Momwe mungachepetse glycated hemoglobin? 5 njira zosavuta

Chizindikiro ichi chimalola adotolo kudziwa zomwe zachitika ndi zizindikiro za glycemic m'miyezi iwiri yapitayi, komanso kumvetsetsa momwe mumayang'anira matenda a shuga.

Kuyeza kwa hemoglobin ya glycated ndikulimbikitsidwa kuti ichitike 2 pachaka. Ngati HbA1C yanu sigwirizana ndi malo omwe mukufuna, dokotala wanu amatha kuyitanitsa mayesowa pafupipafupi - kamodzi pa miyezi itatu.

Makhalidwe abwino ndi glycated hemoglobin pansipa 5.7%. HbA1C pakati pa 5.7 ndi 6.4% chizindikiro prediabetes. Type 2 shuga mellitus amadziwika ngati A1C iposa 6.5%. Chandamale A1C cha matenda ashuga ndi ochepera 7%.

Zakudya za anthu odwala matenda ashuga ziyenera kukhala zogwirizana ndi chakudya choyenera.

Yesetsani kupewa zakudya zomwe zimachulukitsa shuga wanu wamagazi mwachangu. Kukula kwa mbaleyo! Ngati mumagwiritsa ntchito mbale ya saladi m'malo mwa chakudya chokwanira, izi zimalepheretsa kudya kwambiri. Osamadya zakudya zoyendetsedwa bwino ndipo pewani sodas ndi msuzi wa zipatso.

Glycated hemoglobin, ndi chiyani komanso momwe mungachepetse?

Kuyesedwa kwa magazi kwa hemoglobin ya glycated ndikofunikira kwa iwo omwe akuyesera kuti adziwe ngati ali ndi matenda monga matenda a shuga, ndipo ndizomwe zimayambitsa kukula kwake. Ngati anthu atakayikirabe pang'ono matenda, muyenera kufunsa dokotala, kuti mumupime mayeso a kolesterol komanso shuga m'magazi, mumaphunzirira za hemoglobin ya glycated.

Kodi ndi chiani ndipo chifukwa chiyani chinthuchi chimapangidwa? Glycated hemoglobin imapangidwa m'thupi la munthu chifukwa cha zochita za mankhwala a glucose. Izi zimapangidwa m'chigawo chofiira cha cell pomwe hemoglobin ndi shuga zimamangidwa kuchokera komwe zimalowa m'magazi.

Mosiyana ndi kuyesa kokhazikika kwa shuga, magazi akamachotsedwa kuchokera ku chala, kafukufukuyu adzawonetsa kuchuluka kwa shuga m'miyezi inayi yapitayo. Chifukwa cha izi, adotolo amatha kudziwa chizindikiro, kudziwa kukana kwa insulini komanso kuchuluka kwa matenda ashuga. Mukalandira zikwangwani zabwinobwino, palibe chifukwa chodandaulira.

Kudziwa hemoglobin wa glycated

Ambiri omwe ali ndi matenda ashuga amakonda kudziwa kuti hemoglobin ndi glycated, pali kusiyana kotani pakati pa mitundu yosiyanasiyana yopezeka ndi matenda ashuga komanso chifukwa chiyani kuyesa kawiri ndikofunikira?

Kuyesedwa kwa magazi komweko kumachitika pamaziko a Helo labotale komanso malo ena azachipatala ofananirako. Kuwunikaku ndikolondola komanso kopindulitsa, kumatha kuwonetsa momwe mankhwalawa alili othandizira, ndikuwonetsetsa kwa matendawo.

Odwala amatenga magazi chifukwa cha glycated hemoglobin pakakhala kukayikira komwe kumayambira kukula kwa prediabetes kapena matenda ashuga. Kutengera ndi zotsatira zake, adotolo amatha kudziwa matendawa kapena kutsimikizira kuti palibe chifukwa chodera nkhawa.

Glycated kapena glycosylated hemoglobin amatchedwanso HbA1C, hemoglobin a1c. Kodi izi zikutanthauza chiyani? Kuphatikiza kofananako kwa hemoglobin ndi glucose kumapangidwa chifukwa cha glycosylation yopanda enzymatic. Vutoli likaphatikizidwa, hemoglobin imakhala ndi tizigawo ta HbA1 momwe 80% ndi HbA1c.
Kusanthula kumeneku kumachitika nthawi zinayi pachaka, izi zikuthandizani kuti muzitha kuwunika mozama kusintha kwa chizindikiro cha shuga. Magazi a HbA1C glycated hemoglobin ayenera kumwedwa m'mawa wopanda kanthu. Pamaso pa kukhetsa magazi, komanso mutathanso kuikidwa magazi, kafukufukuyu akulimbikitsidwa kuchitika kokha pakatha milungu iwiri.
Ndikofunikira kuchita kusanthula motengera labotale imodzi, popeza zipatala zitha kugwiritsa ntchito njira zosiyanasiyana, chifukwa zotsatira zomwe zimapezedwa zingakhale zosiyana. Unikani magazi pafupipafupi kuti mupeze hemoglobin komanso shuga sayenera kukhala ndi anthu odwala matenda ashuga okha, komanso anthu athanzi, izi zitha kupewa kuchuluka kwa glucose, kuchepetsa cholesterol ya magazi ndikuzindikira matendawa kumayambiriro.

Kuzindikira ndikofunikira kuzindikira matenda ashuga kapena kuwunika kuopsa kwa matendawa. Chifukwa cha zomwe mwapeza, wodwala matenda ashuga amatha kumvetsetsa momwe mankhwalawo amagwiritsidwira ntchito, ngakhale munthuyo atakhala ndi zovuta.

Ubwino ndi zoyipa za phunziroli

Sonyezani shuga yanu kapena sankhani jenda pamayendedwe Akusaka Osapezeka Kusaka sakupeza Kusaka sikupezeka

Ngati mukuwongoleredwa ndi kuwunika koyenera, mutha kumvetsetsa Ubwino wa kusanthula koteroko.

