Momwe mungapereke kuyezetsa magazi kwa glycated hemoglobin?

Hemoglobin ndi chinthu chomwe chimapezeka m'magazi ndipo chimayang'anira ntchito yogawa oxygen m'thupi lonse. Ndi hemoglobin yomwe imapanga magazi ofiira - izi zimachitika chifukwa cha zinthu zachitsulo momwemo.

Hemoglobin ndi gawo lamaselo ofiira a magazi - tinthu tating'onoting'ono ta magazi. Glucose amatenga nawo mbali popanga hemoglobin. Njirayi ndi yayitali, popeza maselo ofiira a magazi amapangidwa pakatha miyezi itatu. Zotsatira zake, hemoglobin ya glycated (glycosylated) imapezeka, yomwe imawonetsa kuchuluka kwa glycemia koposa miyezi 3.

Kuti mudziwe mulingo wanu, muyenera kukayezetsa magazi mwapadera. Tsoka ilo, ngati mayesowa akuwonetsa kuchuluka kwa glycogemoglobin, ndiye izi zikuwonetsa kukhalapo kwa matenda osokoneza bongo, ngakhale atakhala ofatsa komanso osagwirizana ndi izi, popanda kubweretsa mavuto. Ichi ndichifukwa chake ndikofunikira kuti mumvetsetse momwe mungasinthire izi mozama komanso zomwe muyenera kudziwa kuti mupewe zovuta.

Kodi glycogemoglobin ndi chiyani?

Glycated hemoglobin ndi molekyu ya hemoglobin yolumikizidwa ndi glucose. Ndi pamaziko a zisonyezo zake kuti titha kunena kuti pali matenda monga matenda a shuga.

Mlingo wa hemoglobin wa glycated umatha kupereka zambiri pazambiri za shuga m'miyezi iwiri yapitayi, ndichifukwa chake anthu omwe ali ndi matenda monga matenda ashuga ayenera kukhala ndi ndondomeko osachepera pano.

Izi zikuthandizani kuwunika momwe mankhwalawo amathandizira ndikuzindikira kusintha kwakanthawi kuti muchepetse zovuta. Mokulira kuchuluka kwa glycogemoglobin, nthawi zambiri kumakhala kuchuluka kwa glycemia m'miyezi yaposachedwa, zomwe zikutanthauza kuti chiopsezo chokhala ndi matenda ashuga komanso kukhala ndi matenda othandizanso chikukula.

Pokhala ndi zambiri za hemoglobin yokhala ndi glycosylated, zotsatirazi zingathandize kuteteza vuto:

mankhwala a insulin
othandizira shuga monga mapiritsi,
zakudya mankhwala.

Kuwunika kwa hemoglobin ya glycated kumathandizira kuti adziwe zoyenera komanso kuti adziwe matenda a shuga, mosiyana ndi muyeso wokhazikika ndi glucometer, omwe amawonetsa zomwe zili ndi shuga panthawi ya njirayi.

Glycated hemoglobin m'magazi a anthu

Magazi amakhala ndi zinthu zambiri zomwe zimazungulira mthupi la munthu. Glycated kapena glycosylated hemoglobin ndi gawo limodzi lathunthu la hemoglobin m'magazi ndipo limagwirizana kwambiri ndi glucose. Kuyeza kwa chizindikiro ichi ndi peresenti. Chifukwa chake, kuchuluka kwa shuga komwe kumapezeka m'mwazi kumawonetsa kukhalapo kapena kusowa kwa mavuto azaumoyo. Kuwona kwake kusantaku kumakupatsani mwayi wodziwa zovuta zomwe zachitika m'miyezi itatu yapitayo. Ma lab test mayeso ndi HbA1C. Nthawi yopanga zimatengera labotale yochititsa phunzirolo ndipo nthawi zambiri amakhala masiku 1-2. Cholinga cha kuwunikaku ndikugwirizana ndi dokotala kapena kufunitsitsa kwa wodwalayo kuti afufuze shuga la magazi, ngakhale ngati palibe chizindikiro chodwalitsa.

