Mlingo wa glycated hemoglobin mu shuga
Glycated hemoglobin ndi chizindikiro cha njira ya biochemical. Zimawonetsa shuga m'miyezi itatu yapitayo. Chifukwa cha izi, zimatha kuwerengera chithunzi cha matenda osokoneza bongo popanda zovuta zilizonse. Maperesentiwo amayeza. Mwazi wamagazi ochulukirapo, ma hemoglobin ochulukirapo adzapakidwa.
Kuwunikira kwa HbA1C kumagwiritsidwa ntchito kwa ana ndi akulu. Zimakuthandizani kuzindikira matenda a shuga, kuwunika momwe mankhwalawo amathandizira.
Zowonjezera ndi zizindikiro za matenda ashuga
Mpaka 2009, mbiri ya zisonyezo idawonetsedwa ngati peresenti. Mlingo wa hemoglobin womwe umalumikizidwa ndi glucose mwa anthu athanzi uli pafupi 3,4-16%. Zizindikirozi zilibe zoletsa za jenda komanso zaka. Maselo ofiira amakumana ndi glucose masiku 120. Chifukwa chake, kuyeserako kumakupatsani mwayi kuti mufufuze bwino momwe mungadziwiritsire ntchito. Mlingo womwe uli pamwambapa 6.5% nthawi zambiri umakhala mwa anthu odwala matenda ashuga. Ngati zili pamlingo wa 6 mpaka 6.5%, madokotala akuti chiwopsezo chachikulu chotenga matendawa.
Masiku ano, m'mabotolo, mawu a hemoglobin amawerengedwa m'masentimita iliyonse pa hemoglobin yonse. Chifukwa cha izi, mutha kupeza zizindikiro zosiyanasiyana. Kuti musinthe magawo atsopano kukhala peresenti, gwiritsani ntchito njira yapadera: hba1s (%) = hba1s (mmol / mol): 10.929 +2.15. Mwa anthu athanzi, mpaka 42 mmol / mol ndizabwinobwino.
Chizindikiro cha matenda ashuga
Odwala omwe ali ndi matenda a shuga a nthawi yayitali, mulingo wa hb1c ndi wochepera 59 mmol / mol. Ngati tikulankhula za kuchuluka, ndiye mu matenda a shuga, chizindikiro cha 6.5% ndicho chachikulu. Pa chithandizo, amawunika kuti chizindikirocho sichikwera. Kupanda kutero, zovuta zimatha.
Zolinga zabwino za odwala ndi:
- matenda a shuga 1 - 6.5%,
- matenda a shuga 2 - 6.5% - 7%,
- pa mimba - 6%.
Zizindikiro zochulukirapo zikuwonetsa kuti wodwalayo akugwiritsa ntchito molakwika kapena pali njira zina m'thupi zomwe zimagwirizanitsidwa kwambiri ndi metabolism ya carbohydrate. Ngati glycated hemoglobin imachulukirachulukira, kuyezetsa magazi kwina kumayesedwa kuti mupeze kuchuluka kwa shuga musanadye komanso mukamaliza kudya.
Anthu omwe ali ndi matenda a shuga a mtundu wachiwiri, omwe ali ndi matenda amtima, amalimbikitsidwa kuti azisunga chisonyezo mkati mwa 48 mmol / mol. Izi zitha kuchitika ngati mumatsatira zakudya.
Ngati tikonza mulingo wazomwe zafotokozedwazo ndi mulingo wa glucose, zimakhala kuti hbа1c 59 mmol / mol, cholembera chapakati cha glucose ndi 9.4 mmol / l. Ngati kuchuluka kwa hemoglobin kopitilira 60, izi zikuwonetsa kukonzekera.
Chidwi chachikulu chimaperekedwa kwa Zizindikiro mwa amayi apakati. Zowonjezera zawo ndi 6.5, malire ovomerezeka amafika 7. Ngati maulalo ndi apamwamba, ndiye kuti titha kulankhula za chitukuko cha matenda ashuga mwa amayi apakati. Nthawi yomweyo, zimakhala zomveka kuti amayi omwe ali ndi mwayi wokhoza kuwunikira pa miyezi 1-3. Pambuyo pake chifukwa cha vuto la mahomoni, chithunzi cholondola sichitha kupangidwa.
Zolemba Phunziro
Chimodzi mwazinthu zabwino zakuphunzira glycosylated hemoglobin ndi kusakonzekera komanso kuthekera kochita kafukufuku nthawi iliyonse yabwino. Njira zapadera zimapangitsa kuti zitheke kupeza chithunzi chodalirika mosasamala za mankhwala, chakudya kapena kupsinjika.
Malangizo okhawo ndi kukana chakudya cham'mawa patsiku la phunziroli. Zotsatira nthawi zambiri zimakhala zokonzekera masiku 1-2. Ngati wodwalayo wathiridwa magazi kapena atatuluka magazi kwambiri posachedwa, zosalondola m'zowonetsa ndizotheka. Pazifukwa izi, kafukufukuyu amaimitsidwa kwa masiku angapo.
Pomaliza, tazindikira kuti mitengo yowonjezereka imawonetsera osati mitundu ingapo ya matenda a shuga, komanso ma pathologies a chithokomiro, kulephera kwa impso, kapena vuto la hypothalamus.
