Ndani Akufunikira Icho ndi Chimene Ungachiyembekezere?
Chiyeso cha Kugonana kwa Mixed Meal (MMTT) chimafuna kuti munthu amwe "zakudya zosakaniza," monga Kuonjezera kapena Kutsimikizira, zomwe zili ndi mapuloteni, mavitamini, ndi mafuta. Cholinga cha mayesero ndi kuyeza kuti insulini yanu ingapangidwe bwanji pakuyankha chakudya. Pamene thupi la anthu likugwira ntchito moyenera, chakumwa chimayambitsa shuga a magazi, ndipo chifukwa chake mphutsi imatulutsa insulini yokwanira kuti iwonetse shuga ya magazi.
Komabe, zochitika zina zingachititse kuti ziphuphu zisagwire bwino ntchito-zikhoza kutulutsa insulini yochuluka kapena yochepa kwambiri. Kuti mumvetsetse njirayi bwino pa nthawi ya MMTT, magazi amachokera ku IV kuti ayese selo la beta. Maselo a Beta ndi maselo omwe amabweretsa insulini, kotero kuyesa malo awo oyenera kumathandiza kumvetsetsa ntchito ya insulini. Pamene MMTT imagwiritsidwa ntchito kwambiri kwa anthu okhala ndi shuga ya mtundu wa 1, ingagwiritsidwe ntchito pa zifukwa zina. Ndipo ngakhale kuti MMTT yatchulidwa kuti maselo a beta amatha kuyesedwa, sagwiritsidwa ntchito kawirikawiri m'madera odwala makamaka chifukwa cha zovuta zake-zikhoza kukhala zowonongeka komanso zosokoneza. Mmalo mwake, MMTT imagwiritsidwa ntchito nthawi zambiri ngati chida choyesa mu zofufuza, monga mayesero a kafukufuku wachipatala.
Kodi Wina Adzafunsidwa Kuti Atenge Zosakaniza Zowonongeka Kudya?
Chifukwa chachikulu chomwe dokotala angafune kuti wodwalayo atenge MMTT ndi kudziwa momwe mapangidwe anu amathandizira kutulutsa insulini.
Mwachitsanzo, zotsatira zowonetsera zimasonyeza ngati kansalu kamene kakupangika insulini, kutulutsa insulini yambiri, kapena kutulutsa insulini. M'munsimu mungapeze nthawi zina zomwe mungagwiritse ntchito MMTT:
- Ngati muli ndi mwana wamng'ono kwambiri yemwe watulukira kuti ali ndi matenda a shuga a mtundu wa 1 ndipo madokotala ake akuyesera kudziwa kuti ali ndi insulini yochuluka motani.
- Ngati ndinu munthu amene akudwala shuga wamagazi, maola awiri kapena atatu mutatha kudya, matenda omwe amachititsa kuti mukhale ndi matenda a shuga, ndipo mulibe matenda a shuga, dokotala wanu angayese yankho lanu la shuga pa chakudya ndikuwatsimikizira ngati Thupi limatulutsa insulini wambiri chifukwa cha chakudya.
- Ngati muli munthu amene wachitidwa opaleshoni yowonongeka ndipo mwakhala mukudwala hypoglycemia.
- Ngati ndinu munthu amene mukuganiza kuti ndi insulinoma yomwe ili ndi zizindikiro za hypoglycemia.
- Ngati ndinu munthu amene akuyesera kuchipatala, MMTT angapereke mankhwala othandizira kuti thupi lanu likhale ndi insulini chifukwa maselo a beta a pancreas amamvera amino acid ndi mafuta acids kuphatikizapo shuga. Mwachitsanzo: mayesero a kafukufuku angagwiritse ntchito mayeso a MMTT mu chitukuko cha mankhwala, poyesa zogwira mtima za mitundu ina yamachiritso, monga insumini pamapu, agonist-glucagon-like peptide (GLP-1) agonist, ndi oyang'anira magulu opitirirabe.
Kodi Mungayang'ane Chiyani Musanayese Chiyeso?
Nkofunika kuti mwasala kudya kwa maola asanu ndi atatu musanayese. Musamamwe kapena kudya chirichonse, kupatula madzi, maola asanu ndi atatu musanatengedwe. Ngati mwadya chinachake mwachisawawa, ngakhale chinthu chosafunika, monga maswiti kapena shuga, muyenera kuyambiranso kuyesa.
Gulu lanu la zachipatala lingakuuzeni kuti musamachepetse masewero olimbitsa thupi, mowa, mowa wa khofi, ndi fodya tsiku lomwe musanayese mayesero chifukwa izi zimayambitsa insulini yokhudzidwa.