Zizindikiro zonyansa

Zizindikiro zopatuka kuchoka ku chizolowezi zimatha kupezeka mwa munthu wathanzi kwathunthu, mwa ana ndi amayi apakati. Muyenera "kumvera" thupi lanu: ngati mukumva zochepa mwazizindikiro zitatu zotsatirazi - muyenera kuyesa mayeso a shuga nthawi yomweyo:

Wofatsa kuposa mabala komanso mabala amachiritsidwa nthawi zambiri
Nthawi zambiri komanso zosamveka pamakhala kutopa ndi kutopa,
Kukodza pafupipafupi
Panali fungo lonunkhira kuchokera mkamwa mwanga,
Pakamwa pakamwa, ngakhale mutatsekereza ludzu pafupipafupi,
Masomphenya akuipiraipira.

Gulu loopsalo limaphatikizapo anthu onenepa kwambiri (opitilira 5 kg), akugwira ntchito m'mabizinesi oyipa, otsogola, oledzera, osuta, azimayi omwe adapezeka kuti ali ndi ovomerezeka ya polycystic, komanso anthu omwe ali ndi cholesterol yotsika komanso omwe ali ndi vuto lotengera kubadwa kwa makolo. .

Ngakhale popanda zizindikilozi pamwambapa, munthu aliyense yemwe akuwunika zaumoyo wake amayenera kuwunikira zomwe zili patsamba lino. Sayansi sinaphunzirepo kwathunthu chifukwa chake matenda ashuga amachitika, komanso ngati angathe kuthetseretu. Ngati glycosylated hemoglobin ikapezeka pamiyeso yapamwamba, wodwalayo ayenera kukhalabe ndi shuga komanso magazi mwapadera, mankhwala, komanso kuyezetsa magazi pafupipafupi.

Momwe mungakonzekere ndikudutsa kuwunikira kuti mudziwe kuchuluka kwa shuga

Mukamagawa chilichonse, aliyense amakhala ndi chidwi ndi mafunso: kusanthula kumachitika bwanji ndipo amaperekedwa pamimba yopanda kanthu kapena ayi. Chimodzi mwazinthu zabwino zakusanthulaku ndikuti sizifunikira kukonzekera mwapadera. Kuyambira ndili mwana, timazolowera kudziwa kuti kuyezetsa magazi kulikonse kuyenera kumwedwa pamimba yopanda kanthu, koma izi sizikugwirizana ndi kafukufukuyu. Mutha kumwa tsiku, mutatha kudya, mukamamwa maantibayotiki, komanso ngakhale ndi chimfine. Izi ndichifukwa kutsimikiza kwa ma laboratore kumakupatsani mwayi kuzindikiritsa zazikulu, ngakhale ndi deta yachiwiri ya zinthu zina zomwe zili m'magazi.

Kukonzekera kudutsa kuwunikaku kumakhala kochepa chifukwa cha malingaliro komanso malingaliro kuchokera kwa dokotala (ngati labotale likufuna).

Monga kusanthula kulikonse, shuga wamagazi sangadziwike molondola ndi kuchepa kwa magazi, zodwala mu chithokomiro cha chithokomiro komanso kudya mavitamini C ndi E (mavitaminiwa amakhudza zizindikiritso zambiri m'magazi). Chifukwa chake, ngati mukukayika pakulondola kwa kusanthula, ndikulimbikitsidwa kufunsa dokotala momwe mungaperekere kusanthula kwa wodwala wina molondola - pakhoza kukhala ndi machitidwe omwe adotolo angawadziwe mosavuta, podziwa mbiri yachipatala ya munthu yemwe anafunsira thandizo.

Mawonekedwe Akuzindikira

Mwayi woti udutse kusanthula kwa HbA1C sikuwoneka kale kwambiri. Mpaka pano, m'mizinda ina yaying'ono, kuwunikira kotereku sikungachitike, kotero chithandizo ndi kuwongolera matenda a shuga ndizovuta. Nthawi zambiri, ma laboratori amatha kupereka mayeso amwazi mu biochemical m'malo mwa HbA1C yomwe mukufuna. Izi sizolondola komanso zodula, kusanthula kwa zamankhwala ndi kafukufuku wamagazi ambiri, koma siziwonetsa zambiri pazomwe zili ndi shuga, ndipo zimapezekanso katatu. Chifukwa chake, polemba kuyesedwa kwa magazi kuti mupeze shuga, werengani mosamala mayendedwewo, ndikuwona ngati malo operekera magazi.