Poyerekeza ndi kuzindikira kwapadera kwa matenda ashuga, kuyezetsa magazi kwa HBA1C kuli ndi maubwino omveka.

Anthu odwala matenda ashuga amaloledwa kudya tsiku lotsatira, ndipo kafukufukuyu akhoza kuchitika nthawi iliyonse, mosasamala kanthu za kudya.

Chubu yoyeserera ndi magazi omwe adalandira amatha kusungidwa kwanthawi yayitali. Ngati kusala kwamisempha ya magazi kumasintha ndi nkhawa kapena matenda opatsirana, ndiye kuti hemoglobin imakhala ndi data yokhazikika ndipo siyisokonezeka. Pofuna kudziwa hemoglobin wa glycated, kukonzekera kwapadera sikofunikira.

Ngati Hb A1c glycated hemoglobin atakwezedwa, adokotala amatha kuzindikira matenda a prediabetes kapena matenda osokoneza bongo koyambira koyambirira kwa matendawa, pomwe kuyesedwa kwa shuga kumatha kuwonetsa kuchuluka kwa shuga.

Kuyesa magazi kwa shuga sikuwona nthawi zonse kumayambira kwamatenda, chifukwa chake mankhwalawa amachedwa kwambiri ndipo amakumana ndi zovuta zazikulu.

Chifukwa chake, kuwunika kwa hemoglobin ya glycated, zotsatira zake zomwe zimawonetsedwa patebulo lapadera, ndizotsatira zamtundu wa 1 ndi mtundu wa 2 matenda a shuga.

Komanso, kuphunzira kotereku kumakupatsani mwayi wowongolera othandizira.

Zovuta zakuzindikira zoterezi zimaphatikizapo mtengo wapamwamba, mtengo wa ntchito zachipatala zotere ku chipatala cha Gemotest, Helix ndi mabungwe ofanana ndi ma ruble 500. Zotsatira za phunziroli zitha kupezeka m'masiku atatu, koma malo ena azachipatala amapereka idatha mu maola ochepa.
Anthu ena amakhala ndi vuto lochepa pakati pa HbA1C komanso kuchuluka kwa shuga, zomwe zikutanthauza kuti mtengo wa hemoglobin wa glycated nthawi zina umatha kupotozedwa. Kuphatikiza zotsatira zolakwika zolakwika zili mwa anthu omwe ali ndi vuto la kuchepa kwa magazi kapena hemoglobinopathy.
Mbiri ya glycemic itha kutsitsidwa ngati munthu tsiku lomwelo adatenga kuchuluka kwa vitamini C kapena E. Ndiye kuti, hemoglobin imachepa ngati mupewa zakudya zoyenera musanayambe kuphunzira. Kusanthula kumawonetsa hemoglobin yokwanira, ngati chisonyezo cha mahomoni a chithokomiro m'thupi la shuga chikutsitsidwa, glucose amakhalabe wokhazikika.

Chowonongeka chapadera cha phunziroli ndikulephera kwa mautumiki m'malo ambiri azachipatala. Kuti muchite mayeso okwera mtengo, zida zapadera ndizofunikira, zomwe sizipezeka m'makliniki onse. Chifukwa chake, matendawo sapezeka kwa aliyense.

Kutukwana kwa zotsatira zakuzindikira

Mukamafufuza zomwe zapezedwa, ma endocrinologists a Helix Center ndi mabungwe ena azachipatala amagwiritsa ntchito tebulo la ma glycated hemoglobin. Zotsatira zakuzindikira zimatha kukhala zosiyanasiyana, kutengera zaka, kulemera, komanso thupi la wodwalayo.

Ngati chizindikirocho chatsitsidwa ndipo ndi 5 1, 5 4-5 7 peresenti, kagayidwe kake mthupi kamakhala osakhudzika, matenda a shuga m'magazi sanadziwike ndipo palibe chifukwa chodera nkhawa. Pamene glycated hemoglobin ndi 6 peresenti, izi zikuwonetsa kuti chiopsezo chotenga matendawa chikuwonjezeka. Ndikofunikira kutsatira zakudya zapadera kuti shuga asakhale magazi.

Glycated hemoglobin wa 6.1-6,5 peresenti akuti munthu ali pachiwopsezo chachikulu chotenga matenda amtundu 1 kapena matenda a shuga 2. Ndikofunikira kutsatira zakudya zophatikiza kwambiri, idyani moyenera, onetsetsani zochitika za tsiku ndi tsiku ndipo musaiwale zochepetsa thupi.

Ngati chizindikiro chowonetsa ndichoposa 6.5 peresenti, matenda a shuga amapezeka.
Kuti atsimikizire matendawa, amapita kukayezetsa magazi, kutsimikizira kumachitika ndi njira zachikhalidwe.
Pochepetsa kuchuluka komwe chipangizochi chikuonetsa, ndiye kuti mwina simungakhale ndi matenda.

Mwanjira ina, HbA1c yabwinobwino imaganiziridwa ngati ikuchokera 4-5 1 mpaka 5 9-6 peresenti. Ziwerengero zoterezi zimatha kukhala mwa wodwala aliyense, mosatengera zaka komanso jenda, ndiye kuti kwa munthu wazaka 10, 17 ndi 73, chizindikiro ichi chikhoza kukhala chomwecho.

Hemoglobin wotsika komanso wapamwamba

Kodi index ya hemoglobin yotsika ikusonyeza chiyani ndipo mwina ndizomwe zimayambitsa izi? Ngati mayesowo achitika ndipo chizindikirocho chikutsitsidwa, adokotala amatha kudziwa kukhalapo kwa hypoglycemia. Matenda ngati amenewa nthawi zambiri amachitika munthu akamakhala ndi chotupa cha kapamba, chifukwa cha izi, insulini imakhala ndi kuphatikizika kwakula.

