Abụọ awa nke gluu glucose n’afọ ime

Mgbe ị na-eme nnwale nnabata glucose elekere abụọ (Nyocha nke glucose elekere 2) ejighị 50, mana gram 75 nke glukulu, nke etisasịworo na 300 ml mmiri ọ drinkingụ drinkingụ. Mmiri na-egbu egbu na obere sips, maka nkeji ise. Au ihe-ọ inu inu, si ya solutionua ihe-ọ solutionu solutionu: ma nkpuru nke nwuru di nma ma nwayi di ime nwere ike kpasu agha. Mgbe ahụ a ga-eme nnwale ahụ ọzọ, mana ọbụghị otu ụbọchị ahụ. Ọ bụrụ na nwanyị emerie ọrịa nke ụtụtụ, mgbe ahụ ọ ga-esoro iberibe lemon ole na ole, nke na-emebi nke ọma.

Tupu ule ahụ, ịnweghị ike iri nri awa asatọ tupu mmalite ahụ, yabụ, a na-edenyekarị ya n'isi ụtụtụ (ihe dị ka awa 6-7 n'ụtụtụ) nke na nwanyị ahụ enwetabeghị agụụ agụụ ma ghara inwe oge ịta ahụ.

Usoro maka omumu a di nfe. Maka nyocha, ọbara na-aka site na mkpịsị aka ma ọ bụ ulnar vein (usoro a pụrụ ịdabere na ya karị!). mgbe nke ahụ gasịrị, onye na-ahụ maka ụlọ nyocha nyochara ọbara nke ọma iji chọpụta ọdịnaya glucose na plasma ọbara (glycemia). Nwanyị ahụ na-a drinksụ mmiri ọgwụ glucose, na awa abụọ na-esote ya agaghị enwe ike iri nri (ọbụna taa ata) ma na-eje ije, ọ nwere ike ị drinkụ mmiri naanị (ọ bụghị carbonated!). Ka elekere abụọ gachara, ọgbara ọhụrụ ahụ ga-ekwugharị nyocha ọbara. A na-eme nyocha nke nsonaazụ a n'ụzọ dị otú a (tebụl na-egosi nhọrọ ọnụego nke glycemic):

Nyocha nnabata nnabata glucose

Nnwale nnabata afọ glucose dị ogologo, mana nnwale ọbara shuga dị ukwuu. Ndi mmadu nke nyochara obara obara onu ha gosiputara site na 6.1-6.9 mmol / L. N'iji nnwale a, ị nwere ike ikwenye ma ọ bụ gọnahụ nchọpụta nke ọrịa shuga. Ọ bụkwa naanị ụzọ iji chọpụta na mmadụ nwere nsogbu glucose na-arịa ọrịa, yana isi.

Tupu ịmalite ịnabata nnabata nke glucose, mmadụ kwesịrị iri ụbọchị atọ a na-akparaghị ókè, ya bụ, iri ihe karịgasit 150 nke ụbọchị ọ bụla. Mmega ahụ kwesịrị ịdị nkịtị. Nri nri ikpeazụ nke mgbede kwesịrị ịnwe carbohydrate 30-50 g. N'abalị ịchọrọ agụụ maka awa 8-14, mgbe ị nwere ike ị drinkụ mmiri.

Tupu ịmalite ule nnabata glucose, a ga-atụle ihe ndị nwere ike ịmetụta nsonaazụ ya. Nke a gụnyere:

ọrịa na-efe efe, gụnyere oyi,
mmega ahụ, ma ọ bụrụ ụnyaahụ ọ dị ala, ma ọ bụ karịa n'ụba,
na-a medicationsụ ọgwụ ndị metụtara shuga ọbara.

Usoro nke nnwale nnabata glucose nwoke na nwanyị:

A na-anwale onye ọrịa maka ibu ọnụ ọbara ọbara.
Ozugbo nke ahụ gasịrị, ọ na-a aụ mmiri nke 75 g nke glucose (82.5 g nke glucose monohydrate) na 250-300 ml mmiri.
Were nyocha ọbara nke abụọ maka shuga mgbe awa 2 gachara.
Mgbe ụfọdụ ha na-a testsụ nwa obere oge maka shuga kwa nkeji iri atọ.