Miyezo Yokhutira

Mwa munthu wathanzi, pakati, chizindikirocho chimawerengedwa kuti ndi 4,5 mpaka 6 peresenti. Ngati mayeso am'mbuyomu sanasonyeze kupatuka pachizindikirochi, ndiye kuti 7% ikhoza kuwonetsa matenda amtundu wa II.

Ngati matenda a shuga apezeka kale ndipo kuyezetsa magazi pafupipafupi kumawonetsa peresenti ya 8-10, izi zikutanthauza chithandizo chosankhidwa mosayenera, chotsatira zovuta. Ngati chizindikirocho chikwera pamwamba pa 12, ayenera kuchitapo kanthu kuti amalipire matenda a shuga. Ngati glycosylated hemoglobin ipitirira kuchuluka kwa 12% - shuga sangathe kubwerera mwachizolowezi, wodwala amayenera kuchepetsa shuga yake kwa miyezi ingapo.

Mwa ana, chizindikiro sichosiyana ndi cha munthu wamkulu. Kusiyanaku ndikungokhala ndi kuchuluka kwa shuga - sikungathe kugwetsedwa, apo ayi kumasintha kukhala mavuto akhungu. Thupi la ana limakhala pachiwopsezo chachikulu, ndipo limafunikira njira yapadera.

Mwazi wamagazi pa nthawi yapakati

Magazi a shuga mwa amayi apakati amatha kupatuka kwambiri. Izi zimachitika chifukwa cha ntchito ya thupi "kwa awiri" komanso kulephera kwazomwe amayi azitsogolera. Kuyesedwa kwa magazi kwa shuga ndikofunikira kwa mayi wapakati ndipo kumabwerezedwanso kangapo panthawi yapakati. Izi sizimakhudzidwa ngati mayiyo adawonedwa asanakhale ndi pakati pa matenda ashuga kapena ayi.

Ngati glycosylated hemoglobin mwa mayi wapakati itatsitsidwa, zotsatira zake zitha kukhala motere:

Wosakasa fetal,
Kuwonongeka kwa thanzi la mkazi
Mwana musanabadwe
Kuchotsa pakati mwadzidzidzi.

Nthawi zambiri izi zimachitika chifukwa chosowa chachitsulo m'thupi la mayi wamtsogolo, lomwe limayenera kulipidwa ndi mavitamini apadera ndi zakudya. Ndi chidziwitso chowonjezeka, kupatuka ndikothekanso osati pakukonzekera, komanso mu thupi la mwana wosabadwayo, kotero muyenera kuyang'anitsitsa kuchuluka kwa shuga ya magazi.

Amayi oyembekezera sayenera kudandaula momwe angayesedwe - pamimba yopanda kanthu kapena ayi - ayenera kudya musanachitike.

Izi sizingakhudze moyo wabwino wokha, komanso kutsimikizika kwa kusanthula.

Ndikofunikira kuwongolera chizindikiro cha shuga panthawi yonse yomwe muli ndi pakati. Ngati kusanthula kwachitika miyezi isanu ndi itatu kapena isanu ndi inayi, zikuwonetsa zowunikira m'miyezi itatu yapitayi, i.e. pamene kupatuka kunayamba kudziwonekera miyezi ina 6 ndipo zachedwa kwambiri kuti ntchito ichitike. Chifukwa cha kusokonekera kwa mayendedwe achilengedwe a mkaziyo panthawi yoyembekezera, samatha kuona ngati akupatuka, ndipo dotolo sangamvere, ndipo sangangolembera komwe akupita. Pankhaniyi, nthawi yofunikira itayika ndipo palibe amene angatsimikizire kusakhalapo kwa zovuta pakubala kwa mwana komanso kupitilizidwa kwa moyo wa mwana ndi mayi.