Konzani kuvala zovala zabwino. Ngati mwana wanu ndi amene ali ndi mayeso, mungamulole kuti abweretse chibokosi chapadera kapena zinyama zogwiritsidwa ntchito ngati njira yotonthoza.
Kodi Muyenera Kuyembekezera Chiyeso Chiti?
Muyenera kuyembekezera kukhalapo pamayeso kwa maola ochuluka, pamene mayesero enieni amatenga maola awiri ndipo pali kukonzekera komwe kumakhudzanso. Pali kafukufuku wina amene akuchitika, komabe, pothandiza kuchepetsa mayesero kwa mphindi 90, ndikupanga chitsanzo chimodzi chokha cha magazi.
Ngati muli ndi mafunso aliwonse okhudzana ndi kutalika kwanu, funsani gulu lanu lachipatala musanafike tsiku la mayesero. Nazi zomwe mungathe kuyembekezera:
- Mukafika, mudzalembetsa ndikukhala ndi kutalika kwake ndi kulemera kwanu.
- Kenaka, mudzaikidwa m'chipinda cholera komwe mudzalandira cathatera (IV). Vuto 4 limagwiritsidwa ntchito pojambula zitsanzo za magazi. Kukhala ndi vesi 4 kungakhale kovuta kwambiri, makamaka kwa mwana wamng'ono choncho ndikofunika kukonzekera.
- Mukatha kuika 4, mumamwa chakumwa chakumwa, monga Boost. Chakumwa ichi chimamveka mofanana ndi mkaka wonyamulira ndipo umabwera m'njira zosiyanasiyana.
- Magazi amachokera ku IV nthawi iliyonse pamphindi maola awiri.
- Pamene mukudikirira, mukhoza kuyang'ana TV, kutseka maso anu, kuwerenga kapena kuchita chilichonse chimene chimakupangitsani kukhala omasuka.
Kodi Mungayang'ane Chiyani Pambuyo Poyesedwa?
Mukamaliza mayeso, zotsatira zimatumizidwa ku labu. Kawirikawiri zotsatira zimatenga masabata angapo kuti apange-mudzamva kuchokera kwa dokotala akadzafika. Musaganize zotsatirapo, kupatula zovuta pang'ono pa tsamba la IV.
Kuyesedwa kwa Mixed Meal Kulimbana Ndiko Kusiyanasiyana ndi Mayeso Omwe Amayendera Kupirira Kulimbana
Mwinamwake mukuganiza-ndi MMTT yofananako ndi Mayeso Okhalitsa Kukhalitsa kwa Odwala (OGTT) ? Ngati mwakhalapo ndi OGTT m'mbuyomo, mudzadziwa kuti mayeserowa ndi ofanana koma osati chimodzimodzi.
OGTT ndi chisonyezero chabwino cha kulekerera kwa shuga ndipo amagwiritsidwa ntchito limodzi ndi mayesero ena, monga Kusakaniza Magazi a Magazi (FBG) ndi Hemoglobin A1c kuti adziwe matenda odwala matenda a shuga, shuga, komanso kusindikiza kwa matenda a shuga.
Mofananamo ndi MMTT, muyenera kuyesa izi posala kudya kwa maola asanu ndi atatu. Komabe, mosiyana ndi kumwa zakumwa zosakaniza, pa OGTT munthu amafunsidwa kuti azidya msuzi wa shuga okha, wofanana ndi magalamu 75 a shuga (shuga) utasungunuka m'madzi.
Zotsatira za OGTT zingathandize othandizira odwala kuti azizindikira, kusayenerera kudya msanga (IFG) komanso kusagwirizana kwa m'magazi (IGT). IFG ndi IGT silingapezeke pogwiritsira ntchito MMTT kuyambira nthawi yomwe imapereka vuto losavomerezeka.
Mayesero Osakaniza Sakagwiritsidwa Ntchito Kuwona Matenda a Shuga 1
MMTT ikhoza kuthandizira pakuzindikira magawo oyambirira a kusagwirizana kwa shuga, koma sikunagwiritsidwe ntchito kupeza matenda a shuga. M'malo mwake, mu odwala matenda, American Diabetes Association ikulangiza kuti shuga ya magazi iyenera kugwiritsidwa ntchito pozindikira kuti matendawa akuyamba kwambiri. Mwachiyanjano, mayeso a c-peptide kapena mayeso a autoantibodies (onse awiri ayesedwa magazi) angatsimikizire kuti akudwala matenda a shuga a mtundu wa 1.
