Hemoglobin yogawanika - kuyesedwa kovomerezeka kuti apeze matenda a shuga ndi kuyesa momwe angaperekere

Pochita zamankhwala, pali zovuta pamene zimakhala zovuta kufufuza momwe mankhwala a hypoglycemic amathandizira komanso kuti odwala matenda a shuga azikwanira mokwanira. Zikuwoneka kuti munthu amamva bwino, ndipo kutsegula m'mimba yopanda kanthu kumakhala kovuta, koma ndi zotani zomwe zimakhala zovuta kwa wodwalayo? Ndipotu, kuchuluka kwa shuga m'magazi kumawunikira pokhapokha panthawi yophunzira, chizindikirochi n'chosakwanira.

Nthawi zina kuwonjezeka kwa shuga m'magazi kumapezedwanso mwa anthu abwinobwino, mwachitsanzo, mutatha kutenga makapu ambiri kapena kupsinjika maganizo ndi maganizo. Mlingo wa shuga ungakhudze kudya kwa mankhwala ena, monga njira zothandizira pakamwa, mankhwala enaake, mankhwala osokoneza bongo. M'zovuta zonse zovuta, kufufuza kwa hemoglobini yogawanika kumathandiza katswiri wamagetsi, motsogoleredwa ndi phunziroli ndi HbA1c.

Hemoglobin yogawanika imapezeka m'magulu a shuga ndi hemoglobini Mamolekyu, kawirikawiri izi zimachitika nthawi zonse anthu ochira. Kuchuluka kwa hemoglobini yomwe imayambira kuyambira ndi 5-8%. Kwa odwala matenda a shuga, chizindikiro ichi chikuwonjezeka ndi maulendo 2-3 ndipo chimapitilira mu moyo wa erythrocyte, mwachitsanzo. Masiku 120. Popeza magulu awiri ofiirira ndi okhwima amapezeka m'magazi, zaka zambiri za erythrocyte, zomwe ziri zofanana ndi theka la moyo wake-masiku 60, zimatengedwa.

Hemoglobin yamagetsi , yomwe chizoloŵezi chake ndi 4-6.1% ya hemoglobini lonse, imasonyeza pafupifupi shuga kwa miyezi iŵiri isanafike nthawi ya kuyezetsa magazi. Choncho, zikhoza kudziwitsani ngati pakhala kuwonjezereka kwanthawi yaitali kwa shuga kapena kwa miyezi iwiri chizindikiro ichi chinali chikhalidwe. Kugwirizana pakati pa HbA1c ndi shuga m'magazi kwatsimikiziridwa ndi zaka zambiri zafukufuku, zatsimikiziridwa kuti kuwonjezeka kwa magazi m'magazi ndi 1.59 mmol / l kukugwirizana ndi 1% ya hemoglobini yomwe imakhala ndi mchere.

Kodi ndizifukwa zotani zomwe zimawerengedwera ku hemoglobini yokhala ndi glycated?

- chifukwa cha matenda a shuga komanso mlingo wa malipiro ake;

- Kuletsa mankhwala ndi mankhwala ochepetsa shuga ;

- kudziwa chiopsezo cha matenda a shuga;

- nthawi zonse kuphwanya kusamalidwa kwa shuga ndi matenda a prediabetes;

- Amayi oyembekezera omwe ali ndi chiopsezo cha matenda a shuga.

Kutanthauzira zotsatira za kusanthula ndi shuga:

Mpaka 5.8% - shuga imapindula bwino.

Kuchokera pa 8 mpaka 10% - kulipira shuga pang'ono.

Pafupifupi 12% ndi matenda osayenera.

Othandizira otchedwa Endocrinologists amayesa kusankha mankhwala kuti hemoglobini yogawanika ili pakati pa 7 ndi 8%. Ndi mankhwala oyenera, mankhwala a HbA1c okwezeka amatha kuwoneka bwino pambuyo pa mwezi umodzi wokonzanso.

Bungwe la American Diabetes Association limalimbikitsa kuti phunziro lichitike kamodzi pa miyezi isanu ndi umodzi. Ku Russia, kufufuza kwa HbA1c kumaperekedwa kwa odwala onse omwe amalandira insulini ndi mankhwala a hypoglycemic, kamodzi pa miyezi itatu iliyonse. Ndi mlingo wa hemoglobin HbA1c ikhoza kuweruzidwa ngati mwayi wa wodwalayo wopangidwa ndi matenda a retinal microvessels, impso ndi kuwonongeka kwa mitsempha ya mitsempha ndi yapamwamba.

Kodi ndi zifukwa ziti pamene kusokoneza kwa chiwerengerochi kungatheke pa HbA1c?

Kuwonjezeka kwabodza mu zotsatira kumawonedwa ndi kuwonjezeka kwa msinkhu wa fetal hemoglobin m'magazi komanso mu kusowa kwa magazi m'thupi. Kuperewera kwachinyengo mu zizindikirozo kumawonekera pamene erythrocytes amawonongedwa chifukwa cha haemolysis, pambuyo poika magazi kapena kutaya mwazi waukulu.

Kufufuza kwa hemoglobin glycated kunayikidwa kawiri kawiri (kamodzi pa mwezi) kwa odwala omwe alibe matenda, ngati ali ndi matenda aakulu, amayi apakati omwe ali ndi matenda a shuga amalepheretsa kukula kwa matenda m'thupi.