Maka ụmụaka, “ibu” nke glucose bụ 1.75 g kwa kilogram nke ahụ mmadụ, mana ọ bụghị ihe karịrị 75 g .. Anaghị anabata ịokingụ sịga ruo awa 2 ka a na-eduzi ule ahụ.

Y’oburu na nnabata glucose ike, ya bu, onodu obara obara adabaghi ososo, yabụ nkea putara na onye oria nwere nnukwu nsogbu oria shuga. Oge eruola ka ị gbanwee nri nwere carbohydrate iji gbochie mmepe nke ọrịa shuga “ezigbo”.

Nnyocha nnabata afọ glucose dị n’afọ: ihe ngosi na contraindications

Dabere na leta nke Ministry of Health of the Russian Federation nke a ga-eme na Disemba 17, 2013 Nke 15-4 / 10 / 2-9478 maka nchọpụta oge a na-arịa ọrịa shuga mellitus n'etiti izu iri abụọ na anọ na iri abụọ na asatọ (oge kachasị mma bụ izu 24-26) umu nwanyi nile di ime a na-eme nnwale nnabata glucose na -eme. N'ọnọdụ ndị pụrụ iche, enwere ike ịme nnwale nnabata glucose ruo izu iri atọ na abụọ nke gest.

Ihe mgbochi maka ule nnabata glucose bụ:

anabataghi glucose,
ọrịa shuga pụtara ọbara (nke mbụ chọpụtara ọrịa mellitus n'oge afọ ime),
ọrịa nke eriri afọ, sochiri nnabata glucose (mmiri na-asọ ma ọ bụ ọrịa afọ, ọrịa pancreatitis na-adịghị ala ala, wdg).

Nwa oge contraindications nke ule ahụ bụ:

toxicosis nke nwanyi di ime (vomiting, ọgbụgbọ),
mkpa iji soro ezumike ụra siri ike (a naghị eme ule ahụ ruo mgbe mgbasawanye nke usoro moto),
nnukwu mkpali ma ọ bụ ọrịa na-efe efe.

Gịnị bụ nnwale nnabata glucose?

Nnyocha nnabata glucose (GTT) bụ usoro nyocha nke nyocha nke ọrịa dị iche iche nke glucose metabolism n’ahụ mmadụ. Site n'enyemaka nke ọmụmụ a, ọ ga-ekwe omume ịmalite nchọpụta nke ụdị ọrịa shuga mellitus, ọrịa glucose na-arịa ọrịa. A na-eji ya n'ọnọdụ niile nwere obi abụọ, na oke akara nke glycemia, yana ọnụnọ nke ihe ịrịba ama nke ọrịa shuga megide ndabere nke shuga ọbara nkịtị.

GGT na-enyocha ike nke ahụ mmadụ iji mebie ma nwetakwa glucose mejupụtara site na sel nke akụkụ ahụ na anụ ahụ.

Usoro a gụnyere ịchọpụta mkpokọ glucose na afọ efu, mgbe ahụ, elekere 1 na awa 2 gasịchara ibu glycemic. Nke ahụ bụ, a na-agwa onye ọrịa ka ọ drinkụọ gram 75 nke glucose akọrọ na mililiters nke mmiri ọkụ, maka ndị mmadụ nwere ahụ ha, ụba glucose dị mkpa, gbakọọ site n'ụkpụrụ 1 gram kwa kilogram, mana ọ dịghị elu karịa 100.

Iji nwee ike ịnabatacha nsị na-esi na ya apụta, ọ ga-ekwe omume ịgbakwunye ihe ọ juiceụ lemonụ lemon na ya. N'ime ndị ọrịa nwere nnukwu ọrịa myocardial infarction, ọrịa strok, ọnọdụ asthmatic, glucose, ọ bụ ihe amamihe dị na ya iwebata glucose; kama, a na-anabata obere nri ụtụtụ nke nwere gram iri abụọ nke carbohydrates dị omimi.