Kuyeza kwa matenda a shuga 1 kumatha kudziwa chiwopsezo cha shuga
Mtundu wa shuga wa mtundu woyamba umapezeka kuti matendawa apita patsogolo. Ndi kupita patsogolo kwa zamankhwala, tsopano tili ndi mphamvu yowonetsera matenda a shuga a mtundu wa 1 mu chiyeso cha kuyesa kafukufuku, m'zigawo zoyambirira za m'banja, kapena kukhala ndi matenda a shuga a mtundu wa 1. Kuwonetsera kuli ndi kuyesa kwa gulu la autoantibodies. Pa matenda a shuga, ndi maantiantibodies awa, omwe amasonyeza kuti maselo a maselo a beta amachititsa kuti maselo a phokoso awonongeke m'thupi, motero amachititsa kuti maselo a beta afe. Bungwe la American Diabetes Association linanena izi:
[Icho] tsopano chikuwoneka bwino kuchokera ku kafukufuku wa achibale oyambirira a odwala omwe ali ndi matenda a shuga a mtundu wa 1 omwe amaumirira kukhalapo kwa awiri kapena kuposa omwe amagwiritsa ntchito maantiantibodies ali pafupifupi matenda enaake a hyperglycemia ndi shuga. Kuchuluka kwa chitukuko kumadalira pa msinkhu woyambirira wodziwika wa anti-antibody, nambala ya ma antibodies, anti-antibody, ndi antibody titer.
Kugwiritsira ntchito autoantibodies kuthandiza kuthandizira kufala kwa shuga kungachepetse kuchuluka kwa matenda a shuga ketoacidosis, kuthandizira ofufuza pakupanga maphunziro opewera, omwe angachedwetse kuchepetsa matenda, komanso kuthandiza anthu kumvetsetsa ndikukonzekera bwino matendawa.
Ndikofunika kuzindikira kuti chifukwa chakuti muli ndi antiantibodies sikutanthauza kuti muli ndi matenda a shuga a mtundu wa 1 wodwala insulini; m'malo mwake zingatanthauze kuti mwayi wokhala nawo ukuwonjezeka. Ngati mukufuna kudziwa zambiri pa ndondomeko ya masitepe mungathe kupeza Malamulo a Chikhalidwe cha Chiwopsezo cha American Diabetes .
Mawu Ochokera
Chiyeso Chotsutsana Chakudya Chakudya Chimafuna kuti munthu amwe chakumwa, monga Kulimbikitsidwa, pamene ali ndi magazi omwe amakoka mphindi 30 iliyonse kwa maola awiri. Ndiyeso lalikulu kuti athandize kuzindikira kuti munthu angathe kupanga insulini, kupanga chida chofunika kwambiri. Koma, mayesero akhoza kukhala osokoneza komanso ovuta kuchita chifukwa cha kudzipereka komanso nthawi. Choncho, amagwiritsidwa ntchito nthawi zambiri pazinthu zachipatala-monga ofesi ya dokotala.
Komabe, nthawi zina, odwala angagwiritse ntchito mankhwalawa, pofuna kuyesa hypoglycemia yogwira ntchito. Mwapadera, ngati mukuchita nawo mayesero a zachipatala, mungapemphedwe kutenga chimodzi. Ngati mukukonzekera kuti mutenge mayesero awa, musadandaule. Ngakhale kuti mayeserowa angakhale otha nthawi, sizowopsya ndipo sizimayambitsa mavuto ena.
Kumbukiraninso, kuti mayesowa sagwiritsidwa ntchito kuti adziwe mtundu uliwonse wa shuga. Ndipo nthawi zonse, ngati mukuganiza kuti inu kapena munthu amene mumamukonda akhoza kukhala ndi shuga chifukwa cha zizindikiro zokayikitsa, monga kuwonjezera ludzu, kuonjezera kukodza, kutopa, njala yambiri, kulemera kwake, ndi zina zotero.
> Zotsatira:
> Chigwirizano cha ku America cha shuga. Malamulo a Zamankhwala pa Matenda a Shuga - 2017. Chisamaliro cha Shuga . 2017 Jan; 38 (Suppl 1): S1-132.
> Besser, R ndi. al. Zophunzira kuchokera ku mayeso olekerera olekerera chakudya. Chisamaliro cha shuga 36: 195-201, 2013
> Cincinnati Children's. Mayeso olekerera odyera zakudya.
> Koh, A, mayesero olekerera chakudya chamadzulo (MMTT) vs. masewero olimbitsa thupi olekerera odwala (OGTT) pambuyo pochita bwino kuchipatala (CIT)
> ProSciento. Mthendayi yamakono yoleza mtima ndi mayeso olekerera odwala zakudya.