Kuyendera pafupipafupi

Kwa anthu omwe sanakhale ndi mavuto ndi shuga, ndikokwanira kumayesedwa kamodzi zaka 2-3. Kwa anthu omwe ali pachiwopsezo, kusanthula kumeneku kumalimbikitsidwa kubwereza kamodzi pachaka.

Pozindikira matenda ashuga (ngakhale atakhala ndi digiri yotani), kuyezetsa magazi kumafunika kamodzi miyezi isanu ndi umodzi. Kwa odwala ovuta kwambiri - kuwunika momwe glycemia imakhalira ndi glucometer chifukwa cholephera kuwongolera komanso kulipirira matenda ashuga - kamodzi kamodzi miyezi itatu. Kuwunikira pafupipafupi kuchuluka kwa shuga m'magazi kungathandize kupewa zovuta zosafunikira ndi 40%. Mutha kuwunikiridwa pagulu komanso m'malo azachipatala. Mtengo wowunikira ungasiyane.

Matenda a shuga ndi kuwongolera kwake

Matenda a shuga akapezeka kale, ntchito yayikulu ndikuwalipirira ndikusunga shuga mu magawo ochepera 7. Ichi ndi sayansi yonse, ndipo wodwalayo amaphunzira kukwaniritsa izi pamoyo wake wonse kuyambira pomwe matenda apezeka. Amagwiritsa ntchito insulin (ngati kuli kotheka), chakudya chokhwima, kupenda pafupipafupi ndi glucometer kuti adziwe kuchuluka kwa shuga. Chipangizochi chikuyenera kukhala pazankhondo za munthu aliyense yemwe wapeza matenda ashuga nthawi iliyonse. Mfundo yofunika kuchitapo: mothandizidwa ndi ma plates omwe atayika mu chipangizocho, wodwalayo payokha amatenga magazi ochepa. Magazi akangolowa mkati mwazida, zotsatira zake zimawonetsedwa pazowonetsa ngati peresenti. Zosavuta, zosavuta komanso popanda kuyendera malo azachipatala.

Mlingo wa shuga umakhudzidwa mwachindunji ndi chisonyezo cha chakudya chamagulu mu chakudya. Opanda matenda ashuga okha amawatha, zosavuta zidzakhala moyo wake popanda kugwa mwadzidzidzi komanso kukula kwa shuga. Ngati simukufufuzidwa kuti mupeze matenda a shuga, mutha kudwala mwadzidzidzi hypoglycemia kapena hypoclycemic coma, zomwe zimabweretsa zotsatira zoyipa kwambiri.

Mu thupi la munthu muli zinthu zambiri, mavitamini ndi majeru omwe amagwirizana. Ngati izi kapena chizindikirocho chaphwanyidwa, njira yokhazikika yamoyo imatha kutha, ndipo munthu adzakhala wophatikiza mayeso ndi mankhwala nthawi zonse. Matenda a shuga ndi imodzi mwazowopsa zomwe azachipatala adziwona masiku ano ndikuchira kwathunthu. Popewa mavuto ndi thanzi, tikulimbikitsidwa kuti muthane ndi hemoglobin ya glycosylated.

Glycated hemoglobin

Kodi glycated, kapena glycosylated, hemoglobin mumayeso amagetsi amomwe amamuwonetsa ndi chiyani? Thupi limapangidwa ndikuphatikiza hemoglobin ndi glucose. Ubwino wa phunziroli ndi kuthekera kudziwa kusinthasintha kwa glycemic miyezi itatu kuchokera pazotsatira zake. M'magawo oyamba a shuga, kuwonjezeka kwa shuga kumatha mukatha kudya ndipo sikubwerera kwawoko kwanthawi yayitali. Ngati zotsatira za kusanthula pamimba yopanda kanthu siziposa zoyenera - kafukufuku pa hemoglobin wa glycated amawulula kuphwanya.

Kwa odwala matenda ashuga, njirayi imathandizira kudziwa kuchuluka kwa glucose komwe kwakhala m'magazi kwa miyezi itatu yapitayo. Zotsatira zake zimawunikira momwe mankhwalawo amathandizira, ndipo ngati kuli koyenera, sinthani mwa kusankha moyenera mankhwala ochepetsa shuga.

