Mayesero Atsimikiziridwa Kuti Atsimikizidwe Kuzindikira Matenda a Shuga 1
Matendawa a mtundu wa shuga 1 akhoza kukhala ovuta. Pokhapokha pali mbiri yodziwika ya matenda a shuga m'banja, anthu ambiri sazindikira zizindikiro za matenda a shuga a mtundu wa 1 akayamba kuwoneka. Zizindikiro izi zimangokhalira kulakwitsa chifukwa cha mimba ya m'mimba chifukwa kusanza kumachitika nthawi zambiri. Pamene zizindikiro zikupitirirabe ndi zoipitsitsa, anthu ambiri amafufuza chithandizo chamankhwala ndipo kenako amadziwa kuti ali ndi matenda a shuga.
Kodi mtundu wa shuga 1 umapezeka bwanji?
Chifukwa zizindikiro zimayamba kuonekera msanga kamodzi kamene kachulukanso kamatulutsa kutulutsa insulini , anthu ambiri amapezeka m'kanthawi kochepa kuchokera pamene zizindikiro zimayambira. Nthawi zina, zingatenge nthawi yaitali. Kuzindikira matenda a shuga kumafuna zitsanzo zamagazi kuti muyese miyezo ya shuga m'magazi.
Kodi Ndi Mayesero Atani Ogwiritsidwa Ntchito?
Pali mayeso atatu omwe amagwiritsidwa ntchito pofuna kudziwa matenda a shuga. Mtundu wa mayeso ogwiritsidwa ntchito kwa munthu wina aliyense umadalira momwe zinthu zilili komanso zomwe adokotala akufuna. Mayesero awa ndi awa:
Gulusi Wamagazi Osala kudya (FBG)
Mu mayeso a FBG, mchere umapezeka pambuyo pa nthawi ya kusala kwa maola asanu ndi atatu. Izi kawirikawiri zimatanthauza kuti palibe chakudya kapena kumwa (kupatula madzi) amatengedwa pambuyo pausiku usiku usanathe mayesero. Kafukufuku wa magazi nthawi zambiri amatengedwa kumayambiriro tsiku lotsatira chisanafike chakudya kapena zakumwa. Ngati zotsatira za mayesowa zikuwonetsa kuwona kwa glucose 126 mg / dl kapena kupitirira kumasonyeza shuga.
Kuti atsimikizire kuti akudwala matendawa, nthawi zambiri amayenera kubwereza kachiwiri tsiku lina. Mazira a shuga amakhala pakati pa 70 ndi 110 mg / dl mwa munthu yemwe alibe shuga. Mayeso a FBG ndi mayeso omwe amagwiritsidwa ntchito kwambiri kuti apeze matenda a shuga.
Magazi Amagazi Amagazi
Muyeso wamagazi wosasunthika, magazi amayesedwa kuti ayese shuga wanu koma simukuganiziranso pamene mudya chakudya chanu chomaliza.
Mlingo wa shuga wa 200 mg / dl umasonyeza kuti muli ndi shuga.
Imeneyi ndiyoyeso yamakono yogwiritsidwa ntchito pazochitika zachipatala ngati munthu (nthawi zambiri mwana) ali ndi masikito otsika kwambiri omwe angakhale akuwoneka kuti ali ndi matenda a shuga. Mu mphindi zochepa zogwiritsa ntchito mayesowa, antchito azachipatala angadziwe kuchuluka kwa shuga m'magazi ndipo amapereka insulini ngati matenda a shuga a mtundu wa 1 amatsimikiziridwa ngati matenda.
Mayeso Omwe Amayendera Katundu Kupirira (OGTT)
Chiyeso cha matendawa, chomwe chimatchedwa kuyamwa modzikongoletsa m'mimba, chimasiyana ndi zina ziwiri chifukwa mumapemphedwa kuti mumwa zakumwa za sugyra kuti muwone momwe mungapangire shuga kuti muyambe kumwa. Musanayambe kumwa chakumwa, chakudya choyamba magazi a shuga amatengedwa. Mukamamwa chakumwa ndi maola awiri otsatirawa, masiketi a magazi amatengedwa maminiti 30. Kwa munthu yemwe alibe shuga, magulu a shuga akukwera ndikugwa mofulumira chifukwa thupi limatulutsa insulini kuchepa magazi. Mosiyana ndi zimenezi, munthu yemwe ali ndi matenda a shuga a mtundu wa 1 adzawona kukula kwakukulu komanso shuga chifukwa chapachikwereka sichikhoza kutulutsa shuga m'magazi.
Ngati magazi anu amagawira maola awiri aliwonse ali pansi pa 140 mg / dl, shuga wanu wa magazi amawoneka ngati wabwino.
Kuwerenga kwoposa 200 mg / dl panthawi imodzimodziyo imasonyeza shuga. Ngati majini a shuga ndi apamwamba kuposa 200 mg / dl, yesero liyenera kubwerezedwa tsiku losiyana kuti liwonetsetse kuti mthupili ndiloti.
Mayeso a A1c (Hemoglobin A1c)
Mankhwala a hemoglobin A1c mwachizoloŵezi akhala akuyesa kulamulira kwa nthawi yayitali mazira a shuga m'magazi. Koma mu 2010, bungwe la American Diabetes Association linalimbikitsa kuti mayesowa agwiritsidwe ntchito ngati njira ina yowunikira matenda a shuga ndi matenda a shuga. Ngakhale kugwiritsira ntchito mayeso a A1c kawirikawiri kagwiritsidwe ntchito kuti apeze matenda a shuga a mtundu wa 2 , amayenera kutchulidwa apa chifukwa angagwiritsidwe ntchito kuti azindikire mtundu wa 1.
Pamene mayeso a shuga amapezeka pa A1c mlingo wa 6.5 peresenti kapena kupitirira pa magazi a hemoglobin, amaonedwa ngati akudwala matenda a shuga. Ubwino wogwiritsa ntchito chiyeso cha A1c pa shuga wa plasma ndikuti kumatenga nthawi yochepa komanso yabwino kwambiri kuposa mayeso ogwiritsidwa ntchito pakamwa poyesa kulekerera komanso sikufuna kudya asanayese.
Mayesero ena angathe kuchitidwa (monga chithokomiro) kuti adziwe ngati pali ma antibodies ena omwe alipo. Pa mayesero onsewa kuti mupereke zotsatira zodalirika, muyenera kukhala opanda matenda ndi mavairasi komanso musamamwe mankhwala omwe angakhudze magazi anu.
Zotsatira:
> Chigwirizano cha ku America cha shuga. Maphunziro olimbitsa thupi: 2002. Kuyeza kwa matenda a shuga. Chisamaliro cha shuga. 2002; 25: 21S
> Chigwirizano cha ku America cha shuga. Mgwirizanowu wa New American Clinical Practice Malangizo Amalimbikitsa A1C ngati Kuyesedwa kwachilombo cha shuga.
> Kuzindikira matenda a shuga. National Clearinghouse Clearinghouse. http://diabetes.niddk.nih.gov/dm/pubs/diagnosis/index.htm