Hyperglycemia, iyo inonzi inozivikanwa semushuga wepamusoro weropa, inogona kuongororwa neine kuongorora ropa sezvakaita shuga yekutsanya ropa , hemoglobin A1C test, kana test fructosamine. Uyezve, hyperglycemia inogona kutsanangurwa kushandisa glucose chekucherechedza kana nokunwa soro uye kutarisa kugadzirisa kwemuviri weglucose, muedzo unonzi seglucose kuvhiringidzika.
Kuti asimbise chirwere cheshuga, chiremba anofanira kutungamirira miedzo miviri yakasiyana. Chiremba wako achatsanangura zvawanikwa uye zvavanoreva.
Kudzika-Cheki / Pamba-Kuedzwa
Kana iwe uine chirwere cheshuga, kugara uchiona glucose kutarisa kunogona kukubatsira kuti uchengetedze ropa rako rega uye kudzivirira / kuona hyperglycemia. Kuedza shuga yako yeropa mangwanani musati wadya, maawa maviri mushure mekudya, uye musati mubhedha ingakubatsira kuti unzwisise chii chinoita kuti shuga yako yeropa iwedzere uye yakawanda sei.
Bhidhiyo renyu rezvechipatara richakupai mararamiro emashuga ega ega ega kubva pane zvakasiyana-siyana zvakadai sezera, urefu hwekuongororwa, chiitiko chebasa, kuyerwa, uye nhoroondo yako yehutano. Kazhinji, hyperglycemia inotsanangurwa se:
- Kutsanya: Ropa glucose kuverenga kupfuura126 mg / dL kune avo vasina chirwere cheshuga uye kupfuura 130 mg / dL kune avo vane chirwere cheshuga
- Maawa maviri mushure mekudya: kupfuura> 180 mg / dL
- Kuongororwa kweshuga yeropa risina kuwanda: kupfuura> 200 mg / dL
Kana uine shuga yeropa risina kuitika, pane chikonzero chekutya, kunyanya kana uchiziva chikonzero. Zvichida wakadya zvishoma kamuhaidhadhi panguva yekudya kwemanheru kana kuti unofunga kuti insulini yako inoda. Zvinonzwisisika kutumidza mushandi wako wehutano kana iwe ukacherechedza chimiro chekuwedzera kwemashuga eropa.
Somuenzaniso, kana shuga yako yeropa iri yakakwirira kudarika 130 mg / dL mushure memaawa masere kutsanya mazuva mazhinji mushure, unogona kuchinja urongwa hwako hwekudya, mishonga, kana basa, uye boka rako rezvechirwere rinogona kukubatsira kuti uite izvozvo.
Cherechedza kuti shuga dzekucheka ropa dzinogona kupa mhinduro dzisina kururama kana iwe usina maoko akachena, akagezwa kana kana kuedza kwako kuve kwakapera kana kuti kwave kuchirwisana nekupisa kwakanyanya . Somuenzaniso, kana ukaedza shuga yako yeropa mushure mekudya chimedu chemichero uye uine shuga muzvanza zvako, shuga yako yeropa inogona kunge yakanyengera. Usati wavhunduka, iva nechokwadi chokuti wakashandisa nzira yakanaka yekuedza kushuga yeropa. Kana iwe uchitya nhamba, edza zvakare zvakare kuti uone.
Kana iwe usina chirwere cheshuga asi uine zvinhu zvinokuvadza zvakadai sepakutanga chirwere cheshuga, kuneta, kana mhuri yehutachiona cheshuga uye vari kuwana zviratidzo zvakadai sokuwedzera nyota, nzara yakawedzerwa, uye kuwedzerwa kunyorera, kuronga nguva yaunosangana kuti uongororwe kuti iwe uwane Sarudza kana kana kwete shuga yako yeropa yakakwirira.
Labs uye Miedzo
Kutsanya Ropa Glucose Test
Kutsanya kweplasma glucose (FPG) test, inozivikanwawo sekutsvaga kwekutsvaga kweglucose yeropa (FBG) kana kutsanya shuga yeropa reropa, inotarisa mazinga ega shuga uye inoshandiswa kuongororwa chirwere cheshuga uye kusakanganisika kweglucose kushivirira.
