Glycated hemoglobin

Mulingo wokwezeka wa hemoglobin wokwezeka utapezeka, madokotala amayesa odwala mozama, zomwe zimaloleza kukhazikitsa kapena kupatula kuzindikiritsa kwa matenda ashuga. Pazithandizo za odwala omwe ali ndi matenda a shuga, ma endocrinologists amagwiritsa ntchito mankhwala aposachedwa omwe amachepetsa shuga wamagazi, omwe amalembetsedwa ku Russian Federation. Milandu yambiri ya matenda ashuga imakambidwa pamsonkhano wa akatswiri a Katswiri ndi kutenga nawo gawo kwa akatswiri, madokotala a sayansi yamankhwala, ndi madokotala a gulu lapamwamba kwambiri. Ogwira ntchito zachipatala amatha kuzindikira zomwe odwala akufuna.

Zizindikiro zakupangika ndi kufunikira kwa matendawo pakuwunika

Kusanthula kwa hemoglobin ya glycated kumachitika ndi cholinga chotsatira:

• Kuzindikira matenda a carbohydrate metabolism (wokhala ndi glycated hemoglobin wa 6.5%, kupezeka kwa matenda ashuga kumatsimikiziridwa)
• Kuwunika matenda a shuga a mellitus (glycated hemoglobin amakupatsani mwayi wowunika mulingo wa kubwezera matenda kwa miyezi itatu),
• Kuyesedwa kwa kutsatira kwa wodwala chithandizo - kuchuluka kwa kulumikizana pakati pa zomwe wodwalayo akuchita ndi zomwe adalandira kuchokera kwa dokotala

Kuyesedwa kwa magazi kwa hemoglobin ya glycated amalembedwa kwa odwala omwe amadandaula chifukwa cha ludzu lalikulu, kukodza mopitirira muyeso, kutopa msanga, kuwonongeka kwa mawonekedwe, komanso kuwonjezereka kwa matenda. Glycated hemoglobin ndi njira yowonjezeranso glycemia.

Kutengera mtundu wa matenda a shuga komanso momwe matendawa angachiritsidwire, kuwunika kwa hemoglobin ya glycated kumachitika kawiri mpaka kanayi pachaka. Pafupifupi, odwala matenda ashuga amalimbikitsidwa kupereka magazi kuti ayesedwe kawiri pachaka. Wodwala akapezeka ndi matenda oyamba kwa nthawi yoyamba kapena muyeso wawo sunaphule kanthu, madokotala amathandizanso kuwunika kwa hemoglobin ya glycated.

Kukonzekera ndi kutumiza kwa kusanthula kwa glycated hemoglobin

Kusanthula kwa hemoglobin ya glycated sikutanthauza kukonzekera mwapadera. Magazi safunikira kuthiridwa pamimba yopanda kanthu. Asanatenge sampuli ya magazi, wodwalayo safunikira kudziletsa pakumwa zakumwa, kupewa kukhumudwa kapena kutaya mtima. Mankhwala sangakhudze zotsatira za phunziroli (kupatula mankhwala omwe amachepetsa shuga).

Phunziroli ndi lodalirika kuposa kuyesedwa kwa magazi kapena mayeso okhudzana ndi shuga ndi "katundu". Kuwunikaku kukuwonetsa kuchuluka kwa hemoglobin ya glycated yomwe yakhala yoposa miyezi itatu. Pa fomu, yomwe wodwalayo adzalandila m'manja mwake, zotsatira za kafukufukuyo komanso muyezo wa hemoglobin wa glycated zidzawonetsedwa. Kutanthauzira kwa zotsatira zakuwunika mu chipatala cha Yusupov kumachitika ndi endocrinologist wodziwa zambiri.

Mitundu ya glycated hemoglobin mwa akulu

Nthawi zambiri, kuchuluka kwa hemoglobin wa glycated kumasiyana kuchokera ku 4.8 mpaka 5.9%. Mukamayandikira kuchuluka kwa hemoglobin wa glycated wodwala yemwe ali ndi matenda ashuga mpaka 7%, ndikosavuta kuyendetsa matendawa. Ndi kuchuluka kwa hemoglobin wa glycated, chiopsezo cha zovuta zimakulirakulira.

Glycated hemoglobin index amatanthauziridwa ndi endocrinologists motere:

• 4-6.2% - wodwala alibe matenda ashuga
• Kuchokera pa 5.7 mpaka 6.4% - prediabetes (kulekerera shuga, komwe kumalumikizidwa ndi chiwopsezo cha matenda a shuga),
• 6.5% kapena kupitilira - wodwalayo akudwala matenda a shuga.

