozvino yakajeka kubva kune zvidzidzo zvekutanga-degree yehama dzevarwere vane chirwere cheshuga chechirwere chekuti chirwere chinoramba chiripo cheviri kana kupfuura ivo autoantibodies ndechokuti anenge achinyatsojekesa kliniki hyperglycemia uye chirwere cheshuga. Mutengo wekufambira mberi unobva pane imwe nguva pakuonekwa kwekutanga kwechirwere chechirwere, nhamba yezvirwere, anti-antibody, uye anti-antibody.
Kushandisa autoantibodies kubatsira kubatsira chirwere cheshuga chinogona kuderedza kuwanda kwechirwere cheshuga ketoacidosis, kubatsira vatsvakurudzi mukugadzira zvidzidzo zvekudzivirira, zvingangoderedza kuchema kwechirwere, uye kubatsira vanhu kunzwisisa nokunaka kugadzirira chirwere chacho.
Zvakakosha kucherechedza kuti nekuda kwekuti iwe une autoantibodies hazvireve kuti iwe une insulini yakazara inokonzera chirwere cheshuga; asi zvinogona kureva kuti mukana wekusimbisa uri kuwedzera. Kana uchida mamwe ruzivo pamusoro pekugadzirisa matanho iwe unogona kusvika kuAmerican Diabetes Standards of Care .
Shoko Rinobva
A Mixed Meal Kuedza Kuedzwa kunoda munhu kunwa chinwiwa, seKuwedzera, apo ane ropa rinotora maminetsi makumi matatu nemaawa maviri. Iko kuedza kukuru kubatsira kubatsira munhu kuti aite insulin, zvichiita kuti chive chinhu chinokosha chekuyera. Asi, kuedza kunogona kunge kusinganzwisisiki uye kwakaoma kuita nekuda kwesimba uye nguva yekuzvipira. Nokudaro, yakashandiswa nguva isinganzwisisiki munzvimbo yekuchipatara-yakadai sehofisi yechiremba.
Mune zvimwe zviitiko kunyange zvakadaro, vanachiremba vanogona kuishandisa kune, somuenzaniso, kuedza kwekugadzikana kwehana glycemia. Kunyanya zvakanyanya, kana iwe uri kutora muchechi yekutongwa, unogona kubvunzwa kutora imwe. Kana iwe unoronga kutora muedzo uyu, usafunganya. Kunyange zvazvo kuedza kungave nguva yekudya, hazvisi zvinorwadza uye hazvikonzeri matambudziko.
Yeuka, zvakare, kuti muedzo uyu hauna kushandiswa kuongorora chero rudzi rwechirwere cheshuga. Uye sezvaunogara uchiita, kana iwe uchifungidzira iwe kana mumwe munhu waunoda angave ane chirwere cheshuga nekuda kwezviratidzo zvinganetseka, zvakadai sewedzere nyota, kuwedzerwa kunyura, kuneta, nzara yakanyanya, kuora kurasikirwa, nezvimwewo taura neboka rako rekuchengetedza utano pakarepo.
> Sources:
> American Diabetes Association. Maitiro ekurapa muShuga - 2017. Chirwere cheshuga . 2017 Jan; 38 (Suppl 1): S1-132.
> Besser, R et. al. Zvidzidzo kubva pane zvakakanganiswa kudya kushivirira test. Chirwere cheshuga 36: 195-201, 2013
> Cincinnati Vana. Mixed meat tolerance test.
> Ko, A, Mixed meat tolerance test (MMTT) vs. mutemo wekunyanya kutsungirira kwekutsungirira (OGTT) mushure mekubudirira kwechipatara chirwere chekuendesa (CIT)
> ProSciento. Chirwere chemukati glucose kuvhiringidzika kuedzwa uye kusanganiswa kwekudya kwekutenderera test test sheet.