Inogonawo kubatsira avo vane chirwere cheshuga kuti vaone hyperglycemia.
IAmerican Diabetes Association inokurudzira kuedza uku sekuongorora kuongorora kwechirwere cheshuga kune avo vanhu vanopfuura makumi mashanu nemashanu. Kana zvibereko zvikaitika, zvinodzokororwa makore ose matatu. Chirwere cheFBG chinokurudzirwa kana iwe wakanga uine zviratidzo zvechirwere cheshuga kana huwandu hwehutano hwechirwere cheshuga.
Chiyero chinosanganisira soro, risingaoneki ropa ropa. Uye kune avo vane chirwere cheshuga vanotarisa ropa ravo rega yega, unogona kuedza yako kushuga yega yekutsanya ropa uchishandisa glucometer. Usati waedzwa, unofanira kushanyira-usadya kana kunwa kwemaawa masere.
Nokuda kwekutsanya uku, kuedzwa kunowanzoitwa mangwanani.
Kune vanhu vasina chirwere cheshuga, hyperglycemia inoratidzwa apo:
- Kuverenga kwe 100 mg / dL kusvika 126 mg / dL kunoratidza kusakanganisika kweglucose kushivirira kana chirwere cheshuga chisati chaitika, zvichiratidza dambudziko rinowedzera rekuwedzera chirwere cheshuga chakakwana.
- Kuverenga pamusoro pe 126 mg / dL ndiyo chikumbaridzo chinonzi chirwere cheshuga chinowanikwa. Kazhinji izvi zvinofanira kusimbiswa kaviri kana kuvharwa-kutariswa nemumwe muedzo wokuongorora.
Kune avo vane chirwere cheshuga, hyperglycemia inoratidzwa apo:
- Kuverenga kwepamusoro 130 mg / dL iyo inoitika mazuva mashomanana anoitevera inogona kuratidza muenzaniso wekusviba kwepamusoro kwezuva.
Hemoglobin A1C Test
Kuongorora kweA1C (inozivikanwawo seHbA1C, hemoglobin A1c, glycated hemoglobin kana glycosylated hemoglobin) ndiyo yakanaka yakawanda yehutano hwechirwere uye inogona kubatsira kuongorora hyperglycemia kune vanhu vane chirwere cheshuga pamwe nekuongorora chirwere cheshuga. Mazinga eA1C anoratidza huwandu hwomunhu hwehutachiona hweropa mumwedzi miviri kusvika kumatatu yapfuura.
Iwe unogona kuwana zvakare A1C kuverenga kuburikidza nekugara kweropa kuteka. Uyezve, mahofisi akawanda echiremba vane maA1C ekuongorora maitiro anovabatsira kuti vadzore mugumisiro vachishandisa donho reropa rinowanikwa nekugunura munwe wako ne lancet. Hapana kutsanya kunodiwa panguva iyi.
Kune munhu asina chirwere cheshuga, inowanzoitwa A1C yezinga inenge 5 muzana. A borderline A1C inoratidza kuti hyperglycemia kana prediabetes inowira mukati mehuwandu hwe 5.7-6.4 muzana.
Kune avo vane chirwere cheshuga, ADA inokurudzira chinangwa cheA1C chepasi kana chakaenzana ne7 muzana uye American Association of Clinical Endocrinologists inokurudzira huwandu hwe6,5 muzana kana pasi. Zvisinei, ADA inonyanya kusimbisa kuti zvinangwa zveA1C zvinofanira kunge zvakasiyana.
Zvakakosha kune avo vane chirwere cheshuga kuti vanzwisise kuti pane chinangwa cheA1C chii uye chinorevei chinoratidza hyperglycemia. Kazhinji yenguva, apo kutapukirwa kwehuga kweropa kwakanaka, kuongorora kweA1C kunoitwa kaviri pagore. Zvisinei, kuvanhu ivavo vane hyperglycemia, nhamba inogona kuongororwa kakawanda, kunyanya kana kuchinja kwemishonga kwakaitwa.