Pakakhala kuchuluka kwa mahomoni m'magazi, kuchepa kwambiri kwa shuga kumachitika ndipo hypoglycemia imayamba. Wodwala amakhala ndi mawonekedwe ofooka, kuchepa mphamvu, kuchepa mphamvu, chizungulire, kupuma movutikira, palpitations, kusokoneza kukoma ndi kununkhiza, kamwa yowuma.

Ndi kuchepa kwamphamvu kwa magwiridwe antchito, munthu akhoza kudwala komanso chizungulire, kukomoka kumachitika, chidwi chimalephera, munthu amatopa msanga, ndipo chitetezo chamthupi chimasokonekera.

Kuphatikiza pa kukhalapo kwa insulinomas, zomwe zimayambitsa matendawa zimatha kukhala zotsatirazi:

Ngati wodwala matenda ashuga, popanda dosing, akamwa mankhwala omwe amachepetsa shuga,
Munthu akhala akutsatira nyama ya carb kwa nthawi yayitali,
Nditachita masewera olimbitsa thupi kwa nthawi yayitali,
Pankhani yakusowa kwa adrenal,
Pamaso pa majini achilengedwe osowa, mwachitsanzo, kusalolera kubadwa kwa fructose, matenda a Forbes, matenda a Herce.

Choyamba, chithandizo chimakhala ndi kuwunikanso zakudya, ndikofunikira kuti mumadziwitse thupi ndi mavitamini ofunikira. Ndikofunikanso kuyenda panja ndikuchita masewera olimbitsa thupi pafupipafupi. Pambuyo pa mankhwalawa, muyenera kuyesedwanso kachiwiri kuti mutsimikizire kuti kagayidwe kazachilengedwe nkwabwinobwino.

Ngati mayesowo atawonetsa kuchuluka kwa zinthu, izi zikuwonetsa kuchuluka kwa shuga m'magazi. Koma ngakhale ndi manambala otere, munthu samakhala ndi matenda ashuga ndi cholesterol yambiri.

Zomwe zimapangitsa kuti kagayidwe kosagwiritsa ntchito chakudya kagayidwe kake kazitha kugwirizananso ndi kulolerana kwa glucose, komanso kusokonezeka kwa glucose.
Matenda a shuga amakhalapo nthawi zambiri amapezeka ngati zotsatira za mayeso amodzi zimaposa 6.5 peresenti.
Dokotala amawulula prediabetes pomwe manambala ali pamtunda kuchokera pa 6.0 mpaka 6.5%.

Pambuyo pozindikira matendawa, wodwala matenda ashuga amafunika kuwulula mbiri ya glycemic, chifukwa, patatha maola awiri tsiku lililonse, misempha ya magazi imayesedwa pogwiritsa ntchito electrochemical glucometer.

Momwe mungayesere magazi

Amatha kutenga magazi kuti akafufuze kuti adziwe kuchuluka kwa hemoglobin ya glycated kuchipatala komwe amakhala. Kuti muchite izi, muyenera kutengeranso mwayi kwa dokotala. Ngati matenda otere sanachitike kuchipatala chakumaloko, mutha kulumikizana ndi chipatala chawekha, monga Helix, ndikuyezetsa magazi popanda kupereka.

Popeza zotsatira za kafukufukuyu zikuwonetsa kuchuluka kwa shuga m'miyezi itatu yapitayi, ndipo osati panthawi yanthawi yake, mutha kubwera ku labotale nthawi iliyonse, mosasamala kanthu za kudya. Komabe, madokotala amalimbikitsa kuti azitsatira malamulo achikhalidwe ndikupereka magazi pamimba yopanda kanthu kuti apewe zolakwika zosafunikira komanso kuwononga ndalama mosafunikira.

Kukonzekera kulikonse musanachitike phunziroli sikufunika, koma ndi bwino kusasuta kapena kuchita masewera olimbitsa thupi kwa mphindi 30-90 musanapite kwa dokotala. Popeza mankhwala ena amatha kukhala ndi zotsatira za phunziroli, tsiku lisanafike osavomerezeka kuti atenge diuretic Indapamide, beta-blocker Propranolol, opioid analgesic Morphine.

Magazi kuti adziwe kuchuluka kwa hemoglobin yokhala ndi glycated nthawi zambiri amatengedwa kuchokera mu mtsempha, koma muzochita zamankhwala pali njira pamene zinthu zachilengedwe zimapezeka kuchokera ku chala.
Kuyesa kwa hemoglobin kwa glycated kumayenera kuchitika kamodzi kwa miyezi itatu. Atalandira zotsatira zake, matendawa amapezeka, pambuyo pake adokotala amafotokozera chithandizo chofunikira. Njira yodziwitsa za matenda oyamba ndiyofunikira kwambiri kwa wodwalayo kuti akhale ndi thanzi labwino.

Chithandizo ndi kupewa

Asanatsitse hemoglobin wa glycated, kuyesayesa kulikonse kuyenera kuchitidwa kuti shuga asakhale ndi magazi. Kuti muchite izi, wodwala matendawa ayenera kutsatira malangizo onse azachipatala, kudya moyenerera komanso kutsatira zakudya zina.

Ndikofunika kuti musaiwale za kudya kwakanthawi kwamankhwala komanso kuyang'anira insulin, kutsatira kugona ndi kukhala maso, maphunziro olimbitsa thupi. Kuphatikiza muyenera kudziwa mbiri yanu ya glycemic kuti mankhwalawa amachitika molondola.

Ma glucometer osunthika amagwiritsidwa ntchito pounikira magawo a glucose kunyumba. Ndikofunikanso kukaonana ndi dokotala kuti muwone momwe masinthidwe akusinthira, kuyeza cholesterol ndikuwunika momwe mankhwalawa alili othandiza.

Mutha kuchepetsanso shuga pogwiritsa ntchito mankhwala wowerengeka, omwe amalimbikitsidwa ndi madokotala ndikuwathandiza. Ichi ndi njira zochizira komanso zodzitetezera zomwe zimapangitsa munthu kukhala ndi vuto ndipo zitha kutsitsa magazi.