Kukonzekera kafukufuku waku labotale

Momwe mungakonzekerere kuyezetsa magazi kwa glycated hemoglobin (HbA1C)? Phunziroli silifuna kukonzekera mwapadera. Muziperekanso nthawi ina iliyonse masana, ngakhale chakudya. Zotsatira zake sizimakhudzidwa ndi chimfine, matenda a virus, nkhawa zam'mbuyomu komanso zakumwa zoledzeretsa zomwe mumamwa dzulo.

Kuwunika kwa glycosylated hemoglobin m'magazi kumalimbikitsidwa kuti azitenga kamodzi pachaka kwa anthu omwe ali pachiwopsezo: odwala omwe amakhala ndi moyo wokhazikika ndipo amakhala ndi chibadwa champhamvu, onenepa kwambiri, osuta fodya kapena mowa. Phunziroli ndilothandiza kwa azimayi omwe adadwala matenda ashuga panthawi ya pakati.

Kodi kukonzekera kusanthula kwama biochemical kwa glycated hemoglobin ndi kotani? Amapereka magazi, mosasamala nthawi yatsiku kapena nthawi yakudya. Mankhwala kapena zovuta zilizonse zimakhudza zotsatira zake. Anthu odwala matenda ashuga ayenera kuchita njirayi pafupipafupi, mosasamala kanthu kuchuluka kwa chiphuphu.

Kusanthula kwa HbA1C

Momwe mungayesere hemoglobin ya glycated (glycosylated)? Pofufuza, magazi amatengedwa kukhala capillary (kuchokera pachala). Nthawi yosankhidwa masana ndi m'mawa. Chofunikira: musanapite ku labotale, siyani kuchita masewera olimbitsa thupi. Zotsatira zakonzeka tsiku lotsatira.

Kusanthula kwa hemoglobin wa glycated:

Ngati chisonyezocho chikuposa 6.5%, dziko loyambirira limapezedwa. Kuchiza moyenera nthawi yake kumapewetsa matendawo kapena kuchedwetsa kwa nthawi yayitali. Kuti mutsimikizire matendawa, kuyesa kwina kwa glucose kumachitika.
Zotsatira zapakati pa 6.1-6.5% zikuwonetsa kuti palibe matenda komanso momwe zidalili, koma pali chiwopsezo cha chitukuko chake. Odwala amalangizidwa kuti azichita zolimbitsa thupi, achepetse thupi komanso asinthe zakudya, azichotsa zomanga thupi komanso mafuta a nyama.
Odwala omwe ali ndi zotsatira za 5.7-6.0% ali pachiwopsezo. Amalangizidwa kuti asinthe moyo wawo, asinthe kukhala ndizolimbitsa thupi, komanso azichita masewera olimbitsa thupi.
Yankho la 4.6-55.7% limatanthawuza kuti munthuyo ndi wathanzi, kagayidwe kake mthupi lake sikhala operewera.

Momwe mungayesedwe glycated hemoglobin? Kodi akuwonetsa chiyani? Kodi zotsatira zake zimadziwika bwanji? Phunziroli limatsimikizira kuchuluka kwa kubwezeredwa kwa matendawa ndikuyenerera kwa kusintha kwa mankhwalawo poyankha kosakhutiritsa. Mtengo wabwinobwino ndi 5.7-7.0%; kwa anthu okalamba, kuwonjezera kwa 8.0% ndikuloledwa. Kwa ana ndi amayi apakati, zotheka ndizo 4,6-6.0%.

Kuwongolera kwa glycemia kwa wodwala ndi gawo lofunikira la chithandizo, chifukwa nthawi zambiri kukweza shuga kapena kulumpha mu shuga kumabweretsa zotsatira zoyipa. Kuchepa kwa shuga kumachepetsa zovuta za 30-30%.

Kodi kuwunika kwa HbA1C kulondola?