Fructosamine Test
Chiyero che fructosamine chimwe chekuongorora ropa, chakafanana nehemoglobin A1C test, iyo inotarisa mazinga eropa rehuga pamusoro pemakore maviri kusvika matatu. Inoyera glycated protein muropa uye inowanzoshandiswa kuenzanisa shuga yeropa mune avo vanhu vane chirwere chinonzi anorema anemia kana zvimwe zvinokonzera hemoglobin. Kusiyana nekuongororwa kweA1C, muedzo we fructosamine hausi kushandiswa sekuongorora kuongorora kwevanhu vasina chirwere cheshuga kana vane vane chirwere cheshuga chinorwara zvakanaka.
Chirwere che fructosamine chinogona kushandiswa mukuwedzera kuropa rekuisa ropa pawakave nekuchinja kwechangobva kuitika mumishonga yako kana insulin uye kunogona kubatsira kuongorora kubudirira kwemishonga mitsva mushure memavhiki mashomanana panzvimbo yekumirira mwedzi kuita A1C test .
Pakupedzisira, muedzo we fructosamine unoshandiswa mukugadzirisa chirwere cheshuga nokuti kuchinja kunogona kuitika nokukurumidza munguva yekudzivirira. Nguva shoma shomanana yemuedzo inobvumira chiremba kutarisa mazinga eropa rako rega rega pedyo. Iyo inogona kubatsira kuchengetedza hyperglycemia zvakanyanya pedyo uye kazhinji pane kuongorora A1C.
Hyperglycemia inoratidzwa apo:
- Kune vanhu vasina chirwere cheshuga, fructosamine yezera ndeye: 175 kusvika 280 mmol / L
- Kune vanhu vanorwara nechirwere cheshuga, fructosamine yakatarisa ndeyekuti: 210 kusvika 421 mmol / L
- Kune vanhu vane chirwere cheshuga chisingaodzorwi, fructosamine yakatarisa ndeyokuti: 268 kusvika 870 mmol / L
Mushonga weGlucose Kutsungirira Test
Izwi rinonzi glucose tolerance test (OGTT) , iro rinonziwo glucose tolerance test, rinoita kuti muviri uwane simba rekugadzirisa glucose kana kurisasa kubva muropa. Muedzo unogona kushandiswa kuongororwa chirwere cheshuga, gestational chirwere cheshuga (chirwere cheshuga panguva yekuzvitakura), kana prediabetes (chiitiko chinoratidzwa nehupamhi-kupfuura-chaihwo yehuga hwehutachiona hunogona kutungamirira kurudzi rwechipiri rwechirwere cheshuga). Chiyero cheOGTT hachisi kuratidzirwa pakutsvaga hyperglycemia kune avo vanhu vane utachiona hwehutachiwana.
Vose vadzimai vane pamuviri vanofanira kupikisa glucose pakati pemasvondo makumi maviri nemaviri kusvika kumakumi maviri nemashanu. Inogona kuva 75 gram, 2-hour OGTT kana nhanho mbiri, 50 gram OGTT, inoteverwa ne 100-gram OGTT (ichimirira kutanga kwekutsvaga). IOGTT inoshandiswawo masvondo mana kusvika kwemaviri mushure mekupera kwevakadzi vakambova negwara re gestational chirwere cheshuga, kuitira kuti varatidze chirwere cheshuga chinoramba chiripo. Uyezve, chiremba anokwanisa kukurudzira OGTT kana achifungira chirwere cheshuga mumamiriro ezvinhu apo chirwere chekutsanya kweropa glucose yepamusoro chitema.
Kuenzaniswa nechiedza cheFBG, kuongorora kweOGTT kunowedzera nguva. Maererano neAmerican Diabetes Association (ADA), kuongororwa kweOGTT ndiko kuedza kunoshandiswa kunoshandiswa pakuongorora chirwere cheshuga chechipiri muvechidiki nevana.
Chiyero chinotanga mushure memaawa masere kusvika pa12 achitsanya. Zvadaro, ropa rinokweverwa kuti rive nekutsanya kwekuisa glucose. Kutevera kutevedza kweropa, iwe uchakumbira kunwa sorosi (glucose-rich) chinwiwa chinowanzo ine 75 gramu ehydrohydrate. Ropa richaswededzwa pazvikamu zvakasiyana-siyana kuyananisa mazinga ehuga, kazhinji awa imwe nemaawa maviri mushure mekunge soro inopedzwa.