Kodi glycated hemoglobin auza katswiri mu kanemayu munkhaniyi.

Sonyezani shuga yanu kapena sankhani jenda pamayendedwe Akusaka Osapezeka Kusaka sakupeza Kusaka sikupezeka

Glycated hemoglobin: chizindikiritso cha kusanthula shuga

Munthu akakhudzidwa ndi matenda a shuga, cholembera chachikulu cha biochemical ndi glycosylated hemoglobin. Mwatsatanetsatane, hemoglobin ya glycosylated ndi chinthu chopangidwa ndi mamolekyulu a glucose ndi maselo ofiira am'magazi.

Ngati munthu ali ndi hyperglycemia, ndiye kuti kuyezetsa komwe kumatsimikiza hemoglobin yokhudza matenda ashuga kumayenera.

Matenda amtunduwu ali ndi mwayi waukulu - mutha kudziwa kukhalapo kwa matenda pomwe zizindikiro zina za matenda sizinawonekere. Izi ndi zowona, chifukwa matendawa ndiosavuta kuchiritsa koyambirira.

Kafukufuku wamtundu wotereyu amapangitsa kuti azitha kudziwa kuchuluka kwa kuchuluka kwa matenda komanso momwe mathandizowo amathandizira.

Kodi hemoglobin ndi glycosylated ndi chiyani?

Katundu wotere amapezeka m'magazi osati anthu omwe ali ndi matenda "okoma", komanso a thanzi.

Kusiyanako ndikuti mu odwala odwala mulingo wa zinthu zotere umachulukirachulukira, ndipo ndizotheka kudziwa kuchuluka kwake komwe kumachulukitsidwa pogwiritsa ntchito kusanthula komwe kumachitika mu labotale.

Kupadera kwa njirayi ndikuti ndi thandizo lake ndikotheka kukhazikitsa kuchuluka kwa shuga mu seramu yamagazi m'miyezi iwiri yapitayi. Chowonadi ndi chakuti maselo amwazi amatha kukhala ndi moyo kwa miyezi 3-4.

Munthu akakhala ndi hyperglycemia, ndiye mamolekyulu a glucose amalumikizana ndi hemoglobin, gawo lapansi lokhazikika limapangidwa, ndipo mpaka maselo ofiira amafa mu ndulu, sasweka.

Chifukwa chake, vuto lathanzi lingadziwike kumayambiriro, komwe kumakupatsani mwayi woyambira wokwanira.

Ngati mungayerekeze njirayi ndi kuyezetsa magazi kwachilendo, ndiye kuti m'magawo oyambirira sakusonyeza kuchuluka kwa shuga mumtsinje wamagazi.

Momwe mungawongolere matendawa

Ngati munthu ali ndi matenda okoma, ndiye kuti hemoglobin amene amapezeka nthawi zambiri samawonedwa ngati munthu sakugwirizana ndi zofunikira zonse zamankhwala. Glycated hemoglobin, momwe limakhalira ndi matenda ashuga nthawi zambiri limafooketsedwa mwa achinyamata ndi ana, chifukwa nthawi zambiri samatsatira malangizo a chipatala nthawi zambiri kuposa achikulire.

Nthawi zambiri, odwala achikulire amachimwa, amayesa kubweretsa matenda a glycemia asanakayezetse kuchipatala. Koma ndikuyenera kuyesa kusintha kwa maselo ofiira am'magazi, ndiye kuti kuphwanya konse mu njira zochizira kumawonekera nthawi yomweyo.

Kuti muthane ndikuwongolera momwe matendawa amafunidwira, mayeso oyenera a glycosylated hemoglobin amaperekedwa kamodzi pa masiku 90. Kudzera m'maphunziro azachipatala, zidatsimikiziridwa kuti ngati zizindikiro ngati izi zitha kuchepetsedwa ndi 10 peresenti kuchokera pamlingo womwe anali asanalandire chithandizo, ndiye kuti zosankha zomwe zimachitika komanso kukulitsa zovuta kuchokera ku matenda "okoma" zimachepetsedwa kwambiri.

Dokotala amathandizira kufikira mulingo wa hemoglobin wa glycated, chifukwa chake, ngati munthu wapitirira muyeso wa hemoglobin wa glycated, ndiye kuti zinthu zokwanira zomwe zimaperekedwa munthawi yake zithandizanso kuti zonse zitheke.

Polankhula za zomwe ziyenera kukhala, munthu ayenera kuzindikira kuti chizindikirocho si chonse, zimatengera zinthu zosiyanasiyana payokha.

Ndipo zakudya zopangidwa ndi anthu odwala matenda ashuga zomwe zimasintha hemoglobin ya glycosylated m'thupi la munthu zimathandiza kwambiri.

Kodi glycated hemoglobin wa shuga ndi chiyani?

Monga tanena kale, tikulankhula za mtundu wa chizindikiro cha biochemical, muyeso wake umachitika peresenti. Amawerengeredwa kuchokera kuchuluka kwa maselo a magazi mthupi la munthu.

Anthu ena amafunsa ngati miyezo ya odwala matenda ashuga mwa ana ndi akulu imasiyana. Ayi, palibe kusiyana m'magulu azaka.

Funso limafunsidwanso nthawi zina ngati pali kusiyana kwazinthu zotere mu mtundu 2 wa shuga ndi mtundu 1 wa matenda ashuga.