Kodi kuwunika kwa ma hemoglobin a glycated ndi kotani? Kafukufukuyu akuwonetsa kuchuluka kwa glycemia kwa miyezi itatu, koma sikuwonetsa kuwonjezeka kwakukulu kwa chizindikiro mu nthawi iliyonse.Kusiyana kwa kuchuluka kwa shuga ndi kowopsa kwa wodwalayo, chifukwa chake, ndikofunikira kuwonjezera magazi a capillary pamimba yopanda kanthu, imwani ndi glucometer m'mawa, musanadye komanso musanadye.

Ngati mukukonzekera, kusanthula kwa glycosylated hemoglobin kumawonetsa kuthekera kwakukulu kwa kukhala ndi matenda ashuga, pangani mayeso a insulin. Zolinga zikuluzikulu za mankhwalawa ndi matenda a metabolism, zomwe zimapangitsa kuti minofu ipange mapuloteni, kubwezeretsa magwiridwe antchito.

Zabwino ndi zoyipa zakafukufuku wa labotale

Kusanthula kwa HbA1C kumaperekedwa popanda kukonzekera koyambirira. Akuyerekezera kuchuluka kwa shuga m'miyezi itatu, ndikupatsa mwayi wazomwe matendawa angayambire.

Kafukufuku wa odwala matenda ashuga amathandizira kudziwa ngati ali ndi zakudya zabwino komanso kumwa mankhwala.

Zotsatira zakuwunikirazi zitha kuwonetsa kusayenda bwino kwa mankhwalawa komanso kufunika kosintha mankhwala ochepetsa shuga, kusintha mlingo wa insulin. Chimodzi mwazabwino zawo ndikuyankha mwachangu komanso momveka bwino.

Choyipa chachikulu ndi mtengo wokwera. Sali mzinda uliwonse womwe uli ndi ma labotale omwe amafufuza za HbA1C. Pali zinthu zosokoneza, chifukwa - zolakwa pama mayankho.

Ndani akufuna magazi a HbA1c?

Maupangiri wofufuza ngati awa ndiwololedwa kupatsidwa ndi madotolo osiyanasiyana, ndipo mutha kupita inunso mu labotale yofufuza.

Dokotalayo amapereka chidziwitso pazochitika zotsatirazi:

ngati mukukaikira matenda ashuga
kuyang'anira njira yamankhwala
kupereka mitundu ya mankhwala,
kuwunika kayendedwe ka metabolic mthupi,
mukanyamula mwana (ngati mukukayikira za matenda ashuga)

Koma chifukwa chachikulu ndikupezeka kwa matenda ashuga, pakakhala zizindikiro:

kamwa yowuma
kuchuluka kofunikira popita kuchimbudzi,
kusintha kwa mkhalidwe,
kutopa kwakukulu pakuchita masewera olimbitsa thupi ochepa.

Kodi ndingapeze kuti kusanthula? Kuyesedwa kwa hemoglobin ya glycated kumatha kuchitika kuchipatala chilichonse kapena kuchipatala chayekha, kusiyana kwake kungakhale mu mtengo ndi mtundu wa ntchito. Pali mabungwe achinsinsi kuposa boma, ndipo izi ndizothandiza kwambiri, ndipo simuyenera kudikirira. Nthawi ya kafukufukuyu itha kukhala yosiyana.

Ngati mukusanthula pafupipafupi izi, ndiye kuti muyenera kulumikizana ndi chipatala chimodzi kuti zitheke kuwunika bwino zotsatira zake, chifukwa chida chilichonse chili ndi cholakwika chake.

Kukonzekera malamulo

Ndizofunikira kudziwa kuti zilibe kanthu kuti kusanthula kumeneku kudzaperekedwa pamimba yopanda kanthu kapena ayi, chifukwa zotsatira za kafukufuku sizidalira izi.

Musanapite kuchipatala, mutha kumwa khofi kapena tiyi mosamala. Nthawi zambiri, mawonekedwe okhala ndi zizindikiro sangaperekedwe pasanadutse masiku atatu antchito.

Wothandizira labotale ayenera kutenga pafupi-fupi mamilimita atatu a magazi kuchokera kwa wodwala.

