Miedzo Yakashandiswa Kusimbisa Kuziva Chirwere Cheshuga
Kuongororwa kwechirwere cheshuga 1 chinogona kuva chinetso. Kunze kwekunge kune inozivikanwa nhoroondo yehuga muhutano, vanhu vazhinji havazivi zviratidzo nezviratidzo zvechirwere cheshuga kana pavanotanga kuonekwa. Zviratidzo izvi zvingangoerekana zvisiri kukanganiswa nehutachiona hwepamu nokuti kushambidzika kunowanzovapo. Sezvo zviratidzo zvichiri kuramba zvichiwedzera, vanhu vakawanda vanotsvaka kurapwa uye vozoona kuti vane chirwere cheshuga cheshuga.
Rudzi rwechirwere cheshuga rwakawanikwa sei?
Nokuti zviratidzo zvinotanga kuonekwa nokukurumidza kamwechete apo pancreas inodzikisa kuburitsa kwayo kwe insulini , vanhu vazhinji vanoonekwa kuti mune nguva pfupi kubva apo zviratidzo zvinotanga. Mune zvimwe zviitiko, zvingatora nguva yakareba. Kuongorora chirwere cheshuga kunoda sveru yeropa kuti ienzanise mazinga eglucose muropa.
Ndeapi Miedzo Inoshandiswa?
Pane zviyero zvitatu zvakaenzana zvinoshandiswa pakutsvaga chirwere cheshuga chechirwere. Mhando yechiratidzo inoshandiswa chero munhu upi zvake inofanirwa nemamiriro acho uye chido chechiremba. Aya maedzo ndeokuti:
Kutsanya Ropa Glucose (FBG)
Muchiedzwa cheFBG, sampu yeropa inowanikwa mushure mekutsanya kwemaawa masere. Izvi zvinowanzoreva kuti hapana zvokudya kana kunwa (kunze kwemvura) inotorwa mushure meusiku husiku husiku husati hwaedzwa. Muenzaniso weropa unowanzotorwa kusangwanani zuva rinotevera vasati vadya chero chinhu chinodyiwa kana zvinwiwa zvinoshandiswa. Kana zviitiko zvemuedzo uyu zvinoratidza kuverenga glucose ya 126 mg / dl kana kupfuura inoratidza chirwere cheshuga.
Kuti kusimbise kuongororwa, zvinowanzodiwa kudzokorora kuedza kwechipiri pane rimwe zuva rakasiyana. Kufunganya glucose mazinga zvinowanzomira pakati pe 70 kusvika 110 mg / dl mumunhu asina chirwere cheshuga. Chirwere cheFBG ndiyo inowanzoshandiswa kuongorora chirwere cheshuga.
Ropa Ropa Ropa Glucose
Muchiedza chega chega chekuisa ropa, ropa remuenzaniso rinowedzwawo kuyera glucose yako asi hapana kuonekwa kwakapiwa kana wadya kudya kwako kokupedzisira.
Nhamba yeglucose inopfuura 200 mg / dl inoratidza kuti une chirwere cheshuga.
Iyi ndiyo inoshandiswa glucose test inoshandiswa muhutano hurumende kana munhu (kazhinji kacho mwana) ane mazinga akadaro echinyorwa angangodaro ari kukurudzirwa mune chirwere cheshuga-chinokonzerwa nekasi. Maminitsi mashoma ekushandisa chirongwa ichi, vashandi vezvehutano vanogona kusarudza kuti glucose yakawanda sei muropa uye inopa insulini kana chirwere cheshuga cheshuga chinoratidzwa sechirwere.
Chirwere Cheshuga Chiri Kuedzwa Test (OGTT)
Ichi chirwere chekuongorora, chinonzi oral glucose tolerance test, chakasiyana nemamwe maviri nokuti unobvunzwa kunwa soro inoshandiswa senzira yekuyera kuti pancreas yako inogona sei kugadzirisa glucose yaunotora. Usati wainwa chinwa, kudya kwekutanga glucose yeropa inotorwa. Iwe zvino unwa waini uye pamusoro pemamwe maawa maviri anotevera, mazinga eropa mushuga anotorwa mushure memaminitsi makumi matatu. Mune munhu asina chirwere cheshuga, mazinga eaglucise anomuka uye owira nokukurumidza nokuti muviri unowanzobereka insulini kuderedza ropa glucose. Kusiyana neizvi, munhu ane chirwere cheshuga chechirwere chepabonde achaona kuwedzera kwakasimba uye nekusimudzira kwakakwirira kweglucose nokuti pancreas haikwanisi kutora insulini inodiwa kuderedza glucose muropa.
Kana ropa rako rega rega paawa yemaawa maviri iri pasi pe 140 mg / dl, shuga yako yeropa inoonekwa seyakanaka.
Kuverenga kunopfuura 200 mg / dl mushure menguva imwechete inoratidza chirwere cheshuga. Kana mazinga eglucose akakwirira kudarika 200 mg / dl, kuedza kunofanira kudzokororwa pane rimwe zuva kuratidza kufungidzirwa.
A1c (Hemoglobin A1c) Muedzo
Hemoglobhini A1c test yakagara iri chiyero chekugara kwenguva refu kwemajukisi muropa. Asi muna 2010, American Diabetes Association yakakurudzira kuti kuedza zvakare kushandiswe seimwe nzira yekuziva chirwere cheshuga uye prediabetes. Kunyange zvazvo kushandisa chirongwa cheA1c chaizowanzoshandiswa kuongorora chirwere cheshuga chechipiri , chinofanirwa kutaurwa pano nokuti chinogona kushandiswawo kuziva chirwere 1.
Apo kuedza kweglucose kunoguma pane A1c chiyero 6.5 kubva muzana kana kupfuura pane ropa re hemoglobin, inonzi inorwara chirwere cheshuga. Kubatsira kwekushandisa kuongorora kweA1c pamusoro pepluga yeglucose ndeyekuti inotora nguva shoma uye inonyanya kuve yakakosha kupfuura chiromo chemuviri glucose kushivirira uye hazvirevi kutsanya musati waedzwa.
Dzimwe mimwe miedzo inogona kuitwa (yakadai seyosiyo) kuti uone kana kune dzimwe mishonga inogadzirisa yega yega inouya. Nokuda kwezvose izvi kuedza kupa zvivimbiso zvakavimbika, unofanira kunge usina zvirwere uye utachiona uye usatora mishonga inogona kuchinja ropa rako glucose.
Sources:
> American Diabetes Association. Clinical Practice Recommendations: 2002. Kuchengeta Diabetes. Chirwere cheshuga. 2002; 25: 21S
> American Diabetes Association. American Diabetes Association's New Clinical Practice Zvinokurudzira Kukurudzira A1C Sekuongorora Kuongororwa kwechirwere cheshuga.
> Kuongororwa kwechirwere cheshuga. National Diabetes Information Clearinghouse. http://diabetes.niddk.nih.gov/dm/pubs/diagnosis/index.htm