Shuga wa glycated ali ndi malo oti miyezo ya glycated hemoglobin mu shuga mellitus ndi chimodzimodzi matenda amtundu woyamba kapena wachiwiri. Miyezo iyenera kufotokozedwa mwatsatanetsatane mwamagawo:

5.7 peresenti - ngati munthu ali ndi zizindikiro zotere, ndiye kuti palibe zosokoneza pakusinthana pakati pa chakudya. Munthu wotere alibe mavuto azaumoyo, motero palibe chifukwa chochitira mankhwala.
mpaka 6 peresenti - pakadalibe matenda "okoma", koma ndi nthawi yosintha momwe mungakhalire ndi zakudya. Ngati munthu asintha chakudyacho nthawi yayitali, nthendayo siyingayambike,
mpaka 6.4 peresenti - munthu ali ndi vuto lomwe madokotala amalitcha prediabetesic. Muzochitika zotere, kufunafuna thandizo la endocrinologist ndi chimodzimodzi. Ngati izi sizichitika, ndiye kuti posachedwa munthuyo azunzika ndi hyperglycemia,
mpaka 7 peresenti - dokotala amawululira matenda ashuga mwa munthu. M'mikhalidwe yotere, kuchitapo kanthu kwachipatala mwachangu ndikofunikira, ngati izi sizinachitike, zotsatirapo zake zimakhala zoyipa kwambiri, munthu amafa ovulala kwambiri.

Kodi ndi ziti zabwino komanso zoyipa zomwe zimapangitsa kuti tisanthule?

Ngati tikufanizira ndi kuyesa kwamagazi kwapakale, njira yozindikirira ili ndi zabwino zingapo. Mayeso odziwika a shuga amapezekanso m'njira zambiri. M'pofunika kunena mwatsatanetsatane za zabwino za njira yodziwitsira matenda:

Phunziroli limatha kuchitika munthu akangodya, kuchita masewera olimbitsa thupi, ngakhale atamwa mowa. Koma ndi bwino kuchita kafukufuku m'mawa, musanadye. Zotsatira zabwino kwambiri zimawonetsedwa ngati kufufuza koyenera kwachitika, ndipo pakufunika kwanjira zina,
Zotsatira zake ndi zodalirika, zomwe sizinganenedwe nthawi zonse pazotsatira zamtundu wina, zomwe nthawi zambiri zimawonetsa zabodza, zomwe zimabweretsa chithandizo chosayenera,
Ngati kuyezetsa pafupipafupi kumatenga pafupifupi maola awiri, ndiye kumapita mofulumira,
ndikofunikira kudziwa kuti zinthu monga kupsinjika kapena kuzizira sikukhudza zotsatira, zomwe sizinganenedwe za mitundu ina ya kafukufuku,
pakuwongolera kwathunthu, ndikokwanira kuchita kafukufukuyu mopitilira kamodzi pamiyezi itatu iliyonse.

Ndi zabwino zonse za njira yodziwitsa, munthu sangathe kulephera kunena zolakwa zake, zomwe zimachitikanso, koma zazing'ono:

kuphunzira kotereku sikotsika mtengo, poyerekeza ndi mitundu ina ya diagnostics. Zonse zimatengera komwe phunzirolo lidakwaniritsidwa, koma ma rubles ochepera 500 sagwira ntchito,
mothandizidwa ndi njira yodziwitsira matenda, sizingatheke kuzindikira mitundu yayikulu ya hypoglycemic,
ndikosatheka kuzindikiritsa izi kwa amayi apakati. Sipadzakhala vuto lililonse ndi izi, koma palibe phindu lililonse. Chowonadi ndichakuti zotsatira zabwino zimatha kupezeka m'mwezi wachisanu ndi chitatu wa mimba, ndipo zam'tsogolo zimayamba kukulira mwachangu miyezi isanu ndi umodzi atatenga mwana.

Pomaliza

Anthu omwe ali ndi nkhawa ndi thanzi lawo amalangizidwa mwamphamvu kuti azichita kusanthula pafupifupi miyezi itatu iliyonse.

Sizingatenge nthawi yayitali, koma munthuyo amakhala wotsimikiza kuti ali ndi thanzi, ndipo ngati matendawa apezeka nthawi yake, ndiye kuti chithandizo chimakhala ndi mwayi wabwino.

Musaganize kuti kukhala ndi moyo wabwino ndikukana kuphunzira koteroko - matenda "okoma" ndiwopanda tanthauzo, ndipo kudziwa kumeneku kumathandiza kupewa mavuto.

Pali zovuta zina - ngati munthu ali ndi matenda akupita patsogolo, ndiye kuti kungowunikira koteroko sikokwanira. Ndi kafukufuku wotere, sizingatheke kuzindikira mawonekedwe a magazi pazinthu zosiyanasiyana munthawi, mwachitsanzo, munthu atadya, kuchuluka kwa shuga mumtsinje wamagazi kumakwera kwambiri.

Mothandizidwa ndi kafukufuku wotere, ndizotheka kuzindikira zizindikiro za mtundu wofikiratu. Matenda a shuga a 2 amafunika kuyesedwa kawiri pa tsiku, ndipo lembani matenda ashuga 1 kanayi pa tsiku. Kwa omwe izi zimawoneka ngati zovutirapo, koma izi sizongokhudza zaumoyo, koma nthawi zambiri za moyo wa munthu.

Pali odwala ambiri omwe ali ndi matenda "okoma" omwe amabwera pazifukwa zosiyanasiyana zakukana kuyeza kuchuluka kwa shuga mumtsinje wamagazi. Zifukwa zake ndizosiyana - kuwonjezeka kwa nkhawa, kuthekera kwa kachilombo ndi zina zambiri. Nthawi zambiri nkhaniyi imakhala mu ulesi woyambira, pomwe munthu safuna kutaya nthawi pazoyeserera nthawi zonse.

Kupereka kwa magazi kwa hemoglobin ya glycated ndiye mtundu wochepetsetsa wowerengeka, sikuti ndi vuto lililonse pazovuta zonse, koma kumathandiza kupewa ambiri a iwo. Ngati matenda a psychology sawongolera, njira zolimbitsa nthawi yake sizinatengedwe, zovuta zazikulu zimadza. Ndi kuchuluka kwa shuga, thupi la munthu silingathe kugwira bwino ntchito.

Glycated hemoglobin ndiye chizoloŵezi chomwa matenda a shuga a glycated hemoglobin Glycosylated hemoglobin: zomwe zimawonetsa momwe azimayi amapatsira Glycated hemoglobin mu shuga

Glycated hemoglobin: ndi chiyani, mungachepetse bwanji?