Zotsatirazi sizichita mbali pakuwunika kwa hemoglobin ya glycated:

Maganizo a wodwala
nthawi ya tsiku ndi chaka
kumwa mankhwala.

Zotsatira zakufukufuku zingakhudzidwe ndi:

kuchepa kwa magazi (kuchuluka kwakukulu),
kuthira magazi
kusamba.

Zikatero, madokotala amalimbikitsa kuti aziika kaye magazi m'malo kwakanthawi.

Pomaliza, hemoglobin wa glycated amasonyezedwa ngati HbA1c.

Mfundo zake zitha kufotokozedwa motere:

Makhalidwe abwinobwino a glycosylated hemoglobin

Kuti mumvetsetse zomwe zikuyenera kukhala, muyenera kumvetsetsa zomwe zikugwirizana ndi ichi.

Zotsatira zimatengera:

Kusiyana kwakukulu pazomwezo ndi zosiyana zaka. Kukhalapo kwa matenda olumikizana kapena kutenga pakati kumakhudzanso.

Mulingo wambiri mwa% mwa anthu ochepera zaka 45:

chabwino 7.

Mulingo wambiri mu% mwa anthu atatha zaka 45:

Mulingo wambiri mu% mwa anthu zaka 65:

Komanso, ngati zotsatira zake zili mulingo wamba, osadandaula. Mtengo ukakhala wokhutiritsa, ndiye kuti ndiyenera kuyamba kuchita nawo zaumoyo wanu. Ngati mawonekedwe ali ndi zambiri, ndiye kuti muyenera kufunsa dokotala, mwina muli ndi matenda a shuga.

Zambiri mu% pa nthawi yapakati:

Ngati zotsatira za kusanthula, kodi chizindikiridwe cha overestimated kapena chochepetsedwa chimatanthawuza chiyani?

Ngati chizindikiro cha hemoglobin chozindikira chikuposa zomwe zili zovomerezeka, ndiye kuti izi sizitanthauza kuti wodwala ali ndi matenda a shuga. Koma mutha kunena motsimikiza kuti kagayidwe kazakudya kamphamvu kwambiri.

Kukhalapo kwa matenda kumatha kutsimikiziridwa ndi dokotala, mungafunike kuyesa zowonjezereka kuti musatenge mitundu ina yazomwe thupi limachita.

Zimachitika kuti hemoglobin wa glycated amatha kutsika kwambiri kuposa masiku onse. Chodabwitsachi chimatchedwa hypoglycemia, chomwe chimapezeka m'matenda ambiri, kuphatikizapo khansa ya kapamba, yomwe imapangitsa kutulutsidwa kwa insulin m'magazi.

Mwanjira imeneyi, kuchuluka kwa insulin kumachepetsa shuga, zomwe zimayambitsa hypoglycemia.

Njira zochepetsera HbA1c

Pakuwonjezereka kwa phindu la HbA1c, kufunsirana mwachangu ndi katswiri ndikofunikira, yemwe angadziwe njira zamankhwala ndikupereka mankhwala ofunikira.

Monga njira yochepetsera shuga wamagazi, ndikofunikira kuwunikira chakudya chamankhwala. Zambiri zimatengera chakudya choyenera, pankhaniyi ndikofunikira kusankha zakudya zamafuta ochepa.

Iyenera kutsatira malangizo awa mukamadya:

sankhani zakudya zabwino
Gawani zakudya m'magawo ang'onoang'ono, ndikwabwino kudya pang'ono pamaola awiri aliwonse,
idyani pang'onopang'ono (thupi liyenera kuzolowera ndikumvetsetsa kuti sipadzakhala kuchedwa pakati pa chakudya),
idyani zipatso ndi masamba ambiri
onjezani nthochi ndi nyemba ku chakudya chanu,
Ndikofunikira kuwonjezera mkaka ndi mkaka,
Mtedza ndi nsomba zopendekera ziyenera kuwonekera pazosankha,
kuchokera pa zonunkhira mungathe kuwonjezera sinamoni,
Imwani madzi ndikuchepetsa sopo,
Zakudya zamafuta ndi zopatsa mphamvu zambiri ziyenera kuyiwalika, chifukwa zimawononga thupi.