Chiyero chinoratidza kuti muviri wako unokonzera sei shuga uye kana uri kuchibvisa kubva muropa zvakanaka. Iko inowanzoenderana nekusachena kweglucose inobva pakuwanda kweglucose inogadzirwa. Mushure mokutsanya, chirwere chemashuga chemaropa chinokwana 60 kusvika ku100 mg / dL (milligrams per deciliter).
Kwema gramu makumi manomwe emuviri weglucose, mararamiro anowanzobuda ropa (kune avo vasina pamuviri) ndeaya:
- Pashure peawa imwe: pasi pe 200 mg / dL
- Pashure pemawa maviri: pasi pe 140 mg / dL. Pakati pe 140 kusvika 199 mg / dL zvinoratidza kusagadzikana kweglucose kushivirira (prediabetes). Kana kuongororwa kwemigumisiro iri munharaunda iyi, murwere ari pangozi yakawanda yekukura nechirwere cheshuga. Mukuru kune 200 mg / dL anoratidza chirwere cheshuga.
Kwema gramu makumi manomwe emasikirwo, mararamiro eropa rega rega (kune avo vane pamuviri) ndei:
- Kutsanya: kudarika 92 mg / dL
- Pashure peawa imwe: pasi pe 180 mg / dL
- Pashure pemawa maviri: 153 mg / dL
Kuongororwa kwegestational diabetes mellitus kunoitwa kana chero ipi yeipi inotevera yeplasma glucose values inosangana kana kudarika.
Kusiyanisa Kuziva
Muchiitiko apo chimwe chezviedzo zvawakanga waita kuti uone hyperglycemia, iwe uchada chimwe chiedzo kuti uone kana iwe usina chirwere cheshuga, pre-diabetes, insulin kusagadzikana, kana rudzi rwekusagadzikana kweglucose.
Mashoko akanaka ndeokuti kuongorora hyperglycemia mangwanani kunogona kuwedzera mukana wako wokudzivirira chirwere cheshuga. Kazhinji yenguva, kurapwa uku kuchinja mararamiro akaita shanduko yakagadzirwa nema carbohydrate, kuwedzera kwekuita muviri, uye kuora muviri. Kana sutu yeropa yakanyanya kunyanya kuongororwa, unogona kutanga kutanga mishonga yemuromo kana insulin . Kana iwe une chirwere cheshuga uye ropa rako sutu yakakwirira ipapo iwe ungangodaro unoda kuchinja kurongwa hwako hwekurapa.
Kana iwe uri nepamuviri uye utera simba rako rekutanga gorosi kushivirira, iwe zvechokwadi unofanira kutora imwe. Dzimwe nguva vakadzi havapfuri yekutanga asi kupfuura yechipiri.
Muchiitiko chawakave uchitarisa nguva dzose uye shuga yako yekutsanya yeropa inobuda kuti ive yakakwirira, chigumisiro chinogona kukanganiswa kana iwe usina kutsanya. Mafuta, gum, kunyange shura yekukanganisika inogona kuita kuti shuga yako yeropa iwedzere, saka iva nechokwadi kuti unoudza vatapi vako vehutano kana iwe usina kutsanya zvechokwadi.
Uye kana ropa rako glucose kutarisa rinoratidza kuti shuga yako yeropa yakakwirira pane dzimwe nguva dzezuva, taura nemutarisiri wako wehutano kuti uone kana uchida chirongwa chekurapa kugadziriswa.
> Sources:
> American Diabetes Association. Maitiro ekurapa muShuga - 2017. Chirwere cheshuga. 2017 Jan; 40 Isa 1: S1-S132.
> Ayyappan S, Philips S, Kumar CK, Vaithiyanandane V, Sasikala C. Serum fructosamine chiratidzo chinopfuura glycated hemoglobin yekucherechedza gestational diabetes mellitus. Nyaya yeFarmacy & Bioallied Sciences . 2015; 7 (Suppl 1): S32-S34. doi: 10.4103 / 0975-7406.155786.