Iji mezue eserese ahụ, enwere ike ịha nha shuga ọbara kwa ọkara elekere (na mkpokọta, nke a dị mkpa iji kpokọta profaịlụ glycemic (gram grave grazie).

Ihe nyocha a bu 1 mililita nke obara ọbara nke anara site na akwa nti. Ekwenyere na ọbara venous bụ ihe ọmụma kachasị ma na-enye ihe ngosi zuru oke ma nwee ntụkwasị obi dabere n'ụkpụrụ mba ụwa. Oge achọrọ iji mezue ule ahụ bụ ụbọchị 1. A na-eme ọmụmụ a n'ọnọdụ dị mma, dabere na usoro iwu ase, ọ dị na ihe fọrọ nke nta ka ọ bụrụ ụlọ nyocha ọgwụ niile.

GTT bu nnwale di nnukwute anya nke na enweghi nsogbu ma obu nsogbu ya. Ọ bụrụ na enwere, ha na-emeghachi omume na mmeghachi omume sistemụ akwara na-ejighị n'aka na nke onye ọrịa nye usoro akwara na akara ọbara.

A na-ahapụ nnwale nke abụọ tupu oge ọnwa 1 gachara.

Ihe ngosi maka igosi nnabata nnwale

A na-eme nnwale nnabata nke glucose na oke nke ịchọpụta ọrịa shuga. Iji gosipụta ọrịa shuga mellitus, ọ bụghị mgbe niile ka a ga-eme nyocha nrụgide, o zuru ezu inwe otu uru shuga dị n'ọbara ọbara edoziri na ụlọ nyocha.

Enwere otutu mgbe mgbe odi nkpa inye akwukwo nnabata nnabata glucose:

enwere mgbaàmà nke ọria mamịrị, mana, nyocha ụlọ nyocha nke oge niile anaghị akwado nchoputa ahụ,
ọrịa shuga na-akpata ọrịa (nne ma ọ bụ nna nwere ọrịa a),
ụkpụrụ nke glucose ọbara na-ebu ọnụ bụ ihe dịtụ elu site na iwu, mana enweghị akara mgbaàmà njirimara nke ọrịa shuga,
glucosuria (ọnụnọ nke glucose na mmamịrị),
ibu oke ibu
A na-enyocha nnabata nnabata glucose na ụmụaka ma ọ bụrụ na enwere ọrịa ahụ na mgbe a mụrụ nwa ahụ nwere ọkpụrụkpụ ihe karịrị 4.5 n'arọ, na-enwekwa ahụ ahụ na-eto eto,
womenmụ nwanyị dị ime na-eme oge nke abụọ, nwee ọ̀tụ̀tụ̀ glucose dị n'ọbara n'ọbara na-enweghị afọ,
Ugboro ugboro ugboro ugboro na anụ ahụ, n’ime ọnya ọnụ ma ọ bụ na-anaghị agwọ ọnya na anụahụ.

Ihe ngosi maka

Ndị ọrịa nwere ihe ndị a nwere ike ịnata akwụkwọ nzizi n’aka onye na-agwọ ọrịa, ọkachamara n’akparamàgwà mmadụ, endocrinologist maka ule nnabata glucose n’oge ịtụrụ ime ma ọ bụ ndị a na-enyo enyo na ọrịa mellitus.

na-enyo enyo ụdị 2 ọrịa shuga
ọnụnọ nke ọrịa shuga n'ezie,
maka nhọrọ na imezi ọgwụgwọ,
ọ bụrụ na ị na-enyo enyo ma ọ bụ na-arịa ọrịa shuga.
ọrịa shuga
metabolic syndrome
malfunctions nke pancreas, gland adrenal, pituitary gland, imeju,
enwere ikike nnabata glucose,
oke ibu, oria endocrine,
ọrịa shuga na-ejide onwe ya.