Glycated hemoglobin ali ndi mayina angapo - glycosylated, glycohemoglobin, HbA1c. Chizindikiro chachipangacho chikutsimikiziridwa pogwiritsa ntchito kuyezetsa magazi a biochemical. Amawonetsa kuchuluka kwa glycemic - kuchuluka kwa shuga (shuga) m'magazi am'magazi.

Zowonadi zake ndi zakuti mtundu wa hemoglobin unadzipatsa dzina chifukwa cha mapangidwe ake: glucose wopezeka m'madzi am'magazi a anthu amaphatikiza ndi chitsulo china peresenti (glycation).

Njirayi yatchulidwa kwa asayansi omwe adalemba, Meyer adachita. Zomwe zimachitika ndi kutalika kotereku, kusasinthika komanso kudalira glycemia - kukhalapo kwa shuga m'magazi am'magazi.

Shuga, atatha kugwiritsa ntchito hemoglobin, amatha kugwira ntchito m'thupi, kusokoneza kagayidwe kazakudya, kuyambira masiku 90 mpaka 120.

Asayansi amasiyanitsa mitundu itatu ya glycogemoglobin: НbА1a, Нb Ver1a, НbА1c. Koma mu madzi am'magazi a anthu, mtundu wachitatu, HbA1c, umagwira ntchito koposa zonse, zomwe zikuwonetsa kuchuluka kwa kagayidwe kazakudya m'thupi la wodwalayo. Kukhalapo kwake kumatsimikiziridwa pogwiritsa ntchito maphunziro apadera a biochemical.

Momwe glycated hemoglobin imagwirizanirana ndi shuga

Akatswiri odziwa za endocrinologists amatcha glycated hemoglobin HbA1c mthandizi wofufuzira matenda. Kupezeka kwake m'magazi kumathandizira kuzindikira matenda monga matenda a shuga.

Asayansi poyesa anakhazikitsa miyezo yina ya glycogemoglobin, kuyerekezera ndi momwe zotsatira zoyesedwa titha kudziwa mitundu yosiyanasiyana ya matenda a shuga, komanso kuwunika momwe mankhwalawo amathandizira ndikuwunika kuopsa kwa zovuta zosiyanasiyana.

Ganizirani zokhazikitsidwa ndi zizindikiro za HbA1c:

5.5-7% - mtundu wachiwiri wa matenda ashuga
7-8% - matenda ashuga abwino
8-10% - shuga yowonjezera bwino
10-12% - chindapusa pang'ono,
zopitilira 12% ndi mtundu wina wa matenda.

Kuphatikiza pa matenda ashuga, glycated hemoglobin imathanso kuyenda ndi magazi monga magazi, amatchedwanso kuchepa kwa chitsulo, chifukwa imayimira kuchepa kwa ndende ya plasma m'magazi.

Chifukwa chiyani muyenera kutenga mayeso a hemoglobin a glycated

Zopereka zamagazi zamaphunziro a biochemical kupezeka kwa HbA1c ndikofunikira:

Dziwani matenda ashuga.
Yang'anirani momwe njira yothandizira odwala ikuyendera odwala omwe ali ndi matenda ashuga.
Dziwani kuchuluka kwa chiphuphu cha matenda a shuga (idatha yoperekedwa pamwambapa).
Kudziwitsa za kulolera kwa shuga m'thupi la wodwalayo.
Onaninso mayi woyembekezera kuti asatenge zoopsa zomwe zingachitike matenda osiyanasiyana

Ngakhale munthu wathanzi amafunika mayeso otere, ndipo kwa anthu odwala amafunika kuchitika kamodzi kotala. Chifukwa cha zotsatira zomwe zapezeka, katswiri wa endocrinologist amatha kusintha mankhwalawa posankha mtundu woyenera wa mankhwalawa.

Momwe mungayesere mayeso a glycated hemoglobin

Kuti muwone kupezeka kwa glycogemoglobin m'thupi lanu, muyenera kulumikizana ndi endocrinologist ku chipatala komwe mumakhala, omwe adzakulemberereni mayeso oyenera. Ngakhale pakadali pano pali malo ambiri azachipatala omwe amafufuza omwe akupanga maphunziro amomwe ammbuyomu (kutumizira sikofunika kuonana ndi achipatala awa).

Zina mwazomwe zimayesedwa magazi a HbA1c:

Mutha kupeleka magazi nthawi ina iliyonse masana.
Osati pamimba yopanda kanthu.
Magazi amatengedwa kuchokera kumsempha ya munthu ndi chala (kutengera luso la mayeso).
Palibe zomwe zimatulutsa kuzizira ndi zovuta zina.

Izi ndichifukwa choti zotsatira zakusaka zikuwonetsa zambiri kwakanthawi pafupifupi miyezi itatu, osati panthawi yanthawi yake.

Nthawi yapakati, zotsatira zabodza zimatha kupezeka chifukwa cha kusintha kwa kuchuluka kwa hemoglobin m'thupi nthawi imeneyi.

Kodi miyambo ya glycogemoglobin m'magazi ndi yotani?

Akatswiri amasankha zotsatira za kuyesedwa kwa magazi a glycogemogabin, potengera miyezo yokhazikitsidwa:

mpaka 5,7% НbА1c - lembani kusowa kwa glycemia ndi chakudya chachilengedwe chamoto (mungathe kuchita zoyeserera kopitilira kamodzi pachaka zingapo),
5.7-6.5% - kudziwika kwa hyperglycemia, wodwalayo ali pachiwopsezo chotenga matenda a shuga mellitus (kufunika koyesedwa koteroko pachaka),
6.5-7% - ikhoza kukhala gawo loyambira la matenda ashuga (panthawiyi, mayeso owonjezera a mayeso a labotale adalembedwa),
zopitilira 7% - kupita patsogolo kwa matenda ashuga, kulembetsa ndi endocrinologist kumafunika.