Ngati ndizovuta kukhazikitsa nokha zakudya, ndiye kuti muyenera kulumikizana ndi katswiri wazakudya yemwe angakuthandizeni kupanga menyu omwe akukuyenererani.

Ndikofunika kuyang'anira chidwi chanu. Ndikofunikira kuyambitsa masewera olimbitsa thupi nthawi zonse.

Zimatsimikiziridwa kuti kusewera masewera kumawonjezera kwambiri kagayidwe ndipo kumalimbikitsa kuyamwa kwa zakudya zamatumbo. Sichabwino kuti muzidzigwira nokha, koma muyenera kuchita zolimbitsa thupi pang'ono, osachepera theka la ola.

Kupsinjika ndi kusangalalanso zimakhudzanso chiwopsezo cha matenda ashuga, chifukwa chake ngati mumatentha kwambiri komanso osalimbana ndi nkhawa, ndiye kuti muyenera kuthana ndi mkhalidwe wanu wama maganizo. Kungakhale koyenera kuyamba kukhazikika pansi.

Musaiwale kuonana ndi dokotala yemwe angakuthandizeni ndi upangiri ndi malangizo othandiza.

Kodi ndiyenera kumwa HbA1C panthawi yapakati?

Matenda a shuga kwa amayi apakati ndi matenda owopsa omwe amayambitsa mavuto akulu kwa mayi ndi mwana wosabadwayo. Chifukwa chake, kuyang'anira glycemic ndi njira yovomerezeka panthawi yobala mwana. Shuga wapamwamba amatsogolera kubadwa kovuta, kukula kwa khanda lalikulu, kusokonezeka kwa kubereka, ndi kufa kwa makanda.

Kuyesedwa kopanda magazi m'mimba pa pathology kumakhalabe kwachilendo, shuga amadzuka chakudya pambuyo pake, ndipo kuyang'anitsitsa kwake kumapitilira kwanthawi yayitali. Kafukufuku wokhudza HbA1C ndiwosagwira kwa amayi oyembekezera, popeza amalola kupeza deta m'miyezi itatu yapitayo, pomwe matenda ashuga amayamba kumachitika pakatha milungu 25 yoyembekezera.

Onani glycemia poyesa shuga mukatha kudya. Kusanthula kumachitika motere: mzimayi amatenga magazi pamimba yopanda kanthu, ndiye kuti apereka shuga kuti amwe ndikuwunika pambuyo pa maola 0,5, 1 ndi 2. Zotsatira zimazindikira momwe shuga imakhalira komanso momwe imabwerera mwachangu. Ngati kupatuka kwapezeka, chithandizo ndi mankhwala.

Kafukufuku wa glycated amayenera kuchitika kangati

Anthu athanzi opitirira zaka 35 amalimbikitsidwa kuti azichita njirayi kamodzi pazaka zitatu, pomwe ali pachiwopsezo - kamodzi pachaka.

Anthu odwala matenda ashuga omwe amayang'anira glycemia ndipo amakhala ndi zotsatira zabwino za HbA1C ayenera kuperekedwa kamodzi miyezi isanu ndi umodzi. Kwa odwala omwe sangathe kuwongolera matenda ashuga ndikulipirira, kafukufuku ayenera kuchitidwa miyezi itatu iliyonse, kuwonjezera kuwunika momwe shuga akuwonekera ndi glucometer.

Kusanthula kwa labotale kwa hemoglobin ya glycated kumathandizira kuzindikira matenda ashuga kumayambiriro ndikuyambitsa chithandizo panthawi. Kwa anthu omwe ali ndi matenda omwe mwapezeka nawo, kuwunikaku kumakupatsani mwayi wowona kuchuluka kwa momwe amathandizira kuthana ndi matenda, ngakhale pali njira yeniyeni kuchokera ku chithandizo chomwe akutenga kapena ngati pakufunika kuwongolera. Chitani kafukufuku pa HbA1C m'makliniki akulu kapena ma labotale apadera.