Etu ị ga-esi lee nnabata nnabata glucose

Ọ bụrụ na dọkịta ahụ na-enyo otu n'ime ọrịa ndị a kpọtụrụ aha n'elu, ọ na-enye akwụkwọ maka nyocha nnabata glucose. Uzo a nyocha putara, nlebara anya na “mo mo.” Ekwesịrị iji nlezianya kwadebe maka ya, ka ị ghara inweta nsonaazụ ụgha, mgbe ahụ, ya na dọkịta ahụ, họrọ ọgwụgwọ iji wepụ ihe ize ndụ na iyi egwu ndị nwere ike ibute ọrịa, nsogbu n'oge ọrịa mellitus.

Nkwadebe maka usoro a

Tupu nnwale ahụ, ịkwesịrị iji nlezianya kwadebe. Usoro nkwadebe gụnyere:

igbochi mmanya ogologo oge,
ị nweghị ike a smokeụ sịga n'ụbọchị nyocha
gwa dọkịta banyere ọkwa mmega ahụ,
erila nri dị ụtọ kwa ụbọchị, a’ụla nnukwu mmiri n'ụbọchị nyocha, soro ezigbo nri,
buru n'uche
atụla ule maka ọrịa na-efe efe, ọnọdụ postoperative,
ruo ụbọchị atọ, kwụsịrị ị medicationsụ ọgwụ: ịbelata shuga, homonụ, na-akpali metabolism, na-akụda mmụọ mmụọ.

Kedu otu ị ga-esi nwalee maka nnabata glucose n'oge afọ ime?

Nnwale nnabata glucose bụ ule nrụgide na glucose (75 g), nke bụ nnwale nyocha dị mma iji chọpụta nsogbu metabolism metabolism n'oge afọ ime.

Nkwadebe maka ihe omumu a bu ihe nlere anya ma ju otutu karie maka mkpebi di nfe nke glucose di n’ime obara.

A na-eme nnwale ahụ na nzụlite nri mgbe niile (ma ọ dịkarịa ala 150 g nke carbohydrates kwa ụbọchị) ma ọ dịkarịa ala ụbọchị atọ tupu ọmụmụ ihe ahụ. A na-eme ọmụmụ ihe ahụ n'ụtụtụ n'ụtụtụ efu mgbe emesịrị 8-hour abalị abalị. Nri ikpeazụ kwesịrị inwe 30-50 g nke carbohydrates. Ekwesịrị ị Medicụ ọgwụ na-emetụta glucose ọbara (multivitamins na nhazi ígwè nwere carbohydrates, glucocorticoids, β-blockers (ọgwụ mgbochi), ndị na-ahụ maka ọrịa agrenergic (dịka ọmụmaatụ, ụlọpral) mgbe enwere ike.

N'oge ule nnabata nnabata glucose dị ime a na - a isụ ọbara ugboro atọ na akwara maka glucose:

A na-atụle okpokoro isi (ndabere) na-ebu ọnụ shuga dị n’ọbara. Mgbe ịrechara usoro izizi ọbara mbụ, a na-atụ glucose ozugbo. Ọ bụrụ na ọkwa glucose dị 5.1 mmol / L ma ọ bụ karịa, mgbe ahụ, nchọpụta nchọpụta Afọ ụkwara ume ọkụ. Ọ bụrụ na ngosipụta ahụ na ogo nke 7.0 mmol / L ma ọ bụ karịa, a na-achọpụta nyocha nke mbu Ihe nchoputa (oria choputara) mbu mellitus n’oge ime. N'okwu abụọ ahụ, a gaghị eme nyocha ahụ n'ihu. Ọ bụrụ na nsonaazụ ahụ dị n'etiti oke kwesịrị, mgbe ahụ nyocha ahụ gara n'ihu.
Mgbe ule ahụ gara n’ihu, nwanyị dị ime kwesịrị ị drinkụ gluu mmiri nke minit 5, nke mejupụtara 75 g nke okpukpu kporo nkụ (250) nke mmiri ọkụ (37-40 Celsius C) na-a drinkingụ mmiri na-adịghị carbonated (ma ọ bụ nke na-agbasasị). Consideredmalite usoro glucose dị ka mmalite nke nnwale.
Ihe nlele ọbara na-esote iji chọpụta ọkwa glucose plasma venous na-ewere oge 1 na awa 2 mgbe glucose gbasasịrị. Mgbe enwetara nsonaazụ na-egosi Afọ ụkwara ume ọkụ emechaa akara ọbara nke abụọ, a nwalere ule ahụ ma emeghị ọbara nke atọ.

Na mkpokọta, nwanyị dị ime ga-anọ ihe dịka awa 3-4 iji were nnabata nnabata glucose. N'oge ule ahụ, a machibidoro ọrụ siri ike ike (ịnweghị ike ịga ije, kwụ ọtọ). Nwanyị dị ime kwesịrị iwere otu awa n’etiti iwere naanị ọbara, nọdụ ala na-agụ akwụkwọ n’atụghị ụjọ. A machibidoro iri iri nri, mana mmiri ọ drinkingụ drinkingụ a amachibidghị.

Ihe mgbochi maka nyocha

Ihe mgbochi pụrụ iche nke na - enweghị ike ịnagide nnagide glucose:

Ọnọdụ mberede (ọnya obi, nkụchi), mmerụ ahụ ma ọ bụ ịwa ahụ,
akpọ mellitus na-arịa ọrịa shuga,
Ọrịa (pancreatitis, gastritis na oke frasi, colitis, nnukwu akụkụ okuku ume na nje na ndị ọzọ),
ị drugsụ ọgwụ na-agbanwe ọkwa nke glucose dị n'ọbara.

Obara glucose ọbara n’afọ ime

A na-eme ntughari nke nsonaazụ ule site n’aka ndị nne na nna nwanyị, ndị na-ahụ maka ọrịa, ndị na-ahụ maka izugbe. Ndụmọdụ pụrụ iche sitere n'aka onye ọkà mmụta ọgwụ endocrinologist iji gosipụta eziokwu nke mebiri metabolism metabolism n’oge afọ adịghị mkpa.

Iwu maka ụmụ nwanyị dị ime:

plasma glucose na-ebu ọnụ na-erughị 5.1 mmol / L.
mgbe elekere 1 gasị oge ule nnabata glucose na-erughị 10,0 mmol / L.
mgbe elekere abụọ gachara, ihe karịrị ma ọ bụ hara n ’7.8 mmol / L na erughị 8.5 mmol / L.

Nchịkwa na ọgwụgwọ nke ụmụ nwanyị dị ime na-arịa ọrịa shuga

Egosiputa nri n’inwe nri zuru oke nke nri ndi mmadu na arapu ihe n’iru na igbochi oke ibu, inye ha nri n’otu ubochi iri nri nke anabatabegha nke 4-6. Carbohydrates nwere nnukwu nri nke eriri nri ekwesịghị ịbụ ihe karịrị 38-45% nke oriri kwa ụbọchị, protein 20-25% (1.3 g / kg), abụba - 30%. Withmụ nwanyị nwere ntụ ọka nkịtị (BMI) (18 - 24.99 kg / sq. M) ka akwadoro iri nri kwa afọ nke 30 kcal / n'arọ, na-agari oke (oke ibu karịa nke kachasị mma site na 20-50%, BMI 25 - 29 , 99 n'arọ / sq. M) - 25 kcal / n'arọ, na-ebu oke ibu (akụkụ ahụ dị elu karịa nke kachasị mma karịa 50%, BMI> 30) - 12-15 kcal / n'arọ.

Emega ahụerobic n'ụdị ije dịkarịa ala minit 150 n'izu, igwu mmiri na ọdọ mmiri. Zere mmega ahụ nwere ike ime ka mmụba nke ọbara mgbali elu (BP) na ọbara mgbali uterine.

Whomụ nwanyị ndị butere ọrịa shuga na-arịa ọrịa a nwere nnukwu ihe egwu maka ibute ya na ime ime yana ụdị ọrịa shuga 2 n'ọdịniihu. Ya mere, a ga-enyocha ụmụ nwanyị ndị a site na endocrinologist na ọkachamara n'ọrịa ụmụ nwanyị.

Testdị nnwale nnabata glucose

Dabere na usoro iji webata glucose n'ime ahụ, a na-ekewa ule nnabata glucose n'ụdị abụọ:

n'ọnụ (site n'ọnụ, n'ọnụ),
parenteral (ntinyela, ntụtụ).

Firstzọ nke mbụ bụ ihe a na - ahụkarị, n'ihi na ọ na - ebuso ya agha na - egbughị egbu. Nke abuo a abiaala na ntinyeghi aka maka mmebi di iche-iche nke usoro ikuputa, motility, na mwepu ya na eriri afọ, yana onodu di na mgbe ogwugwo ogwu (dika imaatu).

Na mgbakwunye, usoro parenteral dị irè maka nyochaa ogo nke hyperglycemia na ndị ikwu nke njikọ nke ndị ọrịa nwere ọrịa mellitus. N'ime nke a, enwere ike ikpebi itinye uche na insulin n'ime nkeji ole na ole mbụ mgbe ịbesịrị glucose gachara.

Usoro iji gbue GTT bu nke a: n'ime nkeji, onye ọrịa ka a ghajiri iwere ogwu ghari 25-50% (kilogram 0,5 n'ime kilogram 1). A na - ewere ọbara ọbara maka ọkwa nha site na vein ọzọ 0, 10, 15, 20, 30 nkeji mgbe mmalite nke ọmụmụ ahụ.

A ga-edoziri eserese nke na-egosipụta mkpụkọ glucose dabere na oge etiti oge mgbe ọrụ ahụ gasịrị.Nchọpụta ọgwụ nyocha ya bụ ọnụego mbelata ogo shuga, kwupụtara dịka pasent. Ná nkezi, ọ bụ 1.72% kwa nkeji. N’ime ndi okenye na ndi okenye, uru a di obere.

A na-eme ụdị nnwale nnabata glucose naanị na ntụzi aka nke dibia bekee.

Usoro ịkụ shuga: ihe ngosipụta maka GTT

Nnwale ahụ na-ekpughe ụzọ oge ịbawanye hyperglycemia ma ọ bụ ọrịa shuga.

Nwere ike inyo enyo na ọnọdụ a ma kọwaa GTT mgbe ebidoro usoro ntụ ọka shuga, n'ọnọdụ ndị a:

ọnụnọ ọrịa shuga na ezigbo ndị ikwu,
oke ibu (aru uka di n’elu 25 kg / m2),
n'ime ụmụ nwanyị nwere ọrịa omumu banyere ịmụ nwa (ime ọpụpụ, ịmụghị amụ nwa),
omumu nke umu aka nke nwere nmebi nke nmeghari agwa,
ọbara mgbali ike
mmebi nke metabolism metabolism (hypercholesterolemia, dyslipidemia, hypertriglyceridemia),
gout
oge nke ịba ụba glucose na nrụgide, ọrịa,
Ọrịa obi
nephropathy nke etiology amaghi,
mmebi imeju
guzobere metabolic syndrome,
nsogbu neuropathies na-emetụta,
ọnya anụ ahụ na-egbu egbu (furunlera),
pathology nke thyroid gland, adrenal gland, pituitary gland, ụmụ nwanyị n'ime ụmụ nwanyị,
hemochromatosis,
Ọnọdụ hypoglycemic
iji ọgwụ ọjọọ eme ihe na-abawanye ọbara glycemia,
afọ karịrị afọ iri anọ na anọ (yana ugboro ole nyocha 1 oge n'ime afọ 3),
ọnwa atọ dịịrị afọ maka nzube nke nyocha.

GTT di nkpa iji nweta nsonaazụ a na-enyocha enyocha glucose na-eme kwa ụbọchị.

Iwu maka ịkwadebe maka ule

Ekwesịrị ime nnabata nnabata glucose n'ụtụtụ, na afọ efu (onye ọrịa kwesịrị ịkwụsị iri nri ma ọ dịkarịa ala awa 8, mana ọ nweghị ihe ọ bụla.

Hapụrụ mmiri. N'otu oge ahụ, n'ime ụbọchị atọ gara aga, mmadụ kwesịrị idebe usoro ọrụ mmega ahụ na-emebu, nata carbohydrates zuru oke (ọ bụghị ihe na-erughị gram kwa ụbọchị), kwụsị ị smokingụ sịga na ị drinkingụ ihe ọholicụholicụ na-aba n'anya, a doụbiga ya ókè, ma zere ọgba aghara psychoemotional.

N'ime nri na mgbede tupu ọmụmụ, a gram nke carbohydrates ga-anọrịrị. Amachibidoro ị toụ kọfị n’ụbọchị ọmụmụ.

N'oge nnakọta nke ọbara, ọnọdụ onye ọrịa kwesịrị ịgha ụgha ma ọ bụ ọdụ, n'ọnọdụ dị jụụ, mgbe izu ike dị mkpirikpi. N'ime ụlọ ebe a na-eduzi ọmụmụ ihe ahụ, a ga-ahụrịrị usoro ikpo ọkụ zuru oke, iru mmiri, ọkụ na ihe ndị ọzọ chọrọ ịdị ọcha, nke a ga-enweta naanị na ụlọ nyocha ma ọ bụ na -emezi ụlọ inpatient ụlọ ọgwụ.

Ka ewee gosipụta usoro shuga n'ụzọ doro anya, ekwesịrị ịhazigharị GTT ma ọ bụrụ:

onye nnwale ahụ nọ n'oge prodromal ma ọ bụ nnukwu ọrịa nke ọrịa ọ bụla na-efe efe na mkpali,
n’ụbọchị ndị na-adịbeghị anya, a rụrụ ịwa ahụ,
enwere ọnọdụ nrụgide siri ike,
merụrụ onye ọrịa ahụ aru
a chọpụtara ụfọdụ ọgwụ (caffeine, calcitonin, adrenaline, dopamine, antidepressants).

Enwere ike inweta nsonaazụ na-ezighi ezi site na ụkọ potassium na ahụ (hypokalemia), ọrụ imeju na-arụ ọrụ na ọrụ sistemụ endocrine (adrenal cortical hyperplasia, ọrịa Cushing, hyperthyroidism, pituitary adenoma).

Iwu maka ịkwadebe maka parenteral usoro nke GTT yiri nke maka glucose site n'ọnụ.

Pre na-akwadebe maka nnabata nnabata glucose

Ọ dị mkpa ịmara na tupu ịme nnwale nnabata glucose, a chọrọ nkwadebe dị mfe ma bụrụ iwu. A ga-ahụrịrị ọnọdụ ndị a:

A na-eme nnwale nnabata glucose na-emegide naanị nzụlite nke ahụike,
A na-enye ọbara n’afọ efu (nri ikpeazụ tupu nyocha kwesiri ịdịkarịa ala awa 8-10),
ọ bụ ekwesighi ịsacha ezé gị ma jiri chịngọm mee ihe tupu nyocha (ịta ata na ncha nwere ike ịnwe obere shuga nke na-amalite ịbanye na onu.)
ị alcoholụ mmanya na-adịghị mma adịghị mma n'oge ehihie nke ule ahụ ma apụpụ ị smokingụ sịga,
Tupu ule ahụ, ịkwesịrị iduzi ndụ obibi ndụ gị dị mma, mmega ahụ na-emebiga ihe ókè, nrụgide ma ọ bụ nsogbu uche ndị ọzọ adịghị mkpa,
amachibidoro ime ule a mgbe ị na-a medicationụ ọgwụ (ọgwụ nwere ike ịgbanwe nsonaazụ nnwale).

Usoro Ule

A na-eme nyocha a n'ụlọ ọgwụ n'okpuru nlekọta nke ndị ọrụ ahụike yana ọ bụ ndị a:

n'ụtụtụ, na -emechi na afọ na-enweghị isi, onye ọrịa na-ewere ọbara site na akwara wee chọpụta ọkwa nke glucose dị na ya,
A na-enye onye ọrịa ị drinkụ gram 75 nke glucose na-enye mmiri mmiri n'ime 300 ml mmiri dị ọcha (maka ụmụaka, a na-agbaze glucose na ọnụego 1.75 gram kwa 1 n'arọ nke ịdị ahụ),
2 awa mgbe ị drinkingụsịrị mmiri gluu, chọpụta ọkwa nke glucose n'ọbara,
chọpụta nnwale nke mgbanwe na shuga ọbara dị ka nsonaazụ nyocha.

Ọ dị mkpa na nsonaazụ na-enweghị mgbagha, a na-ekpebi ọkwa glucose ozugbo n'ọbara. Anabataghị ya igbachi, ogologo oge njem ma ọ bụ ogologo ọnụnọ okpomọkụ.

Nyocha ule nyocha nke shuga

Jiri ụkpụrụ dị mma iji nwaa nwalee nsonaazụ ya.

Nnabata glucose na-arịa ọrịa yana glucose na-ebu ọnụ bụ proiabetes. N'okwu a, naanị nnabata nnabata glucose nwere ike inye aka ịchọpụta ihe ga-eme ka ọ ghara ịrịa ọrịa shuga.

Ule nnabata glucose n’oge dị ime

Nnwale ibu glucose bụ ihe ịrịba ama dị mkpa nchọpụta banyere mmepe nke ọrịa shuga n’ime nwanyị dị ime (ọrịa afọ ime. N'ime ọtụtụ ụlọọgwụ ụmụ nwanyị, etinyere ya na ndepụta mmado nke usoro nchọpụta wee gosipụta ya maka ụmụ nwanyị niile dị ime, yana mkpebi siri ike nke glucose ọbara na-ebu ọnụ. Mana, ọtụtụ oge, a na-eme ya dabere na otu njiri mara dị ka ụmụ nwanyị na-adịghị amụ nwa.

Na njikọ maka mgbanwe na arụ ọrụ nke gland endocrine na mgbanwe na usoro homonụ, ụmụ nwanyị dị ime nọ n'ihe ize ndụ maka ịmalite ọrịa shuga. Ihe iyi egwu nke ọnọdụ a abụghị naanị maka nne n'onwe ya, kamakwa maka nwa e bu n'afọ.

Ọ bụrụ na ọbara nwanyị ahụ nwere ọbara glucose dị elu, mgbe ahụ ọ ga-abanye n'afọ nwa ebu n'afọ. Ọbara glucose na-ebute ọmụmụ nke nnukwu nwa (karịa 4-4.5 n'arọ), ọchịchọ nke ịrịa ọrịa shuga na emebi usoro ụjọ. O siri ike na enwere nsogbu dị iche iche mgbe afọ ime ga-akwụsị ịmụ nwa ma ọ bụ ime ọpụpụ.

Nkọwa nke ụkpụrụ ule enwetara ka egosiri n’okpuru.

Mmechi

Emere nnwale nnabata glucose na ọkọlọtọ maka ịnye nlekọta ahụike pụrụ iche maka ndị ọrịa nwere ọrịa mellitus. Nke a mere ka ndị ọrịa niile nwee ike ịrịa ọrịa shuga mellitus ma ọ bụ ndị nwere ọrịa shuga na-enyo enyo nwere ike ịnweta ya n'efu n'okpuru amụma mkpuchi mmanye ahụike na ụlọ ọgwụ.

Ihe omuma nke uzo a na - eme ka o kwe omume igosiputa nchoputa na nmalite nke mmepe nke oria ma bido igbochi ya n’oge. Ọrịa shuga mellitus bụ ụdị ndụ ọ dị mkpa ka a nabata. Oge ndu ndu ya na nyocha a dabere kpamkpam na onye ọrịa n’onwe ya, aka na nti ya na mmezu ya nke ihe ndi okacha amara kwuru.