Kuphatikiza apo, asayansi adapanga mndandanda wamakalata a glycogemoglobin amtundu wachitatu wa НbА1c poyerekeza ndi zaka za wodwalayo:

Monga zikuwonetsedwa ndi otsika a nba1c

Tidapeza kuti milingo yayitali ya glycogemoglobin imawonetsa tsogolo (kapena kukhalapo) kwa matenda ashuga. Mulingo wotsika (mpaka 4.5%) sizitanthauza kuti thupi la wodwalayo lili bwino komanso labwino, koma zimveketsa kuti sizonse zomwe zikugwirizana ndi kagayidwe kamunthu.

Ma hemoglobin otsika kwambiri akuwonetsa:

kusowa kwa plasma glucose (kukula kwa hypoglycemia),
matenda osiyanasiyana a m'magazi (mwachitsanzo, hemolytic anemia),
kuthekera kwa magazi chifukwa cha makoma osalimba amitsempha yamagazi (mitundu yovuta komanso yotupa ya magazi).

Ndipo sitiyenera kuyiwala kuti panthawi yovutikira zotsatira zochepa sizingakhale zisonyezo zamatendawa. Kuti mutsimikizire matenda aliwonse, muyenera kuyesanso.

Momwe glycated hemoglobin amawonekera mwa ana

Zizindikiro za HBA1C zizindikiro zomwe zimakhazikitsidwa kwa akuluakulu ndizoyeneranso kwa ana. Kuyesedwa uku ndikulimbikitsidwa kwa ana kuti adziwe ngati ali ndi matenda owunika komanso kuwunika mankhwalawa matenda ena (hyperglycemia, hypoglycemia, shuga mellitus, ndi ena otero).

Upangiri wa Kholo: Kumbukirani kuti kuchuluka kwa mayeso a glycemic hemoglobin kumafanana ndi miyezi itatu isanakwane yopereka magazi.

Glycosylated hemoglobin - ndi chiyani, ndipo bwanji ngati chizindikiro sichili chabwinobwino?

Matenda a shuga ndi vuto lochizira, kotero ndikofunikira kumvetsetsa hemoglobin ya glycated - ndizomwe zikuwunikira komanso momwe zingaperekedwere kusanthula koteroko. Zotsatira zomwe zimapezeka zimathandizira adokotala kuti adziwe ngati munthuyo ali ndi shuga wambiri kapena ali bwino, ndiye kuti ali ndi thanzi.

Glycosylated hemoglobin - ndi chiyani?

Amadziwika kuti HbA1C. Ichi ndi chizindikiro cha zamankhwala amodzi, zotsatira zake zomwe zimawonetsa kuchuluka kwa shuga m'magazi. Nthawi yowunikirayi ndi miyezi 3 yomaliza.

HbA1C imawerengedwa monga chidziwitso chochulukirapo kuposa chotetemera cha shuga. Zotsatira zake, zomwe zimawonetsa hemoglobin ya glycated, imawonetsedwa ngati peresenti. Zimawonetsa gawo la "shuga" la mankhwala mu kuchuluka kwathunthu kwamaselo ofiira.

Mitengo yayikulu ikusonyeza kuti munthu ali ndi matenda ashuga, ndipo matendawa ndi akulu.

Kusanthula kwa glycosylated hemoglobin kuli ndi zabwino zingapo:

Phunziroli litha kuchitika popanda kutchula nthawi yatsiku, ndipo osachita izi pamimba yopanda kanthu,
matenda opatsirana ndikuwonjezera nkhawa sizikhudza zotsatira za kuwunikaku,
kuphunzira kotere kumakupatsani mwayi kuti muzindikire matenda ashuga musanayambike ndikuyamba chithandizo munthawi yake,
kusanthula kumathandiza kumanga mfundo yokhudza kutha kwa mankhwalawa matenda a shuga.

Komabe, njira yofufuzira zolakwitsa sizili ndi zovuta zina:

mtengo wokwera - uli ndi mtengo wambiri poyerekeza ndi kusanthula kwa shuga.
ndi mahosi ochepa a chithokomiro, HbA1C imawonjezeka, ngakhale kwenikweni, mulingo wamagazi amunthuwo ndi ochepa,
Odwala ndi magazi m'thupi, zotsatira zake zimasokonekera,
ngati munthu atenga vitamini C ndi E, zotsatira zake ndizochepa.

Glycosylated hemoglobin - mungapereke bwanji?

Ma labotor ambiri omwe amachititsa kafukufukuyu, amachita zitsanzo zamagazi pamimba yopanda kanthu. Izi zimapangitsa kukhala kosavuta kuti akatswiri azichita kusanthula.

Ngakhale kudya sikusokoneza zotsatira, ndikofunikira kunena kuti magazi samatengedwa pamimba yopanda kanthu.

Kuwunikira kwa hemoglobin ya glycosylated kutha kuchitika zonse kuchokera mu mtsempha ndi chala (zonse zimatengera mtundu wa wasanthula). Nthawi zambiri, zotsatira za phunzirolo zimakhala zokonzekera pambuyo pa masiku 3-4.

Ngati chizindikirocho chili pakati pa mitundu yonse, kuwunika kotsatira kungatengedwe zaka 1-3. Matenda a shuga akangopezeka, kuyambiranso kumalimbikitsidwa pakatha miyezi isanu ndi umodzi.

Ngati wodwalayo adalembetsa kale ndi endocrinologist ndipo adalandira chithandizo chamankhwala, ndikofunikira kuti ayesere miyezi itatu iliyonse.

Kuyenda koteroko kumathandizira kupeza chidziwitso cha momwe munthu alili ndikuwunikira momwe mankhwalawo amathandizira.

Mayeso a Glycated Hemoglobin - Kukonzekera

Phunziroli ndilopadera pamtundu wake. Kuti mupereke mayeso a magazi a glycosylated hemoglobin, simuyenera kukonzekera. Komabe, zinthu zotsatirazi zingasokeretse zotsatira (zichepetsani):

Kusanthula kwa hemoglobin ya glycosylated (glycated) kumachitika bwino mu labotale yokhala ndi zida zamakono. Chifukwa cha izi, zotsatira zake zidzakhala zolondola.