Chizindikirocho chikhoza kukhudzidwa ndi zinthu zingapo. Odwala omwe ali ndi mitundu yachilendo ya hemoglobin (odwala omwe ali ndi maselo ofiira ofiira), kuchuluka kwa hemoglobin sikudzachepetsedwa. Ngati munthu akudwala hemolysis (kuwonongeka kwa maselo ofiira am'magazi), kuchepa magazi (kuchepa magazi), kutulutsa magazi kwambiri, ndiye kuti zotsatira zake zimawunikanso. Mitengo ya hemoglobin ya glycated imachulukidwa kwambiri chifukwa chosowa chitsulo m'thupi komanso kuthiridwa magazi kumene. Kuyesa kwa hemoglobin kwa glycated sikuwonetsa kusintha kwakukulu m'magazi a magazi.

Mafuta a glycated hemoglobin omwe ali ndi shuga wa tsiku ndi tsiku m'miyezi itatu yapitayo.

Kuchulukitsa ndi kuchepa kwa glycated hemoglobin

Kuchuluka kwa hemoglobin wowonjezereka kumawonetsa pang'onopang'ono, koma kuwonjezeka kwa kuchuluka kwa shuga m'magazi a anthu. Izi sizikusonyeza nthawi zonse matenda a shuga. Carbohydrate metabolism imatha kusokonekera chifukwa cha kulolerana kwa shuga. Zotsatira sizikhala zolondola ndi mayeso omwe aperekedwa molakwika (mutatha kudya, osati pamimba yopanda kanthu).

Mafuta a glycated hemoglobin omwe amachepetsedwa mpaka 4% akuwonetsa kuchuluka kwa shuga m'magazi - hypoglycemia pamaso pa zotupa (pancreatic insulinomas), matenda amtundu wa chibadwa cha glucose. Mlingo wa hemoglobin wa glycated umatsika ndikugwiritsa ntchito mankhwala osakwanira omwe amachepetsa shuga wamagazi, chakudya chopanda chakudya chamafuta, komanso kuchita masewera olimbitsa thupi, zomwe zimapangitsa kuti thupi lichepe. Ngati glycated hemoglobin yachuluka kapena yachepa, funsani ndi endocrinologist wa chipatala cha Yusupov, yemwe azichita kafukufuku wokwanira ndikupereka mayeso owonjezerawa.

Momwe mungachepetse glycated hemoglobin

Mutha kuchepetsa kuchuluka kwa hemoglobin wa glycated pogwiritsa ntchito njira zotsatirazi:

• Onjezerani zakudya zamasamba ndi zipatso zambiri zomwe zimakhala ndi fiber yambiri, zomwe zimathandiza kukhazikika kwa shuga m'magazi,
• Idyani mkaka wowonjezereka ndi yogati, yomwe muli calcium yambiri ndi vitamini D, zomwe zimapangitsa kuti shuga azikhala mwamtundu,
• Onjezani kudya kwanu mtedza ndi nsomba, zomwe zimaphatikizapo mafuta a omega-3 acid, omwe amathandizira kuchepetsa kukana kwa insulin ndikuwongolera shuga.

Kuti muchepetse kukana kwa glucose, nyengo ndi sinamoni ndi sinamoni, onjezerani zinthu zanu ku tiyi, kuwaza ndi zipatso, masamba ndi nyama yopanda mafuta. Cinnamon imathandizira kuchepetsa kukana kwa glucose komanso kuchuluka kwa hemoglobin wa glycated. Regencyitologists amalimbikitsa odwala tsiku lililonse kwa mphindi 30 kuti achite masewera olimbitsa thupi omwe amalola shuga komanso glycated hemoglobin bwino. Phatikizani masewera olimbitsa thupi aerobic ndi anaerobic pophunzitsidwa. Kuchita masewera olimbitsa thupi kumatha kuchepetsa shuga wamagazi anu kwakanthawi, pomwe kuchita masewera olimbitsa thupi (kuyenda, kusambira) kumatha kuchepetsa shuga ya magazi anu.

Kuti mupange mayeso a magazi pazomwe zili ndi glycated hemoglobin ndi kulandira upangiri kuchokera kwa endocrinologist woyenerera, itanani foni yolumikizana ndi chipatala cha Yusupov. Mtengo wofufuzira ndi wotsika kuposa momwe mabungwe ena azachipatala ku Moscow alili, ngakhale kuti othandizira ma labotale amagwiritsa ntchito zojambula zaposachedwa za glycated hemoglobin kuchokera kwa opanga otsogolera.