Ndizofunikira kudziwa kuti maphunziro mu labotale osiyanasiyana nthawi zambiri amapereka zosiyana. Izi ndichifukwa choti njira zosiyanasiyana zodziwirira matenda zimagwiritsidwa ntchito m'malo azachipatala.

Ndikofunika kuyesedwa mu labotale yotsimikiziridwa.

Kutsimikiza kwa glycosylated hemoglobin

Mpaka pano, palibe muyezo umodzi womwe ungagwiritsidwe ntchito ndi ma labotale azachipatala. Kutsimikiza kwa glycosylated hemoglobin m'magazi kumachitika ndi njira zotsatirazi:

chromatography yamadzimadzi
immunoturbodimetry,
ion kusinthana chromatography,
kusanthula kwa nephelometric.

Glycosylated Hemoglobin - Mwachizolowezi

Chizindikiro ichi chilibe zaka kapena kusiyana pakati pa amuna ndi akazi. Muyezo wa hemoglobin wa glycosylated m'magazi kwa akulu ndi ana umagwirizanika. Amachokera ku 4% mpaka 6%. Zizindikiro zomwe zimakhala zapamwamba kapena zotsika zimayang'ana matenda. Makamaka, izi ndi zomwe glycosylated hemoglobin akuwonetsa:

HbA1C kuyambira 4% mpaka 5.7% -munthu amakhala ndi metabolism ya carbohydrate mwadongosolo. Kuchepa kwa matenda ashuga sikwatheka.
5.7% -6.0% - Zotsatira izi zikuwonetsa kuti wodwalayo ali pachiwopsezo chachikulu cha matenda. Palibe chithandizo chomwe chikufunika, koma adotolo angavomereze zakudya zamafuta ochepa.
HbA1C imachokera ku 6.1% mpaka 6.4% - Chiwopsezo chotenga matenda ashuga ndichabwino. Wodwalayo ayenera kuchepetsa kuchuluka kwa chakudya chamagulu omwe amamwa posachedwa ndikutsatira malangizo a dokotala ena.
Ngati chizindikiro ndi 6.5% - kufufuza koyambirira kwa matenda ashuga. Kuti mutsimikizire, kuyesedwa kowonjezereka kumayikidwa.

Ngati glycosylated hemoglobin mwa amayi apakati akayesedwa, momwemonso mu nkhaniyi ndi chimodzimodzi kwa anthu ena. Komabe, chizindikirochi chimatha kusintha nthawi yonse yobereka mwana. Zomwe zimayambitsa matendawa:

kuchepa magazi mwa mkazi
chipatso chachikulu kwambiri
kukanika kwa impso.

Yang'anirani shuga yanu yamagazi mongaalangidwira

Ngakhale dokotala atayezera kuchuluka kwa hemoglobin ya glycated, izi sizitanthauza kuti muyenera kusiya kuyang'anira kuwunika kwa glycemic pogwiritsa ntchito glucometer.

Lemberani za anthu odwala matenda ashuga ndikulemba zotsatira za shuga. M'tsogolomu, izi zitha kuwonetsa ndendende zomwe zimayambitsa zizindikiro zanu za glycemia. Izi ndizothandizanso kudziwa zakudya zoyenera komanso zakudya zomwe zimayambitsa kuchuluka kwa shuga m'magazi.

Glycosylated hemoglobin inachuluka

Ngati chizindikirochi ndichoposa china, izi zikuwonetsa mavuto akulu omwe amachitika mthupi. High glycosylated hemoglobin nthawi zambiri imakhala ndi zotsatirazi:

kutayika kwamaso
chilonda chachitali
ludzu
kuchepa kwambiri kapena kuwonda.
chitetezo chokwanira
kukodza pafupipafupi,
kutaya mphamvu ndi kugona.
kuwonongeka kwa chiwindi.

Glycosylated hemoglobin pamwambamwamba - amatanthauza chiyani?

Kuwonjezeka kwa chizindikiro ichi kumayambitsidwa ndi zifukwa zotsatirazi:

Kulephera kwa kagayidwe kazakudya,
zinthu zopanda shuga.

Magazi a hemoglobin wa glycated akuwonetsa kuti chizindikirocho ndichokwera kuposa zabwinobwino, nayi milandu:

mu shuga mellitus - chifukwa chakuti njira yogawa chakudya imasokonekera ndipo kuchuluka kwa glucose kumakulirakulira,
ndi poizoni
Ngati wodwala akudwala matenda a shuga sakhazikitsidwa bwino,
ndi kuchepa kwa magazi m'thupi,
atayika magazi,
mu uremia, pamene carbohemoglobin imavomerezeka, chinthu chomwe chimafanana kwambiri ndi malo ndi HbA1C,
ngati wodwala wachotsa ndulu, chiwalo chovomerezeka ndi kutaya maselo ofiira a magazi.

Glycated hemoglobin inachuluka --atani?

Malangizo otsatirawa athandiza kusintha misinkhu ya HbA1C:

Kupindulitsa kwa zakudya ndi zipatso ndi masamba atsopano, nsomba zamafuta ochepa, nthangala, yogati. Ndikofunikira kuchepetsa kudya kwamafuta, zakudya zamafuta.
Dzitetezeni ku zipsinjo zomwe zimawononga thupi.
Osachepera theka la ola tsiku lililonse kuchita masewera olimbitsa thupi. Chifukwa cha izi, mulingo wa glycosylated hemoglobin udzachepa ndipo thanzi lonse likhala bwino.
Pitani kwa dotolo pafupipafupi ndikuchita mayeso onse omwe iye wamulembera.

Ngati chizindikirochi ndichoperewera, ndicowopsa monga kuchikweza. Glycosylated hemoglobin wocheperachepera 4% amatha kuyambitsa izi: